ABSTRACT
This is a case report, for the first time in the literature, of a third trimester pregnant woman with acute abdominal pain for which the diagnosis of varicose veins rupture was achieved by MRI.
Subject(s)
Hemoperitoneum/diagnostic imaging , Pregnancy Complications, Cardiovascular/diagnostic imaging , Pregnancy Trimester, Third , Rupture, Spontaneous/diagnostic imaging , Varicose Veins/diagnostic imaging , Adult , Female , Humans , Magnetic Resonance Imaging , Pregnancy , Pregnancy Complications, Cardiovascular/diagnosis , Prenatal Diagnosis/methods , Radiography , Varicose Veins/pathologyABSTRACT
The acardiac fetus is a rare congenital malformation observed only in monozygotic twin pregnancies (1/35.000 pregnancies). Placental teratoma is extremely rare (less than 20 cases have been reported in the literature since 1925). A case of placental teratoma, misdiagnosed as fetus acardius amorphus, is presented with ultra-sound follow-up, delivery and outcome of the normal fetus. Pathological findings, histogenesis, differential diagnosis with the acardiac fetus and finally review of the literature will be discussed.
Subject(s)
Heart Defects, Congenital , Placenta Diseases/diagnosis , Teratoma/diagnosis , Adult , Diagnosis, Differential , Female , Gestational Age , Humans , Placenta Diseases/diagnostic imaging , Placenta Diseases/pathology , Pregnancy , Pregnancy Outcome , Teratoma/diagnostic imaging , Teratoma/pathology , UltrasonographyABSTRACT
We report seven cases of subclinical congenital toxoplasmosis secondary to maternal primary infections. Mothers were infected between two and four weeks prior to delivery. The diagnostic criteria of congenital infections included: IgM antibody (Ab) (1 case); IgM and IgA Ab (1 case); a real IgG seroconversion in the neonatal and postnatal samples (3 cases); persistence of IgG Ab beyond 6 months post-delivery (2 cases). A treatment was initiated, including a combination of pyrimethamine + sulfadiazine (6 cases); trimethoprim + sulfamethoxazole (1 case). This retrospective study suggests that it is important to screen the non-immune pregnant women until delivery. We confirmed the usefulness of a combination of isotypes of antibodies for the accurate assessment of congenital infection. Finally, infected infants have to be treated and monitored clinically and immunologically during the first year of life.
Subject(s)
Antibodies, Protozoan/isolation & purification , Pregnancy Complications, Parasitic/immunology , Toxoplasmosis, Congenital/immunology , Toxoplasmosis/immunology , Adult , Anti-Bacterial Agents/therapeutic use , Anti-Infective Agents/therapeutic use , Female , Humans , Immunoglobulin A/isolation & purification , Immunoglobulin G/isolation & purification , Infant, Newborn , Pregnancy , Pregnancy Complications, Parasitic/drug therapy , Retrospective Studies , Spiramycin/therapeutic use , Toxoplasmosis/drug therapy , Toxoplasmosis, Congenital/drug therapy , Trimethoprim, Sulfamethoxazole Drug Combination/therapeutic useABSTRACT
The authors report two cases of giant fibroadenoma of the breast and discuss the diagnostic and therapeutic problems and the value of the "dermal vault" technique. A giant fibroadenoma is a fibroadenoma with a diameter exceeding 6 centimeters. This benign tumor has an inflammatory growth during pregnancy. An exact histological diagnosis is necessary to differentiate GFA from sarcoma phyllodes. The reconstructive concern should not jeopardize the quality of the removal. The "dermal vault" technique seems to meet these requirements: diagnosis and removal are made through a posterior approach and symmetrization of the volumes is easily obtained on clamp. The new location of the NAC should be outlined while bearing in mind that a cutaneous retraction of the upper parts will systematically occur.
