Autoamputación de quiste ovárico. Reporte de caso / Autoamputated ovarian cysts. A clinical case

Introducción. La autoamputación ovárica se refiere a la situación en la que un remanente tubo-ovárico es hallado flotando en la cavidad abdominal. Es una complicación derivada de un quiste ovárico fetal que provoca una torsión ovárica intraútero. En la literatura se han publicado13 casos de quistes ováricos autoamputados en niñas menores de 1 año de edad. Caso clínico. Presentamos el caso de una niña de 9 meses con antecedente prenatal de masa abdominal, que fue remitida al Servicio de Cirugía Pediátrica por hallazgos en TC de una tumoración abdominalno identificada a la exploración física; en la exploración laparoscópica se encontró una masa quística de 6 cm de diámetro y ausencia de ovario izquierdo. El examen histopatológico confirma la presencia de un quiste ovárico con remanentes necróticos. Comentarios. Se presenta este caso dada la baja incidencia de lapatología, la presentación excepcional de autoamputación y el desenlace favorable con el manejo laparoscópico realizado

Introduction. Autoamputation refers to a situation in which a tuboovarianremnant is found free-floating in the abdomino-pelvis, which isa complication of fetal ovarian cyst causing ovarian torsion in uterus. There have been only 13 reported cases of ovarian autoamputation involving children under 1 years of age. Clinical case. We present the case of a 9-month old female with history of abdominal mass in the 26th week of gestation, who was referred to the pediatric surgery department with CT findings in an abdominal tumor and negative physical examination, in laparoscopic examination cystic mass is 6 cm in diameter and no left ovary. The histopathological examination confirmed an ovarian cyst with necrotic and hemorrhagicremaining. Commentation. This case is reported because of the low incidence of pathology, exceptional presentation and the favorable outcome of the patient with implemented laparoscopic management

[Autoamputated ovarian cysts. A clinical case]. / Autoamputación de quiste ovárico. Reporte de caso.

INTRODUCTION: Autoamputation refers to a situation in which a tubo-ovarian remnant is found free-floating in the abdomino-pelvis, which is a complication of fetal ovarian cyst causing ovarian torsion in uterus. There have been only 13 reported cases of ovarian autoamputation involving children under 1 years of age. CLINICAL CASE: We present the case of a 9-month old female with history of abdominal mass in the 26th week of gestation, who was referred to the pediatric surgery department with CT findings in an abdominal tumor and negative physical examination, in laparoscopic examination cystic mass is 6 cm in diameter and no left ovary. The histopathological examination confirmed an ovarian cyst with necrotic and hemorrhagic remaining. COMMENTATION: This case is reported because of the low incidence of pathology, exceptional presentation and the favorable outcome of the patient with implemented laparoscopic management.

[Electroechocardiography correlation in the diagnosis of left ventricular hypertrophy in patients with systemic arterial hypertension]. / Correlación electroecocardiográfica en el diagnóstico de hipertrofia ventricular izquierda en pacientes con hipertensión arterial sistémica.

To evaluate the surface (12 derivations) electrocardiogram in its possibility to predict left ventricular hypertrophy, the diastolic thickness of the posterior wall of the left ventricle was determined by M mode echocardiography in 12 normal persons and 47 hypertensive patients. In all cases the echocardiographic findings concerning diastolic thickness of the free wall of the left ventricle were studied as well as their relation ship to several electrocardiographic criteria mentioned in literature as indicative of left ventricle hypertrophy. The sensitivity, specificity and precision were calculated for each EKG criterion. The electrocardiographic criteria in general are little sensitive, highly specific and very variable in its accuracy. The most sensitive criteria found as indicative of left ventricle hypertrophy were the T positive wave in V1 higher than the T in V6 and the intrinsecoid deflection time inscription higher than 0.04 sec.