RESUMO
The case of a 24-year-old woman with fever, abdominal pain and weight loss, is presented. Right ovarian dysgerminoma was diagnosed; group A blood, negative direct Coombs. The search for free serum antibodies was positive, with specificity: auto anti 1, anti P with activity at 37 degrees C. Hysterectomy, appendectomy, omentectomy and retroperitoneal ganglia biopsy, were performed; the latter one showed metastasis. Blood transfusions were given. Thirty days postoperative, the red cell polyagglutination had disappeared, as well as antibodies.
Assuntos
Autoanticorpos/sangue , Disgerminoma/imunologia , Eritrócitos/imunologia , Neoplasias Ovarianas/imunologia , Adulto , Teste de Coombs , Disgerminoma/patologia , Disgerminoma/cirurgia , Feminino , Humanos , Neoplasias Ovarianas/patologia , Neoplasias Ovarianas/cirurgiaRESUMO
A total of 82 patients with 28 to 36 weeks of pregnancy, with a average of 61 hours after premature rupture of membranes, were studied. The greatest frequency was seen from 30 to 33 weeks (57%). Phosphatidylglycerol determination in the first sample was positive in 64% of the patients. The conservative management is adequate only up to 32 weeks; thereafter, and with phosphatidyiglycerol present, pregnancy interruption, after an adequate materno-fetal evaluation, will mean a better prognosis for mother and child.