RESUMO
A 38 year old woman nulligravida was admitted with increased abdominal girth for two years, an ultrasound revealed diagnosis of an ovarian cyst, at laparotomy we found a left giant ovarian cyst; hysterectomy was performed, there were no complications. Pathology reports an ovarian serous cystadenoma weighting 30 kg and uterine fibroids, Postoperative course was uneventful. In spite of accessible diagnostic imaging as ultrasound, we still find cases as the one we had described. There has not been reported a mass of this weight in our Institution before.
Assuntos
Cistos Ovarianos/patologia , Adulto , Ascite/diagnóstico , Diagnóstico Diferencial , Feminino , Humanos , Cistos Ovarianos/diagnóstico , Cistos Ovarianos/cirurgiaRESUMO
We reviewed the bibliography concerning the roles involved in the immunological mechanism related to the etiology of miscarriage, pointing out the main theories specially related to the Major Histocompatibility Complex and TLX antigen all together are beginners of the antiidiotype reaction in order to avoid having a miscarriage. It is mentioned that the blocking antibodies, suppressor cells and interleukines arrest the citotoxic immune mechanism against the fetal allograft. The new therapeutic approach is mentioned.
Assuntos
Aborto Habitual/imunologia , Aborto Espontâneo/etiologia , Complicações na Gravidez/imunologia , Aborto Habitual/etiologia , Aborto Espontâneo/imunologia , Reações Antígeno-Anticorpo , Autoimunidade , Feminino , Histocompatibilidade , Humanos , Gravidez , Complicações na Gravidez/etiologia , Primeiro Trimestre da Gravidez , Segundo Trimestre da GravidezRESUMO
A patient with 36 weeks' gestation with severe preeclampsia and HELLP syndrome associated to acute renal failure, was studied. Symptomatology, abnormal laboratories results and treatment, are emphasized. The haptoglobin level has been reported like sensitive marker of moderate hemolysis; it could permit an early diagnosis of HELLP syndrome. On the basis at physiopathology mechanism that were described, HELLP syndrome is susceptible of prevention in patients with high risk.