ABSTRACT
The case of a forty-three year old woman is reported. She was operated on for a pelvic abdominal multicystic peritoneal mesothelioma which was discovered at the time of a systematic gynaecological examination. We specify the anatomo-clinical characteristics of multicystic mesothelioma from the 118 cases described in the literature and related in detail the stages of histopathological diagnosis. We question the differential diagnosis with serious ovarian tumours.
Subject(s)
Mesothelioma/diagnosis , Peritoneal Neoplasms/diagnosis , Adult , Aged , Biopsy , Decision Trees , Diagnosis, Differential , Female , Humans , Incidence , Male , Mesothelioma/epidemiology , Mesothelioma/surgery , Middle Aged , Peritoneal Neoplasms/epidemiology , Peritoneal Neoplasms/surgery , Prognosis , Sex Factors , Survival Rate , Tomography, X-Ray Computed , UltrasonographyABSTRACT
The authors carried out a combined study using Doppler Flow Studies of the umbilical and fetal anterior cerebral arteries in 26 pregnancies which were complicated by maternal hypertension. Using the ratio between the cerebral and the umbilical blood flow it may be possible to diagnose intra-uterine growth retardation more accurately than using classical measurements. An inversion of the ratio between the cerebral and the umbilical flows has a great prognostic value with a sensibility of 91.6%, a specificity of 87.5% and a positive predictive value of 84.6% with a negative predictive value of 93.13%. There may however quite often be a lengthy interval of time between the appearance of change in the ratio and the appearance of fetal distress, so that this sign can only be one indication for delivery of the fetus.
Subject(s)
Echoencephalography , Fetal Distress/diagnostic imaging , Fetal Growth Retardation/diagnostic imaging , Hypertension , Pre-Eclampsia , Pregnancy Complications , Ultrasonography, Prenatal , Umbilical Veins/diagnostic imaging , Acute Disease , Female , Humans , Pregnancy , PrognosisABSTRACT
Pelvic lymphadenectomy for genital cancer can lead to complications: particularly lymphoceles, post-operative fever, thromboembolism and lymphoedema. We compared two groups in a series of 157 patients treated by extended lymphadeno-colpo-hysterectomy for cancer of the uterine cervix, of the endometrium, of the ovary, of the vagina: Group I: 108/157 patients: visceral peritonization: lymphoceles: 23.1%, post-operative fever: 35.2%. Group II: 49/157 patients: visceral non-peritonization, lymphoceles: 6.1%, post-operative fever: 16.3%.
Subject(s)
Fever/etiology , Genital Neoplasms, Female/surgery , Lymph Node Excision/standards , Lymphocele/etiology , Pelvic Neoplasms/surgery , Peritoneum/surgery , Postoperative Complications/etiology , Evaluation Studies as Topic , Female , Fever/epidemiology , France/epidemiology , Genital Neoplasms, Female/complications , Humans , Incidence , Lymph Node Excision/methods , Lymphocele/epidemiology , Pelvic Neoplasms/complications , Postoperative Complications/epidemiology , Retrospective StudiesABSTRACT
The authors report a case of pregnancy in a patient suffering from moderately severe cystic fibrosis (the syndrome consisted of diffused obstruction in respiratory function with a vital capacity of 79% and the lowered blood oxygen level with arterial blood gas estimations; oxygen saturation was 94%). The condition was marked by temporary worsening during the pregnancy in which infective bronchitis supervened). She also threatened to go into early labour and did in fact deliver at 36 1/2 weeks of an infant which was normal for the duration of the maturity. The authors review previous known facts about cystic fibrosis. A study of the literature has made it possible to be more accurate in describing methods of ante natal diagnosis of the condition and ways of following the pregnancy and the illness as well as the woman's fertility and her ability to breast feed.
