Necrotizing cervical and uterine infection in the postpartum period caused by group A streptococcus.

Background: Group A Streptococcus, once the most common causes of puerperal sepsis, is now a rare cause of postpartum fever.

Case: A term 27-year-old woman presented after spontaneous membrane rupture. After an uncomplicated vaginal delivery, she became febrile without a source of infection.

[Endometriosis on laparotomy scar after cesarean section].

Cutaneous endometriosis is an infrequent pathology whose etiopathogenesis is still uncertain. A case of cutaneous endometriosis at the surgical scar level following cesarean section is reported. Moreover, the aspects which might facilitate the diagnostic approach and a correct therapeutic management are underlined.

[Treatment of endometrial hyperplasia with Goserelin depot, an LH-RH analog].

Nineteen patients with simple endometrial hyperplasia presenting metrorrhagia or menometrorrhagia were treated with 4 injections of Goserelin depot, one every 4 weeks. 12/19 patients were refractory after previous medical therapy. The treatment with Goserelin depot resulted in a complete remission of the symptoms, occurring within the first month of treatment and still present after a median follow-up of 12 months, and in the normalization of the histological profile.

[Spinal lipomas in childhood].

Spinal lipomas account for 5% of the tumors of the spinal cord, frequently present already at birth. Most commonly they are associated with forms of dysraphism, but lipomas without bony involvement are considered dysembriogenetic lesions too. Children with lipoma frequently have intact neurological functions, but may become symptomatic later on.