RESUMO
A rare case of simultaneous uncommon pathologies in the same patient is described: diffuse leiomyomatosis and disseminated peritoneal leiomyomatosis (DPL). The evolution and monitoring of this rare clinical case together with diagnostic and therapeutic procedures are presented.
Assuntos
Leiomiomatose/patologia , Neoplasias Peritoneais/patologia , Neoplasias Uterinas/patologia , Adulto , Feminino , Histocitoquímica , Humanos , Histerectomia , Leiomiomatose/cirurgia , Neoplasias Peritoneais/cirurgia , Neoplasias Uterinas/cirurgiaAssuntos
Parede Abdominal/anormalidades , Parede Abdominal/diagnóstico por imagem , Anormalidades Múltiplas/diagnóstico por imagem , Parede Torácica/anormalidades , Parede Torácica/diagnóstico por imagem , Ultrassonografia Pré-Natal , Feminino , Humanos , Gravidez , Reprodutibilidade dos Testes , Ultrassonografia Pré-Natal/métodos , VaginaRESUMO
The amniochorial membrane is composed of two layers deriving from amnios and chorion and they are sealed at the 12th week of pregnancy; they have to contain the amniotic fluid. Very prolonged premature rupture of the membranes (VPPROM) is considered if it occurs more than five days before delivery. The case of a patient 29 years old, (GRAV 2 PARA 1) with rupture of membranes at the 17th week of pregnancy is presented. Obstetric management and the treatment of amnios and vaginal infections is reported. Amnioinfusions were repeatedly performed. The delivery occurred by cesarean section at 34th week for breech presentation. No somatic or neurologic defects were evident at the birth.