RESUMEN
The nematode Enterobius vermicularis is normally found within the human gastrointestinal tract. Pregnant females migrate towards the anus to lay their eggs. During this nocturnal migration some worms find another adjacent orifices, most commonly the female genitourinary tract. The presented case is a 34-year-old woman referred to the Colposcopy Unit of the Antiguo Hospital Civil of Guadalajara Fray Antonio Alcalde by cervical erosion. With the colposcopy a live worm in the vagina was visualized; it was identified as a gravid female of Enterobius vermicularis by microscopy. The diagnosis of ectopic enterobiasis was an incidental finding during the colposcopic examination of the patient with diagnosis of ectopy.
Asunto(s)
Enterobiasis/diagnóstico , Complicaciones Parasitarias del Embarazo/diagnóstico , Enfermedades Vaginales/diagnóstico , Enfermedades Vaginales/parasitología , Adulto , Femenino , Humanos , Hallazgos Incidentales , EmbarazoRESUMEN
Pyometra is a pus accumulation in the endometrium cavity, with an incidence from 0.02% to 1.5%. The benign senile pyometra is a disease mainly reported in elder women, with an average age of 74 years. We present the case of a 59-year-old woman with the diagnosis of benign senile pyometra. The patient came to our service presenting purulent vaginal discharge, in bad condition with pelvic pain and altered hematic cytology. In the physical examination a pelvic mass was found, in the vaginal examination, the cervix was found estenotic, and the hysterometer could not be introduced. The image studies revealed an increased size of the uterus was liquid collection in its interior, compatible with blood or pus. We performed exploratory laparotomy, founding two abscecess in the uterin fundus which suffered rupture during the procedure. Abdominal hysterectomy with bilateral salpigooforectomy was performed, there were not other complications. Post surgical period was managed with antibiotics and close surveillance. The patient was discharged four days later with good response to the treatment. In the anatomophatological study no evidence of cervical or endometrial neoplasia was found.
Asunto(s)
Piómetra/diagnóstico , Femenino , Humanos , Persona de Mediana EdadRESUMEN
Se confirma la importante actividad terapéutica de 13.cRA y del IFNÓ-2a en el carcinoma de células escamosas del cervix sin tratamiento previo. Un resultado inesperado fue la toxicidad temprana de los agentes biológicos sobre la mucosa del colon cuando se combinan con radioterapia
