Although uterine prolapse and carcinoma of the uterine cervix are not rare events, their association is very uncommon. The treatment of cervical cancer has been protocolled, but the management of uterovaginal prolapse associated with carcinoma of the cervix is not standardised and therapy strategies vary considerably among authors. Our case reports a 74-year-old patient, admitted to the emergency department with an ulcerated prolapsed uterus. Biopsy of the cervical lesion confirmed a squamous-cell carcinoma. The patient underwent vaginal hysterectomy plus open bilateral iliopelvic lymphadenectomy complemented with radiotherapy with quimiosensibilisation. With this aggressive treatment approach, there was progression of the disease. The authors believe that this case typiaddition to the few published reports.

SUMMARYWe report a case of successful pregnancy following augmentation ileocystoplasty in a patient with a neurogenic bladder dysfunction. A review of the literature reveals incidences of premature delivery and renal dysfunction. Careful urological monitoring of such patients should result in a successful pregnancy. Nevertheless, the unique clinical challenges and management options published to date are limited. BACKGROUND

SummaryCardiovascular diseases are the most common disorder in the developed countries. Invasive cardiological and cardiosurgical techniques are known therapies.Yet, patients with severe hereditary haemorrhagical diseases (haemophilia, rare deficiencies of coagulation factors) have an increased bleeding risk by the use of anticoagulants. Therefore, the treatment of these patients requires a concomitant therapy.This article shows eight patients with a severe bleeding diathesis and cardiosurgical interventions in the years 2006 to 2011. This case report shall demonstrate that an adequate therapy can be accomplished with the help of a good cooperation between haemostaseologists and colleagues of the cardioinvasive/ cardiosurgical disciplines.

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DESCRIPTIONImperforate hymen is the most common congenital cause of genital outflow obstruction in females, with a reported incidence of 0.014-0.024% in children.1 This abnormality may not be detected until the onset of menses, when haematocolpos causes symptoms due to expanding pelvic masses. Recurrent abdominal and back pains are the most common symptoms, associated with primary amenorrhoea and urinary retention. A 13-year-old girl was admitted because of lower back pain and bowel constipation for several days. She was initially referred with the probable diagnosis of bilateral ovarian masses in an abdominal ultrasound. She had not attained menarche. There was no history of cyclic abdominal pain or urinary retention. The patient's secondary sexual characteristics were present. Physical examination revealed a distended abdomen, lower abdominal tenderness and a hypogastric mass. On pelvic examination, the hymen was found to be imperforate and was bulging forwards (figure 1). On rectal examination, a large mass was felt anteriorly. Abdominal ultrasound revealed a dilated vagina, suggestive of haematocolpos; a dilated uterus, suggestive of haematometra (figure 2) and bilateral pelvic cystic adnexal masses (figure 3; A-left, B-right). The patient was taken to the operating room and a cruciate incision was made over the hymen under general anaesthesia. Around 850 mL of dark, red, Figure 1 Pelvic inspection showed imperforate hymen that was bulging forwards.