RESUMO
The authors present the case of a postpartum splenic rupture induced probably by iatrogenic injury (recent vaginal delivery with a prolonged expulsion with uterine fundus compression) including the left hypochondria region costal grid. The case was solved with splenic preservation and achieving hemostasis only by local plugging and Gelaspon. The case raised also other problems regarding the etiology of splenic rupture, in establishing a causal relationship between a intrapartum splenic injury, and the three episodes of inferior genital tract hemorrhaging, in establishing the cause of the infectious syndrome from the 24h postpartum day, (parietal infection or splenic abscess requiring splenectomy).
Assuntos
Complicações do Trabalho de Parto/terapia , Transtornos Puerperais/etiologia , Transtornos Puerperais/terapia , Ruptura Esplênica/etiologia , Ruptura Esplênica/terapia , Adulto , Feminino , Humanos , Doença Iatrogênica , Complicações do Trabalho de Parto/diagnóstico , Complicações do Trabalho de Parto/etiologia , Gravidez , Transtornos Puerperais/diagnóstico , Esplenectomia , Ruptura Esplênica/diagnósticoRESUMO
UNLABELLED: The aim of this study was to highlight the importance of surgical treatment in advanced cervical cancer (IIB-IIIB). MATERIAL AND METHOD: Data from 179 patients with cervical cancer, admitted in the Clinic of Emergency Surgery, "Sf. Ioan" Hospital, Iasi, between January, 1st, 2003 and December, 31st, 2009, were collected. RESULTS: A number of 11 cases (6.1%) cases were without any clinical response, so that they benefit by radical radiotherapy; a radical surgical intervention was performed in the other 168 cases (93.7%), in 4-6 weeks after chemotherapy. No intraoperative complications were evidenced, but after surgical intervention we recorded: urinary troubles--10 (6.5%); lymphedema--3 (1.9%); posttoperative intestinal occlusions--2 (1.3%); extended dynamic ileus--2 (1.3%); phlebitis--2 (1.3%).
Assuntos
Carcinoma/patologia , Carcinoma/cirurgia , Histerectomia/efeitos adversos , Neoplasias do Colo do Útero/patologia , Neoplasias do Colo do Útero/cirurgia , Adenocarcinoma/patologia , Adenocarcinoma/cirurgia , Adulto , Idoso , Idoso de 80 Anos ou mais , Carcinoma/tratamento farmacológico , Carcinoma/radioterapia , Quimioterapia Adjuvante , Feminino , Humanos , Histerectomia/métodos , Íleus/etiologia , Obstrução Intestinal/etiologia , Linfedema/etiologia , Prontuários Médicos , Pessoa de Meia-Idade , Estadiamento de Neoplasias , Flebite/etiologia , Radioterapia Adjuvante , Estudos Retrospectivos , Falha de Tratamento , Resultado do Tratamento , Transtornos Urinários/etiologia , Neoplasias do Colo do Útero/tratamento farmacológico , Neoplasias do Colo do Útero/radioterapiaRESUMO
We present the case of a 56-year-old woman presenting an uterine tumor associated with pain and vaginal bleeding. The slides from the tumor were studied with monoclonal antibodies to Vimentin, CD 10, KL 1, Actin, Desmin, CD 34, S 100 protein, Ki 67, PCNA. The tumor cells were Vimentin and CD 10 diffuse positive, focal Actin positive, Desmin, KL 1, CD 34 and S 100 protein-negative. 85% of the tumor cells were PCNA positive and 25 % were Ki 67 positive. We conclude that undifferentiated endometrial sarcoma may express specific markers but also muscle-related antigens. These findings reflect a common relationship of the endometrial stromal cells to the myometrium. Knowledge of these immunoreactivity patterns is essential when evaluating poorly differentiated uterine endometrial sarcoma .It simulates morphological pattern of muscle uterine tumors.