[The importance of nutrition in the prevention of endometriosis: systematic review]. / La importancia de la alimentación en la prevención de la endometriosis: revisión sistemática.

BACKGROUND AND OBJECTIVE: endometriosis is a hormone-dependent disorder characterized by the presence of endometrial-like tissue in extrauterine sites, which can trigger a chronic inflammatory reaction. This disease mainly affects women of childbearing age and can have a negative impact on their physical, mental and social well-being. There are eating patterns considered as anti-inflammatory, such as the Mediterranean diet, which could help in the prevention and treatment of endometriosis. The objective of this review was to know the relationship between the consumption of different food groups and the prevention of endometriosis. MATERIALS AND METHODS: a systematic review was carried out following the PRISMA methodology. PubMed, Scopus, Cochrane Library and Web of Science databases were consulted. Studies published between 2013 and 2023 were selected, accessible in full text, written in English and Spanish and including a sample of women with endometriosis and/or healthy women, in addition to evaluating the relationship between diet and endometriosis. Unrelated articles, systematic reviews or meta-analyses, pilot studies and studies conducted in animals were excluded. RESULTS: a total of ten studies were included. The consumption of fruits, vegetables (not cruciferous), dairy products, fish, potatoes, legumes, vitamins (A, C, D and B12), monounsaturated and polyunsaturated fatty acids and minerals (calcium, potassium and magnesium) seems to reduce the risk of endometriosis. CONCLUSIONS: further studies investigating the relationship between consumption of different food groups and risk of endometriosis are needed.

Aneurisma esplénico complicado durante la gestación / Complicated splenic aneurysm during pregnancy

La arteria esplénica ocupa el tercer lugar en frecuencia de aparición de aneurismas abdominales, solamente precedido por los aneurismas de aorta y de iliacas. No se conoce la prevalencia real; en autopsias se ha descrito entre el 0,01 al 10,4%, y se han encontrado en el 0,78% de las arteriografías. Se presenta en el 7,1% de los pacientes con hipertensión portal cirrótica. La ateroesclerosis es raramente la causa primaria, y por lo general es el resultado de la degeneración de la capa media de las arterias. Fue descrita por primera vez por Beussier en 1776 y en gestantes por Corson en 1869. La rotura de un aneurisma esplénico se da entre el 3 y el 9% de los casos, pero la mitad de estas suceden durante el embarazo. La mortalidad materna asciende al 70% y la mortalidad fetal hasta al 90%. El mayor número de complicaciones aparecen durante el tercer trimestre (69%) (AU)

The splenic artery is the third most common site of abdominal aneurysms, only preceded by aortic and iliac aneurysms. The real prevalence is unknown but autopsy studies have described a prevalence of 0.01% to 10.4%, and these aneurysms have been found in 0.78% of angiograms. Splenic artery aneurysms occur in 7.1% of patients with cirrhotic portal hypertension. Atherosclerosis is rarely the primary cause, which is usually the result of degeneration of the middle arterial layer. Splenic artery aneurysm was first described in 1776 by Beussier and in pregnant women by Corson in 1869. Rupture of a splenic aneurysm occurs in 3% to 9% of cases, but half of these ruptures occur during pregnancy. The maternal mortality rate is 70% and fetal mortality can be as high as 90%. The highest number of complications occurs during the third trimester (69%) (AU)

Mastitis granulomatosa crónica idiopática / Chronic idiopathic granulomatous mastitis

La mastitis granulomatosa crónica idiopática (MGCI) es una enfermedad inflamatoria benigna con una baja incidencia. Se ha asociado a una respuesta inmunológica anormal, la utilización de anticonceptivos orales, así como la existencia de algún organismo infeccioso, como posible causante de una reacción alérgica de tipo cuerpo extraño. Afecta principalmente a mujeres en edad fértil. Generalmente es unilateral y se manifiesta por una o más masas inflamatorias. El aspecto mamográfico puede simular el desarrollo de un carcinoma intraductal, enfermedad de Paget o procesos inflamatorios mamarios de origen benigno de diferentes etiologías. Histopatológicamente se caracteriza por una lobulitis crónica, necrotizante, no caseificante, que presenta formación de granulomas. El diagnóstico de MGCI debe fundamentarse en este patrón histológico combinado con la exclusión de otras lesiones granulomatosas de la mama. Aunque se han planteado varias alternativas terapéuticas, tanto quirúrgicas como médicas, el tratamiento ideal de la MGCI no ha sido aún establecido. Las resecciones quirúrgicas del tejido afectado asociado o no con corticoides orales es la terapia más utilizada (AU)

Chronic idiopathic granulomatous mastitis (CIGM) is a benign inflammatory disease with a low incidence. This entity has been associated with an abnormal immune response, oral contraceptive use and the existence of an infectious organism as a possible cause of an allergic reaction to a foreign body. CIGM mainly affects women of childbearing age, is usually unilateral and is manifested by one or more inflammatory masses. The mammographic appearance may mimic the development of intraductal carcinoma, Paget's disease or benign inflammatory processes of the breast of various etiologies. Histopathologically, CIGM is characterized by chronic, necrotizing, non-caseating lobulitis, which shows formation of granulomas. The diagnosis of CIGM should be established on the basis of this pattern, combined with exclusion of other granulomatous lesions of the breast. Although various medical and surgical therapeutic options have been proposed, the optimal treatment of CIGM has not yet been established. The most commonly used treatment is surgical resection of affected tissue with or without oral corticosteroid therapy (AU)

Aracnodactilia contractural congénita / Congenital contractural arachnodactyly

La aracnodactilia contractural congénita (ACC) es un trastorno del tejido conectivo debido a una mutación autosómica dominante. La persona afectada de ACC presenta múltiples expresiones clínicas, incluidas las cardiacas y, principalmente, las musculoesqueléticas. Los progresos en el control de la gestación y la accesibilidad a técnicas de reproducción asistida llevan, cada vez más, a tener que atender situaciones como el caso clínico que se presenta: una gestación gemelar bicorial biamniótica obtenida por técnica de fertilización in vitro en una mujer afectada de dicha enfermedad. Los retos diagnósticos, las alternativas terapéuticas, el pronóstico materno y neonatal y las repercusiones sociales y éticas de estos casos son temas para la reflexión(AU)

Congenital contractural arachnodactyly (CCA) is a connective tissue disorder caused by an autosomal dominant mutation. Affected individuals show multiple involvement, including cardiac and, mainly, musculoskeletal abnormalities. Because of advances in pregnancy management and access to assisted reproduction techniques, situations such as that reported in the present article will become more frequent: we describe a dichorionic diamniotic twin gestation obtained by in vitro fertilization in a woman with CCA. The diagnostic challenges, therapeutic alternatives, maternal and neonatal outcomes, and the social and ethical repercussions of these cases are discussed(AU)