Summary
Rev Bras Ginecol Obstet. 1998;20(1):47-49
DOI 10.1590/S0100-72031998000100008
We report a case in which there was spontaneous regression of hydrops fetalis. Hydrops was probably caused by fetal infection with parvovirus B19. Anemia and hypokinesia of the heart were also observed. Diagnosis was accomplished by the ultrasound, virus detection in maternal serum, complete fetal blood count, and analysis of hepatic enzymes.
Summary
Rev Bras Ginecol Obstet. 1998;20(1):50-52
DOI 10.1590/S0100-72031998000100009
Compound nevus of the uterine cervix is very rare. Benign and malignant melanotic lesions of endo and exocervix have been rarely documented. The present case of compound nevus in the uterine exocervix was found in a 47-year-old woman without gynecologic complaints. Diagnosis was suspected by colposcopic evaluation and confirmed trough histopathological examination. The treatment was concluded with total abdominal hysterectomy based on the possible malignant transformation of these lesions and the difficult patient follow-up.
Summary
Rev Bras Ginecol Obstet. 1998;20(2):111-113
DOI 10.1590/S0100-72031998000200009
The acardius syndrome is a rare complication of monozygotic twin pregnancies, occurring once in 35.000 births. The outcome is invariably fatal for the acardiac twin and for 50-75% of the normal twins. We report a case of partial (pseudo)acardia in twin pregnancy. The diagnosis was made using ultrasonography, fetal echocardiography and confirmed after delivery.
Summary
Rev Bras Ginecol Obstet. 1998;20(2):114-117
DOI 10.1590/S0100-72031998000200010
We describe a sclerosing granular cell tumor of the breast simulating fibromatosis. Clinically it simulates carcinoma because of its fibrous consistency and fixation to the greater pectoral muscle. The mammograms showed a rounded density with a slightly irregular margin in the upper, inner and outer quadrant of the left breast. Ultrasound showed a poorly defined solid lesion disrupting fascial planes. Clinical, radiological histological and therapeutica aspects are discussed.
Summary
Rev Bras Ginecol Obstet. 1998;20(4):217-219
DOI 10.1590/S0100-72031998000400007
A case of urethral leiomyoma - a mass of approximately 5 cm in diameter - located on the anterior wall of the vaginal lower third is reported. The patient was submitted to a surgical tumor excision. Histopathological and immunohistochemical studies indicated leiomyoma, which is always a benign, unusual neoplasm, rarely relapsing after excision. Its pathogenesis and clinical features are also focused on.
Summary
Rev Bras Ginecol Obstet. 1998;20(4):221-224
DOI 10.1590/S0100-72031998000400008
A case of postsurgical necrotizing fasciitis is presented. A 68-year-old female patient was submitted to a lumpectomy for a big breast lipoma. After surgen there was an aggressive local infection, with extensive necrosis of the breast tissue, including the superficial and deep fasciae and also the skin over the breast. The gravity of the disease and the difficulties in its diagnosis due to the late skin necrosis are emphasized. Under such circunstances an early and aggressive approach is necessary.
Summary
Rev Bras Ginecol Obstet. 1998;20(3):161-163
DOI 10.1590/S0100-72031998000300007
A tocolytic treatment is described with the use of terbutaline in a case of cardiotocographic prolonged deceleration of fetal heart rate with successful outcome.
Summary
Rev Bras Ginecol Obstet. 1998;20(3):165-167
DOI 10.1590/S0100-72031998000300008
HELLP syndrome is a severe complication of preeclampsia that increases maternal and perinatal morbidity and mortality. Two cases of recurrent HELLP syndrome are described, maternal death occurring in one of the cases. This study is a warning about the increased risk of HELLP syndrome in the next pregnancy.