PELVIC PAIN ASSOCIATED WITH HEMOPERITONEUM

PELVIC PAIN ASSOCIATED WITH HEMOPERITONEUM PowerPoint PPT Presentation


  • 151 Views
  • Uploaded on
  • Presentation posted in: General

J.Voget - Sanatorio Pasteur CATAMARCA. DEFINITION. It is the pain provoked by the presence of blood in abdominal cavity in sufficient quantity to cause pain, hypotensi

Download Presentation

PELVIC PAIN ASSOCIATED WITH HEMOPERITONEUM

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


1. PELVIC PAIN ASSOCIATED WITH HEMOPERITONEUM Dr. Julio Guillermo Voget Sanatorio Pasteur- Catamarca

2. J.Voget - Sanatorio Pasteur CATAMARCA DEFINITION It is the pain provoked by the presence of blood in abdominal cavity in sufficient quantity to cause pain, hypotensión and abdominal symptoms of peritoneal irritation .

3. J.Voget - Sanatorio Pasteur CATAMARCA CLASIFICATION Genital Causes Gynecological & Obstetrics No Genitals Causes Portal hypertensión Rupture of diverticulos Others

4. J.Voget - Sanatorio Pasteur CATAMARCA HEMOPERITONEUM: More Prevalent Gynecological Causes

5. J.Voget - Sanatorio Pasteur CATAMARCA ALGORITHM When a peritoneal hemorrhage happens it is accompanies of pain, defense of the abdominal wall and hipotensión or shock. The suspicion diagnostic forces to urgent analyses of laboratory, transvaginal ultrasound scan and abdominal, diagnostic or therapeutic Laparoscopia ó Laparotomía if the previous one does not solve

6. J.Voget - Sanatorio Pasteur CATAMARCA DIAGNOSIS MEDICAL ANAMNESIS PHYSICAL EXAMINATION COMPLETE HEMOGRAM-HEMATOCRIT- Beta HCG , TRANSVAGINAL ULTRASOUND EXPLORATION OR ABDOMINAL ( if trasvaginal is negative) DOUGLAS POUCH PUNCTURE. LAPAROSCOPY 

7. J.Voget - Sanatorio Pasteur CATAMARCA COMPLICATED ECTOPIC PREGNANCY

8. J.Voget - Sanatorio Pasteur CATAMARCA COMPLICATED ECTOPIC PREGNANCY

9. J.Voget - Sanatorio Pasteur CATAMARCA COMPLICATED ECTOPIC PREGNANCY

10. J.Voget - Sanatorio Pasteur CATAMARCA COMPLICATED ECTOPIC PREGNANCY

11. J.Voget - Sanatorio Pasteur CATAMARCA COMPLICATED ECTOPIC PREGNANCY

12. J.Voget - Sanatorio Pasteur CATAMARCA REIMPLANTED ECTOPIC PREGNANCY

13. J.Voget - Sanatorio Pasteur CATAMARCA FOLICULAR RUPTURE

14. J.Voget - Sanatorio Pasteur CATAMARCA ENDOMETRIOTIC CYST Placed generally behind the uterus. The edges between cyst and uterus are not clear and the adhesion is vague to vicinity. Monolobar, hipoecogénico and homogeneous. Without capsule, because it is actually a cyst of retention. (The tumor has capsule) Carbognin G, Girardi V, Pinali L, Raffaelli R, Bergamini V, Pozzi Mucelli Assessment of pelvic endometriosis: correlation of US and MRI with laparoscopic findings. Radiol Med (Torino). 2006 Aug;111(5):687-701.

15. J.Voget - Sanatorio Pasteur CATAMARCA ENDOMETRIOMA

16. J.Voget - Sanatorio Pasteur CATAMARCA HEMOPERITONEUM: UNCOMMON CAUSES I Meckel's Hemoperitoneum: A Rare Case of Meckel's Diverticulitis Causing Intraperitoneal Hemorrhage. Burt BM, Tavakkolizadeh A, Ferzoco SJ. Dig Dis Sci. 2006 Sep;51(9):1546-1548. Epub 2006 Aug 22. Intraabdominal bleeding attributed to ruptured periumbilical varices. A case report and a review of the literature. Sato H, Kamibayashi S, Tatsumura T, Yamamoto K. 1: Jpn J Surg. 1987 Jan;17(1):33- Silent, massive haemoperitoneum during labour secondary to a spontaneous rupture of a utero-ovarian vessel. Garg M, Hudeyin S, Aquilina J. The Royal London Hospital, London, UK. J Obstet Gynaecol. 2003 Mar;23(2):208-9

17. J.Voget - Sanatorio Pasteur CATAMARCA HEMOPERITONEUM: UNCOMMON CAUSES II Spontaneous intra-abdominal bleeding during pregnancy.Choobun T, Pinjaroen S, Getpook C. Department of Obstetrics and Gynecology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Thailand. [email protected] They communicate 2 cases of hemoperitoneum spontaneously caused by break of vessels of the uterine plexus during the second and third quarter of the pregnancy. [PubMed - indexed for MEDLINE]

18. J.Voget - Sanatorio Pasteur CATAMARCA HEMOPERITONEUM: UNCOMMON CAUSES III Uterine rupture during second-trimester abortion associated with misoprostol. Berghahn L, Christensen D, Droste S. Obstet Gynecol. 2001 Nov;98(5 Pt 2):976- First-trimester uterine rupture from a placenta percreta. A case report. Liang HS, et al. Department of Obstetrics and Gynecology, Cathay General Hospital, Taipei Medical University Hospital, Mackay Memorial Hospital, Taipei, Taiwan, R.O.C.

19. J.Voget - Sanatorio Pasteur CATAMARCA OBSTETRIC HEMOPERITONEUM UTERINE RUPTURE Abdominal pain and hemoperitoneum in the gravid patient: a case report of placenta percreta. Smith L, Mueller P. : Am J Emerg Med. 1996 Jan;14(1):45-7. Spontaneous rupture of a primigravid uterus secondary to placenta percreta. A case report. Imseis HM, et al J Reprod Med. 1998 Mar;43(3):233-6.

20. J.Voget - Sanatorio Pasteur CATAMARCA PLACENTA PERCRETA: RISK FACTORS In multíparas with precedents of: Caesarean, myomectomy, cornual resection, scraped uterus, manual extraction of placenta, endometritis. In primiparas: no precedent and only abdominal sudden pain + hypotensión + maternal tachycardia + foetal bradycardia ¡Suspect hemoperitoneum for percreta! Imseis HM, et al J Reprod Med. 1998 Mar;43(3):233-6.

21. J.Voget - Sanatorio Pasteur CATAMARCA ALGORITMO

22. J.Voget - Sanatorio Pasteur CATAMARCA TREATMENT PACKED RED CELLS OR FLOW REPOSITION CONTROL OF THE HEMORRHAGE CONSERVATION OF THE FALLOPIAN TUBE IN ECTOPIC PREGNANCY ENDOMETRIOSIS's COAGULATION UTERINE SUTURE IN PERFORATION OR MYOMA SUBTOTAL HYSTERECTOMY OR WHOLE EMBOLIZATION BLEEDING VESSELS

23. THANK YOU VERY MUCH DR. JULIO GUILLERMO VOGET OB&GYN STAFF SANATORIO PASTEUR CATAMARCA- ARGENTINA

  • Login