Piometra secundario a estenosis cervical en una adolescente
Resumen Introducción: El piometra es una afección infrecuente, pero grave, que en general se diagnostica en mujeres posmenopáusicas. En adolescentes es sumamente raro, y si se acompaña de amenorrea primaria hay que tener en mente las anomalías congénitas. Caso clínico: Adolescente de 13 años, sin an...
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| Vydáno v: | Revista chilena de obstetricia y ginecología Ročník 86; číslo 5; s. 461 - 464 |
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| Hlavní autoři: | , , , , , , |
| Médium: | Journal Article |
| Jazyk: | portugalština španělština |
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Sociedad Chilena de Obstetricia y Ginecología
30.12.2021
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| ISSN: | 0717-7526 |
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| Abstract | Resumen Introducción: El piometra es una afección infrecuente, pero grave, que en general se diagnostica en mujeres posmenopáusicas. En adolescentes es sumamente raro, y si se acompaña de amenorrea primaria hay que tener en mente las anomalías congénitas. Caso clínico: Adolescente de 13 años, sin antecedentes personales de interés salvo amenorrea primaria, que acude con abdomen agudo y es intervenida por una peritonitis difusa causada por un piometra secundario a disgenesia (estenosis) cervical congénita. Se realizó dilatación cervical y se dejó una sonda vesical intrauterina para prevenir la reestenosis. Conclusiones: Un diagnóstico precoz y un tratamiento conservador con dilatación cervical y colocación temporal de un catéter urinario son esenciales para un manejo seguro y efectivo de la estenosis cervical en adolescentes. |
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| AbstractList | Resumen Introducción: El piometra es una afección infrecuente, pero grave, que en general se diagnostica en mujeres posmenopáusicas. En adolescentes es sumamente raro, y si se acompaña de amenorrea primaria hay que tener en mente las anomalías congénitas. Caso clínico: Adolescente de 13 años, sin antecedentes personales de interés salvo amenorrea primaria, que acude con abdomen agudo y es intervenida por una peritonitis difusa causada por un piometra secundario a disgenesia (estenosis) cervical congénita. Se realizó dilatación cervical y se dejó una sonda vesical intrauterina para prevenir la reestenosis. Conclusiones: Un diagnóstico precoz y un tratamiento conservador con dilatación cervical y colocación temporal de un catéter urinario son esenciales para un manejo seguro y efectivo de la estenosis cervical en adolescentes. |
| Author | Fernández-Eire, Pilar González-Rodríguez, Laura Rodríguez-Fernández, Vanesa López-Ramón y Cajal, Carlos García-García, Irene Marín-Ortiz, Elena Couceiro-Naveira, Emilio |
| AuthorAffiliation | Hospital Álvaro Cunqueiro |
| AuthorAffiliation_xml | – name: Hospital Álvaro Cunqueiro |
| Author_xml | – sequence: 1 givenname: Vanesa surname: Rodríguez-Fernández fullname: Rodríguez-Fernández, Vanesa – sequence: 2 givenname: Laura surname: González-Rodríguez fullname: González-Rodríguez, Laura – sequence: 3 givenname: Irene surname: García-García fullname: García-García, Irene – sequence: 4 givenname: Elena surname: Marín-Ortiz fullname: Marín-Ortiz, Elena – sequence: 5 givenname: Pilar surname: Fernández-Eire fullname: Fernández-Eire, Pilar – sequence: 6 givenname: Emilio surname: Couceiro-Naveira fullname: Couceiro-Naveira, Emilio – sequence: 7 givenname: Carlos surname: López-Ramón y Cajal fullname: López-Ramón y Cajal, Carlos |
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| DocumentTitleAlternate | Pyometra secondary to cervical stenosis in an adolescent |
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| Keywords | Secondary peritonitis Piometra Estenosis cervical Peritonitis secundaria Cervical stenosis Primary amenorrhea Intrauterine urinary catheter stent Adolescent Amenorrea primaria Pyometra Adolescente Sonda vesical intrauterina |
| Language | Portuguese Spanish |
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| References | Chan, KS; Tan, CK; Mak, CW; Chia, CC; Kuo, CY; Yu, WL 2006; 47 Fujimoto, VY; Miller, JH; Klein, NA; Soules, MR 1997; 177 Barry, C 2015; 125 Roberts, CP; Rock, JA 2011; 23 Shapey, IM; Nasser, T; Dickens, P; Haldar, M; Solkar, MH 2012; 94 Raymond, BA; Esper, C 2017; 2017 Tzialidou-Palermo, I; von Kaisenberg, CS; Garcia-Rocha, GJ; Schloesser, HW; Baehr, I; Schippert, C 2012; 286 Tan, Y; Bennett, MJ 2007; 47 Rock, JA; Roberts, CP; Jones Jr, HW 2010; 94 Croak, A; Gebhart, JB 2005; 11 Huang, Y; Tian, Q 2018; 97 Grimbizis, GF; Campo, R 2010; 94 Chan, LY; Lau, TK; Wong, SF; Yuen, PM 2001; 46 |
| References_xml | – volume: 94 start-page: 401 year: 2010 end-page: 7 article-title: Congenital malformations of the female genital tract:the need for a new classification system publication-title: Fertil Steril – volume: 23 start-page: 251 year: 2011 end-page: 7 article-title: Surgical methods in the treatment of congenital anomalies of the uterine cervix publication-title: Curr Opin Obstet Gynecol – volume: 46 start-page: 952 year: 2001 end-page: 6 article-title: Pyometra. What is its clinical significance? publication-title: J Reprod Med – volume: 97 year: 2018 article-title: Postmenopausal spontaneous rupture of pyometra:a case report publication-title: Medicine (Baltimore) – volume: 125 start-page: 1035 year: 2015 end-page: 8 article-title: Pyometra in childhood publication-title: Obstet Gynecol – volume: 94 year: 2012 end-page: 8 article-title: Spontaneously perforated pyometra:an unusual cause of acute abdomen and pneumoperitoneum publication-title: Ann R Coll Surg Engl – volume: 11 start-page: 165 year: 2005 end-page: 81 article-title: Congenital anomalies of the female urogenital tract publication-title: J Pelvic Med Surg – volume: 286 start-page: 785 year: 2012 end-page: 91 article-title: Diagnostic challenges of hemihematocolpos and dysmenorrhea in adolescents:obstructed hemivagina, didelphys or bicornuate uterus and renal aplasia is a rare female genital malformation publication-title: Arch Gynecol Obstet – volume: 47 start-page: 406 year: 2007 end-page: 9 article-title: Urinary catheter stent placement for treatment of cervical stenosis publication-title: Aust N Z J Obstet Gynaecol – volume: 47 start-page: 226 year: 2006 end-page: 7 article-title: Computed tomography features of spontaneously perforated pyometra:a case report publication-title: Acta Radiol – volume: 177 start-page: 1419 year: 1997 end-page: 25 article-title: Congenital cervical atresia:report of seven cases and review of the literature publication-title: Am J Obstet Gynecol – volume: 2017 start-page: 5213123 year: 2017 article-title: Pneumoperitoneum secondary to spontaneously perforated pyometra publication-title: Case Rep Obstet Gynecol – volume: 94 start-page: 1858 year: 2010 end-page: 63 article-title: Congenital anomalies of the uterine cervix:lessons from 30 cases managed clinically by a common protocol publication-title: Fertil Steril |
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