[Echographic evaluation of the endometrium after multifollicular ovarian stimulation with gonadotropin]. / La valutazione ecografica dell'endometrio nella stimolazione ovarica multifollicolare con gonadotropine.

The Authors report 15 pregnancies obtained by multifollicular ovarian stimulation with gonadotropins. They have used only the utero-ovarian echographic monitoring for ovarian response surveillance, for the timing of hCG administration and for a prognostic judgement of the pregnancy outcome.

[Bilateral ovariectomy in gonadal dysgenesis with a Y chromosome]. / Ovariectomia bilaterale nella disgenesia gonadica con cromosoma Y.

The Authors report 4 cases of gonadal dysgenesis with a Y chromosome. Every patient underwent bilateral oophorectomy. Two cases of streak gonads, 1 case of streak gonad and gonadoblastoma and 1 case of non metastasizing bilateral gonadoblastoma with foci of dysgerminoma have been found. The Authors emphasize the importance of early bilateral gonadectomy in all cases of gonadal dysgenesis with a Y chromosome.

[Course and regression of HELLP syndrome]. / Evoluzione e regressione della sindrome HELLP.

The authors reported the outcome of a retrospective study of patients with HELLP syndrome to verify whether this pathology is a clinical entity with models of evolution, regression and well defined treatment. A total of 20 individual cases were reported at the Division of Obstetrics and Gynecology at the G. Gaslini Institute during the period from January 1990 to September 1995. All cases showed the normalisation of the various clinical and hematochemical parameters within a maximum of 8 days after birth. The rapid diagnosis, the immediate extraction of the fetus and appropriate medical treatment led to the prompt resolution of this severe pathology without the need for demolitive surgery frequently used in the past.

[Plasma exchange in a case of HELLP syndrome associated with disseminated intravascular coagulation]. / Plasma exchange in un caso di sindrome Hellp associata a coagulazione intravascolare disseminata.

The Authors describe a case of HELLP syndrome associated with disseminated intravascular coagulation occurred after delivery in a patient with late hypertension without any sign or symptom of preeclampsia during pregnancy. The use of plasma exchange has contributed to the recovery from the pathology.