ABSTRACT
Abdominal pregnancy (AP) is a rare form of ectopic pregnancy (EP). It is a medical emergency because of high maternal and fetal morbidity and mortality. Early diagnosis is essential. Surgery is indicated as soon as the diagnosis is made. We present a case with AP in the third trimester with malformed fetus and left ovarian tumour. The fetus has been extracted at 33 weeks gestational age; the placenta and the ovarian tumour have been removed five weeks later. Pathology showed corpus luteum with hemorrhage, serous cystadenoma, follicular cyst. The fetus died, the woman successfully recovered.
Subject(s)
Cystadenoma/complications , Ovarian Neoplasms/complications , Pregnancy Complications, Neoplastic , Pregnancy, Abdominal/complications , Adult , Arthrogryposis/diagnostic imaging , Cystadenoma/diagnostic imaging , Cystadenoma/surgery , Female , Fetal Death , Humans , Leg/abnormalities , Leg/diagnostic imaging , Ovarian Neoplasms/diagnostic imaging , Ovarian Neoplasms/surgery , Pregnancy , Pregnancy Complications, Neoplastic/diagnostic imaging , Pregnancy Complications, Neoplastic/surgery , Pregnancy, Abdominal/diagnostic imaging , Pregnancy, Abdominal/surgery , Ultrasonography, PrenatalABSTRACT
Subtotal hysterectomy may represent, in specific conditions, a justified alternative to total hysterectomy. Some of the reasons may be vaginal stenosis, preservation of the menstrual function, conservation of the erogene cervical zone. The main disadvantage consists in developing cancer on the cervical stump. In order to reduce the risk of developing cervical carcinoma, total hysterectomy remains the procedure of choice for most women. Our study presents 16 cases with carcinoma of the cervical stump after subtotal hysterectomy from the lot of 313 cases with cervical neoplasms operated on at the Division of Gynecologic Oncology of the 4th Clinic of Obstetrics and Gynecology in Iasi. The main conclusion of this study is illustrated by the firm conviction of the authors that subtotal hysterectomy is an unjustified surgical procedure in women after 40 years old.
