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Un sospechoso inusual: dolor en el hipocondrio derecho en el tercer trimestre del embarazo
Dina Jleilati1, Romain Gillard2
1Intern in Radiology, Radiology Department, CHU de Liège, Belgium.
Journal of the Belgian Society of Radiology
|February 9, 2026
Resumen
La trombosis venosa suprarrenal es una consideración crítica en pacientes embarazadas con agrandamiento suprarrenal inexplicable. El diagnóstico precoz, incluso sin visualización directa del trombo, permite un tratamiento anticoagulante oportuno para prevenir la insuficiencia suprarrenal.
Área de la Ciencia:
- Obstetricia y Ginecología.
- Cirugía vascular Cirugía vascular.
- Endocrinología Endocrinología.
Sus antecedentes:
- La trombosis venosa suprarrenal (TVA) es una afección rara pero grave.
- El embarazo presenta desafíos fisiológicos únicos que pueden aumentar el riesgo de eventos tromboembólicos.
- El agrandamiento unilateral de las glándulas suprarrenales en el embarazo puede ser difícil de diagnosticar, con varias posibles etiologías.
Objetivo del estudio:
- Para resaltar la importancia de considerar la trombosis de la vena suprarrenal en pacientes embarazadas con agrandamiento suprarrenal unilateral inexplicable.
- Para enfatizar los desafíos de diagnóstico, especialmente cuando el trombo no se visualiza directamente.
- Subrayar los beneficios del diagnóstico precoz para el manejo eficaz y la prevención de complicaciones.
Principales métodos:
- Revisión del caso de pacientes embarazadas que presentan una ampliación suprarrenal unilateral inexplicable.
- Revisión de los hallazgos de las imágenes, incluidos los ultrasonidos y la TC / IRM, centrándose en la morfología adrenal.
- Correlación de la presentación clínica con los resultados del diagnóstico y las estrategias de manejo.
Principales resultados:
- Se debe sospechar la trombosis venosa suprarrenal en pacientes embarazadas con agrandamiento suprarrenal unilateral inexplicable.
- El trombo de la vena suprarrenal no siempre puede visualizarse directamente en la imagen inicial.
- El diagnóstico oportuno facilita la administración efectiva de anticoagulantes.
Conclusiones:
- La trombosis venosa suprarrenal es un importante diagnóstico diferencial en pacientes embarazadas con agrandamiento suprarrenal unilateral.
- El reconocimiento temprano y el tratamiento con anticoagulantes pueden prevenir la insuficiencia suprarrenal y otras complicaciones tromboembólicas.
- El aumento de la sospecha clínica y la interpretación apropiada de las imágenes son cruciales para el diagnóstico oportuno.
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