La ruptura prematura de membranas (RPM) es una complicación frecuente en la práctica médica, afecta el 30% de las gestaciones pretérmino. Aumenta la morbimortalidad materna y neonatal. Principalmente, los casos complicados con corioamnionitis subclínica. En estos casos, es importante el diagnóstico precoz para una oportuna toma de decisiones, y es de gran ayuda el estudio histológico de la placenta. Este estudio pretende analizar las características clínicas y los valores de laboratorio de aquellas pacientes en quienes se haya confirmado por histología la corioamnionitis secundaria a RPPM. Metodología: Estudio retrospectivo, transversal y descriptivo realizado en el servicio de Obstetricia del HBCASE EsSalud entre el 2013 y 2015. La población de estudio fueron las pacientes con corioamnionitis histológica y RPPM entre las 22 y 36 semanas 6 días de gestación. Se revisaron l...

Coronary artery fistulas are rare clinical entities, and their association with giant coronary aneurysms is even more unusual. Most fistulas are asymptomatic, in the other hand, aneurysms could develop symptoms depending on their diameter. We present the clinical case about a patient with chest pain and cardiac arrest, who later developed cardiac tamponade with the need for emergency surgery, due to rupture of a giant coronary aneurysm developed from confluent coronary artery fistulas from two coronary arteries to pulmonary artery.

Coronary artery fistulas are rare clinical entities, and their association with giant coronary aneurysms is even more unusual. Most fistulas are asymptomatic, in the other hand, aneurysms could develop symptoms depending on their diameter. We present the clinical case about a patient with chest pain and cardiac arrest, who later developed cardiac tamponade with the need for emergency surgery, due to rupture of a giant coronary aneurysm developed from confluent coronary artery fistulas from two coronary arteries to pulmonary artery.