A case of a 23-year-old woman with a paraovarian tumor is presented. The patient complained of pelvic pain and abdominal swelling. Cystectomy was the initial surgical treatment, but after the histological diagnosis, a staging surgery was carried out. The clinical aspects and subsequent management of related cases are discussed, and a literature review is made.
Goals: To report the case of a patient with a history of left radical mastectomy, associated with the inclusion of a breast implant, with subsequent rupture of the prosthesis capsule. Methodology: Review of medical records, interview with the patient, photographic record of diagnostic methods and literature review. Case report: Female, 52 years old, who underwent left radical mastectomy in 2003 due to Paget's disease and a silicone breast implant was inserted in the respective breast. She evolved with extracapsular rupture of the implant, associated with ipsilateral axillary silicone lymphadenopathy, in 2020. Finally, she underwent prosthesis explant surgery in 2021, with immediate completion of fat grafting in the left breast, which had previously been mastectomized, and removal of right breast breast tissue for mastoplasty and breast proportion. Final considerations: Despite being a simple procedure, breast surgeries have complications and it is necessary to disclose them to patients before performing the intervention.
As cardiopatias, principais causas de morbimortalidade materna, incidem em 1% das gestações. Uma das raras causas, a Síndrome de Takotsubo (ST), é caracterizada por disfunção ventricular esquerda reversível. Permanece desconhecida e pobre em estudos clínicos, sendo então subdiagnosticada. Assemelha-se a síndrome coronariana aguda e, eventualmente, se apresenta como emergência cardiológica. O objetivo deste relato foi descrever o caso de uma puérpera de gestação gemelar que apresentou diagnóstico de ST. A teoria mais aceita da etiopatologia é de um aumento na liberação local de catecolaminas induzida pelo estresse, produzindo espasmos cardíacos que geram alterações na contratilidade cardíaca. Na ST, o foco é no episódio agudo, pois a disfunção é transitória. O tratamento de suporte é o mesmo que nas demais situações cardiológicas. São necessários mais estudos sobre a ST em gestantes e puérperas, de maneira a direcionar a condução de casos futuros. A abordagem pré-concepcional e perinatal das cardiopatias é importante para diminuir intercorrências que possam aumentar o risco materno e fetal.
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