RESUMO
The presence of calculi inside the uterine cavity is an uncommon finding, with few cases described in the literature. Here, we present a clinical case of a 30-year-old patient with uterine lithiasis. The patient presented with 3 months of evolution, characterized by abdominal pain in the hypogastrium, with a report of transvaginal ultrasound of hematometra with suggestive images of endometrial polyps. For this reason, she was scheduled for hysteroscopy, where three lesions of hard consistency were found, with the largest 1.5 cm. Currently, due to the few cases of uterine lithiasis described, there is no explanation of how the stones are formed in the uterine cavity. The age of the patient in this case report and the absence of predisposing factors for uterine calcifications reported in the literature is striking, which leads us to propose a hypothesis of the origin of uterine lithiasis, which is related to the history of cesarean section and the presence of hematometra, such hematic retention could have predisposed to the development of calculi in this patient. Uterine lithiasis is an extremely rare entity with few published cases; therefore, further studies are necessary.
Assuntos
Histeroscopia , Litíase , Doenças Uterinas , Adulto , Feminino , Humanos , Dor Abdominal/etiologia , Cesárea/efeitos adversos , Hematometra/etiologia , Histeroscopia/métodos , Litíase/diagnóstico por imagem , Litíase/cirurgia , Ultrassonografia , Doenças Uterinas/diagnóstico por imagem , Doenças Uterinas/cirurgiaRESUMO
Based on the determination of single crystal XRD structures of potassium hexacyanidometallates and on IR, and Raman data, here we propose for the first time the occurrence of an electron-deficient bonding between the N end of the CN- ligand and the K+ metal center. The crystal structures of Kn[M6-n(CN)6]·xH2O (M = Fe(ii), Ru(ii), Os(ii), Co(iii), Rh(iii), Ir(iii), Pt(iv)) reveal the presence of four types of CN-K interactions: (i) a linear CN-K bond, (ii) the N ends in a bipodal coordination involving two K atoms, (iii) the N ends in a tripodal coordination mode involving three K atoms and (iv) the N ends and the K atoms with the largest K-N distances within the subseries that can be attributed to the electrostatic interactions. The bi- and tripodal coordination modes between the N end of the CN- ligand and K+ ions are atypical and their nature is discussed in this contribution. The CN- ligand N end can behave as a two-electron donor that participates in a three-center two-electron bonding (i.e. Class II µ-L 3c-2e) for a N-bipodal coordination mode or as a two-electron donor that participates in a four-center two-electron bonding (4c-2e) for an N-tripodal coordination mode. Such a possibility is closely related to the π-back donation ability of the CN- ligand, which results in a charge density accumulation on the N end, which could be partially donated to the K atom through an σ-mechanism. For the divalent metals (Fe, Ru, Os), the solids crystallize with a monoclinic unit cell in the C2/c space group, while for the trivalent ones (Co, Rh, Ir), the crystal structure corresponds to an orthorhombic unit cell in the Pbcn space group. Potassium hexacyanidoplatinate(iv) crystallizes with a trigonal unit cell, in the P3[combining macron]1m space group, where each N end is always found coordinating two K atoms. The finding of these novel coordination modes of the CN- ligands, relying on an electron-deficient bonding behavior, paves the way for the design of functional materials based on hexacyanidometallates. The experimental results and the proposed electron-deficient bonding model herein discussed were appropriately supported by the computational calculations.
RESUMO
La evaluación específica de la población afectada determinó las posibilidades de adquirir una de las patologías a prevenir (síndrome de túnel carpiano,tendinitis, bursitis, cervicalgia, lumbalgia) y definió que el grupo de personas objeto de seguimiento y tratamiento, corresponde en su gran mayoría alÁrea de Servicios. Se realizó un análisis bivariado de antigüedad en el oficio y sintomatología, evidenciándose que existe relación directa con la aparición de los síntomas que causan desórdenes por trauma acumulativo.A los trabajadores confirmados con alguno de los desórdenes por trauma acumulativo, se les hará el tratamiento indicado por los especialistas, y si es preciso se hará evaluación para determinar otro tipo de alternativa como la reubicación laboral.