RESUMO
The items papyraceus fetus and fetus compressus are used like synonymous. The low incidence and the lack of reporting of these cases leads to confusion. Clinical evidence shows significant differences between them and sustain a proper diagnosis. We report 3 cases of patients with multiple pregnancy (2 twins and 1 triplets) observed in the death of one of the products of each patient, obtaining 2 fetus compressus and 1 fetus papyraceous, respectively.
Assuntos
Doenças em Gêmeos/patologia , Morte Fetal/patologia , Feto/patologia , Adulto , Cesárea , Dessecação , Doenças em Gêmeos/diagnóstico por imagem , Evolução Fatal , Feminino , Morte Fetal/diagnóstico por imagem , Feto/anormalidades , Idade Gestacional , Humanos , Recém-Nascido , Trabalho de Parto Prematuro , Gravidez , Gravidez Múltipla , Pressão , Trigêmeos , Gêmeos , Ultrassonografia , Adulto JovemRESUMO
We report the case of Ileal resection, in a woman aged 27 during Kerr Caesarean section, we observe two ileum bag located at 20 and 40 cm, from the ileocecal valve, the farthest and largest containing air with breaking risk. Ileal surgical excision was performed with entero-entero anastomosis with silk sutures number 00. Postoperative treatment: antibiotics for 7 days: amikacin 500 mg intravenously every 12 hours and ceftriaxone 1 g every 8 hours. Fasting for 5 days diet progression to oral tolerance and normal bowel movements. Discharged from hospital on the seventh day after surgery in good condition. Medical examination at 7, 15 and 30 days without complications. Pathological report of 2 Meckel diverticulum without ectopic tissue.
Assuntos
Recesariana/métodos , Íleo/cirurgia , Divertículo Ileal/cirurgia , Adulto , Amicacina/administração & dosagem , Amicacina/uso terapêutico , Anastomose Cirúrgica , Antibacterianos/administração & dosagem , Antibacterianos/uso terapêutico , Ceftriaxona/administração & dosagem , Ceftriaxona/uso terapêutico , Quimioterapia Combinada , Feminino , Humanos , Recém-Nascido , Masculino , GravidezRESUMO
The spontaneous heterotopic pregnancy is an unusual event. Generally the extrauterine product lost and the intrauterine present complications in different grade. The most common is the rupture and can be associated with hemodynamic unstable with risk for patient's life. The intrauterine pregnancy can be continuing to the end. We report the case of patient with spontaneous heterotopic pregnancy; the diagnosis was in the first trimester, with two products (intrauterine and in right fimbrius). The salpingectomy is doing with the extrauterine pregnancy and the patient has not complications trans or postoperative time and without complications for the intrauterine pregnancy, she continues with stricter control until to obtain a life product.