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Relatos de Casos
Compound nevus of the uterine cervix: case report
Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(1):50-52
05-02-1998
Summary
Relatos de CasosCompound nevus of the uterine cervix: case report
Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(1):50-52
05-02-1998DOI 10.1590/S0100-72031998000100009
Views83See moreCompound 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.
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Relatos de Casos
Congenital parvovirus infection: case report
Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(1):47-49
05-02-1998
Summary
Relatos de CasosCongenital parvovirus infection: case report
Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(1):47-49
05-02-1998DOI 10.1590/S0100-72031998000100008
Views56We 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.
Key-words infection during pregnancynon-immune hydrops fetalisParvovirus B19prenatal diagnosisultrasoundSee more -
Relatos de Casos
Prenatal diagnosis of hemiacardiac twin: a case report
Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(2):111-113
04-16-1998
Summary
Relatos de CasosPrenatal diagnosis of hemiacardiac twin: a case report
Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(2):111-113
04-16-1998DOI 10.1590/S0100-72031998000200009
Views73See moreThe 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.
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Relatos de Casos
Sclerosing granular cell tumor of the breast simulating fibromatosis
Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(2):114-117
04-16-1998
Summary
Relatos de CasosSclerosing granular cell tumor of the breast simulating fibromatosis
Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(2):114-117
04-16-1998DOI 10.1590/S0100-72031998000200010
Views85See moreWe 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.
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Relatos de Casos
Leiomyoma of the female urethra: a case report
Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(4):217-219
04-12-1998
Summary
Relatos de CasosLeiomyoma of the female urethra: a case report
Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(4):217-219
04-12-1998DOI 10.1590/S0100-72031998000400007
Views63See moreA 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.
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Relatos de Casos
Necrotizing fasciitis of the breast: case report
Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(4):221-224
04-12-1998
Summary
Relatos de CasosNecrotizing fasciitis of the breast: case report
Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(4):221-224
04-12-1998DOI 10.1590/S0100-72031998000400008
Views69See moreA 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.
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Relatos de Casos
Fetal turner syndrome and tetralogy of fallot associated with elevated maternal serum alpha-fetoprotein levels
Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(5):283-287
04-12-1998
Summary
Relatos de CasosFetal turner syndrome and tetralogy of fallot associated with elevated maternal serum alpha-fetoprotein levels
Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(5):283-287
04-12-1998DOI 10.1590/S0100-72031998000500008
Views64See moreTurner syndrome and its complications, hydrops and cystic hygroma, can produce alterations in maternal serum biochemical markers used in screening for Down's syndrome and neural tube defects (NTD). The authors report the case of a 37-year-old pregnant woman, screened for Down's syndrome and NTD in the second trimester of pregnancy. The maternal serum alpha-fetoprotein (MSAFP) level was increased and the test was considered screen positive for NTD. A three-dimensional ultrasound investigation was performed, but no fetal or placental anomalies were found, indicating a case of unexplained increased msafp. In the third trimester severe oligohydramnios and disturbances in uteroplacental arterial circulation developed, requiring corticosteroid therapy and premature cesarean section at the 34th week of gestation. The female newborn was transferred to a neonatal ICU and tetralogy of Fallot and Turner syndrome were diagnosed. This case prompted the authors to review the literature on maternal serum biochemical markers in Turner syndrome and congenital heart defects and to propose a protocol for unexplained increased MSAFP.
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Relatos de Casos
Pneumoperitoneum after cesarean section: a case report
Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(5):289-292
04-12-1998
Summary
Relatos de CasosPneumoperitoneum after cesarean section: a case report
Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(5):289-292
04-12-1998DOI 10.1590/S0100-72031998000500009
Views105See morePneumoperitoneum, abdominal pain and paralytic ileus in the postoperative period are usually related to perforation of the gastrointestinal tract. The authors present a case of a patient submitted to cesarean section (abruptio placentae) who had a postoperative course of abdominal distention and abdominal pain. Abdominal X-ray showed important dilatation of the colon and small bowel. Pneumoperitoneum was seen on chest X-ray. An exploratory laparotomy was performed because of suspicion of intestinal perforation. The operation showed a marked dilatation of bowel, pneumoperitoneum, and infected hemoperitoneum and subaponeurotic hematoma (Escherichia coli), without any perforation. Postoperative recovery was good and antibiotics were given for 4 days (ceftriaxone + metronidazole). The patient was diseharged from hospital on the 7th day after laparotomy. After review of the literature the authors concluded that this case of pneumoperitoneum was probably related to infection by a gas-producing bacterium in a patient with clinical findings of paralytic ileus.