RESUMEN
Fetal lymphatic malformation can be found in different parts of the fetal body. It occurs most frequently in the nuchal and axillary region and less frequently in the abdomen or inguinal areas. Lymphatic malformation has been associated with fetal aneuploidy, hydrops fetalis, structural malformations, and intrauterine fetal death. A 31-year-old gravida 3, para 2 woman was admitted to our hospital at 22 weeks of gestation (confirmed by ultrasonographic examination). The fetus was alive, and had a mass derived from the left inguinal region extending to the anterior left leg with fluid-filled cavities about 3-5 cm in size. There was no evidence of intra-abdominal extension of the mass. Amniocentesis was performed. Fetal magnetic resonance imaging revealed a left inguinal cystic mass, which extended to the left thigh. Antenatal follow-up was uneventful. The mother gave birth at term with a cesarean section. Postnatal clinical examination and imaging examination confirmed the diagnosis of lymphatic malformation. Fetal lymphatic malformation carries a high risk of aneuploidy and fetal malformations. Patients diagnosed with lymphatic malformation in antenatal follow-up should be assessed in terms of coexistent anomalies. Fetal karyotyping should be done and the fetus should be monitored for fetal hydrops.
Asunto(s)
Humanos , Femenino , Embarazo , Adulto , Enfermedades Fetales/diagnóstico , Anomalías Linfáticas/diagnóstico , Muslo/anomalías , Hidropesía Fetal/rehabilitación , Imagen por Resonancia MagnéticaRESUMEN
INTRODUCTION: Polymelia, or congenital duplication of a limb, is an extremely rare entity in humans, with few cases reported in the literature. CASE PRESENTATION: We present the case of a six-month-old Hispanic boy born with a lower limb bud on the left posterior thigh. CONCLUSION: The infant had a favorable outcome and evolution after surgical treatment of his supernumerary limb, with no after-effects or impairment whatsoever.
Asunto(s)
Deformidades Congénitas de las Extremidades Inferiores/patología , Humanos , Lactante , Deformidades Congénitas de las Extremidades Inferiores/cirugía , Masculino , Muslo/anomalías , Muslo/patología , Muslo/cirugíaRESUMEN
Estudio de caso: Paciente de sexo masculino, de 38 años de edad,con tumor ación indolor a en muslo izquierdo de 3 años de evolución. Esta neoplasia corresponde típicamente a nódulos compuestos por células epiteloides poligonales, claras, que recuerdan a las de la notocorda y una segunda población de células e osinofílicas organizadas en cordones y nidos separados por estroma mixoide, con fenómenos de vacuolización citoplasmática similar a las del cordoma (células tipo fisalíferas).
Case Study: Male patient, 38 years old, with painless swelling in left thigh 3 years evolution. This neoplasm typicall y corresponds tonodules composed of polygonal epithelioid cells, clear, reminiscent of the notochord and a second population of eosinophilic cells arranged incords and nests separated by myxoid stroma with phenomena similar to cytoplasmic vacuolization the chordoma (physaliphorous type cells).
Asunto(s)
Humanos , Femenino , Adulto , Adulto , Mioepitelioma , Mioepitelioma/microbiología , Muslo/anomalías , Muslo/microbiología , Muslo/patologíaRESUMEN
BACKGROUND: Patients who experience massive weight loss often require a thighplasty procedure to reduce excess skin and reshape thighs and lower body contour, improving movement, hygiene, posture, self-image, and quality of life. METHODS: After weight loss and stabilization of weight, eight patients in the postoperative period of gastric bypass were subjected to a thighplasty. Measurements of upper and lower circumferences of the thighplasty and thigh heights were obtained in the preoperative and postoperative periods of 60 and 180 days for comparison of volume change after the surgical procedure. RESULTS: The average volume reduction of each thigh at a postoperative period of 180 days was 1,135 cm³ or 1.135 liters. All patients had small areas of dehiscence along the scars on the medial thigh, and dressings were applied for healing by secondary intention. One (12.5 percent) patient had cysts in both thighs, confirmed by ultrasound, and required surgical intervention for resection and subsequent resolution. CONCLUSIONS: It was possible to demonstrate significant reduction in the volume of each thigh after plastic surgery for contour refitting. Patient satisfaction and complications associated with the procedures performed were also documented.
INTRODUÇÃO: Pacientes que apresentam perda maciça de peso muitas vezes precisam reduzir o excesso de pele e remodelar o contorno das coxas e parte inferior do corpo, melhorando os movimentos, higiene, postura, autoimagem e qualidade de vida. MÉTODO: Oito pacientes em pós-operatório de gastroplastia redutora, após perda e estabilização do peso, foram submetidas a coxoplastia. Medidas das circunferências superior e inferior e da altura das coxas foram obtidas em pré-operatório e pós-operatório de 60 dias e 180 dias, para comparação de alteração de volume consequente ao procedimento cirúrgico. RESULTADOS: A redução média de volume de cada coxa, aos 180 dias de pós-operatório, foi de 1.135 cm³ ou 1,135 litro. Todas as pacientes apresentaram pequenas deiscências ao longo das cicatrizes em face medial das coxas, sendo realizados curativos com cicatrização por segunda intenção. Uma (12,5 por cento) paciente apresentou cistos em ambas as coxas, confirmados por ultrassonografia, sendo necessária intervenção cirúrgica para ressecção e consequente resolução. CONCLUSÕES: Foi possível demonstrar redução significativa do volume de cada coxa após cirurgia plástica para readequação do contorno, além de documentar a satisfação das pacientes e as complicações associadas aos procedimentos realizados.
Asunto(s)
Humanos , Femenino , Adulto , Persona de Mediana Edad , Historia del Siglo XXI , Complicaciones Posoperatorias , Cirugía Plástica , Muslo , Cicatriz , Extremidad Inferior , Cirugía Bariátrica , Contorneado Corporal , Complicaciones Posoperatorias/cirugía , Cirugía Plástica/métodos , Muslo/anomalías , Muslo/cirugía , Pérdida de Peso , Cicatriz/cirugía , Cicatriz/terapia , Extremidad Inferior/cirugía , Cirugía Bariátrica/efectos adversos , Cirugía Bariátrica/métodos , Contorneado Corporal/métodosAsunto(s)
Humanos , Femenino , Lactante , Cutis Laxo/etiología , Cutis Laxo/patología , Tejido Elástico/anomalías , Muslo/anomalíasRESUMEN
El nevo lipomatoso cutáneo superficial (NLCS) es una anomalía del desarrollo infrecuente, caracterizada por la presencia de tejido adiposo maduro ectópico en la dermis. Puede estar presente al nacer o aparecer en la infancia o adolescencia. Describimos dos casos de NLCS: el primero, un niño de 4 años con una placa hipertricótica en la nalga izquierda, presente desde el nacimiento y el segundo, una niña de 9 años con una placa de aspecto esclerodermiforme en el muslo izquierdo, de aparición en etapa preescolar.
Nevus lipomatosus cutaneous superficialis (NLCS) is a rare developmental anomally characterized by the presence of ectopic mature adipose tissue in the dermis. It may be present at birth, or appear at chilhood or adolescence. We describe two cases of NLCS: the firs one, a 4-year-old child that presented with an hypertrychotic plaque on his left buttock, present from birth and, the second one, a 9-year-old girl with a plaque of sclerodermiform appearance on her left leg, that arise before school time.
Asunto(s)
Humanos , Masculino , Femenino , Preescolar , Niño , Hamartoma , Nevo Intradérmico , Diagnóstico Diferencial , Lipoma , Muslo/anomalías , Nalgas/patologíaRESUMEN
We are reporting the case of a young infant presenting with a cutaneous tubular bridge running from the dorsal aspect of the middle third of the thigh to the middle third of the leg resulting in a permanent flexion position of the limb. This finding was associated with another related to the amniotic band syndrome. Surgical resection showed a tube formed exclusively by normal skin tissue. The case appears unique although related lesions have been reported in the literature.
Asunto(s)
Síndrome de Bandas Amnióticas/patología , Pierna/anomalías , Deformidades Congénitas de las Extremidades Inferiores/patología , Piel/patología , Muslo/anomalías , Animales , Femenino , Humanos , Lactante , Recién Nacido , Pierna/cirugía , Deformidades Congénitas de las Extremidades Inferiores/cirugía , Embarazo , Muslo/cirugíaRESUMEN
El autor relata su experiencia en la cirugia estetica de las piernas para el contorno inestetico de las llamadas "piernas delgadas" debido a las hipotrofias de los musculos gastrocnemios y musculos de la fase interna de los muslos. Protesis de silicona-gelatinosa son implantadas debajo del aponeurosis o sobre el musculo. La tecnica es simple y presentada en sus detalles. El autor utiliza un instrumental especial que facilita y ayuda en la diseccion y colocacion de las protesis realizada por medio de una pequena incision de 2,5 cm. en la region politea o en la linea subglutea. se logra asi un aspecto mas armonioso del contorno de las piernas.