RESUMO
Authors report the case of a 29-year-old woman who presented a 34-weeks abdominal pregnancy. Spontaneous foetal evisceration was observed on abdominal caesarean operation scar performed previously by median infra-umbilical incision. Clinical features and treatment are discussed in developing country environment.
Assuntos
Gravidez Abdominal , Ruptura Uterina/etiologia , Adulto , Cesárea , Cicatriz , Feminino , Humanos , Madagáscar , Gravidez , Gravidez Abdominal/diagnóstico , Gravidez Abdominal/terapia , Ruptura Uterina/diagnóstico , Ruptura Uterina/terapiaRESUMO
Les fractures des epines tibiales chez l'enfant sont rares. Elles peuvent cacher une entorse grave du genou. Le diagnostic est evoque devant la triade clinique associant une hemarthrose; une douleur du genou et une impotence fonctionnelle du membre. Le plus souvent; ces signes se presentent a un degre variable pouvant faire errer le diagnostic qui est confirme par une radiographie standard en incidence de profil. Le traitement est orthopedique ou chirurgical en fonction du type lesionnel. Dans les 2 cas; l'immobilisation du genou en flexion ou en extension reste un sujet a contreverse. Notre cas etait traite chirurgicalement suivi d'une immobilisation platree de 6 semaines; genou en flexion a 15-20o. L'evolution etait favorable apres un an de recul
Assuntos
Fraturas da Tíbia , Fraturas da Tíbia/diagnósticoAssuntos
Anticorpos Antibacterianos/análise , Anticorpos Anti-HIV/análise , Antígenos de Superfície da Hepatite B/análise , Doenças Bacterianas Sexualmente Transmissíveis/imunologia , Doenças Virais Sexualmente Transmissíveis/imunologia , Treponema pallidum/imunologia , Adolescente , Adulto , Idoso , Feminino , Humanos , Madagáscar , Masculino , Pessoa de Meia-Idade , Prisioneiros , Fatores de Risco , Trabalho SexualRESUMO
A microbiological survey of cervical and vaginal smears associated with a serological survey of sexual diseases was carried out on 298 prostitutes at the four principal Malagasy sea ports. This survey leads us to these conclusions: The great frequency of specific inflammations (72.1%) with Trichomonas vaginalis in the first place (39.2%). The serological tests proved a high rate of positive treponemical serologies (25.2%), whose the half of the cases are evolutive forms. Nevertheless prevalence of HBs-antigene among this population does not exceed the rate recorded in the other African countries, while the rate of anti HIV antibodies' carriers is lower than the rates recorded in those African countries. A comparative survey with tests carried out at IPM on Malagasy women showed clearly higher figures of inflammations, cervical and vaginal infections and positive treponemical serologies among prostitutes.