ABSTRACT
OBJECTIVE: To evaluate the ability of a tumor-head volume ratio to predict outcome and incidence of hydrops in fetuses with sacrococcygeal teratoma. METHODS: Seventy-one sonograms were reviewed retrospectively from 28 fetuses with sacrococcygeal teratoma managed in our institution. Head volume (HV) and total tumor volume were calculated from sonograms. Amount of cystic tumor was estimated to determine solid tumor volume (STV) for the STV/HV ratio. RESULTS: Twenty percent of sonograms with STV/HV <1 and 97.3% with STV/HV >1 were associated with 1 or more abnormal sonographic signs (p = 0.000). Overall mortality was 11/27 (41%). There was no mortality in fetuses with a ratio of <1, while 11/18 (61%) of fetuses with ratio >1 died (p = 0.003). CONCLUSION: The STV/HV ratio may be used to identify fetuses with a high risk of a poor outcome due to high-output cardiac failure and hydrops, and may help guide management.
Subject(s)
Sacrococcygeal Region/pathology , Teratoma/pathology , Cohort Studies , Humans , Hydrops Fetalis/diagnostic imaging , Hydrops Fetalis/epidemiology , Incidence , Prognosis , Sacrococcygeal Region/diagnostic imaging , Teratoma/complications , Teratoma/diagnostic imaging , Ultrasonography, PrenatalABSTRACT
The "Rapunzel" syndrome (a trichobezoar with a long tail extending from the stomach to the small bowel) is an uncommon disease. It is related to severe complications but rarely associates to a fatal outcome. We report a case of a 5-year-old girl admitted at the emergency department in cardiorespiratory arrest whose autopsy disclosed an ileal perforation that is caused by a long bezoar extending from the stomach to the small bowel. The authors discuss a possible link between Rapunzel syndrome and child neglect.
Subject(s)
Bezoars/complications , Ileal Diseases/etiology , Intestinal Perforation/etiology , Intestine, Small , Stomach , Child , Child Abuse , Fatal Outcome , Female , Humans , SyndromeABSTRACT
Objetivo: Avaliar o índice de publicação a nível internacional (Index Medicus-Medline-PubMed) dos trabalhos apresentados no XXIV Congresso Brasileiro de Cirurgia. Método: A publicação dos trabalhos foi pesquisada por consulta à base de dados de publicações biomédicas a nível mundial (Index Medicus- Medline-PubMed), a partir da lista de autores e co-autores e palavras-chave dos títulos dos trabalhos.Resultados: Do total de 1133 trabalhos apresentados, 29 (2,6%) foram publicados nove temas livres (2,0%),um vídeo livre (1,6%), dois fórum de pesquisa (12,5%) e 17 pôsteres (2,8%). Dos 2638 autores identificados,71 (2,7%) publicaram seus trabalhos. Conclusões: O índice de publicações dos trabalhos apresentados ainda é baixo.
Background: Analysis of the index of publication of the papers presented at the XXIV Brazilian Congress of Surgery. Methods: Searches in a computerized database (Index Medicus-Medline-PubMed) of the papers presented at the Congress were done based on the names of authors and titles key words. Results: Of the 1133 papers presented at the Congress, 29 (2.6%) were published nine free papers (2.0%); one video (1.6%); two research forums (12.5%); and 17 posters (2.8%). Concerning authors, 2638 were identified and 71 (2.7%) had their papers published. Conclusions: The index of publication of the papers presented at the Brazilian Congress of Surgery is still low.
