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Conservative Management of Asymptomatic Adnexal Masses Classified as Benign by ...

Brito, ME; Borges, A; Rodrigues, S; Ambrósio, P; Condeço, R; Lacerda, A; Bernardo, MJ; Pinto, P; Djokovic, D

This prospective multicentric study aiming to determine the incidence of complications (malignant transformation, torsion or rupture) during conservative management of adnexal masses was performed in two Portuguese tertiary referral hospitals. It included ≥18-year-old, non-pregnant patients with asymptomatic adnexal masses (associated IOTA ADNEX risk of malignancy < 10%) sonographically diagnosed between Januar...

Date: 2021   |   Origin: Saúde - CUF

Conservative Management of Asymptomatic Adnexal Masses Classified as Benign by ...

Brito, M; Borges, A; Rodrigues, S; Ambrósio, P; Condeço, R; Lacerda, A; Bernardo, MJ; Pinto, P; Djokovic, D

This prospective multicentric study aiming to determine the incidence of complications (malignant transformation, torsion or rupture) during conservative management of adnexal masses was performed in two Portuguese tertiary referral hospitals. It included ≥18-year-old, non-pregnant patients with asymptomatic adnexal masses (associated IOTA ADNEX risk of malignancy < 10%) sonographically diagnosed between Januar...


Fístula Vesicovaginal Associada a Ruptura Uterina

Reis Correia, A; Ferreira, C; Bernardo, MJ

Vesicovaginal fistula (VVF) is an obstetric complication rarely reported in developed countries. The occurrence of uterine rupture is a potentially catastrophic event, and its incidence is estimated in 1/1146 (0.07%) pregnancies.The main risk factorsfor its occurrence are: congenital uterine changes, multiparity, history of previous cesarean or myomectomy,fetal macrosomia and induced labor. Association between ...


Minimal Criteria for the Diagnosis of Avulsion of the Puborectalis Muscle by To...

Dietz, Hans P; Bernardo, MJ; Kirby, A; Shek, Ka Lai

Introduction and hypothesis Puborectalis avulsion is a likely etiological factor for female pelvic organ prolapse(FPOP). We performed a study to establish minimal sonographic criteria for the diagnosis of avulsion. Methods We analysed datasets of 764 women seen at a urogynecological service. Offline analysis of ultrasound datasets was performed blinded to patient data. Tomographic ultrasound imaging (TUI) was u...


Two Gestational Sacs, Two Locations - Heterotopic Pregnancy - Case Report

Olival, V; Bernardo, MJ; Leitão, C; Coelho, M; Nunes, MJ; Nery, Isabel; Mira, R

Introduction: Heterotopic pregnancy (HP) is defined as two gestational sacs simultaneously present in two different locations, being the uterus and the fallopian tubes the more common. Sporadic HP is a very rare condition (1:30,000 pregnancies). With the use of medically assisted reproduction the prevalence is significantly higher(1:7,000). Considering spontaneous pregnancy, HP is associated with risk factors, ...


Postmenopausal Bleeding and Endometrial Changes: Clinical Significance?

Correia, A; Barreto, S; Mahomed, F; Bernardo, MJ

Introduction: Postmenopausal bleeding is a common complaint from women seen in general practice, although majority of them, will have no major problem. Objective: Study of endometrium in postmenopausal women with suspicious sonographic endometrial changes. Comparison of findings in asymptomatic women and those who reported metrorrhagia. Methods: Consultation of outpatient medical records of 487 women undergoing...


McCune Albright Syndrome: A Diagnosis to be Kept in Mind

Barros, L; Sousa, F; Bernardo, MJ

Precocious puberty, defined as the development of secondary sexual characteristics before the age of 8, often leads to anxiety in patients and their families but also in clinicians searching for the final diagnosis. After adequate investigation, the majority of the cases in girls turn out to be idiopathic. The authors present a case of McCune Albright syndrome in order to call attention to a rare cause of sexua...


Office Hysteroscopy After Ultrasonographic Diagnosis of Thickened Endometrium i...

Cordeiro, A; Condeço, R; Leitão, C; Sousa, F; Coutinho, S; Silva, MC; Bernardo, MJ; Mira, R

The aim of our study was to access office hysteroscopy results in postmenopausal patients with thickened endometrium. A retrospective descriptive study was carried out on 245 postmenopausal patients submitted to office hysteroscopy after sonographic diagnosis of thickened endometriumin 20 consecutive months.Women were evaluated for age, hormonal therapy, hysteroscopic findings, procedure duration, complications...


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