RESUMO
A pregnant woman, at 28 weeks' gestation, has been observed ultrasonographically. A complex mass arising from the umbilical cord was detected. Color Doppler imaging demonstrated the vascular nature of the mass and the strictly connection with the three umbilical vessels. Color Doppler ultrasound provides useful informations for a correct assessment of the masses arising from the umbilical cord.
Assuntos
Mixoma/diagnóstico por imagem , Complicações Neoplásicas na Gravidez/diagnóstico por imagem , Ultrassonografia Pré-Natal , Cordão Umbilical/patologia , Adulto , Cesárea , Feminino , Hemangioma/diagnóstico por imagem , Humanos , Recém-Nascido , Recém-Nascido Prematuro , Masculino , Mixoma/patologia , Gravidez , Segundo Trimestre da Gravidez , Ultrassonografia Pré-Natal/métodos , Cordão Umbilical/diagnóstico por imagemRESUMO
Eighty-five consecutive cases of esophageal varices treated by endoscopic sclerotherapy are analyzed retrospectively. Most of these cases (84.7%) were done in emergency in patients (60) with poor liver function. Bleeding was stopped in 94.4% of cases but 22% of them had at least one rebleeding episode. Only a few and minor complications were observed. The safety and the immediate good results obtained by the procedure recommend it as a primary measure in bleeding esophageal varices. Moreover the actual role of endoscopic sclerotherapy as an elective or prophylactic procedure in the treatment of hemorrhage from esophageal varices, is discussed.
