RESUMO
The incidence of pregnancy in a rudimentary uterine horn is very rare. We experienced a case of unruptured rudimentary uterine horn pregnancy in the first trimester. The patient was diagnosed by laparoscopy and removed by laparoscopic resection of the pregnant rudimentary uterine horn. We report our case with brief review of literatures.
Assuntos
Animais , Feminino , Humanos , Gravidez , Diagnóstico , Cornos , Incidência , Laparoscopia , Primeiro Trimestre da GravidezRESUMO
Cystic masses are among the most common sonographically detectable abnormalities of the umbilical cord. Umbilical cord cysts have been described in association with fetal anomalies, with chromosomal or structural defects being found in over 20% of cases. We present a case of umbilical cord cyst associated with fetal death at 29 weeks of gestation with a brief review of literatures.
Assuntos
Gravidez , Morte Fetal , Cordão UmbilicalRESUMO
Multicystic dysplastic kidney (MCDK) is one of the most common causes of an abdominal mass in infants and it is the cystic anomaly most frequently identified antenatally by prenatal ultrasonography. The incidence of bilateral MCDK incidence is 1 in 5,000-10,000 births, but the prognosis is very poor due to association with other anomalies as well as chromosomal abnormalities. Recently, we performed prenatal diagnosis on a 26-year-old primigravida after a detection of oligohydramnios with bilateral MCDK on fetal ultrasonographic examination at 24 weeks gestation. Chromosomal analysis of the amniotic fluid cell cultures revealed a 46, XX, t(15;17)(p3;p12) karyotype. Bilateral MCDK was confirmed after autopsy, therefore we report this case with a review of brief literatures.
Assuntos
Adulto , Feminino , Humanos , Lactente , Gravidez , Líquido Amniótico , Autopsia , Técnicas de Cultura de Células , Aberrações Cromossômicas , Incidência , Cariótipo , Rim Displásico Multicístico , Oligo-Hidrâmnio , Parto , Diagnóstico Pré-Natal , Prognóstico , Ultrassonografia Pré-NatalRESUMO
OBJECTIVE: The aim of this study was to evaluate the relation between the chromosomal translocation and the outcome of pregnancy. METHODS: Between 1989 and 2001, 26 translocation carriers have been detected in our center and Jin Obstetrics and Gynecology Clinic. The subjects consisted of 26 couples that included 14 reciprocal translocation carriers and 12 Robertsonian translocation carriers. The balanced translocation carriers were analyzed retrospectively. RESULTS: The most frequent indication for parental chromosomal examination was repeated abortions or fetal death(57.7%). In contrast to couples with reciprocal translocations, a high excess of female over male carriers was found in the group of Robertsonian translocations. The rates of miscarriages (68.0%) in prior pregnancies were significantly higher than the birth rates of morphologically normal newborns(16.0%). Prenatal chromosomal examination in subsequent pregnancies revealed that 24.0% of the fetuses showed normal karyotypes, 56.0% of the fetuses showed balanced translocations and 20.0% of the fetuses showed a chromosomal imbalance. The unbalanced karyotypes consisted of three trisomies, one partial trisomy and one duplication. There was no case of partial monosomy in this study. CONCLUSIONS: The risk of unbalanced chromosome abnormalities was greater in our study than the empirically known risk. Prenatal examination is always indicated in carriers of any type of translocation.
Assuntos
Feminino , Humanos , Humanos , Masculino , Gravidez , Aborto Espontâneo , Coeficiente de Natalidade , Aberrações Cromossômicas , Deleção Cromossômica , Cromossomos Humanos , Características da Família , Feto , Ginecologia , Cariótipo , Obstetrícia , Pais , Diagnóstico Pré-Natal , Estudos Retrospectivos , Translocação Genética , TrissomiaRESUMO
Repeat cesarean section is one of the leading causes to make increasing a rate of cesarean section. Trial of labor TOL after cesarean section is attempt to reduce the rate of repeat cesarean section. Trial of labor has been well established as a safe alternative in carefully selected women with transverse scars in the lower uterine segment. This study was based on 104 cases of delivery with prior cesarean birth at the Chonbuk National University Hospital from January, 1991 to June, 1997. The results were as follows: 1) Among 1400 cases with previous cesarean delivery, trial of labor was done in 104 cases (7.4%). Among 104 cases, vaginal birth was successfully completed in 96 cases (92.3%). 2) Among 28 cases with PGE2, vaginal tablet, vaginal delivery was done in 23 cases (82.1%). 3) Among 22 cases with more than 4 of Bishop score, vaginal delivery was done in 21 cases (95.5%), and among 6 cases with less than 3 of Bishop score, vaginal delivery was done only 2 cases (33.3%). 4) There was no matemal death or uterine rupture in the cases of trial of labor, But in 2 cases, uterine dehiscence was observed in 4 cases and postpartal bleeding (more than 400ml) was developed. 5) In the cases of cesarean section, mean of hospital day was 7 days and medical fee was about 400,000 won. In the cases of vaginal birth after cesarean section, mean of hospital day was 2.6 days and medical fee was about 100,000 won. In condusion, vaginal birth after cesarean section is safe and effective alternative to elective repeat cesarean section and also the use of PGE, vaginal tablet is so effective to increase success rate of vaginal delivery. After all, positive these trials might decrease cesarean rate and increase maternal health and quality of medical care.
Assuntos
Feminino , Humanos , Gravidez , Cesárea , Recesariana , Cicatriz , Dinoprostona , Honorários Médicos , Hemorragia , Saúde Materna , Parto , Prostaglandinas E , Prova de Trabalho de Parto , Ruptura Uterina , Nascimento Vaginal Após Cesárea , Cremes, Espumas e Géis VaginaisRESUMO
No abstract available.
Assuntos
Feminino , Gravidez , Córion , Amostra da Vilosidade Coriônica , Vilosidades Coriônicas , Aberrações Cromossômicas , Diagnóstico Pré-NatalRESUMO
An ovarian sex cord tumor with annular tubules(SCTAT) in an 18-year-old woman who had secondary amenorrhea but not Peutz-Jeghers syndrome was studied by light and electron microscopy. Her clinical features were consistent with those of Turner's syndrome, i.e, shortness of stature, webbing of the neck, scanty or absent axillary and pubic hairs, lower hair line with streak gonad. Chromosomal analysis revealed 45, X/46, XX karyotype. The patient has been well and disease free for a period of 2 years after surgical removal of tumor. Histologically, the tumor was composed of nests of cells arranged in simple and complex annular tubules with central acidophilic hyaline bodies. Ultrastructurally, the cells had deeply indented nuclei and the cells were joined by specialized intercellular junctions along their lateral adjacent borders. Central acidophilic hyaline body consisted of concentric lamellae of basal lamina, but Charcot-Boettcher filaments were not observed.