2022, Number 3
Acquired hemophilia A in pregnancy. Clinical case of critical medicine in obstetrics due to extreme morbidity and its perioperative transdisciplinary approach
Reyes-Mendoza LE, Castorena-de AR, Enríquez-López R, Ángeles-Vázquez MJ, Anaya-Herrera J, Flores-Cánovas Y, Sevilla-Cano A, Malagón-Reyes R, Rodríguez-Roldán M, Mendieta-Zerón H, Díaz LM, Carrillo-Esper R, Briones-Garduño JC
Full text
10.35366/105595
Language: Spanish
References: 6
Page: 202-206
PDF size: 250.24 Kb.
ABSTRACT
The identification of multiple risk factors that predispose to bleeding during the obstetric event, such as acquired hemophilia, which is a disorder that develops due to the generation of autoantibodies that inhibit coagulation factors, the objective interpretation of routine laboratory tests , the development of systematized thinking in diagnostic-therapeutic integration by health personnel, and the provision of hospital pharmacological resources, is what frequently determines the prognosis in obstetric patients with extreme morbidity who require multidisciplinary care in the different hospital units of the health sector of our country. The objective is to present a clinical case of extreme morbidity due to acquired hemophilia, its clinical presentation, evolution and fatal outcome. A case referred from another unit of the ISEM (Instituto de Salud del Estado de México) Health Sector, treated at the Obstetric Intensive Care Unit of the "Mónica Pretelini Sáenz" Hospital, is presented, highlighting the importance of diagnostic-therapeutic integration, and the multifactorial interaction of variables related to its fatal outcome. Conclusions: Ignorance of the pathology, delay in diagnosis, multiple conditioning procedures of iatrogenic hemorrhage and the limitation in therapeutic resources are factors that contribute to a fatal outcome.REFERENCES