Kehamilan Heterotropic Dengan Disertai Syok Hipovolumik

Background: Heterotopic pregnancy refers to a pregnancy that occurred simultaneously in two different implantation site. The majority occur in the fallopian tube. The exact cause s not clear, but the combination of multiple pregnancy with intrauterine and extrauterine pregnancy, a risk factor for al...

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Autor principal:	Mochamad Ma'roef
Formato:	article
Lenguaje:	EN ID
Publicado:	Universitas Muhammadiyah Semarang 2016
Materias:	heterotropic pregnancy ectopic pregnancy iufd hypovolemic shock ekstrauterine pregnancy intrauterine pregnancy Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/68c07d8bd04c4e15b2268b66ced7db5a
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spelling	oai:doaj.org-article:68c07d8bd04c4e15b2268b66ced7db5a2021-11-10T03:15:17ZKehamilan Heterotropic Dengan Disertai Syok Hipovolumik2407-05052774-231810.26714/magnamed.1.2.2015.180-190https://doaj.org/article/68c07d8bd04c4e15b2268b66ced7db5a2016-05-01T00:00:00Zhttps://jurnal.unimus.ac.id/index.php/APKKM/article/view/1935https://doaj.org/toc/2407-0505https://doaj.org/toc/2774-2318Background: Heterotopic pregnancy refers to a pregnancy that occurred simultaneously in two different implantation site. The majority occur in the fallopian tube. The exact cause s not clear, but the combination of multiple pregnancy with intrauterine and extrauterine pregnancy, a risk factor for all entities must be addressed. Case presentation: A female 34 year old 17 weeks pregnant, complaints of loss of consciousness, and before the patient complains of abdominal pain after a bowel movement. Experienced bleeding from vagina a week ago lasted for 4 days. Blood pressure 76/43 mmHg, heart rate 97 x / m, temperature 36.6 C, respiratory rate 24 x / m, SaO2 96% without O2. Loss of consciousness (delirium), looked anemic, distended abdomen, muscular defans +, tenderness +, pale, dry, and cold on the extrimities. Palpable lump in the labia majora dekstra. Laboratory tests obtained Hb 7, HCT 37, leukocytes: 10.400, Platelets 283,000, HBsAg negative, serum Cloride 105, 3.7 Serum Potassium, Sodium Serum 138, GDA 119, Diff count 4/1/80/11/4, LED 64 / 86. Discussion: A definitive diagnosis is heterotopic pregnancy. Management of the case was a laparotomy, with the condition of the intra-abdominal bleeding is massive enough. Report found that extrauterine and intrauterine pregnancy with differentgestational age. There was still a big question mark is how the intra and extra uterine pregnancy in differentgestational age. Conclusion: Diagnosis wasectopic pregnancy + G1 P0000 A000 19 weeks + IUFD + hypovolemic shock. Found the incidence of ruptured ectopic pregnancy occurs when the gestational age of 17 weeks, with the possibility that the gestational age between intra and ekstrauterine pregnancy is different.Mochamad Ma'roefUniversitas Muhammadiyah Semarangarticleheterotropic pregnancyectopic pregnancyiufdhypovolemic shockekstrauterine pregnancyintrauterine pregnancyMedicine (General)R5-920ENIDMagna Medika, Vol 1, Iss 2, Pp 180-190 (2016)
institution	DOAJ
collection	DOAJ
language	EN ID
topic	heterotropic pregnancy ectopic pregnancy iufd hypovolemic shock ekstrauterine pregnancy intrauterine pregnancy Medicine (General) R5-920
spellingShingle	heterotropic pregnancy ectopic pregnancy iufd hypovolemic shock ekstrauterine pregnancy intrauterine pregnancy Medicine (General) R5-920 Mochamad Ma'roef Kehamilan Heterotropic Dengan Disertai Syok Hipovolumik
description	Background: Heterotopic pregnancy refers to a pregnancy that occurred simultaneously in two different implantation site. The majority occur in the fallopian tube. The exact cause s not clear, but the combination of multiple pregnancy with intrauterine and extrauterine pregnancy, a risk factor for all entities must be addressed. Case presentation: A female 34 year old 17 weeks pregnant, complaints of loss of consciousness, and before the patient complains of abdominal pain after a bowel movement. Experienced bleeding from vagina a week ago lasted for 4 days. Blood pressure 76/43 mmHg, heart rate 97 x / m, temperature 36.6 C, respiratory rate 24 x / m, SaO2 96% without O2. Loss of consciousness (delirium), looked anemic, distended abdomen, muscular defans +, tenderness +, pale, dry, and cold on the extrimities. Palpable lump in the labia majora dekstra. Laboratory tests obtained Hb 7, HCT 37, leukocytes: 10.400, Platelets 283,000, HBsAg negative, serum Cloride 105, 3.7 Serum Potassium, Sodium Serum 138, GDA 119, Diff count 4/1/80/11/4, LED 64 / 86. Discussion: A definitive diagnosis is heterotopic pregnancy. Management of the case was a laparotomy, with the condition of the intra-abdominal bleeding is massive enough. Report found that extrauterine and intrauterine pregnancy with differentgestational age. There was still a big question mark is how the intra and extra uterine pregnancy in differentgestational age. Conclusion: Diagnosis wasectopic pregnancy + G1 P0000 A000 19 weeks + IUFD + hypovolemic shock. Found the incidence of ruptured ectopic pregnancy occurs when the gestational age of 17 weeks, with the possibility that the gestational age between intra and ekstrauterine pregnancy is different.
format	article
author	Mochamad Ma'roef
author_facet	Mochamad Ma'roef
author_sort	Mochamad Ma'roef
title	Kehamilan Heterotropic Dengan Disertai Syok Hipovolumik
title_short	Kehamilan Heterotropic Dengan Disertai Syok Hipovolumik
title_full	Kehamilan Heterotropic Dengan Disertai Syok Hipovolumik
title_fullStr	Kehamilan Heterotropic Dengan Disertai Syok Hipovolumik
title_full_unstemmed	Kehamilan Heterotropic Dengan Disertai Syok Hipovolumik
title_sort	kehamilan heterotropic dengan disertai syok hipovolumik
publisher	Universitas Muhammadiyah Semarang
publishDate	2016
url	https://doaj.org/article/68c07d8bd04c4e15b2268b66ced7db5a
work_keys_str_mv	AT mochamadmaroef kehamilanheterotropicdengandisertaisyokhipovolumik
_version_	1718440750566342656

Kehamilan Heterotropic Dengan Disertai Syok Hipovolumik

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