RESUMO
OBJECTIVE: We sought to evaluate postsurgical adhesions in women of different races with or without keloids. STUDY DESIGN: This was a prospective study evaluating postsurgical adhesions after a cesarean delivery in 429 women with or without keloids. The outcome measures were the prevalence and extent of adhesions in women of different races with or without keloids. RESULTS: There was no difference in the prevalence of adhesions and adhesion score in various sites among women of different races. Compared with whites (0.5%), keloids were significantly more common in African Americans (7.1%; P = .007; odds ratio, 16.5) and in Asians (5.2%; P = .02; odds ratio, 11.9). Women with keloids were found to have more dense adhesions between the uterus and the bladder (P = .028; 95% confidence interval, 0-12) and between the uterus and the anterior abdominal wall (P < .0001; 95% confidence interval, 8-12). CONCLUSION: The prevalence and degree of postsurgical adhesions in women of different races are comparable. Women with keloids on the cesarean scar have increased adhesions between the uterus and the bladder and between the uterus and the abdominal wall.
Assuntos
Cavidade Abdominal/cirurgia , Queloide/epidemiologia , Doenças Peritoneais/epidemiologia , Aderências Teciduais/epidemiologia , Doenças Uterinas/epidemiologia , Negro ou Afro-Americano , Povo Asiático , Feminino , Hispânico ou Latino , Humanos , Queloide/complicações , Queloide/etnologia , Razão de Chances , Doenças Peritoneais/complicações , Doenças Peritoneais/etnologia , Prevalência , Estudos Prospectivos , Aderências Teciduais/complicações , Aderências Teciduais/etnologia , Doenças Uterinas/complicações , Doenças Uterinas/etnologia , População BrancaRESUMO
Se estudia la historia clínica de un paciente adulto en quien se practicó la derivación ventrículo-peritoneal a los 15 años de edad, por la hidrocefalia que tenía. Posteriormente presentó un quiste peritoneal, que contenía líquido céfalorraquídeo, cuando tenía 18 años. El quiste peritoneal de LCR es una complicación poco frecuente en la población pediátrica y es muy rara en la población adulta, como sucedió en el paciente que estudiamos