Spontaneous hepatic rupture is a rare complication with high mortality associated to Hellp syndrome and severe pre-eclampsia. Hepatic rupture incidence is 1 in 45 000 to 1 in 225 000 pregnancies. We present institutional experience in managing hepatic rupture associated to severe pre-eclampsia and Hellp syndrome in a 29 year-old woman with 39 weeks gestation admitted to emergency by uterine contractions. After three hours she presented epigastralgia, right arm pain and low platelets that led to emergency cesarean section with Apgar 8 and 9 newborn. Hemoperitoneum, discontinuity of Glisson’s capsule and hepatic hematoma were found. Hepatic tamponage was performed and removed the fourth day with successful evolution.

Spontaneous hepatic rupture is a rare complication with high mortality associated to Hellp syndrome and severe pre-eclampsia. Hepatic rupture incidence is 1 in 45 000 to 1 in 225 000 pregnancies. We present institutional experience in managing hepatic rupture associated to severe pre-eclampsia and Hellp syndrome in a 29 year-old woman with 39 weeks gestation admitted to emergency by uterine contractions. After three hours she presented epigastralgia, right arm pain and low platelets that led to emergency cesarean section with Apgar 8 and 9 newborn. Hemoperitoneum, discontinuity of Glisson’s capsule and hepatic hematoma were found. Hepatic tamponage was performed and removed the fourth day with successful evolution.

Objective: To determine antral follicles count capacity in ovarian response and FIV/ICSI results prediction compared with women’s age and basal FSH and estradiol. Design: Retrospective study. Setting: Hospital Nacional Docente Madre Niño San Bartolome. Participants: Patients who had assisted reproduction techniques. Interventions: Study of all high complexity assisted fertilizations (FIV/ICSI) between January 2007 and December 2008. We reviewed all clinical charts, and both assisted reproduction and ultrasound unit databases. We included 49 cycles where we registered age, basal FSH and estradiol values, antral follicles count, number of aspired and mature follicles, clinical and ongoing pregnancies rates. For ovarian response predictive capacity statistical analysis we used regression and correlation coefficients and C4HI2 test in order to compare clinical and ongoing pregnancies rate...

Objective: To determine antral follicles count capacity in ovarian response and FIV/ICSI results prediction compared with women’s age and basal FSH and estradiol. Design: Retrospective study. Setting: Hospital Nacional Docente Madre Niño San Bartolome. Participants: Patients who had assisted reproduction techniques. Interventions: Study of all high complexity assisted fertilizations (FIV/ICSI) between January 2007 and December 2008. We reviewed all clinical charts, and both assisted reproduction and ultrasound unit databases. We included 49 cycles where we registered age, basal FSH and estradiol values, antral follicles count, number of aspired and mature follicles, clinical and ongoing pregnancies rates. For ovarian response predictive capacity statistical analysis we used regression and correlation coefficients and C4HI2 test in order to compare clinical and ongoing pregnancies rate...

Objectives: To determine high-grade intraepithelial cervical lesions colposcopic regression in pregnant women. Design: Cross-sectional observational study. Setting: Hospital Nacional Docente Madre Niño San Bartolome, Lima, Peru. Participants: Pregnant women with high grade intraepithelial cervical lesion diagnosis – HSIL (CIN II, CIN III, cancer in situ). Interventions: Results of HSIL in Papanicolaou cytology reports from 2004 until 2008 were searched in Pathology Service software.. Main outcome measures: Colposcopic regression of high degree lesions in puerperal women. Results: HSIL distribution was statistically different between Papanicolaou and colposcopy reports but both maintained CIN II, CIN III and cancer in situ order. According to colposcopy HSIL was more frequent than CIN II (83.3%) and cancer in situ followed by CIN III and cancer in situ (15% and 1.7% respectively). In p...

Objectives: To determine high-grade intraepithelial cervical lesions colposcopic regression in pregnant women. Design: Cross-sectional observational study. Setting: Hospital Nacional Docente Madre Niño San Bartolome, Lima, Peru. Participants: Pregnant women with high grade intraepithelial cervical lesion diagnosis – HSIL (CIN II, CIN III, cancer in situ). Interventions: Results of HSIL in Papanicolaou cytology reports from 2004 until 2008 were searched in Pathology Service software.. Main outcome measures: Colposcopic regression of high degree lesions in puerperal women. Results: HSIL distribution was statistically different between Papanicolaou and colposcopy reports but both maintained CIN II, CIN III and cancer in situ order. According to colposcopy HSIL was more frequent than CIN II (83.3%) and cancer in situ followed by CIN III and cancer in situ (15% and 1.7% respectively). In p...