Conducta obstétrica a seguir en paciente con mola invasiva, manejo terapéutico.
| dc.contributor.advisor | Martínez Álvarez, Marlon Eduardo | |
| dc.contributor.author | Vargas Ponce, Angie Isabel | |
| dc.date.accessioned | 2023-11-06T16:22:20Z | |
| dc.date.available | 2023-11-06T16:22:20Z | |
| dc.date.issued | 2023 | |
| dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/15019 | |
| dc.description | Invasive mole is a rare event characterized by excessive trophoblastic proliferation and infiltration of the trophoblast into the myometrium but shows no propensity for metastatic spread. We present a clinical case of a 48-year-old patient who came to the emergency area of General Hospital Babahoyo with symptoms of abdominal pain, transvaginal bleeding, nausea, and dizziness. The suspicion of a molar pregnancy arose after the first ultrasound, which revealed indicative features. Additionally, an elevation in the beta fraction of human chorionic gonadotropin was detected. It was decided to prepare the patient for her first instrumental uterine curettage (LUI). Ten days later, the patient returned, and additional ultrasound and laboratory studies were performed. These results supported the need for a second LUI. During this procedure, the patient experienced persistent bleeding, leading to hemodynamic compromise, triggering an emergency protocol. Measures were taken, including the insertion of an intrauterine balloon and the Zea technique, along with the administration of blood products to stabilize her. Discussions with the family regarding the complications took place, and a panhysterectomy was suggested due to continuous bleeding. The family members comprehended the explanation of the patient's obstetric clinical conditions and proceeded to sign the informed consent form. The intervention was successfully performed in a timely manner, and the patient's life was saved. The samples obtained during the surgery were sent for pathological examination. | es_ES |
| dc.description | Invasive mole is a rare event characterized by excessive trophoblastic proliferation and infiltration of the trophoblast into the myometrium but shows no propensity for metastatic spread. We present a clinical case of a 48-year-old patient who came to the emergency area of General Hospital Babahoyo with symptoms of abdominal pain, transvaginal bleeding, nausea, and dizziness. The suspicion of a molar pregnancy arose after the first ultrasound, which revealed indicative features. Additionally, an elevation in the beta fraction of human chorionic gonadotropin was detected. It was decided to prepare the patient for her first instrumental uterine curettage (LUI). Ten days later, the patient returned, and additional ultrasound and laboratory studies were performed. These results supported the need for a second LUI. During this procedure, the patient experienced persistent bleeding, leading to hemodynamic compromise, triggering an emergency protocol. Measures were taken, including the insertion of an intrauterine balloon and the Zea technique, along with the administration of blood products to stabilize her. Discussions with the family regarding the complications took place, and a panhysterectomy was suggested due to continuous bleeding. The family members comprehended the explanation of the patient's obstetric clinical conditions and proceeded to sign the informed consent form. The intervention was successfully performed in a timely manner, and the patient's life was saved. The samples obtained during the surgery were sent for pathological examination. | es_ES |
| dc.description.abstract | La mola invasiva es un evento poco común que se distingue por una proliferación trofoblástica excesiva y una penetración del trofoblasto en el miometrio, pero no muestra propensión a la propagación metastásica. Se presenta el caso clínico de una paciente de 48 años de edad que acude al área de emergencia del Hospital General Babahoyo por presentar el cuadro clínico de dolor abdominal, sangrado transvaginal, náuseas y vértigo. La sospecha de embarazo molar se generó tras la primera ecografía que reveló características indicativas. Además, se detectó el aumento en la fracción beta de la gonadotropina coriónica humana. Se determinó preparar a la paciente para su primer legrado uterino instrumental (LUI). Después de diez días, la paciente regresó y se realizaron estudios ecográficos y análisis de laboratorio adicionales. Estos resultados respaldaron la necesidad de un segundo LUI. Durante esta intervención, la paciente presentó un sangrado persistente que resultó en un compromiso hemodinámico, lo que desencadenó la activación de un protocolo de emergencia. Se tomaron medidas, incluyendo la inserción de un balón intrauterino y la técnica Zea, junto con la administración de hemoderivados para estabilizarla. Se dialogó con la familia acerca de las complicaciones y se sugirió una panhisterectomía debido al sangrado continuo. Los familiares entendieron la explicación sobre las condiciones clínicas obstétricas de la paciente y procedieron a firmar la hoja del consentimiento informado. La intervención fue realizada con éxito y se salvaguardo la vida de la paciente. | es_ES |
| dc.format.extent | 45 p. | es_ES |
| dc.language.iso | es | es_ES |
| dc.publisher | Babahoyo: UTB-FCS, 2023 | es_ES |
| dc.rights | Atribución-NoComercial-SinDerivadas 3.0 Ecuador | * |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/ec/ | * |
| dc.subject | Enfermedad trofoblástica | es_ES |
| dc.subject | Embarazo molar | es_ES |
| dc.subject | Mola invasiva | es_ES |
| dc.title | Conducta obstétrica a seguir en paciente con mola invasiva, manejo terapéutico. | es_ES |
| dc.type | bachelorThesis | es_ES |
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