Duplication of the uterus with a noncommunicating functioning uterine horn.

Incomplete duplication of the uterus with a functioning noncommunicating uterine horn is a rare developmental anomaly of the paramesonephric ducts. Although usually described in association with obstetric catastrophes, it has been reported recently in young women with gynecologic complaints. We describe a nulliparous patient with dysmenorrhea that had increased since menarche and a large pelvic mass.

Prenatally acquired cytomegalovirus encephalopathy.

A case is reported of congenital cytomegalovirus infection. A baby girl was born at an estimated gestational age of 35 weeks to a 26-year-old Hispanic women. There was maternal cocaine abuse and poor prenatal care, and variable decelerations, abruptio placentae, and meconium-stained fluid occurred in the intrapartum period.

Value of creatine phosphokinase isoenzyme determinations in the diagnosis of myocardial contusion.

Myocardial contusion is an injury often missed in the patient with severe multisystem trauma. Fifty patients with physical findings or mechanisms of injury that were suggestive of possible nonpenetrating injury to the heart were studied with serial creatine phosphokinase isoenzyme (CPK/MB), continuous arrhythmia monitoring, and ECGs for at least 72 hours. Two-dimensional echocardiograms were obtained on all patients within 48 hours of admission.