ABSTRACTMucinous cystic neoplasms (MCNs) of the pancreas occurring during pregnancy constitute a rare condition requiring special management due to its large size, malignant potential and the risk of fetal growth restriction. The key points to manage MCNs are to perform a correct diagnosis, accurately evaluate the grade of malignant potential in order to establish the right time for pancreatic surgery and to choose the most appropriate fetal mode of delivery. We describe a case of an incidental abdominal mass detected in a third-trimester pregnant woman. At surgery, a huge pancreatic cystic tumour was found and a distal pancreatectomy with splenic preservation was performed. The histopathological analysis revealed an MCN of the pancreas with low-grade dysplasia. To our knowledge, this is the largest pancreatic MCN detected in a pregnant woman reported in the literature and one of the few successfully resected after vaginal delivery.
Introduction: Congenital Cutaneous Aplasia is a rare skin lesion, usually restricted to the scalp, characterized by a focal absence of cutaneous tissue, sometimes involving muscles, periosteum and dura mater. There are several etiologies described, such as poor neural tube closure, vascular anomalies, pressure necrosis in the localized embryo, among others. Method: We report the case of a newborn at the first physical examination with an annular vesicular lesion, in the occipital region, of 0.8 cm in greater diameter, with hyaline / bloody content and peripheral hyperemia. After a clinical diagnosis was made, we opted for conservative treatment with topical application of hydrogel until complete healing. The patient was then discharged from the hospital, with subsequent Residência Pediátrica; 2023: Ahead of Print. DOI: 10.25060/residpediatr-2023-566 return and resolution of the lesion at 30 days of life. Conclusion: Congenital cutaneous aplasia is a rare disease, which can affect only the scalp, but can also present with the absence of part of the skullcap, which increases mortality due to the increased risk of complications such as liquor fistula, meningoencephalitis and bleeding.
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