Significant Clinical Manifestations in Ballantyne Syndrome, after a Case Report and Literature Review: Recognizing Preeclampsia as a Differential Diagnosis.

Ballantyne syndrome (BS) also called mirror syndrome is defined by the presence of a clinical triad that includes fetal hydrops and placental and maternal edema. Here we present a clinical case of a 34-year-old woman with a 29 weeks' pregnancy, who developed BS and fetal loss probably due to failure in prompt recognition of a rapidly growing sacrococcygeal teratoma (SCT). Due to similarities in clinical presentation with preeclampsia and the importance in early identification of the source for BS, we underwent a literature review in order to identify significant signs and symptoms, as well as sonographic changes, in order to help clinicians to make this prompt recognition, identification of the cause, and early management of BS, which will have an important impact in maternal and fetal survival.

[Obstetric hysterectomy in patients with accreta, increta and percreta placentae: comparison of two surgical techniques]. / Histerectomía obstétrica en pacientes con placenta acreta, increta y percreta: comparación de dos técnicas quirúrgicas.

OBJECTIVE: To analyze the maternal-fetal surgical complications techniques utilizing two obstetric hysterectomy in patients with placenta accreta, increta or percreta, in the Hospital General de Occidente, Jalisco, Mexico during the period 2011 to 2014. MATERIAL AND METHODS: observational, descriptive, cross-sectional study, analyzing maternal and fetal complications in all patients diagnosed with placenta accreta, increta or percreta, intervened with two surgical techniques obstetric hysterectomy, during the period January 2011 to December 2014, using clinical records to identify the study variables. The data were analyzed on Epi-Info 7 calculating frequencies, percentages, measures of central tendency and dispersion, also resorting to the use of a hypothesis test for mean difference bleeding. RESULTS: There were 71 obstetric hysterectomies, 47.88% were identified by placenta accreta, increta or percreta, of which 47.05% were operated with modified technique (group 1) and 52.95% with the conventional technique (group 2). The mean ages of the groups were 31.56 in group 1 and 29.44 in group 2. Statistically the bleeding with the modified surgical technique it is less than the bleeding conventional technique. CONCLUSIONS: The results serves two main purposes: to save the life of the patient and cause the least amount of side morbidity are placental problems, both the mother and the newborn, highlighting minor bleeding from a technique to another.