Assuntos
Coartação Aórtica/cirurgia , Cuidado Pré-Natal , Stents , Adulto , Feminino , Humanos , Gravidez , Fatores de RiscoRESUMO
This article presents a clinical report of a cornual ectopic pregnancy as well as a five-year restrospective review of ectopic gestations at Hospital General de Matamoros Dr. Alfredo Pumarejo L, Tamaulipas, Mexico. The list with histopatological reports was checked up from January 2001 to May 2006. There were 66 results, of which only 31 files were complete. The presentation ages in these patients were between 16 and 39 years old, with a media of 25.6 years old and a mode of 21 years. The circumstances why patients attended to the hospital were: transvaginal bleeding and abdominal pain in 14 cases (45.1%), abdominal pain only in 12 cases (38.7%), and transvaginal bleeding only in five cases (16.2%). The clinical presentation was acute in 19 patients (61.3%), and it was insidious in 12 (38.7%). All women presented menstrual delay. Diagnoses were done by clinical findings in 12 women (38.7%), by clinical findings and ultrasonography in 18 (58.1%), and due to clinical findings and culdocentesis in just one patient (3.2%). Ectopic pregnancy was located in different places on each patient, such as: ampula, 24 cases (77.5%); isthmus, four patients (12.8%); fimbria, one case (3.2%); ovary, one woman (3.2%), and cornual in one patient (3.2%). Twenty-seven cases of broken ectopic pregnancies (87%), were found as transoperative findings, and the other four (13%) were not broken ectopic. There were not demises. Cornual ectopic pregnancy represents 1.5% of the ectopic gestations, as it is reported in the literature.
Assuntos
Gravidez Tubária , Adolescente , Adulto , Feminino , Humanos , Gravidez , Gravidez Tubária/diagnóstico , Gravidez Tubária/cirurgia , Estudos Retrospectivos , Fatores de TempoRESUMO
It is presented a clinical case of a pregnant patient, who attended to the hospital's emergency service because of the presence of transvaginal liquid. A polyhidramnios was diagnosed, due to a placental chorioangioma (of approximately 7 cm), which was confirmed by hystopatological examination, reporting placental chorioangioma with its three histological types: cellular, angioblastic and degenerative. The case and its complications, such as polyhidramnios, membranes rupture and preterm labor, are analized. Existing literature is reviewed.
Assuntos
Hemangioma/diagnóstico por imagem , Complicações do Trabalho de Parto/diagnóstico , Doenças Placentárias/diagnóstico por imagem , Complicações Neoplásicas na Gravidez/diagnóstico por imagem , Adulto , Diagnóstico Diferencial , Feminino , Morte Fetal , Hemangioma/patologia , Humanos , Trabalho de Parto Induzido , Doenças Placentárias/patologia , Poli-Hidrâmnios/diagnóstico por imagem , Gravidez , Complicações Neoplásicas na Gravidez/patologia , Segundo Trimestre da Gravidez , Índice de Gravidade de Doença , UltrassonografiaRESUMO
The term fetus papyraceus is used to describe a mummified fetus associated to a multi-fetal gestation. We present the case of a of 20 years old patient who entered under the diagnosis of pregnancy of 41.1 weeks of gestation by last menstrual period, and effective labor work. It was conducted labor and delivery obtaining a live, male product. The uterine cavity was revised due to suspicion of retention of placenta and/or fetal membranes and it was obtained a product of approximated 15 weeks of gestation; the patient presented uterine atony and postpartum hemorrhage (PPH) quantified in approx 1,500 cc. Therefore it was decided to perform an obstetrical abdominal hysterectomy, which took place without incidents. The patient cursed pathological puerperium and received blood transfusion for 4 U. She was discharged at the 7th day after surgery. The histopathologic result was fetus papyraceus.