[Lower leg compartment syndrome after prolonged gynecologic surgeries in lithotomy position]. / Unterschenkel-Kompartmentsyndrom nach langdauernden gynäkologischen Operationen in Steinschnittlage.

OBJECTIVE: How to prevent severe complications of lower leg compartment syndrome following gynecologic operations in the lithotomy position? MATERIAL AND METHODS: Two cases of lower leg compartment syndrome following long lasting gynecologic operations are presented. RESULTS: Early diagnosis by clinical signs, measurement of compartment pressure and creatine kinase activity and undelayed surgical intervention can avoid acute renal failure due to rhabdomyolysis and damage of neuromuscular function. CONCLUSIONS: Early diagnosis and undelayed surgical intervention can prevent severe complications of lower leg compartment syndrome following gynecologic operations in the lithotomy position.

[Prenatal diagnosis of sirenomelia]. / Pränatale Diagnose einer Sirenomelie.

OBJECTIVE: What kind of diagnostical methods are usual to detect fetal sirenomelia? MATERIAL AND METHODS: The prenatal diagnosis of fetal sirenomelia combined with bilateral renal agenesis, oligohydramnios and single umbilical artery in a 24-year-old woman, gravida 2, para 1, at a gestational age of 18 + 3 weeks is described in this case report. RESULTS: This fetal malformation was an accidental sonographic found, and caused after confirming diagnosis by amnoinfusion and amniocentesis, the termination of pregnancy. Genetic examination revealed tetrasomia 13. CONCLUSIONS: The sonographic finding of oligohydramnios should cause an exactly sonographical examination with amnioinfusion. In case of sirenomelia genetical examination is necessary.

[Granulosa cell tumor: implantation metastasis to the abdominal wall]. / Granulosazelltumor: Implantationsmetastase in der Bauchdecke.

We report on the rare localization of a metastasis in the abdominal wall of an ovarian Granulosa Cell Tumor, manifested as a haematoma in the abdominal wall nine years after the primary operation of the Granulosa Cell Tumor. The therapy consisted of a wide excision of the tumor, hysterectomy with a partial excision of the remaining ovary and resection of the omentum majus. Our case report illustrates the clinical problems of these kind of tumors.

[Ovarian Leydig cell tumor]. / Ovarieller Leydig-Zell-Tumor.

A case report on a 73 year old woman with an Leydig cell tumor of the right ovary accidentally discovered after hysterectomy with bilateral salpingo-oophorectomy is given. Signs of virilization existed for many years, but no diagnostic investigations had been performed. Histologically a well-differentiated Leydig cell tumor was found as the reason of the androgenic changes which regressed after extirpation of the tumor.

[Severe pre-eclampsia in 3 generations. Case report on heritability of pre-eclampsia]. / Schwere Präeklampsie in drei Generationen. Falldarstellung zur Erblichkeit der Präeklampsie.

A case of pre-eclampsia/eclampsia appearing in three generations is presented combined with a review of literature. It is unknown whether the maternal genotype or the combination of the fetal and the maternal genotype is responsible for a disposition to this disease. Moreover the heredity as an autosomal-recessive or a dominant one with incomplete penetrance is in dispute. Further investigation will be convenient to improve the definition of groups at risk and a possible pharmacological prophylaxis.