Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2007;29(1):57-57
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2007;29(1):57-57
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2001;23(1):57-57
DOI 10.1590/S0100-72032001000100012
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2001;23(1):57-57
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2010;32(2):57-60
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(7):570-577
Sacral colpopexy is one of the standard procedures to treat apical pelvic organ prolapse. In most cases, a synthetic mesh is used to facilitate the colposuspension. Spondylodiscitis is a rare but potentially serious complication that must be promptly diagnosed and treated, despite the lack of consensus in the management of this complication.We report one case of spondylodiscitis after a laparoscopic supracervical hysterectomy and sacral colpopexy treated conservatively. We also present a literature review regarding this rare complication. A conservative approach without mesh removal may be possible in selected patients (stable, with no vaginal lesions, mesh exposure or severe neurologic compromise). Hemocultures and culture of imageguided biopsies should be performed to direct antibiotic therapy. Conservative versus surgical treatment should be regularly weighted depending on clinical and analytical progression. A multidisciplinary team is of paramount importance in the follow-up of these patients.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2018;40(9):570-575
Atelosteogenesis type I (AOI) is an autosomal dominant skeletal dysplasia caused by mutations in the filamin B (FLNB) gene with classic and well-recognizable clinical findings. However, parents affected with a mild phenotype, probably with somatic mosaicism, can generate offspring with a much more severe phenotype of AOI. In the present report, we describe a female newborn with classic AOI leading to early neonatal death, whose diagnostic was based on prenatal radiological findings and on the physical examination of the father. Since her father had limb deformities and corporal asymmetry, suggesting somatic mosaicism, his biological samples were analyzed through a gene panel for skeletal dysplasias. A missense mutation not previously described in the literature was detected in the FLNB gene, affecting ~ 20% of the evaluated cells and, therefore, confirming the diagnosis ofmosaic AOI in the father. The molecular analysis of the father was crucial to suggest the diagnosis of AOI in the newborn, since she died early and there were no biological samples available.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2010;32(12):571-572