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Relato de Caso
Massive Hypertrophy of the Breasts in Pregnancy: A Case Report
Revista Brasileira de Ginecologia e Obstetrícia. 2002;24(6):413-417
09-23-2002
Summary
Relato de CasoMassive Hypertrophy of the Breasts in Pregnancy: A Case Report
Revista Brasileira de Ginecologia e Obstetrícia. 2002;24(6):413-417
09-23-2002DOI 10.1590/S0100-72032002000600009
Views120See moreMassive hypertrophy of the breast in pregnancy is a rare condition, with few cases reported. In spite of the unknown etiology, it seems to be an exaggerated response of the breast receptors to the pregnancy hormones. Although it can happen in any pregnancy, it presents great capacity to recur in all subsequent pregnancies. The rapid and colossal breast enlargement determines pain and the involvement of the shoulder skeleton and muscles. The excessive enlargement may promote necrosis and ulceration of the skin, leading to breast infection. The authors report one case at the second pregnancy, explaining management during the pregnancy, lactation inhibition with bromocriptine immediately after the delivery and the banding of the elevated breast. They also emphasize the importance of reduction mammoplasty a few months after delivery.
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Relato de Caso
Hepatic Rupture in Pregnancy: A Case Report
Revista Brasileira de Ginecologia e Obstetrícia. 2002;24(2):129-132
06-18-2002
Summary
Relato de CasoHepatic Rupture in Pregnancy: A Case Report
Revista Brasileira de Ginecologia e Obstetrícia. 2002;24(2):129-132
06-18-2002DOI 10.1590/S0100-72032002000200009
Views95See moreHepatic rupture is one of the most serious and catastrophic complications of pregnancy, with an estimated incidence of 1:45000 to 1:225000 deliveries. It is usually associated with preeclampsia. Maternal mortality is about 60-86% and fetal mortality can reach 56-75%. Diagnosis is difficult, but commonly relies on the presence of severe bleeding and hypovolemic shock. We present the case of a patient with a 32-week gestation complicated by spontaneous preeclampsia-associated hepatic hemorrhage, which was submitted to surgical treatment with good outcome.