RESUMEN
Haemophagocytic syndrome (HPS) results from an inappropriate stimulation of macrophages in bone marrow and lymphoid organs, leading to haemophagocytosis and hypercytokinemia. HPS may be primitive, essentially in pediatric population, or secondary to malignancy, infection or autoimmune disease. This disease is rare and prognosis is poor. A small number of cases during pregnancy have been described in literature. We report one HPS case in a pregnant patient at 21 week's gestation with systemic lupus erythematosus. We discuss diagnostic difficulties, obstetrical complications and therapeutic options.
Asunto(s)
Linfohistiocitosis Hemofagocítica/terapia , Complicaciones Hematológicas del Embarazo/terapia , Corticoesteroides/uso terapéutico , Adulto , Antibacterianos/uso terapéutico , Antiinflamatorios/uso terapéutico , Anticoagulantes/uso terapéutico , Citocinas/sangre , Femenino , Fiebre/etiología , Humanos , Hipoxia/etiología , Lupus Eritematoso Sistémico/complicaciones , Linfohistiocitosis Hemofagocítica/diagnóstico , Fagocitosis , Hemorragia Posparto/terapia , Embarazo , Complicaciones Hematológicas del Embarazo/diagnóstico , Embolia Pulmonar/etiología , Embolia Pulmonar/terapia , Trombocitopenia/complicacionesAsunto(s)
Técnicas Reproductivas Asistidas , Educación Médica , Femenino , Francia , Ginecología/educación , Humanos , Medicina , Obstetricia/educación , Embarazo , Especialización , UniversidadesRESUMEN
Rare cases of pregnancy occur after surgical treatment of an urinary incontinence. We report the case of a 37-year-old patient became pregnant 5 months after trans-obturator insertion of a suburethral sling (Monarc). The pregnancy was monitored regularly and no sign of urinary incontinence was observed. Caesarean delivery was decided at 40 weeks gestation. The patient has remained quite continent, one year after delivery. The appropriate mode of delivery is discussed.
