RESUMO
Essential thrombocythaemia (ET) is a chronic myeloproliferative disorder characterized by markedly elevated platelet count in the peripheral blood due to an excessive proliferation of bone marrow megakaryocytes. The pregnancy outcome among patients with ET is mostly successful but adverse outcome due to thrombotic and bleeding complications is a matter of concern: miscarriage, intrauterine growth retardation, abruptio placenta, intrauterine fetal death and preterm delivery. Various treatments such as acetylsalicylic acid, hydroxyurea, anagrelide, heparin, interferon alpha and plateletpheresis have been proposed to improve the pregnancy outcome. We report a case of pregnant woman in condition of ET who succeeded in normal vaginal delivery without specific obstetric complications after low dose aspirin therapy during pregnancy.
Assuntos
Feminino , Humanos , Gravidez , Aborto Espontâneo , Aspirina , Medula Óssea , Morte Fetal , Retardo do Crescimento Fetal , Hemorragia , Heparina , Hidroxiureia , Interferon-alfa , Megacariócitos , Transtornos Mieloproliferativos , Placenta , Contagem de Plaquetas , Plaquetoferese , Resultado da Gravidez , GestantesRESUMO
Endometriosis affecting the urinary tract is very rare disease. The ureteral endometriosis is mostly asymptomatic for a long time, and associated with nonspecific symptoms such as abdominal or flank pain, renal colic, voiding difficulty and gross hematuria. Radiologic and laboratory findings show nonspecific findings, and the diagnosis is difficult. We report a case of obstructive ureteral endometriosis associated with right hydronephorsis. This case is operated under the impression of direct compression of ureter by uterine myoma. Total abdominal hysterectomy and ureteroureterostomy were performed. Final diagnosis of ureteral endometriosis is documented by pathologic findings.
Assuntos
Feminino , Diagnóstico , Endometriose , Dor no Flanco , Hematúria , Hidronefrose , Histerectomia , Leiomioma , Doenças Raras , Cólica Renal , Ureter , Sistema UrinárioRESUMO
Heterotopic pregnancy is the coexistency of intrauterine and extrauterine pregnancy. The incidence of heterotopic pregnancy is about 1 to 30,000 pregnancy in a natural cycle. However, the frequency of heterotopic pregnancy has steadily increased because of rising incidence of pelvic inflammatory disease, pelvic surgery and the development of ovulation induction and assisted reproduction. The clinical diagnosis of heterotopic pregnancy is difficult due to low incidence. Many of the cases are diagnosed by rupture of ectopic mass that makes serious complication to mother and fetus. We experienced a case of heterotopic pregnancy in a 32-year old woman who presented with acute abdominal pain in a natural cycle and report this case with a brief review of literature.