ABSTRACT
An unusual twin pregnancy was diagnosed echographically at 18 weeks gestation and confirmed by magnetic resonance imaging. One foetus was in a pseudo unicornis uterus and the other in a rudimentary uterus cornu. The risk in such cases, as also reported in the literature, is rupture of the rudimentary cornu at about 20 weeks gestation. In this case the patient was carefully monitored to 23 weeks when the pregnancy in the rudimentary cornu stopped spontaneously. The foetus in the pseudounicornis developed normally to 38 week term. This exceptional observation emphasizes the risk of pregnancy in a blind uterus cornu.
Subject(s)
Pregnancy, Multiple , Twins , Ultrasonography, Prenatal , Uterus/abnormalities , Adult , Cesarean Section , Congenital Abnormalities/diagnostic imaging , Congenital Abnormalities/surgery , Female , Humans , Magnetic Resonance Imaging , Pregnancy , Pregnancy Outcome , Pregnancy Trimester, Second , Risk Factors , Uterine Rupture/etiologyABSTRACT
We report a case of giant fibroadenoma of the breast, "juvenile type", in a 15 year old girl. We study the characteristics of this tumor that occurs in adolescents females, the differential diagnosis with cystosarcoma phylloide and benign virginal hypertrophy, and treatment. Follow-up is recommended because of possible recurrent tumor of a short time.
Subject(s)
Breast Neoplasms/diagnosis , Fibroadenoma/diagnosis , Adolescent , Aftercare , Biopsy , Breast Neoplasms/surgery , Diagnosis, Differential , Female , Fibroadenoma/surgery , Humans , Mammography , Mastectomy, Segmental , Ultrasonography, MammaryABSTRACT
We report a case of hyperestrogenisation which showed itself by the presence of a haematocolpometra in an elderly lady which could be attributed to prolonged and continuous treatment with Promestriene cream. Haematocolpometra is due to intra-uterine haemorrhage (itself due to hyperplastic endometrial polyps) with vaginal stenosis caused by vaginal atrophy that existed before local treatment was started. The Pomestriene is an estrogenic substance which works locally and does not seem to cause much in the way of general effects when used for short courses. If when it is used in large doses over a prolonged period of time, however, it is necessary to look for generalised hyperestrogenisation. Further studies are needed to confirm these finding.
Subject(s)
Estradiol Congeners/adverse effects , Estradiol/analogs & derivatives , Hematocolpos/chemically induced , Uterine Hemorrhage/chemically induced , Administration, Topical , Aged , Aged, 80 and over , Atrophy , Drug Overdose , Estradiol/administration & dosage , Estradiol/adverse effects , Estradiol Congeners/administration & dosage , Female , Humans , Vagina/pathologySubject(s)
Laparoscopes , Suction/instrumentation , Cost-Benefit Analysis , Humans , Suction/economicsSubject(s)
Actinomycosis/congenital , Adult , Female , Humans , Infant, Newborn , Infant, Premature , Pregnancy , Pregnancy Complications, InfectiousABSTRACT
Two recent cases of vaginal fibroma are reported. These rare lesions are benign, and symptoms, often absent during the early stages, are due to compression from the growing tumor. Treatment is always surgical, the only problem being the most effective approach. This is either by the upper or lower route, depending on the location of the tumor.
Subject(s)
Leiomyoma/pathology , Vaginal Neoplasms/pathology , Adult , Female , Humans , Leiomyoma/surgery , Vaginal Neoplasms/surgeryABSTRACT
The epidemiology of cancer of the endometrium has been reviewed by going through the literature in order to find a high risk category. A particular type seems to be discernable: obestiy, endometrial hyperplasia, and the contribution of endogenous or exogenous oestrogens and lack of progesterone are the most marked elements. These factors for cancer of the endometrium are similar to those for cancer of the breast. It has been astonishing to find that these two hormone dependent cancers have a very similar background.
Subject(s)
Uterine Neoplasms/diagnosis , Adult , Environment , Female , Humans , Menopause , Middle Aged , Obesity/complications , Pregnancy , Radiation, Ionizing/adverse effects , Risk , Uterine Neoplasms/etiology , Uterine Neoplasms/genetics , Uterus/pathology , Wounds and Injuries/complicationsABSTRACT
The authors report a case of a severe mixed infection (phlegmon of the fore arm) succeeding to a dog bite. A complex flora has been isolated from this phlegmom : Pasteurella multocida, Pasteurella pneumotropica, Streptococcus mitis, Actinomyces sp., Bacteroides melaninogenicus, and a Gram- bacteria related to group II j. The pathogeny of such diseases is discussed, dwelling in one hand on the part of synergistic development of these various germs and in the other hand on the part played by saliva in the severity of animal or human bites. This kind of wound requires careful disinfection and radical debridment without omitting a preventive broad-spectrum antibiotherapy.
