Bucharest, Romania
Bucharest, Romania

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Chirculescu B.,Filantropia Clinical Hospital | Chirculescu R.,Polizu Hospital | Ionescu M.,Polizu Hospital | Peltecu G.,Carol Davila University of Medicine and Pharmacy | Panaitescu A.,Carol Davila University of Medicine and Pharmacy
Chirurgia (Romania) | Year: 2017

Tubal abortion is characterized by the extrusion of an ectopic product of conception implanted in the fallopian tube through the abdominal ostium into the peritoneal cavity. It can be either complete or incomplete and may lead to severe bleeding. Recognition of a complete tubal abortion may be challenging but is essential because it allows conservative management which make possible preservation of tubal function and fertility without the need for further cytostatic therapy. A case of a 30 years-old woman admitted for lower abdominal pain is reported.The level of β-hCG was 659.2 mU/mL and transvaginal ultrasound reveled a fluid collection in the pouch of Douglas. Laparoscopy was subsequently performed for the suspicion of ectopic pregnancy with hemoperitoneum. Corroborating theβ-hCG dynamics with the laparoscopic findings, the diagnosis of complete tubal abortion was established. The histopathological examination confirmed the presence of intermediate trophoblastic cells in the tissue collected during laparoscopy. Ultrasound examination helps recognition of hemoperitoneum but adds little value to the diagnosis of tubal abortion. Laparoscopic findings alone are only suggestive for complete tubal abortion but in combination with ß-hCG dynamics, the diagnosis can be established. Conservative management might be sufficient in complete tubal abortion and ensures preservation of tubal function and fertility.

Anca F.A.,Carol Davila University of Medicine and Pharmacy | Negru A.,University of Bucharest | Mihart A.E.,University of Bucharest | Grigoriu C.,Carol Davila University of Medicine and Pharmacy | And 2 more authors.
Journal of medicine and life | Year: 2015

UNLABELLED: Twin pregnancy generally represents a high-risk pregnancy, but monozygous twin pregnancy is a real challenge for the obstetrician due to the serious complications that may occur during its evolution. A very rare, severe complication of monozygous twin pregnancy, which we recently dealt with in the Obstetrics and Gynecology Department of the University Emergency Hospital Bucharest, was a monochorionic monoamniotic twin pregnancy with acardiac twin (TRAP). One of the fetuses (acardiac twin) presented a rudimentary unfunctional heart or even no heart at all, underdeveloped inferior part of the body and head, being transfused by the other fetus with a normal heart (pumping twin) by one superficial arterio-arterial anastomosis through which blood pumped backwards. The understanding of these cases is mandatory in order to offer maximum survival and heath chances to the viable fetus.ABBREVIATIONS: RFA = radiofrequency ablation, TRAP = reversed arterial perfusion.

Bacalbasa N.,Carol Davila University of Medicine and Pharmacy | Balescu I.,Ponderas Hospital | Suciu N.,Polizu Hospital
Gineco.eu | Year: 2015

Vulvar carcinomas are rare gynecologic malignancies. In cases presenting local invasion oncologic treatment such as chemo-irradiation might be performed. However complete remission is achieved in rare cases, most of the patients necessitating an aggressive surgical therapy such as pelvic exenteration. We present the case of a 78 year old patient who was diagnosed with a poorly differentiated squamous cell vulvar cancer with urethral invasion in whom a total vulvectomy en bloc with anterior pelvic exenteration, pelvic, para-aortic and inguinal lymph node dissection was performed. © 2015 Romanian Society of Ultrasonography in Obstetrics and Gynecology.

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