[Non-surgical management of rectovaginal fistula: a case report]. / Tratamiento no quirúrgico de la fístula rectovaginal. A propósito de un caso.

BACKGROUND: The rectovaginal fistula is a rare disease whose treatment is extremely difficult. OBJECTIVE: To present the expectant management of rectovaginal fistula as an alternative to surgery for those cases in which the surgical risk is not an acceptable option. CLINICAL CASE: We report the case of a rectovaginal fistula in an 85-year-old woman with significant comorbidity that avoided the performance of any surgical technique. CONCLUSION: In patients whose surgical risk does not exceed the benefits, non-surgical management would be an option of treatment of rectovaginal fistula.

[Uterine artery embolization as palliative treatment in cervical cancer]. / Embolización de las arterias uterinas como tratamiento paliativo del cáncer de cérvix.

OBJECTIVE: To describe intractable bleeding in cases of end-stage cervical cancer that required uterine artery embolization (UAE) as a palliative treatment, evaluating the effectiveness of the technique and its success rate. MATERIAL AND METHODS: Retrospective study performed from January 2001 to May 2014, that included patients diagnosed with cervical carcinoma stage IV bleeding, who required uterine artery embolization as palliative treatment in the General Hospital of Albacete. RESULTS: Six patients had symptoms of moderate to severe bleeding and anemia. After the UAE, it was possible to offer a proper management of bleeding and successful stabilization of the patients, improving their quality of life. The success of the technique was complete (100%). CONCLUSION: Uterine artery embolization can be an effective technique in women with advanced cancers, which are not amenable to other treatments.

Meningitis puerperal por estreptococo del grupo B / Puerperal meningitis by group B streptococcus

Fundamento y objetivo: Describir un cuadro clínico poco habitual como es la meningitis puerperal por Streptococcus agalactiae (S. agalactiae). Paciente y método: Presentamos una meningitis puerperal por S. agalactiae, una rara forma de infección en una puérpera sana y con una presentación atípica. Resultados: Se expone ampliamente el caso clínico, así como los procedimientos realizados en el diagnóstico diferencial y su tratamiento. Se compara con los casos de meningitis publicados en la bibliografía, y como en estos, se realiza un diagnóstico precoz y un inicio rápido del tratamiento antibiótico. Conclusión: La meningitis por S. agalactiae es un proceso infrecuente en el período puerperal, que requiere de un diagnóstico y tratamiento precoces, de los cuales dependerá el pronóstico de la paciente (AU)

Background and objective: To describe an unusual clinical presentation of puerperal meningitis by Streptococcus agalactiae (S. agalactiae). Patient and method: We report a case of puerperal meningitis for S. agalactiae, a rare form of infection in a healthy puerperal and with an atypical presentation. Results: We deeply report the clinical case, the procedures performed to exclude other diseases and management differences. It is compared with meningitis cases reported in the literature, and as in these, we opt for and early diagnosis and a rapid onset of antibiotic treatment. Conclusion: Meningitis caused by S. agalactiae is not a frequent complication in the postpartum period, that requires early diagnosis and treatment of which depends the patient's prognosis AU)

[Puerperal meningitis by group B streptococcus]. / Meningitis puerperal por estreptococo del grupo B.

BACKGROUND AND OBJECTIVE: To describe an unusual clinical presentation of puerperal meningitis by Streptococcus agalactiae (S. agalactiae). PATIENT AND METHOD: We report a case of puerperal meningitis for S. agalactiae, a rare form of infection in a healthy puerperal and with an atypical presentation. RESULTS: We deeply report the clinical case, the procedures performed to exclude other diseases and management differences. It is compared with meningitis cases reported in the literature, and as in these, we opt for and early diagnosis and a rapid onset of antibiotic treatment. CONCLUSION: Meningitis caused by S. agalactiae is not a frequent complication in the postpartum period, that requires early diagnosis and treatment of which depends the patient's prognosis.