Una biopsia corial que da en el clavo: síndrome de Nicolau en gestante

espanolPresentamos a una gestante de 40 anos, en la semana 12+6. Al obtener riesgo alto en el cribado del primer trimestre, se procedio a la biopsia corial por via abdominal. Cuando se introdujo el anestesico local, la paciente comenzo con un dolor punzante sobre la zona de inyeccion, cambiando inmediatamente de color a rojo vinoso. Tras consultar con dermatologia, se diagnostico de sindrome de Nicolau, un vasoespasmo agudo por la inyeccion intraarterial de anestesico, que lleva a necrosis del tegumento cutaneo subsidiario a este. Dada la escasa prevalencia de esta afeccion, consideramos necesario elaborar una revision bibliografica sobre este sindrome. EnglishWe present a 40-year-old pregnant woman, at week 12 + 6. By getting high risk in the first three months period screening, we abdominally proceeded to chorionic villus sampling. When the local anesthetic was introduced, the patient began with a shooting pain on the injection site, changing into a wine-red colour. After consultating with dermatology, she was diagnosed with Nicolau syndrome, an acute vasospasm by intra-arterial injection of anesthetic, leading to necrosis of the skin integument that depends on this. Given the low prevalence of this condition, we consider necessary to develop a literature review on this syndrome.