Predictive value of 3+ spot urinary protein value measured by dipstick in hypertensive pregnant patients.

OBJECTIVE: To evaluate whether the spot urinary protein (SUP) level has predictive value on pregnancy outcomes in hypertensive pregnant patients. METHODS: Retrospective case-control study of 109 pregnant patients with hypertension and spot urinary proteinuria measured by dipstick. RESULTS: Presence of 24 h proteinuria was higher in patients with 3+ SUP. Gestational age at delivery was significantly lower in patients with 3+ SUP when compared with patients with ≤2+ SUP (p = 0.009). Rate of SGA babies was higher in patients with 3+ SUP when compared with patients with ≤2+ SUP (p < 0.001). CONCLUSION: Although it cannot replace 24 h urinary protein determination, 3+ proteinuria with dipstick may have a prognostic value, particularly in emergency cases.

Fetal hydrops and anemia as signs of Down syndrome.

Before the 20th week of gestation, the most common cause of nonimmune hydrops fetalis is chromosomal abnormalities. Herein, we report a case of fetal hydrops, anemia, and intrauterine growth retardation that presented at 27 weeks of gestation with a negative chromosomal abnormality screening. Cordocentesis and karyotype analysis revealed fetal pancytopenia and Down syndrome. Down syndrome rarely presents with fetal hydrops and anemia. Therefore, when hydrops and anemia are diagnosed, especially in the second trimester of gestation, the possibility of Down syndrome should be kept in mind. In addition, if the pregnancy results in a live birth, the baby should be examined for transient abnormal myelopoiesis.

Vaginal vault leiomyoma: 25 years after total abdominal hysterectomy.

Leiomyomas are benign, mesenchymal, monoclonal tumors that typically originate from myometrium smooth-muscle cells, although atypical sites such as the vagina, lungs, vascular structures, and retroperitoneal area have been reported. We present the case of a leiomyoma that originated from the vaginal cuff in a 70-year-old woman, 25 years after total abdominal hysterectomy and bilateral salphingo-oophorectomy.

Ectopic ovary autotransplanted over rectosigmoid colon: a case report.

OBJECTIVE: To report a case of an alive ectopic ovary over rectosigmoid colon serosa that was removed by laparoscopy. DESIGN: Case report. SETTING: Department of Obstetrics and Gynecology. PATIENT(S): A 30-year-old nulliparous woman. INTERVENTION(S): Ultrasonography, laparoscopy, and pathologic assessment. MAIN OUTCOME MEASURE(S): Alive and functional ectopic ovarian tissue in the cul-de-sac over rectosigmoid colon serosa. RESULT(S): At pathologic assessment, an alive ectopic ovary with focal infarct areas was determined. CONCLUSION(S): The treatment should be excision of the mass. However, in asymptomatic and nulliparous women who have future fertility desire, protecting the ectopic ovary to not decrease the ovarian reserve might be a beneficial option.