RESUMO
A rare complication (appendiceal perforation with meconium peritonitis) was observed in a second trimester fetus affected by nonimmune fetal hydrops due to parvovirus B-19 infection. The complication is not considered specific to this or any other etiology for hydrops, which is highly heterogeneous; rather it is an expression of the fragility and friability of edematous tissues.
Assuntos
Apendicite/complicações , Hidropisia Fetal/virologia , Infecções por Parvoviridae/diagnóstico , Peritonite/complicações , Complicações Infecciosas na Gravidez/diagnóstico , Adolescente , Apendicite/diagnóstico por imagem , Apendicite/virologia , Evolução Fatal , Feminino , Humanos , Hidropisia Fetal/diagnóstico por imagem , Mecônio/virologia , Infecções por Parvoviridae/complicações , Infecções por Parvoviridae/embriologia , Parvovirus B19 Humano/patogenicidade , Peritonite/diagnóstico por imagem , Peritonite/virologia , Gravidez , Segundo Trimestre da Gravidez , Ultrassonografia Pré-NatalRESUMO
BACKGROUND: Amyloidosis of the endometrium is a rare occurrence according to current literature. Previously reported cases have presented with menorrhagia or postmenopausal bleeding. CASE: A postmenopausal woman with multiple medical problems presented with fatigue and weight loss. During the evaluation for her 18-kg weight loss, a computed tomography scan revealed an enlarged uterus and liver lesions. Endometrial and liver biopsies were performed secondary to concern over metastatic cancer, given an enlarged uterus in a postmenopausal woman with liver masses. She was found to have systemic primary amyloidosis in multiple organs, including her endometrium. CONCLUSION: This patient represents an interesting case of systemic amyloidosis involving the endometrium that is not associated with vaginal bleeding. The presence of amyloid in the endometrium may be more common than currently recognized, because patients without vaginal bleeding are not routinely evaluated for amyloid deposition in their reproductive organs.