RESUMO
The endometriosis has been observed in 10% of the women in reproductive age and it is found in pelvis in most of the cases. However, occasionally it is located on nonpelvic organs and infrequently in diaphragmatic location. Two cases of diaphragmatic endometriosis with symptoms are presented and treated with CO2 laser successful. There are a few reports of laparoscopic treatment of diaphragmatic endometriosis. The patients with clinical diagnosis of endometriosis and nonpelvic symptoms have the possibility of the disease in nonpelvic organs. The adequate treatment will be in benefit of the patient.
Assuntos
Dióxido de Carbono/uso terapêutico , Endometriose/cirurgia , Terapia a Laser/métodos , Adulto , Diafragma/patologia , Diafragma/cirurgia , Feminino , Humanos , Laparoscopia , Pelve/cirurgiaRESUMO
It presents three cases of Mullerian anomalies with septate uterus and cervical duplication and longitudinal vaginal septum. There are a few previous cases reported. The cases are discussed and the literature is revised.
Assuntos
Anormalidades Múltiplas/diagnóstico por imagem , Colo do Útero/anormalidades , Ductos Paramesonéfricos/anormalidades , Útero/anormalidades , Vagina/anormalidades , Anormalidades Múltiplas/cirurgia , Adulto , Colo do Útero/diagnóstico por imagem , Feminino , Humanos , Histerossalpingografia , Ductos Paramesonéfricos/cirurgia , Paridade , Gravidez , Resultado da Gravidez , Resultado do Tratamento , Vagina/cirurgiaRESUMO
The Ehlers Danlos Syndrome is a hereditary alteration of connective tissue, characterized by hyperelastic joints, tissues, and skin. The papers about the obstetric and gynecological aspects of Ehlers Danlos syndrome is mostly anecdotical and much has not originated from obstetricians and gynecologists. The complications are important for the feto-material binomial. The case presented here is related with a 39.1 of gestation associated with Ehlers Danlos syndrome, and a description of antenatal period, labor and delivery is done. Literature revision and possible relation with obstetrical care and pregnancy resolution in commented.
Assuntos
Síndrome de Ehlers-Danlos , Complicações na Gravidez , Adulto , Índice de Apgar , Cesárea , Síndrome de Ehlers-Danlos/diagnóstico , Síndrome de Ehlers-Danlos/genética , Feminino , Humanos , Recém-Nascido , Paridade , Gravidez , Complicações na Gravidez/diagnóstico por imagem , Terceiro Trimestre da Gravidez , Ultrassonografia Pré-NatalRESUMO
Multiple pregnancy is a special event that requires a particular care because of maternal morbi-mortality, as well as fetal one, which is increased. The incidence of this event at the ABC Hospital is similar to what is reported in the literature; there is maternal morbidity and fetal morbi-mortality very low, mainly in products older than 32 weeks of gestation. Early diagnosis as well as the adequate prenatal control and pregnancy resolution by cesarean section, diminish maternal and fetal complications. Neonatal Care Unit is necessary for a better product surveillance.