ABSTRACT
We report a case of hematocervix diagnosed by ultrasonography in a perimenopausal patient with no history of cervical pathology. We discuss the etiology of this alteration, usefulness of ultrasound diagnosis, its surgical treatment and its relationship with pathologies affecting some other organs and systems.
Se presenta un caso clínico de hematocervix diagnosticado por ultrasonografía en una paciente perimenopáusica sin antecedentes de patología cervical. Se discuten las causas de esta alteración, la utilidad del diagnóstico por ultrasonido, su tratamiento quirúrgico y su relación con patologías en otros órganos y sistemas.
Subject(s)
Humans , Female , Middle Aged , Cervix Uteri/abnormalities , Cervix Uteri , Hematometra , Cervix Uteri/pathology , Hematometra/surgery , Hematometra/etiologyABSTRACT
Uterine cavity occlusion following caesarean section for central placenta praevia culminating in haematometra and thereby amenorrhoea is one of the rarest long term complications of lower segment caesarean section. We report a case of 28 year old primigravida with Grade 4 placenta praevia who underwent elective caesarean section at 35 weeks gestation. She presented at Nizwa Hospital, Sultanate of Oman, after 7 months with cyclical lower abdominal pain and amenorrhoea. She was treated by hysteroscopic adhesiolysis and an in utero Foley's catheter. She had complete resolution of her condition within 2 months and resumption of menstrual cycles. Multiple haemostatic sutures at caesarean section for placenta praevia can be an causative factor for such a complication along with other risk factors like multiple caesarean sections, chorioamniotis etc. Recognition of these factors, meticulous surgical technique and appropriate post operative care can effectively prevent it
Subject(s)
Humans , Female , Pregnancy , Placenta Previa/surgery , Genital Diseases, Female/etiology , Hysteroscopy , Hematometra/diagnosis , Hematometra/etiology , Hematometra/surgery , Postoperative Complications/etiology , Postoperative Complications/surgery , ChorioamnionitisABSTRACT
Se analizó la conducta adoptada por dos pacientes con diagnóstico de SRKH que concurrieron a la sección infanto-juvenil del Servicio de Ginecología del Hospital Ignacio Pirovano, y el impacto producido sobre su sexualidad e imagen corporal. La modalidad de atención se enmarcó dentro de un enfoque interdisciplinario. Se observó que en cada uno de los casos estudiados, la evolución y pronóstico respondieron a dos patrones de comportamiento diferentes, teniendo en cuenta los valores afectivos, familiares y sociales. La resolución quirúrgica no se concretó en ninguna de las pacientes, postergándose en uno de los casos y resolviéndose por medios mecánicos en el otro