RESUMO
Abdominal pregnancies are classified as primary and secondary. The incidence varies from one in 372 to one in 9714 live birth. When this occurs, perinatal morbidity and mort-ality are high, usually as a result of growth restriction and congenital anomalies such as fetal pulmonary hypoplasia, pressure deformities, facial and limb asymmetry. Omental pregnancy is an extremely rare form of abdominal pregnancy that may cause life-threatening massive hemorrhage in case of rupture. A case of this rare entity is prese- nted after dilatation and curettage in which gestational tissue was found to arise from the edge of greater omentum, requiring partial omentectomy. The diagnosis of omental pregnancy is hardly ever made prior to laparotomy. This case of omental pregnancy, believed to be secondary, was recently experienced and it is reported here with a brief review of the literature.
Assuntos
Feminino , Gravidez , Anormalidades Congênitas , Diagnóstico , Dilatação e Curetagem , Dilatação , Extremidades , Hemorragia , Incidência , Laparotomia , Nascido Vivo , Omento , Gravidez Abdominal , RupturaRESUMO
A 37-year-old woman was admitted for chief complaints about primary amenorrhea and multiple bone pains. She was raised phenotypically female but her chromosomal study was no-rmal male karyotype(46 XY). On pelvic examination, she showed relatively normal female ex-ternal genitalia except short blind-ending vagina. There were also no uterus and tubes in operation field. Even though rare disorder, she was diagnosed male pseudohermaphroditism due to 17-beta -hydroxysteroid dehydrogenase deficiency. This disorder is the most common enzyme defect in biosynthesis of testosterone and involves the last step. The serum level of sex steroid: test osterone, estradiol were decreased and FSH, LH were increased. Androstenedione was increased and we could obtain that Androstenedione / Testosterone ratio was increased. Because of 17-beta-HSD deficiency, estrogen was not converted to estradiol, and so estradiol was markedly decreased. Same as above, we experienced a case of male pseudohermaphroditism due to 17-beta-hydroxysteroid dehydrogenase deficiency with multiple osteoporosis. So we report this case with a brief review of literatures.
Assuntos
Adulto , Feminino , Humanos , Masculino , Transtorno 46,XY do Desenvolvimento Sexual , Amenorreia , Androstenodiona , Estradiol , Estrogênios , Genitália , Exame Ginecológico , Osteoporose , Oxirredutases , Testosterona , Útero , VaginaRESUMO
No abstract available.
Assuntos
Animais , Feminino , Humanos , Camundongos , Líquido Amniótico , Estruturas EmbrionáriasRESUMO
No abstract available.