Hydatidiform mole resulting from sexual violence

dc.contributor.authorDrezett, Jefferson
dc.contributor.authorKurobe, Flavia Cella
dc.contributor.authorNobumoto, Cecília Tomiko
dc.contributor.authorPedroso, Daniela
dc.contributor.authorBlake, Marcia
dc.contributor.authorValenti, Vitor Engrácia [UNESP]
dc.contributor.authorVanderlei, Luiz Carlos M. [UNESP]
dc.contributor.authorAdami, Fernando
dc.contributor.authorVanderlei, Franciele M.
dc.contributor.authorDe Araujo Moraes, Sandra Dircinha Teixeira
dc.contributor.authorVertamatti, Maria Auxiliadora F.
dc.contributor.authorReis, Alberto O.A.
dc.contributor.authorDe Mello Monteiro, Carlos Bandeira
dc.contributor.authorRossi, Renata C.
dc.contributor.authorAbreu, Luiz Carlos de [UNESP]
dc.contributor.institutionFaculdade de Medicina do ABC (FMABC)
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.date.accessioned2014-05-27T11:26:24Z
dc.date.available2014-05-27T11:26:24Z
dc.date.issued2012-03-14
dc.description.abstractBackground. Hydatidiform mole (HM) is characterized by abnormal proliferation of human trophoblast with producers functioning tissues of human chorionic gonadotropin. It can evolve with ovarian cysts tecaluteínicos, hypertension of pregnancy or hyperthyroidism. The incidence of HM is variable and its etiology poorly known, associated with nutritional factors, environmental, age, parity, history of HM, oral contraceptives, smoking, consanguinity or defects in germ cells. There is no reference in literature on HM resulting from sexual violence, objective of this report. Method. Description of two cases of HM among 1146 patients with pregnancy resulting from sexual violence treated at Hospital Pérola Byington, São Paulo, from July 1994 to August 2011. Results. The cases affected young, white, unmarried, low educated and low parity women. Sexual violence was perpetrated by known offenders unrelated to the victims, under death threat. Ultrasound and CT of the pelvis showed bulky uterus compatible with HM without myometrial invasion. One case was associated with theca lutein cysts. The two cases were diagnosed in the second trimester of pregnancy and evolved with hyperthyroidism. There was no hypertension, disease recurrence, metastasis or sexually transmitted infection. Conclusion. The incidence of HM was 1:573 pregnancies resulting from rape, within the range estimated for Latin American countries. Trophoblastic material can be preserved to identify the violence perpetrator, considering only the paternal HM chromosomes. History of sexual violence should be investigated in cases of HM in the first half of adolescence and women in a vulnerable condition. © 2012 Drezzet et al; licensee BioMed Central Ltd.en
dc.description.affiliationLaboratório de Escrita Científica Departamento de Morfologia e Fisiologia Faculdade de Medicina Do ABC, Av. Príncipe de Gales, 821, 09060-650 Santo André, SP
dc.description.affiliationDepartamento de Fonoaudiologia Faculdade de Filosofia e Ciências Universidade Estadual Paulista, UNESP, Av. Hygino Muzzi Filho, 737, 17525-900 Marília, SP
dc.description.affiliationDepartamento de Fisioterapia Faculdade de Ciências e Tecnologia Universidade Estadual Paulista, UNESP, Rua Roberto Simonsen, 305, 19060-900 Presidente Prudente, SP
dc.description.affiliation, Rua Pedroso Alvarenga 1255 conjunto 64, CEP 045331 012 Itaim Bibi, SP
dc.description.affiliationUnespDepartamento de Fonoaudiologia Faculdade de Filosofia e Ciências Universidade Estadual Paulista, UNESP, Av. Hygino Muzzi Filho, 737, 17525-900 Marília, SP
dc.description.affiliationUnespDepartamento de Fisioterapia Faculdade de Ciências e Tecnologia Universidade Estadual Paulista, UNESP, Rua Roberto Simonsen, 305, 19060-900 Presidente Prudente, SP
dc.identifierhttp://dx.doi.org/10.1186/1755-7682-5-8
dc.identifier.citationInternational Archives of Medicine, v. 5, n. 1, 2012.
dc.identifier.doi10.1186/1755-7682-5-8
dc.identifier.file2-s2.0-84857941726.pdf
dc.identifier.issn1755-7682
dc.identifier.scopus2-s2.0-84857941726
dc.identifier.urihttp://hdl.handle.net/11449/73236
dc.language.isoeng
dc.relation.ispartofInternational Archives of Medicine
dc.relation.ispartofsjr0,237
dc.rights.accessRightsAcesso aberto
dc.sourceScopus
dc.subjectcase report
dc.subjectCaucasian
dc.subjectcomputer assisted tomography
dc.subjectechography
dc.subjectfemale
dc.subjecthuman
dc.subjecthydatidiform mole
dc.subjectovary cyst
dc.subjectpelvic examination
dc.subjectrape
dc.subjectsexual crime
dc.subjectsexual violence
dc.subjecttheca cell
dc.subjectthreat
dc.titleHydatidiform mole resulting from sexual violenceen
dc.typeArtigo
dcterms.licensehttp://www.biomedcentral.com/about/license
unesp.author.orcid0000-0002-1891-3153[7]
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Ciências e Tecnologia, Presidente Prudentept
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Filosofia e Ciências, Maríliapt

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