RESUMEN
Conjoined twins are a rare occurrence. We present a case of conjoined twins at 13 weeks' gestation. This case demonstrated the possibility of making an accurate diagnosis of conjoined twins and delineating the extent of organ sharing in the first trimester. This analysis and the discover of another anomalies can help the parents with the option for pregnancy termination. Early diagnosis and precise delineation of the shared organs of conjoined twins are essential for optimal obstetric and postnatal management.
Asunto(s)
Edad Gestacional , Gemelos Siameses , Ultrasonografía Prenatal , Femenino , Humanos , Embarazo , PronósticoRESUMEN
UNLABELLED: Isolated Fallopian tube torsion in teenagers is extremely rare and diagnosis is difficult. Coelioscopy is necessary, but surgery often occurs too late for tube conservation. CASE REPORT: A case of Fallopian tube torsion bringing about a cyst is presented. Diagnostic difficulties, echography, treatment and cause are discussed. CONCLUSION: Early diagnosis and surgical intervention is mandatory when isolated Fallopian tube torsion is suspected.
Asunto(s)
Enfermedades de las Trompas Uterinas/diagnóstico , Adolescente , Diagnóstico Diferencial , Enfermedades de las Trompas Uterinas/diagnóstico por imagen , Enfermedades de las Trompas Uterinas/cirugía , Femenino , Humanos , Laparoscopía , Anomalía Torsional/diagnóstico , Anomalía Torsional/diagnóstico por imagen , Anomalía Torsional/cirugía , UltrasonografíaRESUMEN
We report a case of intrauterine exposure to niflumic acid in a preterm neonate (35 weeks of gestation). The mother received niflumic acid (750 mg daily) during the last four days of gestation. Severe oligohydramnios was present. A transient neonatal renal failure, but also abdominal complications were observed for several days. Maternal and neonate niflumic acid levels were studied and showed an important placental transfer. Niflumic acid is a prostaglandin synthetase inhibitor. It is important that the nephrotoxicity of this vasoactive drug be known. Maternal administration of niflumic acid during the last days of gestation can induce fetal and neonatal adverse effects, especially renal failure. Prescription of all nonsteroidal anti-inflammatory drugs must be very cautious during pregnancy.
Asunto(s)
Lesión Renal Aguda/inducido químicamente , Feto/efectos de los fármacos , Enfermedades del Prematuro/inducido químicamente , Recien Nacido Prematuro , Intercambio Materno-Fetal , Ácido Niflúmico/efectos adversos , Gastropatías/inducido químicamente , Adulto , Femenino , Humanos , Hipertensión/tratamiento farmacológico , Recién Nacido , Ácido Niflúmico/sangre , Oligohidramnios/complicaciones , EmbarazoRESUMEN
The authors report on one case of cephalothoracopagus Janiceps conjoined twins discovered by echography at 18 weeks' gestation. Conjoined twins have been said to occur with a frequency of 1/50,000 to 1/100,000 deliveries. The incidence of the cephalothoracopagus variety is one in three million births or one in 58 conjoined twins. Three different mechanisms that may have played a role in the abnormal development of these twins are discussed. The risk that the condition recurs in a subsequent pregnancy are to be considered negligible.
Asunto(s)
Cabeza/anomalías , Cuello/anomalías , Tórax/anomalías , Gemelos Siameses , Ultrasonografía Prenatal , Anomalías Múltiples/diagnóstico por imagen , Anomalías Teratoides Graves/diagnóstico por imagen , Adulto , Femenino , Cabeza/diagnóstico por imagen , Humanos , Cuello/diagnóstico por imagen , Embarazo , Tórax/diagnóstico por imagenRESUMEN
Abdominal pregnancy occurs rarely and few observations of laparoscopic surgical treatment have been published. We observed 2 cases at 10 and 12 weeks of amenorrhoea. During one of the operations, it was particularly difficult to establish haemostasis, demonstrating the problems involved with laparoscopic surgery, highly dependent on gestational age and trophoblastic localization. Based on the epidemiological and diagnostic data we propose a therapeutic protocol for laparoscopic surgery in first-trimester abdominal pregnancies, taking into consideration the cases previously reported and current care for extrauterine pregnancy and late abdominal pregnancy.
Asunto(s)
Laparoscopía/métodos , Embarazo Abdominal/cirugía , Adolescente , Adulto , Protocolos Clínicos , Femenino , Edad Gestacional , Hemostasis Quirúrgica/métodos , Humanos , Placentación , Embarazo , Primer Trimestre del Embarazo , Embarazo Abdominal/diagnóstico por imagen , Embarazo Abdominal/epidemiología , UltrasonografíaRESUMEN
A case of situs inversus with discordant atrio-ventricular and ventriculo-arterial structures was diagnosed at the ultrasonography examination performed at 34 weeks gestation. This observation underscores the importance of recognizing the position of the viscerae and discordant segments of the heart, atria, ventricles and greater vessels. Overall frequency of situs inversus is estimated at 1/10,000 births. It is often associated with an inborn cardiopathy, especially corrected transposition of the greater vessels resulting from abnormal rotation of the cardiac tube. The anatomic, pathologic, embryologic, etiologic and and sonographic features of situs inversus and related anomalies of the cardiac structures is presented.
Asunto(s)
Anomalías Múltiples/diagnóstico por imagen , Situs Inversus/diagnóstico por imagen , Transposición de los Grandes Vasos/diagnóstico por imagen , Ultrasonografía Prenatal , Anomalías Múltiples/embriología , Adulto , Femenino , Humanos , Incidencia , Recién Nacido , Embarazo , Tercer Trimestre del Embarazo , Pronóstico , Situs Inversus/embriología , Transposición de los Grandes Vasos/embriologíaRESUMEN
The authors report a case of placenta accreta complicated by coagulation disturbance which required hysterectomy. In order to deal with widespread bleeding, they used a Logotheotopoulos pelvic tampon (Logotampon) and thus achieved a satisfactory operative result.
Asunto(s)
Trastornos de la Coagulación Sanguínea/complicaciones , Hemostasis Quirúrgica , Placenta Accreta/complicaciones , Tampones Quirúrgicos , Hemorragia Uterina/tratamiento farmacológico , Adulto , Femenino , Humanos , Embarazo , Hemorragia Uterina/etiologíaRESUMEN
The authors report a new case of Bartholin's gland carcinoma and its link with human papillomavirus. Should women with HPV have Pap smears the accessory glands of the vulva in addition to cervical smears?
Asunto(s)
Glándulas Vestibulares Mayores , Carcinoma/virología , Condiloma Acuminado/complicaciones , Papillomaviridae/aislamiento & purificación , Enfermedades Vaginales/complicaciones , Neoplasias de la Vulva/virología , Adulto , Carcinoma/patología , Carcinoma/terapia , Resultado Fatal , Femenino , Humanos , Prueba de Papanicolaou , Frotis Vaginal , Neoplasias de la Vulva/patología , Neoplasias de la Vulva/terapiaRESUMEN
The authors analyse in retrospect a continuous series of 208 hysterectomies, for lesions other than invasive cancer, in order to try to define precise objective criteria for the choice of the vaginal way. What essentially commands the choice of this way are: high parity, large size of the uterus, the existence of prolapsus, effort-linked urinary deficiency and no annexial pathology.