ABSTRACT
The authors present the case of a postpartum splenic rupture induced probably by iatrogenic injury (recent vaginal delivery with a prolonged expulsion with uterine fundus compression) including the left hypochondria region costal grid. The case was solved with splenic preservation and achieving hemostasis only by local plugging and Gelaspon. The case raised also other problems regarding the etiology of splenic rupture, in establishing a causal relationship between a intrapartum splenic injury, and the three episodes of inferior genital tract hemorrhaging, in establishing the cause of the infectious syndrome from the 24h postpartum day, (parietal infection or splenic abscess requiring splenectomy).
Subject(s)
Obstetric Labor Complications/therapy , Puerperal Disorders/etiology , Puerperal Disorders/therapy , Splenic Rupture/etiology , Splenic Rupture/therapy , Adult , Female , Humans , Iatrogenic Disease , Obstetric Labor Complications/diagnosis , Obstetric Labor Complications/etiology , Pregnancy , Puerperal Disorders/diagnosis , Splenectomy , Splenic Rupture/diagnosisABSTRACT
UNLABELLED: The aim of this study was to highlight the importance of surgical treatment in advanced cervical cancer (IIB-IIIB). MATERIAL AND METHOD: Data from 179 patients with cervical cancer, admitted in the Clinic of Emergency Surgery, "Sf. Ioan" Hospital, Iasi, between January, 1st, 2003 and December, 31st, 2009, were collected. RESULTS: A number of 11 cases (6.1%) cases were without any clinical response, so that they benefit by radical radiotherapy; a radical surgical intervention was performed in the other 168 cases (93.7%), in 4-6 weeks after chemotherapy. No intraoperative complications were evidenced, but after surgical intervention we recorded: urinary troubles--10 (6.5%); lymphedema--3 (1.9%); posttoperative intestinal occlusions--2 (1.3%); extended dynamic ileus--2 (1.3%); phlebitis--2 (1.3%).
Subject(s)
Carcinoma/pathology , Carcinoma/surgery , Hysterectomy/adverse effects , Uterine Cervical Neoplasms/pathology , Uterine Cervical Neoplasms/surgery , Adenocarcinoma/pathology , Adenocarcinoma/surgery , Adult , Aged , Aged, 80 and over , Carcinoma/drug therapy , Carcinoma/radiotherapy , Chemotherapy, Adjuvant , Female , Humans , Hysterectomy/methods , Ileus/etiology , Intestinal Obstruction/etiology , Lymphedema/etiology , Medical Records , Middle Aged , Neoplasm Staging , Phlebitis/etiology , Radiotherapy, Adjuvant , Retrospective Studies , Treatment Failure , Treatment Outcome , Urination Disorders/etiology , Uterine Cervical Neoplasms/drug therapy , Uterine Cervical Neoplasms/radiotherapyABSTRACT
We present the case of a 56-year-old woman presenting an uterine tumor associated with pain and vaginal bleeding. The slides from the tumor were studied with monoclonal antibodies to Vimentin, CD 10, KL 1, Actin, Desmin, CD 34, S 100 protein, Ki 67, PCNA. The tumor cells were Vimentin and CD 10 diffuse positive, focal Actin positive, Desmin, KL 1, CD 34 and S 100 protein-negative. 85% of the tumor cells were PCNA positive and 25 % were Ki 67 positive. We conclude that undifferentiated endometrial sarcoma may express specific markers but also muscle-related antigens. These findings reflect a common relationship of the endometrial stromal cells to the myometrium. Knowledge of these immunoreactivity patterns is essential when evaluating poorly differentiated uterine endometrial sarcoma .It simulates morphological pattern of muscle uterine tumors.
