RESUMO
BACKGROUND: The obesity epidemic in developed countries has led to an increased prevalence of obese women of reproductive age. As maternal obesity has far-reaching consequences for both mother and child, the consensus is that weight loss before pregnancy will reduce obesity-related morbidity and mortality. Therefore, an increasing number of women become pregnant after undergoing obesity surgery. RESULTS AND DISCUSSION: From the literature, data shows that perinatal outcome after bariatric surgery is generally considered as favourable for both mother and child. Only a few case reports highlight the possibility of side effects on the foetus and neonate. We report on five cases with severe intracranial bleeding, all possibly related to vitamin K deficiency following maternal bariatric surgery. CONCLUSION: These reports indicate that careful nutritional follow-up during pregnancy after obesity surgery is mandatory, because nutritional deficiencies such as vitamin K deficiency can lead to life-threatening bleeding.
Assuntos
Cirurgia Bariátrica/efeitos adversos , Paralisia Cerebral/etiologia , Exposição Materna/efeitos adversos , Obesidade Mórbida/cirurgia , Complicações na Gravidez/cirurgia , Transtornos Psicomotores/etiologia , Adulto , Evolução Fatal , Feminino , Seguimentos , Humanos , Recém-Nascido , Masculino , Gravidez , Fatores de Risco , Fatores de Tempo , Adulto JovemAssuntos
Infecções por Mycobacterium não Tuberculosas/fisiopatologia , Mycobacterium chelonae/isolamento & purificação , Infecção da Ferida Cirúrgica/microbiologia , Adulto , Antibacterianos/uso terapêutico , Hérnia Inguinal/cirurgia , Humanos , Laparoscopia , Masculino , Infecções por Mycobacterium não Tuberculosas/tratamento farmacológico , Mycobacterium chelonae/patogenicidade , Infecção da Ferida Cirúrgica/tratamento farmacológicoRESUMO
We report here the uncommon association between scleroderma and Hodgkin's disease in a 42 years male.