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2001, Number 2

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Rev Hosp Jua Mex 2001; 68 (2)

Hallazgos ultrasonográficos más frecuentes del embarazo ectópico

Garrido MAC, Casián CG, Sánchez CR

Language: Spanish
References: 23
Page: 77-82
PDF size: 173.11 Kb.


ABSTRACT

Introduction. The ectopic pregnancy not only constitutes one of the pathologies that requires of more acuteness diagnostic, for the biological repercussion of its clinical square, but also for the sequel that it’s handling generally brings with relationship to the fertility of a patient with problems of sterility. Material and method. Was carried out a retrospective, descriptive, observational and traverse study to determine which were the more frequent ultrasonographics signs of the ectopic pregnancy in the Hospital Juarez of Mexico of July 1 from 1997 to June 30, 1999. The clinical ultrasonographic files of 100 patients were revised. Of these patients, 37 were excluded; five for not having pictures of the ultrasound, six to have a mistaken file and 26 didn’t have ectopic pregnancy like final diagnosis. At the end they were 63 patients that had clinical, ultrasonographic, surgical or histopathologic diagnosis of ectopic pregnancy. Results. One hundred files were revised of which 63 completed the inclusion approaches. The age range went from 17 to 40 years with a 26.2 year-old mean. They were sack gestational like in eight patients (12.7%) of those which in three (4.8%) heart frequency was visualized outside of the uterine cavity, what transforms it into a finding of certainty. Discussion. Even when the patients were 63, the tendency of the findings in order of frequency was significant to compare them with the world literature. However a bigger number of patients is required to corroborate the own tendency of our hospital.


REFERENCES

  1. Marín VA, Mondragón H, Cherem B, et al. Estado actual del manejo conservador del embarazo ectópico. Ginecol Obstet Méx 1996; 64: 123-30.

  2. Pritchard JA, MacDonald PC, Gant NF. Williams Obstetricia. 3a. ed. Barcelona: Salvat; 1986.

  3. Callen PW. Ecografía en obstetricia y ginecología. 3ª. ed. Buenos Aires: Panamericana; 1995.

  4. Wyte CD. Diagnostic modalities in the pregnant patient. Emerg Med Clin North Am 1995; 12: 9-43.

  5. Villarreal C, Juárez A, Wong FJ. Embarazo ectópico en cavidad abdominal. Presentación de una caso y revisión de la literatura. Ginecol Obstet Méx 1995; 63: 26-9.

  6. Goldstein SR. Sonography in early pregnancy failure. Clin Obstet Gynecol 1994; 37: 681-92.

  7. Heinonen PK. Unicornuate uterus and rudimentary horn. Fertil Steril 1997; 68: 224-30.

  8. Gomel V. For tubal pregnancy, surgical treatment is usually best. Clin Obstet Gynecol 1995; 38: 353-61.

  9. Marquesee E, Hill JA, Mandel SJ. Thyroiditis after pregnancy loss. JCE & M 1997; 82: 2455-7.

  10. Saxon D, Falcone T, Mascha EJ, et al. A study of ruptured tubal ectopic pregnancy. Obstet Gynecol 1997; 90: 46-9.

  11. Somerson SB. Transvaginal ultrasonography in patients with human chorionic gonadotrophin values greater than 1000 mu/mL: How often is the study diagnostic? Ann Emerg Med 1997; 30: 206-9.

  12. Espinosa M, Alcántar MA. Embarazo heterotópico: informe de un caso y revisión bibliográfica. Ginecol Obstet Méx 1997; 65: 482-6.

  13. Beth M, Valley VT, Mateer JR. Pelvic ultrasonography. Emerg Med Clin North Am 1997; 15: 789-821.

  14. Pisarska MD, Carson SA, Buster JE. Ectopic pregnancy. Lancet 1998; 351: 1115-20.

  15. Bustamante J, Calvillom L, Contreras E. Embarazo séptico cervical: informe de un caso. Ginecol Obstet Méx 1994; 62: 322-3.

  16. Stovall TG. Medical management should be routinely used as primary therapy for ectopic pregnancy. Clin Obstet Gynecol 1995; 38: 346-52.

  17. Kably A, Von Der Meden WJ, García JFL, et al. Diagnóstico temprano del embarazo heterotópico con viabilidad del producto intrauterino. Informe de dos casos y revisión de la literatura. Ginecol Obstet Méx 1995; 63: 346-8.

  18. Kendrick JS, Tierney EF, Lawson HW, et al. Previous cesarean delivery and the risk of ectopic pregnancy. Obstet Gynecol 1996; 87: 297-301.

  19. Emerson DS, McCord ML. Clinician’s approach to ectopic pregnancy. Clin Obstet Gynecol 1996; 39: 199-222.

  20. Ben-Shlomo I, Eliyahu S, Yanai N, et al. Methotrexate as a possible cause of ovarian cysts formation: Experience with women treated for ectopic pregnancies. Fertil Steril 1997; 67: 786-8.

  21. Brawner A. Medical management of ectopic pregnancy. Clin Obstet Gynecol 1998; 41: 382-5.

  22. Ardaens Y, Guérin B, Lambert I. Ecografía pélvica en ginecología 1ª. ed. Barcelona: Masson; 1995.

  23. Bisset RA. Gamuts en ecografía abdominal 1ª. ed. Madrid: Marbán; 1992.




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