Spindle cell carcinoma is a rare variant of squamous cell carcinoma characterized histologically by a biphasic pattern with both squamous and spindle cell component. There is controversy in the histogenesis, biologic behavior, optimal treatment and prognostic factor for tumor. Treatment must be similar for squamous cell carcinoma. With a review of literature, we report a case of a 52-yearold female with spindle cell carcinoma in the uterine cervix, which has been managed by total hysterectomy.

Dilatation and curettage (D&C) is one of the most frequently performed procedures for first trimester surgical abortion, also nonobstetric D&C can be performed for both diagnostic and therapeutic indications. The mortality and morbidity of D&C are very low, and perforation of uterus is rare. But curettage of a large, soft postpartum uterus can be a formidable undertaking because the risk of perforation is high and the procedure commonly results in increased rather than decreased bleeding. Although many perforations are innocuous, others lead to infection, hemorrhage, and trauma to abdominal contents. Bowel perforation is an infrequent complication, it persists as an important cause of peritonitis and sepsis. The following cases describe two women, who suffered intestinal perforation after D&C at delayed postpartum period.

No abstract

The thalassemias are a group of autosomal recessive genetic disorders of hemoglobin synthesis. The thalassemias are classifi ed into two main varieties, α-and β-, depending on which of the adult globin chain is produced in reduced amounts. The β-thalassemia is the homozygous and heterozygous state, and common in the Mediterranean region. Homozygous β-thalassemia is usually associated with severe anemia. β-Thalassemia minor, the heterozygous state, is characterized by hypochromia, microcytosis and an elevated of HgA 2 . No treatment is required for thalassemia minor, but it is important to exclude iron defi ciency anemia and postpartum genetic counseling. Recently, β-thalassemia minor keeps rising steadily in Korea due to the increase in international marriges. Recently we have experienced a vaginal delivery in a β-thalassemia minor Vietnam woman associated with mild anemia. We describe this case with a brief review of the literature.

Laparoscopic supracervical hysterectomy is relatively new and minimally invasive surgery. The advantages of this operation are conserving the cervix. But it has complications like intraoperative bleeding, ureteral injury, bowel perforation and postoperative hematoma. Pseudoaneurysm can be acquired in association with trauma, previous surgery, trophoblastic disease. When a punctured artery does not seal completely, blood may escape and dissects the adjacent tissues, and collects in perivascular areas. If this maintains in communication with the parent vessel, a pseudoaneurysm could result. Typically the lesions are discovered because the patients have symptoms related to delayed rupture of the pseudoaneurysm, causing severe hemorrhage. Radiologic techniques have provided the opportunity to diagnose and treat pseudoaneurysm. We experienced a case of severe hemorrhage in the cervix four weeks following laparoscopic supracervical hysterectomy attributed to a pseudoaneurysm of the uterine artery and treated with arterial embolization.