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Case Report05-16-2019
Autoimmune Progesterone Dermatitis: A Case Report
Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(3):203-205
Abstract
Case ReportAutoimmune Progesterone Dermatitis: A Case Report
Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(3):203-205
Views213See moreAbstract
Introduction
Autoimmune progesterone dermatitis (APD) is a rare autoimmune dermatosis characterized by recurrent cutaneous and mucosal lesions during the luteal phase of the menstrual cycle that disappear some days after the menses.
Case
Report A 34-year-old primipara woman with no significant past medical history and no prior exogenous hormone use, who presented with cyclic skin eruptions starting 1 year after the delivery. The lesions occurred 6 days before the menses and disappeared in between 1 and 2 days after the menstruation ceased. The patient was diagnosed after a positive response to an intradermal test with progesterone and was successfully treated with combined oral contraceptives. The skin eruptions have not returned since the initiation of this therapy.
Conclusion
Dermatologists, gynecologists, and obstetricians should be aware of this rare entity. Furthermore, if this condition is suspected, a thorough history taking on the menstrual cycle and results of the intradermal progesterone test are mandatory.
Views213
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract
Case ReportAutoimmune Progesterone Dermatitis: A Case Report
Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(3):203-205
Views213See moreAbstract
Introduction
Autoimmune progesterone dermatitis (APD) is a rare autoimmune dermatosis characterized by recurrent cutaneous and mucosal lesions during the luteal phase of the menstrual cycle that disappear some days after the menses.
Case
Report A 34-year-old primipara woman with no significant past medical history and no prior exogenous hormone use, who presented with cyclic skin eruptions starting 1 year after the delivery. The lesions occurred 6 days before the menses and disappeared in between 1 and 2 days after the menstruation ceased. The patient was diagnosed after a positive response to an intradermal test with progesterone and was successfully treated with combined oral contraceptives. The skin eruptions have not returned since the initiation of this therapy.
Conclusion
Dermatologists, gynecologists, and obstetricians should be aware of this rare entity. Furthermore, if this condition is suspected, a thorough history taking on the menstrual cycle and results of the intradermal progesterone test are mandatory.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. -
Case Report04-15-2019
Lithopedion in a Geriatric Patient
- Andrés Ricaurte Sossa,
- Henry Bolaños,
- Andrés Ricaurte Fajardo,
- Ángela Camila Burgos,
- Valentina Garcia, [ ... ],
- Diego Rosselli
Abstract
Case ReportLithopedion in a Geriatric Patient
Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(1):59-61
- Andrés Ricaurte Sossa,
- Henry Bolaños,
- Andrés Ricaurte Fajardo,
- Ángela Camila Burgos,
- Valentina Garcia,
- Paola Muñoz,
- Diego Rosselli
Views196See moreAbstract
Lithopedion (lithos = rock and paidion = child) is a rare condition that only occurs in 1.5 to 1.8% of extrauterine pregnancies and in 0.00045% of all pregnancies. It consists of an ectopic pregnancy in which the fetus dies but cannot be reabsorbed by the mother’s body, which then coats it in a calcium-rich substance.We present the case of a 77-year-old woman with an incidental diagnosis of a lithopedion, which had been retained in her left pelvis for presumably 40 years.
Views196This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract
Case ReportLithopedion in a Geriatric Patient
Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(1):59-61
- Andrés Ricaurte Sossa,
- Henry Bolaños,
- Andrés Ricaurte Fajardo,
- Ángela Camila Burgos,
- Valentina Garcia,
- Paola Muñoz,
- Diego Rosselli
Views196See moreAbstract
Lithopedion (lithos = rock and paidion = child) is a rare condition that only occurs in 1.5 to 1.8% of extrauterine pregnancies and in 0.00045% of all pregnancies. It consists of an ectopic pregnancy in which the fetus dies but cannot be reabsorbed by the mother’s body, which then coats it in a calcium-rich substance.We present the case of a 77-year-old woman with an incidental diagnosis of a lithopedion, which had been retained in her left pelvis for presumably 40 years.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. -
Case Report04-15-2019
Ruptured Renal Artery Aneurysm in a Pregnant Woman: Case Report and Literature Review
- Adriane Castro de Souza ,
- Caio Henrique Yoshikatsu Ueda,
- Denise Hiromi Matsubara,
- João Raphael Zanlorensi Glir
Abstract
Case ReportRuptured Renal Artery Aneurysm in a Pregnant Woman: Case Report and Literature Review
Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(1):62-64
- Adriane Castro de Souza ,
- Caio Henrique Yoshikatsu Ueda,
- Denise Hiromi Matsubara,
- João Raphael Zanlorensi Glir
Views119Abstract
Renal artery aneurysms (RAAs) are rare and usually asymptomatic; ~ 90% of them are unilateral. Once diagnosed during pregnancy, they may rupture, presenting a high maternal-fetal risk. The present study reports the case of a 32-year-old pregnant woman with a 30-week gestational age and a ruptured unilateral RAA.
Key-words aneurysm in pregnant womenbroken aneurysmGestationrenal aneurysm rupturerenal artery aneurysmSee moreViews119This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract
Case ReportRuptured Renal Artery Aneurysm in a Pregnant Woman: Case Report and Literature Review
Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(1):62-64
- Adriane Castro de Souza ,
- Caio Henrique Yoshikatsu Ueda,
- Denise Hiromi Matsubara,
- João Raphael Zanlorensi Glir
Views119Abstract
Renal artery aneurysms (RAAs) are rare and usually asymptomatic; ~ 90% of them are unilateral. Once diagnosed during pregnancy, they may rupture, presenting a high maternal-fetal risk. The present study reports the case of a 32-year-old pregnant woman with a 30-week gestational age and a ruptured unilateral RAA.
Key-words aneurysm in pregnant womenbroken aneurysmGestationrenal aneurysm rupturerenal artery aneurysmSee moreThis is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. - Adriane Castro de Souza
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Case Report03-13-2019
Embolization of Ruptured Renal Angiomyolipoma in Puerpera
- Adenauer Marinho de Oliveira Góes Junior ,
- Salim Abdon Haber Jeha,
- Carolina Pinheiro de Oliveira,
- Daniel Arthur Santos dos Santos
Abstract
Case ReportEmbolization of Ruptured Renal Angiomyolipoma in Puerpera
Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(3):199-202
- Adenauer Marinho de Oliveira Góes Junior ,
- Salim Abdon Haber Jeha,
- Carolina Pinheiro de Oliveira,
- Daniel Arthur Santos dos Santos
Views133See moreAbstract
Angiomyolipomas (AMLs) are rare benign tumors derived from mesenchymal tissue and composed of varying degrees of adipose tissue, muscle and blood vessels. Renal AMLs (RAMLs) are the result of a sporadic event, and, in most of cases, the diagnosis is usually incidental, but hemorrhage and shock may be present. During pregnancy, the size of AMLs may increase and they may rupture, probably due to the high expression of hormone receptors, and the increase in maternal circulation and abdominal pressure. The authors present a case of a woman with ruptured RAML submitted to urgent endovascular treatment four days after giving birth by cesarean section.
Views133This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract
Case ReportEmbolization of Ruptured Renal Angiomyolipoma in Puerpera
Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(3):199-202
- Adenauer Marinho de Oliveira Góes Junior ,
- Salim Abdon Haber Jeha,
- Carolina Pinheiro de Oliveira,
- Daniel Arthur Santos dos Santos
Views133See moreAbstract
Angiomyolipomas (AMLs) are rare benign tumors derived from mesenchymal tissue and composed of varying degrees of adipose tissue, muscle and blood vessels. Renal AMLs (RAMLs) are the result of a sporadic event, and, in most of cases, the diagnosis is usually incidental, but hemorrhage and shock may be present. During pregnancy, the size of AMLs may increase and they may rupture, probably due to the high expression of hormone receptors, and the increase in maternal circulation and abdominal pressure. The authors present a case of a woman with ruptured RAML submitted to urgent endovascular treatment four days after giving birth by cesarean section.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. - Adenauer Marinho de Oliveira Góes Junior
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Case Report02-01-2019
Lithopedion Causing Intestinal Obstruction in a 71-Year-Old Woman: A Case Report
- Francisco Eliomar Gomes de Oliveira,
- Sandra Regina Alves dos Santos,
- Bruno Gomes Duarte,
- Alexandre Sabino Sisnando
Abstract
Case ReportLithopedion Causing Intestinal Obstruction in a 71-Year-Old Woman: A Case Report
Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(2):129-132
- Francisco Eliomar Gomes de Oliveira,
- Sandra Regina Alves dos Santos,
- Bruno Gomes Duarte,
- Alexandre Sabino Sisnando
Views204See moreAbstract
Ectopic pregnancy is the leading cause of pregnancy-related death during the first trimester, and it occurs in 1 to 2% of pregnancies. Over 90% of ectopic pregnancies are located in the fallopian tube. Abdominal pregnancy refers to an ectopic pregnancy that has implanted in the peritoneal cavity, external to the uterine cavity and fallopian tubes. The estimated incidence is 1 per 10,000 births and 1.4%of ectopic pregnancies. Lithopedion is a rare type of ectopic pregnancy, and it occurs when the fetus from an unrecognized abdominal pregnancymay die and calcify. The resulting “stone baby” may not be detected for decades andmay cause a variety of complications. Lithopedion is a very rare event that occurs in 0.0054% of all gestations. About 1.5 to 1.8% of the abdominal babies develop into lithopedion. There are only ~ 330 known cases of lithopedion in the world. We describe a lithopedion that complicated as intestinal obstruction in a 71-year-old woman.
Views204This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract
Case ReportLithopedion Causing Intestinal Obstruction in a 71-Year-Old Woman: A Case Report
Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(2):129-132
- Francisco Eliomar Gomes de Oliveira,
- Sandra Regina Alves dos Santos,
- Bruno Gomes Duarte,
- Alexandre Sabino Sisnando
Views204See moreAbstract
Ectopic pregnancy is the leading cause of pregnancy-related death during the first trimester, and it occurs in 1 to 2% of pregnancies. Over 90% of ectopic pregnancies are located in the fallopian tube. Abdominal pregnancy refers to an ectopic pregnancy that has implanted in the peritoneal cavity, external to the uterine cavity and fallopian tubes. The estimated incidence is 1 per 10,000 births and 1.4%of ectopic pregnancies. Lithopedion is a rare type of ectopic pregnancy, and it occurs when the fetus from an unrecognized abdominal pregnancymay die and calcify. The resulting “stone baby” may not be detected for decades andmay cause a variety of complications. Lithopedion is a very rare event that occurs in 0.0054% of all gestations. About 1.5 to 1.8% of the abdominal babies develop into lithopedion. There are only ~ 330 known cases of lithopedion in the world. We describe a lithopedion that complicated as intestinal obstruction in a 71-year-old woman.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. -
Case Report02-01-2019
Imaging Description of Extragenital Müllerian Adenosarcoma: A Case Report
Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(2):124-128
Abstract
Case ReportImaging Description of Extragenital Müllerian Adenosarcoma: A Case Report
Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(2):124-128
Views110See moreAbstract
Müllerian adenosarcoma is a very rare gynecological disease, comprising 5% of uterine sarcomas. Extragenital localizations are even rarer.We report a very interesting case of a 27-year-old woman complaining of pelvic pain, with a subsequent diagnosis of extragenital Müllerian adenosarcoma. This is the first case reported in the literature with a complete and wide imaging description. Even if rare, Müllerian adenosarcoma should be hypothesized in case of young female patients presenting with suspicious pelvic mass.
Views110This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract
Case ReportImaging Description of Extragenital Müllerian Adenosarcoma: A Case Report
Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(2):124-128
Views110See moreAbstract
Müllerian adenosarcoma is a very rare gynecological disease, comprising 5% of uterine sarcomas. Extragenital localizations are even rarer.We report a very interesting case of a 27-year-old woman complaining of pelvic pain, with a subsequent diagnosis of extragenital Müllerian adenosarcoma. This is the first case reported in the literature with a complete and wide imaging description. Even if rare, Müllerian adenosarcoma should be hypothesized in case of young female patients presenting with suspicious pelvic mass.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. -
Case Report12-01-2018
Radiation-Induced Uterine Carcinosarcoma after Concurrent Chemoradiotherapy for Cervical Squamous Cell Carcinoma
Revista Brasileira de Ginecologia e Obstetrícia. 2018;40(12):800-802
Abstract
Case ReportRadiation-Induced Uterine Carcinosarcoma after Concurrent Chemoradiotherapy for Cervical Squamous Cell Carcinoma
Revista Brasileira de Ginecologia e Obstetrícia. 2018;40(12):800-802
Views151See moreAbstract
Objective
To describe a case of radiation-induced uterine carcinosarcoma 6 years after a cervical squamous cell carcinoma treatment, which imposed some diagnostic and management challenges.
Case Report
A 57-year-old woman with a history of pelvic chemoradiotherapy ~ 6.5 years before the event described in this study, following an International Federation of Gynecology and Obstetrics (FIGO) stage IIB cervical cancer, presented with a cervical mass, involving the uterine cavity, the cervical canal and the upper two thirds of the vagina. The biopsy showed a poorly differentiated carcinoma, and a positron emission tomography (PET) scan excluded distant metastasis, although it was unable to define the origin of the tumor as either a new primary malignancy of the endometrium/cervix or as a cervical recurrence. Surgical staging procedure was performed, and the diagnosis was endometrial carcinosarcoma, FIGO stage IIB. The patient was not able to complete the adjuvant therapy, and the progression of the disease was remarkable.
Conclusion
The present case highlights one of the less common but more serious consequences of radiotherapy for cervical cancer, which has an increasing incidence in younger women, raising concerns about the long-termconsequences of its management.
Views151This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract
Case ReportRadiation-Induced Uterine Carcinosarcoma after Concurrent Chemoradiotherapy for Cervical Squamous Cell Carcinoma
Revista Brasileira de Ginecologia e Obstetrícia. 2018;40(12):800-802
Views151See moreAbstract
Objective
To describe a case of radiation-induced uterine carcinosarcoma 6 years after a cervical squamous cell carcinoma treatment, which imposed some diagnostic and management challenges.
Case Report
A 57-year-old woman with a history of pelvic chemoradiotherapy ~ 6.5 years before the event described in this study, following an International Federation of Gynecology and Obstetrics (FIGO) stage IIB cervical cancer, presented with a cervical mass, involving the uterine cavity, the cervical canal and the upper two thirds of the vagina. The biopsy showed a poorly differentiated carcinoma, and a positron emission tomography (PET) scan excluded distant metastasis, although it was unable to define the origin of the tumor as either a new primary malignancy of the endometrium/cervix or as a cervical recurrence. Surgical staging procedure was performed, and the diagnosis was endometrial carcinosarcoma, FIGO stage IIB. The patient was not able to complete the adjuvant therapy, and the progression of the disease was remarkable.
Conclusion
The present case highlights one of the less common but more serious consequences of radiotherapy for cervical cancer, which has an increasing incidence in younger women, raising concerns about the long-termconsequences of its management.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. -
Case Report12-01-2018
Refractory Severe Thrombocytopenia during Pregnancy: How to Manage
Revista Brasileira de Ginecologia e Obstetrícia. 2018;40(12):803-807
Abstract
Case ReportRefractory Severe Thrombocytopenia during Pregnancy: How to Manage
Revista Brasileira de Ginecologia e Obstetrícia. 2018;40(12):803-807
Views159Abstract
Thrombocytopenia is the most common hemostatic change in pregnancy, but severe thrombocytopenia is rare. One of the causes, immune thrombocytopenic purpura (ITP), is characterized by increased platelet destruction by immunoglobulin G (IgG) antibodies, presenting a high risk of hemorrhage for the patient, but also for the fetus, since antibodiesmay cross the placenta.We present the case of a 23-year-old pregnant woman with a history of Langerhans cell histiocytosis of the mandible submitted to surgery and chemotherapy when she was 10 years old, with diagnosis of ITP since then. At 28 weeks of gestation, she presented with petechiae, epistaxis, and gingival bleeding, with a platelet count of 3 x 109/L and positive IgG antiplatelet antibodies test. At a multidisciplinary discussion, it was decided to delay a cesarean section, due to the absence of fetal distress and to the high risk of morbidity for the patient. Many therapies were attempted without success. The IgG produced a slight and transient increase in the platelet count. On the 36th week of gestation, an elective cesarean section was performed. The perioperative period transfusions were guided by rotational thromboelastometry (ROTEM) monitoring. The procedure was performed under general anesthesia and videolaryngoscopy-assisted intubation. The patient was hemodynamically stable, without significant bleeding, and was transferred to the intensive care unit. The platelet count eventually decreased and a splenectomy was performed. Regional anesthesia may be contraindicated, and general anesthesia is associated with an increased risk of airway hemorrhage due to traumatic injury during the tracheal intubation and of hemorrhage associated with the surgical procedure. A multidisciplinary approach is essential in high-risk cases.
Key-words Hemorrhageidiopathic thrombocytopenic purpuraPregnant womanThrombocytopeniathromboelastometrySee moreViews159This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract
Case ReportRefractory Severe Thrombocytopenia during Pregnancy: How to Manage
Revista Brasileira de Ginecologia e Obstetrícia. 2018;40(12):803-807
Views159Abstract
Thrombocytopenia is the most common hemostatic change in pregnancy, but severe thrombocytopenia is rare. One of the causes, immune thrombocytopenic purpura (ITP), is characterized by increased platelet destruction by immunoglobulin G (IgG) antibodies, presenting a high risk of hemorrhage for the patient, but also for the fetus, since antibodiesmay cross the placenta.We present the case of a 23-year-old pregnant woman with a history of Langerhans cell histiocytosis of the mandible submitted to surgery and chemotherapy when she was 10 years old, with diagnosis of ITP since then. At 28 weeks of gestation, she presented with petechiae, epistaxis, and gingival bleeding, with a platelet count of 3 x 109/L and positive IgG antiplatelet antibodies test. At a multidisciplinary discussion, it was decided to delay a cesarean section, due to the absence of fetal distress and to the high risk of morbidity for the patient. Many therapies were attempted without success. The IgG produced a slight and transient increase in the platelet count. On the 36th week of gestation, an elective cesarean section was performed. The perioperative period transfusions were guided by rotational thromboelastometry (ROTEM) monitoring. The procedure was performed under general anesthesia and videolaryngoscopy-assisted intubation. The patient was hemodynamically stable, without significant bleeding, and was transferred to the intensive care unit. The platelet count eventually decreased and a splenectomy was performed. Regional anesthesia may be contraindicated, and general anesthesia is associated with an increased risk of airway hemorrhage due to traumatic injury during the tracheal intubation and of hemorrhage associated with the surgical procedure. A multidisciplinary approach is essential in high-risk cases.
Key-words Hemorrhageidiopathic thrombocytopenic purpuraPregnant womanThrombocytopeniathromboelastometrySee moreThis is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Case Report Archives - Page 2 of 21 - Revista Brasileira de Ginecologia e Obstetrícia
