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El embarazo extrauterino abdominal es uno de los tipos de embarazo ectópico junto con el ovárico, menos frecuentes. El diagnóstico es difícil y suele realizarse de forma tardía, lo que contribuye a aumentar la morbimortalidad materna. Presentamos el caso de un embarazo abdominal diagnosticado a las 9 semanas de amenorrea con embrión de tamaño acorde con edad gestacional, asintomática al diagnóstico, que se resolvió satisfactoriamente mediante laparotomía(AU)

Abdominal pregnancy is one of the rarest types of ectopic pregnancy. The diagnosis is difficult and is generally delayed. We report the case of an abdominal pregnancy diagnosed at 9 weeks of amenorrea, with size of embryo according to gestational age, asymptomatic at diagnosis, whichwas resolved satisfactorily by laparotomy(AU)

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BACKGROUND: Abdominal wall Actinomycosis is a rare disease associated with the use of intrauterine device and as a complication of abdominal surgery. Diagnosis is difficult because it is unusual and behaves like a malignant neoplasm. AIM: A case report is presented of a patient who had used an intrauterine device for four years and developed a stony tumour in the abdominal wall associated with a set of symptoms that, clinically and radiologically, was simulating a peritoneal carcinomatosis associated with paraneoplastic syndrome, even in the course of an exploratory laparotomy. CLINICAL CASE: The patient attended our hospital with a two-month history of abdominal pain and symptoms that mimic a paraneoplastic syndrome. The diagnosis of abdominal actinomycosis was suspected by the finding of the microorganism in cervical cytology together with other cultures and Actinomyces negative in pathological studies, confirming the suspicion of a complete cure with empirical treatment with penicillin. CONCLUSIONS: Actinomycosis should be considered in patients with pelvic mass or abdominal wall mass that mimics a malignancy. Antibiotic therapy is the first treatment choice and makes a more invasive surgical management unnecessary.

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Se expone el caso clínico de una gestación gemelar bicorial biamniótica que dio lugar a la muerte fetal espontánea del segundo gemelo a las 16 semanas, por lo que curso desde el segundo trimestre con feto papiráceo. La causa de la muerte se atribuyó al diagnóstico de Síndrome de Edwards, cromosomopatía de muy mal pronóstico en la vida intrauterina y perinatal, con tasas de mortalidad intraútero de hasta el 80% de los casos. El segundo gemelo se obtuvo sin complicaciones estructurales y no se documentó repercusión en la madre; a pesar de que la bibliografía científica indica un mayor riesgo de morbimortalidad del gemelo vivo, la gestación y el parto cursaron sin complicaciones.

It was presented a case report of a dichorinic diamniotic twin pregnancy in which there was spontaneous fetal death of the second twin at 16 weeks, so on going since the second trimester with papyraceus fetus. The cause of death of the fetus was attributed to Edwards Syndrome, chromosomal disease with poor prognosis in intrauterine and perinatal life, intrauterine mortality rates of up to 80% of cases.The second twin was obtained without structural complications and no documented impact on the mother.Although described in the literature an increased risk of morbidity and mortality of the living twin, this case pregnancy and childbirth progressed without complications.

RESUMEN

Varix of the intra-abdominal portion of the umbilical vein is an uncommon sonographic diagnosis, which may be increasing in the coming years for the improvement of ultrasound equipment and the advances in knowledge of fetal anatomy. It has been reported in the literature in many cases associated with chromosomal defects, additional sonographic abnormalities and poor fetal outcome, but, in contrary to earlier reports, especially in cases in which it appears isolated, a good fetal outcome is expected. We report two cases of umbilical vein varix diagnosed in our department at 20 and 33 weeks, both with good perinatal outcome.

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