RESUMO
Abdominal pregnancy is a very rare and life threatening varient of ectopic pregnancy with high maternal mortality and perinatal mortality. A 26-year-old woman, gravida 2, para 0, abortion 2, visited our emergency department for amenorrhea for 11 weeks and lower abdominal pain. Diagnostic transvaginal ultrasonographic finding suggested ruptured ectopic pregnancy. Serum Hemoglobin level was 8.1 mg/dL, and Hematocrit value was 25.2%. On laparatomy about 2.000 mL of blood was filled in the abdomen and severe adhesion was found on right adnexa, posterior cul-de-sac and omentum. A live fetus was attached to uterus. After adhesiolysis, we removed conceptus from uterine surface. We performed subtotal hysterectomy and excised right fallopian tube. 10 pints of packed red blood cell and 3 pints of fresh frozen plasma were given to the patient during and after the operation. Patient recovered postoperatively without any complications and discharged at postoperative seventh day. We experienced a case of first trimester secondary abdominal pregnancy after tubal reanastomosis and reported it with brief of a literature review.
Assuntos
Adulto , Feminino , Humanos , Gravidez , Abdome , Dor Abdominal , Amenorreia , Serviço Hospitalar de Emergência , Eritrócitos , Tubas Uterinas , Feto , Hematócrito , Histerectomia , Mortalidade Materna , Omento , Mortalidade Perinatal , Plasma , Primeiro Trimestre da Gravidez , Gravidez Abdominal , Gravidez Ectópica , Reversão da Esterilização , ÚteroRESUMO
Pseudomyxoma Peritonei is a condition in which, as a result of ruptured mucinous tumors of the ovary or appendix, the peritoneal surface and omentum are involved with mucin secreting cells. This is a rare disease which occurs predominantly in middle aged women, characterized by histologically benign but whicth is clinically malignant. We have experienced a case of Pseudomyxoma Peritonei due to rupture of borderline mucnous tumor of the ovary and report with a brief review of literatures.
Assuntos
Feminino , Humanos , Pessoa de Meia-Idade , Apêndice , Mucinas , Omento , Ovário , Pseudomixoma Peritoneal , Doenças Raras , RupturaRESUMO
Uterine rupture is the important cause of life threatening to mother and fetus, in spite of progressed obstetrics. We must observe the patient carefully before labor, during labor and after delivery for the higher prediction of uterine rupture. We experienced a case of incomplete uterine rupture at 40 weeks of gestation weeks in a 37-year-old multigravida tried vaginal birth after cesarean delivery. So we present it with brief review of literatures.