A case of hepatic rupture is presented in a primigravida 31 years, who presented cesarean delivery for fetal death and then died, despite therapeutic measures put in place. A review of current knowledge on this complication of HELLP syndrome is made.

OBJETIVE: To determine the frequency, laboratory results and maternal and perinatal morbidity and mortality in patients with HELLP syndrome. DESIGN: Retrospective descriptive. MATERIALS AND METHODS: Sixteen cases of HELLP syndrome treated at the Victor Lazarte Echegaray Hospital between March 1997 and March 2002. RESULTS: The frequency of HELLP syndrome was 4.9% in pregnant women with a hypertensive disorder, 56.2% with criteria 43.8% complete and partial HELLP. Of the 16 cases, 68.8% had between 25 and 34 years, 43.8% were nulliparous and 37.5% were between 35 and 39 weeks. HELLP occurred in 87.5% in the antepartum. The major obstetric complications were DIC and abruption. Maternal mortality was 3 perinatal cases and 10 cases. CONCLUSIONS: HELLP syndrome is an entity of high maternal morbidity and mortality. The medical and surgical management and intensive care support should reduce th...

OBJETIVE: To determine the frequency, laboratory results and maternal and perinatal morbidity and mortality in patients with HELLP syndrome. DESIGN: Retrospective descriptive. MATERIALS AND METHODS: Sixteen cases of HELLP syndrome treated at the Victor Lazarte Echegaray Hospital between March 1997 and March 2002. RESULTS: The frequency of HELLP syndrome was 4.9% in pregnant women with a hypertensive disorder, 56.2% with criteria 43.8% complete and partial HELLP. Of the 16 cases, 68.8% had between 25 and 34 years, 43.8% were nulliparous and 37.5% were between 35 and 39 weeks. HELLP occurred in 87.5% in the antepartum. The major obstetric complications were DIC and abruption. Maternal mortality was 3 perinatal cases and 10 cases. CONCLUSIONS: HELLP syndrome is an entity of high maternal morbidity and mortality. The medical and surgical management and intensive care support should reduce th...

A case of hepatic rupture is presented in a primigravida 31 years, who presented cesarean delivery for fetal death and then died, despite therapeutic measures put in place. A review of current knowledge on this complication of HELLP syndrome is made.

Amorphus humans twins, Chorangiopagus parasiticus or twin reversed arterial perfusion, are rare abnormalities that occur in monozygotic multiple pregnancies. It is proposed artery-artery or vein to vein anastomosis anomalies in a monozygotic placenta, the blood is perfused from the hemodynamic active twin (pump twin) to the other (receptor twin). Inadequate perfusion to the receptor twin is the cause of anomalies, including acardia and anencephaly. The pump twin is structurally normal, but has a risk to present congestive cardiac failure in utero and without treatment, 50 to 75% of the cases die, particularly if the receptor twin weighs more than half the pump twin. We present a case of a 30 year-old woman with postnatal diagnosis of an acephalus, amorphous acardius fetus.

BACKGROUND: The understanding of facial anatomy and its changes through aging has led to the development of several different facelift techniques that focus on being less invasive and traumatic and, at the same time, providing natural long-lasting results. In this article we describe step by step our facelift technique as it has been done over the past 10 years by the senior author. METHODS: This is a retrospective, descriptive, transversal study in which all patients who underwent a rhytidectomy using our technique from January 2002 to September 2012 were included. All patients were operated on under local anesthesia and superficial conscious sedation. All surgeries were performed by the same surgeon. A complete step-by-step description of the surgical technique can be found in the main article. RESULTS: Between January 2002 and September 2012, a total of 113 patients underwent facelift...

Amorphus humans twins, Chorangiopagus parasiticus or twin reversed arterial perfusion, are rare abnormalities that occur in monozygotic multiple pregnancies. It is proposed artery-artery or vein to vein anastomosis anomalies in a monozygotic placenta, the blood is perfused from the hemodynamic active twin (pump twin) to the other (receptor twin). Inadequate perfusion to the receptor twin is the cause of anomalies, including acardia and anencephaly. The pump twin is structurally normal, but has a risk to present congestive cardiac failure in utero and without treatment, 50 to 75% of the cases die, particularly if the receptor twin weighs more than half the pump twin. We present a case of a 30 year-old woman with postnatal diagnosis of an acephalus, amorphous acardius fetus.