Resumen

RODRIGUEZ-VILLORIA, Rafael E; CADENA, Luis F  y  ZEPPENFELDT, María E. Rotura prematura de membranas ovulares: tratamiento con parche hemático transvaginal endocervical autólogo. Presentación de un caso. Rev Obstet Ginecol Venez [online]. 2010, vol.70, n.3, pp.206-211. ISSN 0048-7732.

This is the case of a 34-year-old primigravida who introduced spontaneous preterm premature rupture of membranes to 24 weeks of gestation. Then after clinical, microscopic, ultrasound diagnosis and discarding infection, we selected of a transvaginal endocervical autologous blood patch as the spontaneous preterm premature rupture of membranes treatment. The patient evolves without fever with the amniotic fluid recovery to the sixth day of the procedure. Start 35 weeks painful spontaneous uterine contractions and by verifying fetal monitoring intrapartum support Variable Deceleration Pattern is decided segment caesarean section giving a new born preterm 1 550 g and 52 cm with satisfactory evolution. The transvaginal endocervical autologous blood patch offers an alternative to the spontaneous preterm premature rupture of membranes treatment.

Palabras clave : Preterm premature rupture of membrane; Transvaginal endocervical autologous blood patch.