| Journal: | Cirujano general |
| Database: | PERIÓDICA |
| System number: | 000398670 |
| ISSN: | 1405-0099 |
| Authors: | Hernández Higareda, Salvador1 Ruvalcaba Ramírez, Miguel Angel1 Muñoz Navarro, Ismael1 Flores Cruz, Jesús1 Pérez Ávila, Carlos Eduardo1 |
| Institutions: | 1Instituto Mexicano del Seguro Social, Centro Médico Nacional de Occidente, Guadalajara, Jalisco. México |
| Year: | 2016 |
| Season: | Ene-Mar |
| Volumen: | 38 |
| Number: | 1 |
| Pages: | 19-21 |
| Country: | México |
| Language: | Español |
| Document type: | Artículo |
| Approach: | Caso clínico, descriptivo |
| Spanish abstract | Se presenta el caso de una emergencia quirúrgica grave con alto riesgo de muerte materna en el que se logró obtener un resultado satisfactorio; se requirió de manejo oportuno y multidisciplinario para lograrlo. Esto es muy importante, ya que en México la preeclampsia-eclampsia es frecuente. Se trata de una paciente de 29 años de edad, secundigesta, a la que se le realiza operación cesárea en un hospital de segundo nivel por presentar preeclampsia con datos de severidad y síndrome HELLP; en la cirugía se encuentra ruptura hepática que comprende tres segmentos: el IV, VI y VII, con disrupción del parénquima hepático en un 75%. Se hace la primera cirugía y es enviada a un centro médico de tercer nivel de atención donde se llevan a cabo dos operaciones más. La paciente es dada de alta para seguirla valorando en consulta posteriormente |
| English abstract | A case is presented of a serious surgical emergency with a high risk of death for the mother, in which we managed to obtain a satisfactory result, for which a timely and multidisciplinary approach was required. This is very important because in Mexico preeclampsia-eclampsia is common. This case is about a female 29-year-old patient having her second child, to whom a caesarean section was performed in a second level hospital for presenting preeclampsia with severity data and HELLP syndrome. During surgery, we observed hepatic rupture comprising three segments (IV, VI, and VII) with disruption of the liver parenchyma by 75%. A fi rst surgery was performed and she was sent to a tertiary care medical center where two more operations were performed and the patient was discharged to be followed later in consultation |
| Disciplines: | Medicina |
| Keyword: | Cirugía, Ginecología y obstetricia, Urgencias médicas, Riesgo materno, Embarazo, Síndrome HELLP, Ruptura hepática |
| Keyword: | Medicine, Gynecology and obstetrics, Surgery, Medical emergencies, Maternal risk, Pregnancy, HELLP syndrome, Hepatic rupture |
| Full text: | Texto completo (Ver PDF) |
