Prolapso intraperitoneal de saco amniótico. Reporte de caso

Avelin Vargas-García; Eduardo Reyna-Villasmil; Marta Rondón-Tapia

doi:10.31403/rpgo.v64i2087

Authors

Avelin Vargas-García Especialista en Ginecología y Obstetricia; Servicio de Obstetricia y Ginecología, Maternidad “Dr. Nerio Belloso”, Hospital Central “Dr. Urquinaona”, Maracaibo, Estado Zulia, Venezuela
Eduardo Reyna-Villasmil Especialista en Ginecología y Obstetricia; Doctor en Ciencias Médicas; Servicio de Obstetricia y Ginecología, Maternidad “Dr. Nerio Belloso”, Hospital Central “Dr. Urquinaona”, Maracaibo, Estado Zulia, Venezuela
Marta Rondón-Tapia Médica cirujana, Residente del Postgrado de Ginecología y Obstetricia; Servicio de Obstetricia y Ginecología, Maternidad “Dr. Nerio Belloso”, Hospital Central “Dr. Urquinaona”, Maracaibo, Estado Zulia, Venezuela

DOI:

https://doi.org/10.31403/rpgo.v64i2087

Abstract

Uterine rupture is an obstetric emergency that can have catastrophic results. Intraperitoneal prolapse of the amniotic sac, also known as amniocele, is a unique initial manifestation of silent or complete uterine rupture during pregnancy. It can occur as a result of preexisting injury, uterine abnormalities or alterations in uterine scarring. Ultrasound plays an important role in the diagnosis of this condition: it is essential for the management of these patients and optimizes maternal and perinatal outcome. We present the case of a 22-year-old patient with acute abdominal pain at 34 weeks’ gestation. Ultrasound showed a viable fetus inside the amniotic cavity along with oligohydramnios and an echogenic cystic lesion of 8 x 6 centimeters. Doppler and tridimensional ultrasound confirmed the diagnosis as intraperitoneal prolapse of the amniotic sac through a uterine rupture. During cesarean section, a 1-centimeter uterine defect was identified on the lateral side of the uterus, which confirmed the diagnosis. There were no postoperative complications and the patient recovered completely.