A 50-year-old diabetic woman was referred to our unit because of high fever, foul-smelling vaginal discharge and pain in the leg, 7 months after undergoing surgery for application of a transobturator suburethral sling. Patient evaluation revealed erosion of the tape through the vaginal wall; the infection had spread to the region of the internal obturator muscle and then up to the anterior recess of the ischiorectal fossa. The patient underwent surgery for sling removal, antibiotic therapy and, finally, surgical incisions to facilitate drainage of the abscess. All these passages were necessary to obtain complete resolution of the symptoms. Infectious complications are possible after transobturator sling procedures. Patients should then be informed about the risks of erosion and infection and be warned that the appearance of pain and foul-smelling vaginal discharge may indeed be the first symptom of subsequent and much more severe infectious complications.

This paper sheds light on the combination between Quality of Life and Adulthood, focusing on the analysis of a case study. The considerations concerning the theoretical framework of reference, or the epistemological frame of the Quality of Life, allow to draw the more or less satisfactory perceptions on the life of an adult with intellectual disabilities, aiming to log regressions and improvements after a longitudinal trail that lasted two years.

A case of uterine fatty tumour of 2 cm studied by transvaginal ultrasound in a 67-year-old woman undergone totally laparoscopic hysterectomy is here presented along with an updated review of this kind of tumours. A total of 226 cases from 75 publications could be found. Traditional definitions of these tumours are here critically reconsidered. The terminology used to define these tumours is confusing and reflects main radiological and pathological points of view (uterine fatty tumours [UFT] vs. lipoma/ lipoleiomyoma). It is here stressed that these tumours by occurring in aged and overweight women are not so uncommon as generally believed, can be very well recognized, as far as they are small (< 4 cm), by transvaginal ultrasound while CT and MR become more specific for decision making in case of larger size tumours. Symptoms largely vary from none to sudden lump enlargement or bleeding or pain. An association with malignancy has been found in 10% suggesting a radical treatment (hysterectomy) in most cases.