Graft augmentation for repair of recurrent pelvic organ prolapse is commonly used in reconstructive pelvic surgery. The reported complications are mainly late onset. We report a case of early-onset inflammatory reaction following bovine pericardium graft augmentation for posterior vaginal wall defect repair. A 49-year-old presented with a recurrent and symptomatic posterior vaginal wall defect. She underwent an uneventful site-specific repair and bovine graft augmentation. Her early postoperative course was complicated by inflammatory response to the graft presenting as intense pelvic floor spasm and urinary retention. The condition was managed conservatively and resolved subsequently. One year later, the patient continues to be asymptomatic. Transient intense pelvic floor spasm and urinary retention can be the result of inflammatory reaction following graft augmentation with bovine pericardium for posterior vaginal wall defect repair.

RESUMO -Foram revisados aspectos clínicos e laboratoriais de 34 casos de neurocisticercose na infância (15 meses a 13 anos). Os principais sintomas foram: hipertensão intracraniana, 21 casos (62%); epilepsia, 20 casos (59%); hemiplegia, 4 casos (12%). A tomografia computadorizada de crânio (TAC) (33 pacientes) mostrou cistos em atividade em 26 (79%) e calcificações em 2 (6%). A reação de fixação de complemento ou imunofluorescência para cis¬ ticercose foi reagente em 77% no LCR (20/26 pacientes) e 78% no soro (18/23 pacientes). Pleocitose no LCR ocorreu em 57% dos casos (15/26 pacientes) e eosinofilorraquia em 27% (7/26 pacientes). A TAC foi o melhor exame para o diagnóstico, confirmado pelos testes imunológicos no LCR e soro. Neurocysticercosis in childhood: I. Clinical and laboratory diagnosis.SUMMARY -Clinical and laboratory findings among 34 children (age range from 15 months to 13 years) with neurocysticercosis were reviewed. The main symptoms were: intracranial hypertension, 21 cases (62%); epilepsy, 20 cases (59%); hemiplegia, 4 cases (12%). Computed tomography (CT) in 33 children showed typical brain active cysts in 26 patients (79%) and calcifications in 2 (6%). The complement fixation reaction or the indirect immunofluorescent test for cysticercus antibody were positive in CSF hi 77% (20 out of 26 patients) and serum in 78% (18 out of 23 patients). CSF pleocytosis was found in 57% of the cases (15/26 patients) with eosinophil cells in 27% (7/26 patients). The most efficient diagnostic test was CT scan of the head, and was confirmed immunologically by measurement of cysticercus antibody titers in CSF and serum.A cisticercose humana consequente à ingestão de ovos de «Taenia solium» tem distribuição universal com maior incidência nos países subdesenvolvidos, principalmente devido aos precários padrões de higiene. É doença pleomórfica, pela possibilidade de alojar-se o cisticerco em diversas partes do organismo, sendo o sistema nervoso central o que traz maiores repercussões clínicas 3. Há poucos relatos publicados de neurocisticercose na criança *>W.Os casos descritos, em sua maioria, são incluídos com outras faixas etárias 8 » 9 -1 3 .Por este fato e por ser o Paraná foco epidemiológico importante de neurocisticercose no Brasil, realizamos este estudo que consiste de duas partes, na primeira sendo avaliados os aspectos clínicos e laboratoriais. MATERIAL E MÉTODOSForam analisados em estudo transversal 34 pacientes com diagnóstico de neurocisticercose na faixa etária de 15 meses ta 13 anos (média -7 anos) acompanhados no HC, UFPR no período de março-1979 a fevereiro-1988.

No abstract

To our knowledge, this is the first study demonstrate fetal cervical HPV infection due to intrauterine exposure. These findings have important implications in understanding the pathogenesis of cervical neoplasia and its management.

No abstract

No abstract

Uterine leiomyomas have been associated with an increased incidence of fetal malpresentation. Intrapartum sonographic examination, currently advocated in the assessment of patients with a breech presenting fetus includes assessment of flexion of the fetal head, sonographic estimated fetal weight, and the precise type of breech presentation. Data obtained during this evaluation is utilized in deciding the preferred mode of delivery. We report two cases in which intrapartum sonographic assessment of a women with breech-presenting fetuses at 39 and 40 weeks of gestation depicted large lower uterine segment leiomyomas, which were considered an indication for cesarean. The association between uterine leiomyomas and fetal malpresentation, and our cases support consideration of sonographic scanning of the lower uterine segment in patients being evaluated for vaginal delivery with a breech-presenting fetus.

No abstract