10 documents found, page 1 of 1

Diagnosis and management of hyperreactio luteinalis: a rare condition in pregnancy

Abstract Hyperreactio luteinalis (HL) is a rare pregnancy-related condition characterized by a massive enlargement of the ovaries due to the development of multiple benign theca lutein cysts. Most pregnant women remain asymptomatic and adnexal masses are incidentally diagnosed on routine obstetrical ultrasound. Expectant management should be considered as HL spontaneously regresses in the postpartum period. How...

COVID-19 and Pregnancy. When are complications expected?

Abstract Introduction: Severe acute respiratory syndrome coronavirus 2 (SARS-COV-2) is a RNA virus that cause coronavirus disease 2019 (COVID-19). The clinical spectrum SARS-COV-2 infection ranges from asymptomatic infection to critical and fatal illness. The expression of host receptor for SARS-CoV-2 cell entry in placental tissue and the identification of SARS-COV-2 in the placental tissue supports that SARS-...

Dilated cardiomyopathy in pregnancy: Beyond obstetric outcomes

Abstract Introduction: Pregnancy is associated with relevant hemodynamic changes that can lead to clinical decompensation in women with previous cardiomyopathy. Given this risk, the literature generally advises against pregnancy in these cases, but this recommendation is controversial. Case description: Herein is described the case of a woman with dilated cardiomyopathy and left ventricular ejection fraction of...

Arthrogryposis multiplex congenita affecting a monochorionic diamniotic twin pr...

Arthrogryposis multiplex congenita is a clinically and etiologically heterogeneous group of diseases characterized by presence of contractures involving at least two different body areas. It is observed in one in every 3000-5000 live births. A case of singleton arthrogryposis in a spontaneous monochorionic diamniotic twin pregnancy is reported. Diagnosis was established after morphological ultrasound. There wer...

Ocular Changes During Pregnancy

Abstract Pregnancy is needed for the perpetuation of the human species, and it leads to physiological adaptations of the various maternal organs and systems. The eye, although a closed space, also undergoes some modifications, most of which are relatively innocuous, but they may occasionally become pathological. For women, pregnancy is a susceptibility period; however, for many obstetricians, their knowledge of...

Modified Pereira Suture as an Effective Option to Treat Postpartum Hemorrhage d...

Abstract Nowadays, postpartum hemorrhage is the major cause of maternal mortality and morbidity worldwide. Uterine atony is its main cause; thus, prophylactic measures, as well as medical and surgical fast approaches, have been developed to manage it. The uterine compression sutures are a possible treatment that preserves the uterus and, consequently, the fertility potential. Bearing that in mind, we report two...

Cervical pregnancy: different clinical scenarios leading to its diagnosis

We report all the cases of cervical pregnancy managed in our institution in the past ten years. One of them was treated with methotrexate. The other one was the result of in vitro fertilization, leading to an early embryo reduction. The last one was misdiagnosed as an uterine abortion and was submitted to dilatation and curettage with profuse bleeding, uterine perforation and need of laparotomy. As it continues...

Delayed interval delivery of a second twin resulting in septic shock in the mother

Delayed interval delivery is an option in the extremely preterm twin pregnancies, in an attempt to decrease morbidity for the remaining fetuses. We report a case of diamniotic dichorionic pregnancy complicated by premature rupture of membranes of the first fetus at 20 weeks gestation. Premature delivery of the first twin occured nine days latter. Delayed interval delivery of the second twin was attempted using ...

Ecocardiografia fetal e sua acuidade diagnóstica: cmin 2014

Gravidez e Doença de Wilson: Revisão de 3 Casos Clínicos

A doença de Wilson é uma doença hereditária autossómica recessiva que afecta o gene ATP7B, localizado no cromossoma 13. Caracteriza-se por uma alteração do transporte transmembranar do cobre, acumulando-se este no fígado e noutros órgãos, principalmente cérebro, rins e córnea. A prevalência mundial é de aproximadamente 30 casos por milhão de habitantes. Cerca de 60 a 70% dos casos são diagnosticados entre os 8 ...