RESUMO
A case of a 34 years old woman with primary sterility secondary to multiple myomatosis, is presented. Any other sterility factor was ruled out. First, she went on laparotomy for multiple myoma resection but two of these were left. The cornual myoma couldn't be removed because the high risk of salpinx damage. The other one was a 3 cm. intracavitary tumor. After four months on leuprolide acetate therapy an hysteroscopic myomectomy was performed. The next menstrual cycle pregnancy was achieved.
Assuntos
Histeroscopia , Leiomioma/cirurgia , Neoplasias Uterinas/cirurgia , Adulto , Feminino , Humanos , Infertilidade Feminina/etiologia , Leiomioma/complicações , Leiomioma/diagnóstico por imagem , Leuprolida/administração & dosagem , Leuprolida/uso terapêutico , Gravidez , Cuidados Pré-Operatórios , Fatores de Tempo , Ultrassonografia , Neoplasias Uterinas/complicações , Neoplasias Uterinas/diagnóstico por imagemRESUMO
Herpes gestationis (HG) is a rare autoimmune blistering complication of pregnancy. It is of unknown etiology and it occurs once in every 3,000 to 50,000 pregnancies. The diagnosis can strongly be suggested by the clinical picture, but it must be confirmed using immunopathological methods. The treatment of choice is local measures and systemic corticosteroids. Although the maternal prognosis is excellent, there are controversies on the perinatal outcome. A typical case of HG is presented and the literature is reviewed.