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  1. Article ; Online: Cotyledonoid Dissecting Leiomyoma of the Uterus: An Unexpected Diagnosis After Delivery.

    Rocha, Ana Carolina / Oliveira, Mariline / Luís, Pedro / Nogueira, Madalena

    Acta medica portuguesa

    2018  Volume 31, Issue 4, Page(s) 223–227

    Abstract: Cotyledonoid dissecting leiomyoma, also known as Sternberg tumor, is a rare benign uterine tumor with a gross and radiological appearance that may suggest the possibility of a malignancy. We report a case of a thirty-eight-year-old female patient who ... ...

    Abstract Cotyledonoid dissecting leiomyoma, also known as Sternberg tumor, is a rare benign uterine tumor with a gross and radiological appearance that may suggest the possibility of a malignancy. We report a case of a thirty-eight-year-old female patient who presented with menorrhagia and abdominal pain one month after delivery by cesarean section. An ultrasound scan showed a heterogeneous pelvic mass, near the isthmic region, with 25 x 24 x 23 mm without vascularization so the possibility of placenta accreta could not be excluded. During hysterectomy, we also removed a small grey mass in the right ovary. Microscopic examination revealed a proliferation of a sparsely cellular tissue with extensive hyalinization and coagulative necrosis, composed of spindle shaped muscle cells without cellular atypia or mitoses. The patient is without evidence of recurrence one year and six months post-surgery.
    MeSH term(s) Adult ; Cesarean Section ; Female ; Humans ; Leiomyoma/pathology ; Leiomyoma/surgery ; Postoperative Complications/pathology ; Postoperative Complications/surgery ; Uterine Neoplasms/pathology ; Uterine Neoplasms/surgery
    Language English
    Publishing date 2018-04-30
    Publishing country Portugal
    Document type Case Reports ; Journal Article
    ZDB-ID 603078-6
    ISSN 1646-0758 ; 0870-399X
    ISSN (online) 1646-0758
    ISSN 0870-399X
    DOI 10.20344/amp.8707
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: One Year of COVID-19 in Pregnancy: A National Wide Collaborative Study.

    Borges Charepe, Nadia / Queirós, Alexandra / Alves, Maria José / Serrano, Fátima / Ferreira, Catarina / Gamito, Mariana / Smet, Carolina / Silva, Vanessa / Féria, Beatriz / Laranjo, Mafalda / Martins, Inês / Vieira-Coimbra, Márcia / Almeida, Maria do Céu / Soares, Catarina / Castro, Fabiana / Almeida, Gisela / Reis, Isabel / Barbosa, Marta / Santos, Mariana /
    Melo, Marta / Bárbara, Ariana / Gonçalves, Daniela / Oliveira, Mariline / Pinheiro, Paula / Faustino, Maria de Fátima / Oliveira, Andreia / Canhão, Helena / Campos, Ana

    Acta medica portuguesa

    2022  Volume 35, Issue 5, Page(s) 357–366

    Abstract: Introduction: Even though the risk of COVID-19 in pregnancy may be increased, large-scale studies are needed to better understand the impact of the infection in this population. The aim of this study is to describe obstetric complications and the rate ... ...

    Abstract Introduction: Even though the risk of COVID-19 in pregnancy may be increased, large-scale studies are needed to better understand the impact of the infection in this population. The aim of this study is to describe obstetric complications and the rate of vertical transmission in pregnant women with SARS-CoV-2 infection.
    Material and methods: Detected cases of SARS-CoV-2 infection in pregnancy were registered in Portuguese hospitals by obstetricians. Epidemiological, pregnancy and childbirth data were collected.
    Results: There were 630 positive cases in 23 Portuguese maternity hospitals, most at term (87.9%) and asymptomatic (62.9%). The most frequent maternal comorbidity was obesity. The rates of preterm birth and small-to-gestational-age were 12.1% and 9.9%, respectively. In the third trimester, 2.9% of pregnant women required respiratory support. There were eight cases (1.5%) of fetal death, including two cases of vertical transmission. There were five cases of postpartum respiratory degradation, but no maternal deaths were recorded. The caesarean section rate was higher in the first than in the second wave (68.5% vs 31.5%). RT-PCR SARS-CoV-2 positivity among newborns was 1.3%.
    Conclusion: SARS-Cov-2 infection in pregnancy may carry increased risks for both pregnant women and the fetuses. Individualized surveillance and the prophylaxis of this population with vaccination. is recommended in these cases.
    MeSH term(s) Infant, Newborn ; Female ; Pregnancy ; Humans ; COVID-19/epidemiology ; SARS-CoV-2 ; Cesarean Section ; Pregnancy Complications, Infectious/diagnosis ; Pregnancy Complications, Infectious/epidemiology ; Premature Birth/epidemiology ; Pregnancy Outcome/epidemiology
    Language English
    Publishing date 2022-02-11
    Publishing country Portugal
    Document type Journal Article
    ZDB-ID 603078-6
    ISSN 1646-0758 ; 0870-399X
    ISSN (online) 1646-0758
    ISSN 0870-399X
    DOI 10.20344/amp.16574
    Database MEDical Literature Analysis and Retrieval System OnLINE

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