Paciente do gênero feminino, 42 anos, com queixas de dificuldade ao urinar e aumento de volume na região vulvar há 1 ano. Ao exame ginecológico, apresentava extensa lesão na região vulvar. Biópsia da lesão foi inconclusiva. Realizou-se a exérese da lesão. A paciente permanece livre de recorrências há 15 meses. Este caso destaca a necessidade de considerar o angiomixoma no diagnóstico diferencial de massas de causa desconhecida na região vulvar.

Female patient, 42-years-old, complaining of difficulty in urinating and swelling in the vulvar area for one year. Her gynecological examination showed extensive injury in the vulvar region and the biopsy done was inconclusive. The removal of the lesion was conducted. After the procedure, the patient remains free of recurrence for 15 months. This case highlights the need to consider angiomyxoma in the differential diagnosis for tumors of unknown cause in the vulvar region.

Although cryptococcal infections begin in the lungs, meningoencephalitis is the most frequently encountered manifestation of cryptococcosis among individuals with advanced immunosuppression. As the infection progresses along the Virchow-Robin spaces, these structures may become dilated with mucoid material produced by the capsule of the organism. We report a case of a 24-year-old man with cryptococcal meningoencephalitis in which magnetic resonance imaging showed clusters of gelatinous pseudocysts in the periventricular white matter, basal ganglia, mammillary bodies, midbrain peduncles and nucleus dentatus with a soap bubble appearance.

O objetivo deste trabalho foi determinar o desempenho do teste de aglutinação em látex (TAL), no diagnóstico das gastroenterites agudas em crianças, causadas por rotavírus. O TAL mostrou boa sensibilidade, especificidade e valor preditivo positivo e devido à sua simplicidade e rapidez, o teste é apropriado para uso em hospitais para o diagnóstico de rotaviroses.

The aim of this work was to determine the performance of latex agglutination test (LAT) for evaluating children acute gastroenteritis by rotavirus. The LAT showed good sensitivity, as well as specificity and predictive positive value and due to its simplicity and speed, it has been suitable for rotavirus diagnosis in hospital laboratories.

CONTEXTO: A síndrome de Meigs consiste de um tumor ovariano benigno em associação com ascite e hidrotórax. Níveis elevados de CA 125 sérico em mulheres pós-menopáusicas com massa anexial sólida, ascite e derrame pleural são muito sugestivos de tumor ovariano maligno. Entretanto, pacientes com síndrome de Meigs podem apresentar níveis elevados de CA 125. Os autores relatam um caso de síndrome de Meigs com CA 125 elevado. OBJETIVO: Relatar um caso de síndrome de Meigs com CA 125 elevado. RELATO DO CASO: Mulher de 65 anos, brasileira, apresentou dispnéia progressiva, perda de peso e queda do estado geral durante os últimos sete meses antes da admissão em nosso serviço. A paciente foi submetida, em outro hospital, a drenagem torácica devido derrame pleural. Com a recidiva do derrame pleural e aumento do volume abdominal por ascite e massa pélvica, a paciente procurou nosso serviço. O ultra-som transvaginal mostrou uma massa anexial sólida de 16,4 x 10,8 cm de limites imprecisos localizada na pélvis e o CA 125 sérico estava elevado. Com diagnóstico pré-operatório de carcinoma ovariano, a paciente foi submetida a laparotomia exploradora, que revelou um tumor ovariano esquerdo. Biópsia de congelação diagnosticou tecoma. Realizou-se uma histerectomia total abdominal com salpingo-ooforectomia bilateral. O exame histopatológico confirmou o diagnóstico de tecoma. A paciente encontrava-se assintomática e o CA 125 estava normal 20 meses após a operação.

CONTEXT: Meigs' syndrome consists of a benign ovarian tumor accompanied by ascites and hydrothorax. Elevated serum CA 125 levels in postmenopausal women with solid adnexal masses, ascites and pleural effusion are highly suggestive for malignant ovarian tumor. However, patients with Meigs' syndrome can also have elevated serum CA 125 levels. The authors report a case of Meigs' syndrome with elevated CA 125 level. OBJECTIVE: This is a case report of Meigs' syndrome with elevated CA 125 level. CASE REPORT: A 65-year-old Brazilian woman had presented progressive dyspnea, weight loss and decline in general condition over the 7 months preceding admission to our service. In another hospital, the patient had been submitted to thoracic drainage due to pleural effusion. With recurrence of the pleural effusion and increase in abdominal volume due to ascites and a pelvic mass, the patient sought our service. Transvaginal ultrasound showed an extensive adnexal solid mass of 16.4 x 10.8 cm located in the pelvis without exact limits, and the serum CA 125 level was elevated. With a preoperative diagnosis of ovarian carcinoma, the patient was submitted to exploratory laparotomy, which revealed a left ovarian tumor. The frozen section diagnosis was thecoma. Total abdominal hysterectomy with bilateral salpingo-oophorectomy was performed. The histology of the specimen confirmed the diagnosis of thecoma. The patient was asymptomatic with a normal serum CA 125 level 20 months after the operation.