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ISSN: 0300-9041
ISSNe: 2594-2034

Indizada en: SciELO, Índice Médico Latinoamericano, LILACS, Medline
Editada por la Federación Mexicana de Colegios de Obstetricia, y Ginecologia AC
Fundada por la Asociación Mexicana de Ginecología y Obstetricia en 1945
 

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INFORMACIÓN EXCLUSIVA PARA LOS PROFESIONALES DE LA SALUD

Periodicidad: continua
Abreviatura: Ginecol Obstet Mex
ISSN: 0300-9041
ISSNe: 2594-2034
Indizada en: Scimago, Índice Médico Latinoamericano, Lilacs, Medline, Science Citation Index, Ulrich, Ebsco.

Caso clínico

Hemangioma hepático gigante en una mujer embarazada. Reporte de caso

Giant hepatic hemangioma in a pregnant woman. Case report.

Ginecol Obstet Mex. 2021; 89 (3): 262-266.

https://doi.org/10.24245/gom.v89i3.4550

Fabiola Gallardo-Gómez,1 Rosa Gabriela Hernández-Cruz,2 Osvaldo Miranda-Araujo,3 Mario Roberto Rodríguez-Bosch3

1 Residente de Ginecología y Obstetricia.
2 Adscrita al Departamento de Fomento y Herramientas Educativas.
3 Adscrito al Departamento de Obstetricia.
Instituto Nacional de Perinatología Isidro Espinosa de los Reyes, Ciudad de México.


Corrrespondencia:

Rosa Gabriela Hernández Cruz
cruzroga33@gmail.com

Debe citarse como:

Gallardo-Gómez F, Hernández-Cruz RG, Miranda-Araujo O, Rodríguez-Bosch MR. Hemangioma hepático gigante en una mujer embarazada. Reporte de caso. Ginecol Obstet Mex. 2021; 89 (3): 262-266. https://doi.org/10.24245/gom.v89i3.4550

Resumen

ANTECEDENTES: Los hemangiomas hepáticos son malformaciones vasculares y los tumores benignos más comunes; su diagnóstico es fortuito a partir de estudios de imagen, clínicamente son asintomáticos. Durante el embarazo no representan riesgo; sin embargo, cuando se trata de tumoraciones mayores tienen más riesgo de ruptura y sangrado por lo que debe evaluarse su intervención quirúrgica.

CASO CLÍNICO: Paciente de 36 años, multípara, ingresó a control prenatal con embarazo de 21 semanas y hepatomegalia 3 centímetros por debajo del reborde costal derecho, asintomática. Los estudios de imagen reportaron: hígado con hemangiomas, el mayor de 10 x 7 x 8 cm; con base en la resonancia magnética se diagnosticó: hemangiomas hepáticos gigantes.

CONCLUSIONES: El diagnóstico oportuno, la identificación de los factores de riesgo, el tratamiento multidisciplinario y el apoyo de los estudios de gabinete permitieron el diagnóstico y la culminación del embarazo a término, mediante cesárea.

PALABRAS CLAVE: Hemangioma hepático; malformaciones vasculares; embarazo; hepatomegalia; hemangiomas; cesárea; neoplasias hepáticas.

Abstract

BACKGROUND: The liver hemangiomas are vascular malformations and the most common benign tumors, the diagnosis is incidental from imaging studies, clinically they are asymptomatic. During pregnancy they do not represent a risk, however, with larger tumors, they have a greater risk of rupture and bleeding, so surgical intervention should be evaluated if they present them.

CLINICAL CASE: A 36-year-old multiparous patient was admitted to prenatal care with a 21-week pregnancy and hepatomegaly 3 centimeters below the right costal ridge, asymptomatic patient. Imaging studies reported liver with hemangiomas, the largest measuring 10 x 7 x 8 cm; based on magnetic resonance imaging it was diagnosed as giant hepatic hemangiomas.

CONCLUSION: Timely diagnosis, identification of risk factors, multidisciplinary treatment, and the support of laboratory studies allowed the diagnosis and completion of the pregnancy at term, by cesarean section.

KEYWORDS: Liver hemangiomas; Vascular malformations; Pregnancy; Hepatomegaly; Hemangiomas; Cesarean section; Liver Neoplasms.

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