Clinical validity and practicality of combined surveillance of labor.
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Biomedical subjects
Publications and source records attributed to G Carlomagno.
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In order to evaluate the clinical validity of the so-called "atropine test", it has been performed in 83 women in their 35th to 43rd week of pregnancy. A statistical evaluation of the data has shown a serious limitation of both diagnostic and prognostic possibilities of the test; this can be attributed to the great variability of maternal environments.
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Three subjects with tubal ectopic pregnancy were treated with intravenous administration of methotrexate followed by oral administration of folinic acid. The treatment was effective in obtaining the resolution of ectopic pregnancies in all cases. Tubal patency was also preserved.
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Lyme borreliosis acquired during pregnancy may be associated with stillbirth and fetal malformations. This paper reports preliminary results of a study intended to evaluate the frequency of Borrelia burgdorferi infection associated with spontaneous abortion in an endemic Italian area.
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Dating from October 1987 to January 1995 we have observed 24 patients who swallowed an extraneous object. Tree of them underwent a surgical operation whereas the remaining 21 were monitored endoscopically. Our team use to operate when the extraneous object, for its shape or dimension, comes to a stop along the intestine, causing a potential of existent complication. In 2 of the 3 cases above mentioned, the diagnosis came out from a abdomen x-ray which put into evidence a clothes peg stopped at level with the first jejunal ansa and an open pin which had performed an ileal ansa. As far as concerns the third case, we were compelled to operate without a preoperative diagnosis as the patient, mentally disabled, swallowed a sharpened, not x-rayed extraneous object (a toothpick). When swallowed, a toothpick usually causes lesions in the higher stretch of the digestive system. It is very difficult to spot the toothpick position for it slack x-opacity, even when the lesion caused by it is clearly visible. The sigma perforation, caused by the swallow of an object, rarely happens. Authors have reported a case to be pointed out for its pathogenetic originality.
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The authors analyse and comment on a case of carcinosarcoma of the gallbladder which they have recently observed. Given the rarity of this form of cancer, it is interesting to note that this case presents some peculiar aspects which have not been recorded in the few cases previously published on the subject. The peculiarities are such that they require a revision of what have until now been considered as intrinsic characteristics in the clinical observation of this kind of cancer. The authors maintain that the peculiarities of this case concern: a) the clinic onset of the illness and the relative aspecific symptomatology: b) that fact that laboratory tests did not signal any biochemical alteration; c) that the instrumental investigation's results pointed toward a non neoplastic pathology; d) that even the intra-operatory examination did not reveal any suspicious element; and last but by no means least the good survival of the patient which is definitely superior to other cases already reported in literature. The neoplasia, which manifested itself through a hemorrhage in the gallbladder, represented in fact the very initial stage of the illness, a condition rarely observed.