SUPERINFECTED MEDIASTINAL ABSCESS IN A PREGNANT PATIENT WITH A HISTORY OF FIBROSING MEDIASTINITIS

CHEST Journal ◽  
2021 ◽  
Vol 160 (4) ◽  
pp. A1290
Author(s):  
Lin Chen ◽  
Henrik Hahamyan ◽  
Alejandro Bribriesco ◽  
Mani Latifi
Keyword(s):  
Pregnant Patient ◽  
Fibrosing Mediastinitis ◽  
Mediastinal Abscess ◽  
History Of

scholarly journals Sonographic Discovery of Autotransplanted Splenic Implants in a Pregnant Patient

2018 ◽  
Vol 35 (1) ◽  
pp. 75-78
Author(s):  
Emily M. Downs ◽  
Shane Reeves
Keyword(s):  
Differential Diagnosis ◽  
Pregnant Patient ◽  
Splenic Tissue ◽  
Splenic Trauma ◽  
Sonographic Appearance ◽  
History Of

It is important to include splenic implants in the differential diagnosis of patients with a history of splenic trauma. Autotransplanted splenic implants may have a sonographic appearance similar to that of pathologies such as lymphadenopathy or carcinomatosis. This is the first known case to discuss a pregnant patient with a history of autologous autotransplanted splenic tissue, which was discovered on sonography and confirmed during the patient’s cesearean section.

Infection in the Pregnant Patient

2016 ◽  
Author(s):  
Vanessa Vasquez
Keyword(s):  
Social History ◽  
Preterm Labor ◽  
Labor History ◽  
Pregnant Patient ◽  
Vaginal Fluid ◽  
Uterine Contractility ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
History Of ◽  
High Degree

Infections in pregnancy can result in significant complications for both the mother and fetus and can increase the risk of preterm labor. Fever in a pregnant woman also raises concern for its associated risk of preterm birth due to the release of prostaglandins and cytokines that stimulate uterine contractility. Infection can be passed to the neonate hematogenously or ascend from the genital tract. Treatment during pregnancy creates problems, as many antimicrobials cross the placenta and may have a teratogenic risk. Prophylaxis, vaccination, a high degree of suspicion, and early intervention can help improve morbidity and mortality. The pregnant patient should be asked important questions that include history of uterine tenderness and leakage of vaginal fluid, exposure to or symptoms of sexually transmitted infection, previous preterm labor, history of pregnancy complications, and a thorough social history.

scholarly journals Fibrosing mediastinitis causing rapidly progressive dyspnea, pulmonary edema and death in a 16 yr old male

2004 ◽  
Vol 61 (2) ◽  
Author(s):  
K. Malagari ◽  
S. Papiris
Keyword(s):  
Superior Vena ◽  
Pulmonary Veins ◽  
Vena Cava ◽  
Venous Hypertension ◽  
Rare Entity ◽  
Imaging Studies ◽  
Fibrosing Mediastinitis ◽  
Progressive Dyspnea ◽  
Multiple Biopsy ◽  
History Of

Idiopathic fibrosing mediastinitis is a rare entity involving more severely the more compliant structures within the mediastinum. In this report a rare case of simultaneous involvement of both the superior vena cava (SVC) and pulmonary veins is described in a 16 – year old male with progressive dyspnea on exertion, cough and a three months’ history of blood – tinged sputum. Physical examination and imaging studies revealed signs of pulmonary venous hypertension (PVH) and SVC stenosis. Fibrosing mediastinitis was confirmed by multiple biopsy samples.

scholarly journals Ascending aortic dissection in a pregnant patient with neonatally repaired coarctation of aorta and bicuspid aortic valve

2019 ◽  
Vol 12 (12) ◽  
pp. e233367
Author(s):  
Mark Philip Cassar ◽  
Asad Shabbir ◽  
Elizabeth Orchard ◽  
James Stirrup
Keyword(s):  
Aortic Valve ◽  
Aortic Dissection ◽  
Bicuspid Aortic Valve ◽  
Aortic Surgery ◽  
Pregnant Patient ◽  
Haemodynamic Instability ◽  
Coarctation Of Aorta ◽  
Blurred Vision ◽  
Life Threatening ◽  
History Of

Aortic dissection is characterised by a tear in the intimal and medial layers of the endovascular aortic wall which propagates distally. Here, we discuss the case of a 35-year-old woman who was 37 weeks pregnant and presented with dizziness and blurred vision. She had a history of a neonatal end-to-end repair of a coarctation of aorta, a known bicuspid aortic valve and a dilated ascending aorta under surveillance. A transthoracic echocardiogram revealed an ascending aortic dissection. An emergency CT aortogram was performed which confirmed the diagnosis. The patient underwent emergency caesarean section and aortic surgery, with a good outcome for mother and baby. The case highlights the atypical nature of presentation and the absence of haemodynamic instability. Atypical and unexplained symptoms on a background of congenital heart disease should trigger a referral to cardiology with thorough investigation, often with echocardiography, to exclude rare and life-threatening complications.

scholarly journals Acute Type A Aortic Dissection in a 36-Week Pregnant Patient

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Erol Kohli ◽  
Sharhabeel Jwayyed ◽  
Gary Giorgio ◽  
Mary Colleen Bhalla
Keyword(s):  
Aortic Dissection ◽  
Early Recognition ◽  
Type A ◽  
Pregnant Patient ◽  
Acute Type ◽  
Third Trimester ◽  
Type A Aortic Dissection ◽  
Increased Risk ◽  
History Of ◽  
Aortic Dissections

Aortic dissection is a relatively rare yet often fatal condition. Early recognition and treatment are crucial for survival. While the majority of patients who present with aortic dissection are older than 50 years of age and have a history of hypertension, younger patients with connective tissue disease, bicuspid aortic valves, and a family history of aortic dissection are also at an increased risk for developing this condition. A review of the literature revealed a paucity of published cases describing the successful, emergent repair of acute type A aortic dissections in third- trimester gravid patients. We present the case of the successful diagnosis and surgical repair of a 41-year-old female who presented to the emergency department with an acute type A aortic dissection at 36 weeks of gestation.

scholarly journals Intussusception in a pregnant woman

2020 ◽  
Vol 2020 (12) ◽  
Author(s):  
Ana Cristina Silva ◽  
Pedro Soares Moreira ◽  
Vitor Costa Simões ◽  
Mónica Sampaio ◽  
Marisa Domingues Santos
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Pregnant Woman ◽  
Pregnant Patient ◽  
Computed Tomography Scan ◽  
Intestinal Necrosis ◽  
History Of ◽  
Emergent Laparotomy ◽  
Tomography Scan

Abstract Abdominal pain in a pregnant woman with a history of laparoscopic Roux-en-Y gastric bypass (LRYGB) in the emergency department is challenging. Intussusception is a rare cause of small bowel obstruction after LRYGB and can lead to intestinal necrosis, perforation, sepsis and death. The authors report a case of a 34-week pregnant patient, previously submitted to LRYGB, presenting to the emergency department with abdominal pain and vomiting. A computed tomography scan suggested the presence of ileoileal intussusception. So, an emergent laparotomy was performed with invagination reduction. The postoperative period was uneventful, as well as pregnancy and caesarian performed 4 weeks after surgery. At the 45-month follow-up, there was no recurrence of intussusception.

scholarly journals Epidural Anaesthesia & Analgesia For Severely Cardiac Compromised Patient With Pregnancy

KYAMC Journal ◽  
2017 ◽  
Vol 8 (1) ◽  
pp. 69-71
Author(s):  
Md Rafiqul Islam ◽  
Md Pervez Rahman ◽  
Laila Yesmin ◽  
Rahena Khatun ◽  
Md Salah Uddin Ahmed
Keyword(s):  
Cardiac Surgery ◽  
Epidural Anaesthesia ◽  
Pregnant Patient ◽  
Popular Method ◽  
The World ◽  
Close Supervision ◽  
History Of ◽  
Mitral Commissurotomy ◽  
American Society ◽  
Rheumatic Heart

Epidural anaesthesia is a very popular method of anaesthesia and post-operative analgesia for cardiac compromised pregnant patient all over the world. In our case Mrs. Akhi 34 years pregnant women admitted in KYAMCH on 13.03.2017 with 37 weeks pregnancy. She has a long history of Rheumatic fever followed by Rheumatic heart disease, severe MS (mitral stenosis) after that she was operated CMC (Close Mitral Commissurotomy) in 2012. She was admitted with respiratory distress at KYAMCH, with pregnancy on December 2016. After that she was under close supervision of cardiac surgery and Gynae and Obstetrics department. After admission on 13.03.2017 she was evaluated by the department of anaesthesia and graded as ASA (American Society of Anaesthesia) class-4. And selected for routine case of caesarean section on 14.03.2017. Operation was done under epidural anaesthesia and post-operative analgesia was maintained by epidural catheter.KYAMC Journal Vol. 8, No.-1, Jul 2017, Page 69-71

scholarly journals Hereditary Hemorrhagic Telangiectasia Presenting as High Output Cardiac Failure during Pregnancy

2009 ◽  
Vol 2009 ◽  
pp. 1-3 ◽  
Author(s):  
Tareq Goussous ◽  
Alex Haynes ◽  
Katherine Najarian ◽  
Marcos Daccarett ◽  
Shukri David
Keyword(s):  
Cardiac Failure ◽  
Hereditary Hemorrhagic Telangiectasia ◽  
Preterm Labor ◽  
Vascular Malformations ◽  
Rare Complication ◽  
Pregnant Patient ◽  
Non Invasive ◽  
Hepatic Involvement ◽  
History Of ◽  
High Output

High-output cardiac failure secondary to hepatic involvement is a rare complication of hereditary hemorrhagic telangiectasia (HHT). Here we report a 43-year-old woman who presented at 29 weeks gestation of her second pregnancy with complications of right-sided heart failure and preterm labor. After delivery via cesarean section, the patient was found to have intrahepatic arteriovenous malformations through non-invasive imaging. Subsequently, a family history of vascular malformations and epistaxis was elucidated and a diagnosis of HHT was made. This case is presented, along with a review of the literature and discussion of hepatic involvement in HHT with particular focus on the pregnant patient.

scholarly journals When the Uterus Competes for Perfusion: Management of a Pregnant Patient with Bypass Graft Occlusion

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Sarah McGriff ◽  
Paige Percer ◽  
Iberia Sosa ◽  
Hector Mendez-Figueroa ◽  
Joseph L. Mills ◽  
...  
Keyword(s):  
Clinical Symptoms ◽  
Bypass Graft ◽  
Pregnant Patient ◽  
Arterial Disease ◽  
Graft Occlusion ◽  
Left Lower Extremity ◽  
Ct Angiogram ◽  
History Of ◽  
Peripheral Arterial ◽  
In Pregnancy

Background. Peripheral arterial disease (PAD) in pregnancy has serious implications and requires multidisciplinary management. This becomes even more complicated in the setting of active disease and history of prior vascular grafts. Case. A woman presented with increasing left lower extremity pain at 18 weeks of gestation with a complex history of PAD and a previous bifurcated aorta-left femoral, -right iliac bypass. CT angiogram demonstrated known occluded bypass graft. A multidisciplinary team of providers developed guidelines for potential surgical intervention based upon clinical symptoms. Conclusion. Pelvic PAD can worsen in pregnancy in the setting of the enlarging uterus, which can potentially deplete perfusion of existing collateral vessels. Symptomatic approach to worsening disease provided an effective management strategy in this case.

Varicella zoster meningitis in a pregnant woman with uncontrolled type 1 diabetes mellitus

2021 ◽  
Vol 14 (2) ◽  
pp. e236644
Author(s):  
Laura Mroue ◽  
Harpreet Brar ◽  
Bernard Gonik
Keyword(s):  
Medical Literature ◽  
Pregnant Patient ◽  
Cerebrospinal Fluid Analysis ◽  
Neck Stiffness ◽  
Varicella Zoster ◽  
Fluid Analysis ◽  
First Case ◽  
The Us ◽  
History Of

We report the case of retrograde varicella zoster virus (VZV) reactivation presenting as aseptic meningitis without rash in a generally healthy pregnant patient. A 27-year-old nulliparous woman at 25 weeks of gestation presented to the emergency department with a 1-day history of severe headache associated with nausea, photophobia and neck stiffness. After ruling out a space-occupying lesion by brain imaging, lumbar puncture was performed. Cerebrospinal fluid analysis by PCR revealed the presence of VZV, making the diagnosis of acute varicella meningitis. The patient had immunoglobulin studies consistent with a history of primary VZV infection, thus confirming reactivation of VZV rather than primary infection. The patient was treated with acyclovir for 14 days and recovered fully. Her neonate was delivered full term without any evidence of vertical transmission. This is only the second reported case of VZV meningitis in a pregnant patient in the medical literature, and the first case in the US that was reported.

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