RESUMO
PURPOSE: After a review of the literature, to establish what the best treatment is to treat interstitial portion in ectopic gestations. TYPE OF STUDY: Review and report of a case. SITE: Specialized Clinics Hospital of Franco da Rocha of the School of Medicine of Jundiaí. PATIENTS: One patient of the School Hospital. INTERVENTIONS: None. MEASUREMENTS AND RESULTS: Review and clinical observation. CONCLUSIONS: The authors present a case of an exceptional ectopic gestation with a remnant portion of the tube seen at the Hospital above, with absent contralateral ovary. They discuss the etiologic factors of the ectopic gestation with contralateral corpus luteum, and suggest the possibility of internal transmigration in the case presented. They comment on the clinical severity, as the area is highly vascularized, and they also comment of the diagnosis difficulties if gestation proceeds. They discuss the treatment for ectopic gestation in general and the possible prophylactic ways of dealing with the remnant portion of the tube in ectopic gestation. They conclude that randomized studies are needed to find out what the best treatment is for the interstitial portion during salpingectomy due to ectopic gestation.
Assuntos
Gravidez Ectópica/etiologia , Adulto , Feminino , Humanos , Gravidez , Gravidez Ectópica/diagnóstico , Gravidez Ectópica/cirurgiaRESUMO
PURPOSE: to review the literature for a serious disease and present a case in order to caution specialists concerning the need for early and accurate diagnosis. TYPE: literature review and retrospective study of a case. PLACE: Hospital of Specialized Clinics of Franco da Rocha, of the Jundiaí School of Medicine. PATIENTS: one patient admitted to the School Hospital. RESULTS: review and clinical observation. CONCLUSIONS: the authors conclude that publication of this case is important because despite the typical features, attending physicians had difficulties in terms of diagnosis and treatment. They describe symptoms which are characteristic of HS associated to preeclampsia and eclampsia, and they caution to the importance of patient complaints of epigastric and right hypochondrium pain. They also alert to the importance of a correct approach (clinical, US scanning, and laboratory tests) for diagnosis and early treatment.
Assuntos
Hemólise , Fígado/enzimologia , Trombocitopenia/complicações , Adolescente , Feminino , Humanos , Hipertensão/complicações , Contagem de Plaquetas , Pré-Eclâmpsia/sangue , Gravidez , Estudos Retrospectivos , Síndrome , Trombocitopenia/sangueRESUMO
PURPOSE OF THE STUDY: evaluate biological and medical characteristics of the grand multipara and her offspring in the neonatal period. TYPE OF STUDY: comparative and retrospective. SITE: Hospital of the Jundiai School of Medicine. PATIENTS: study group--134 grand multiparas; control group--100 primiparas. All patients were admitted to the Franco da Rocha Hospital, the maternity school of the Jundiai School of Medicine. INTERVENTION: analytical study. MEASURES AND RESULTS: hypertension, haemorrhage, twins, premature labor, pelvic location, and anemia were the complications seen in group 1. Cesarean section was indicated in the presence of a prior cesarean section, and fetal distress was the indication followed in group 2. Post partum damage to soft tissue was more prevalent in group 1. Premature labor and perinatal mortality were more frequent in group 1. CONCLUSION: The authors conclude that GMP were women with a high risk and, thus, they suggest adequate antenatal assistance as an important measure to decrease perinatal and maternal mortality.