scholarly journals Pneumomediastinum following spontaneous vaginal delivery: report of a rare phenomenon

2020 ◽  
Vol 2020 (6) ◽  
Author(s):  
Dania Badran ◽  
Safiyah Ismail ◽  
James Ashcroft
Keyword(s):  
Medical History ◽  
Vaginal Delivery ◽  
Esophageal Perforation ◽  
Young Female ◽  
Past Medical History ◽  
Rare Presentation ◽  
Spontaneous Vaginal Delivery ◽  
Spontaneous Pneumomediastinum ◽  
Life Threatening ◽  
Clinical Considerations

Abstract Pneumomediastinum is the presence of mediastinal air, which raises concern for life-threatening conditions such as esophageal perforation and mediastinitis. Here, we described the case of a young female with no previous past medical history, who developed spontaneous pneumomediastinum following uncomplicated spontaneous vaginal delivery (SVD) giving birth to a healthy newborn at full term. The incidence of benign pneumomediastinum following SVD is estimated at 1 in 100 000 deliveries. This case explores the etiology of this rare presentation, recommends essential investigations and advises on pertinent clinical considerations.

scholarly journals Coexistence of myasthenia gravis with hypokalemic periodic paralysis: a rare presentation

2019 ◽  
Vol 12 (10) ◽  
pp. e231241 ◽  
Author(s):  
Farah Gul Khan ◽  
Sidra Namran
Keyword(s):  
Myasthenia Gravis ◽  
Young Female ◽  
Periodic Paralysis ◽  
Acute Onset ◽  
Hypokalemic Periodic Paralysis ◽  
Rare Presentation ◽  
Limb Weakness ◽  
Oral Steroids ◽  
Life Threatening ◽  
Neurological Illnesses

Bilateral symmetrical weakness of acute onset is not very uncommon and the differential varies widely from life-threatening neurological illnesses to metabolic and electrolyte derangements. We report the case of a young female with severe muscle weakness, respiratory distress and hypokalemia who required immediate intubation on arrival to emergency department. During hospital course, even after normalisation of serum potassium and some improvement in limb weakness, patient failed multiple attempts of extubation because of type II respiratory failure. Subsequently, acetyl cholinesterase antibodies were checked which came out positive, and diagnosis of myasthenia gravis and hypokalemic periodic paralysis was made. She was successfully extubated after intravenous pulse steroids, pyridostigmine and plasmapheresis. Patient was finally discharged home on oral steroids, pyridostigmine and azathioprine. In a patient presenting with hypokalemic weakness, the suspicion of a second disorder should be very high if weakness fails to resolve following correction of hypokalemia.

scholarly journals Spontaneous Gastric Necrosis: A Rare Presentation of Invasive Mucormycosis in an Immunocompetent Adult

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Tariq Hameed ◽  
Sudhir Kumar Jain ◽  
Faiz Manzar Ansari ◽  
Adiba Nizam ◽  
Amrita Dua
Keyword(s):  
Surgical Excision ◽  
Young Female ◽  
Immunocompetent Adult ◽  
Rare Presentation ◽  
Ulcer Disease ◽  
Pain Abdomen ◽  
Life Threatening ◽  
History Of ◽  
Intravenous Amphotericin ◽  
Immunocompetent Adults

Spontaneous gastric perforations are usually seen in patients with untreated peptic ulcer disease. Mucormycosis, an uncommon, opportunistic, life-threatening fungal infection, rarely causes gastric perforation in immunocompetent adults. Here, we present a case of young female who was admitted to hospital for acute pain abdomen and distension with 5 days history of fever. She was operated and was found to have multiple perforations in the stomach with transmural necrosis. Despite adequate surgical excision and intravenous amphotericin B, patient succumbed to sequelae of infection.

scholarly journals ECLAMPSIA

2006 ◽  
Vol 13 (01) ◽  
pp. 27-31
Author(s):  
SHAHIDA SHERAZ ◽  
MOHAMMAD BOOTA ◽  
SOHAIL SHAHZAD
Keyword(s):  
Cesarean Section ◽  
Prospective Study ◽  
Vaginal Delivery ◽  
Magnesium Sulphate ◽  
Mode Of Delivery ◽  
Fetal Loss ◽  
Spontaneous Vaginal Delivery ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
A Prospective Study

Objective: To evaluate incidence, morbidity and mortalityassociated with eclampsia. Design: A prospective study. Place and Duration: The study which was carried out at PAFHospital Rafiqui, Shorkot spanned over a period of 2½ years from Jun 2002-Dec 2004. Patients and Methods: Thestudy comprises of 55 eclamptic cases diagnosed out of 3391 consecutive deliveries, carried out in our hospital.Results: The incidence of eclampsia, in this study, was found to be 1.62%. Out of 55 cases 38(69.1%) patients wereprimigravida. Forty three (78.2%) of the patients were between the ages of 21 to 30 years. In 50(90.9%) patientsgestational age was less than 35 weeks. Thirty seven (67.3%) cases had antepartum eclampsia. Forty four (80%)patients received diazepam while the remaining 11(20%) received magnesium sulphate (MgSO4) as anticonvulsant.Commonest mode of delivery was spontaneous vaginal delivery \(31 cases, 56.4%) followed by lower caesareansection (21 cases, 38.2%). Fetal loss was seen in 12(20.7%) cases. Two patients died of eclampsia, maternal mortalityrate being 3.6%. Conclusion: Eclampsia is a life threatening complication of pregnancy. However an improvement inantenatal care, upgrading the neonatal facilities and early delivery by cesarean section can improve the perinataloutcome.

scholarly journals An unusual Cause of Periorbital Swelling in a Young Female

2015 ◽  
Vol 14 (2) ◽  
pp. 93-94
Author(s):  
Ursula Griffiths ◽  
◽  
Darshan Kumar ◽  
Micheal Trimble ◽  
Siddhesh Prabhavalkar ◽  
...  
Keyword(s):  
Medical History ◽  
Skin Rash ◽  
Young Female ◽  
Past Medical History ◽  
Significant Past Medical History ◽  
Neck Stiffness ◽  
History Of ◽  
Periorbital Swelling

A 16 year old female was admitted with a one week history of headache and swelling of both upper eyelids. Other symptoms included nausea, tiredness, dizziness and photophobia with no symptoms of skin rash, or neck stiffness. She had been previously very well with no significant past medical history.

scholarly journals Massive hemoptysis in a pregnant woman: the first rare presentation of mitral valve stenosis

2020 ◽  
Vol 90 (2) ◽  
Author(s):  
Fatemeh Hashemi ◽  
Fariba Rezaitalab ◽  
Majid Jalalyazdi
Keyword(s):  
Pregnant Woman ◽  
Mitral Valve ◽  
Mitral Valve Stenosis ◽  
Massive Hemoptysis ◽  
Past Medical History ◽  
Rare Presentation ◽  
Mitral Valvuloplasty ◽  
Emergency Procedures ◽  
Life Threatening ◽  
Percutaneous Transluminal

Massive hemoptysis is one of the rare manifestations of mitral valve stenosis. Massive hemoptysis is considered as a potentially life threatening that frequently needs emergency procedures. A 43- year-old pregnant woman presented with coughing and massive hemoptysis. She was diagnosed severe rheumatic mitral stenosis. The patient underwent percutaneous transluminal mitral valvuloplasty (PTMC). Before ICU admission and hospitalization, she was healthy, without any past medical history and complaints.

scholarly journals Histopathological Findings after Descemet's Stripping Automated Endothelial Keratoplasty for the Management of Descemet's Membrane Breaks Secondary to Obstetrical Forceps Injury

2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
Luis J. Haddock ◽  
Sander R. Dubovy ◽  
Victor L. Perez
Keyword(s):  
Medical History ◽  
Vaginal Delivery ◽  
Male Patient ◽  
Corneal Edema ◽  
Endothelial Keratoplasty ◽  
Past Medical History ◽  
Corneal Injury ◽  
Descemet's Membrane ◽  
Descemet’S Membrane ◽  
First Time

Case of a 39 y/o male patient that presented due to decreased vision and pain in the left eye secondary to corneal edema related to vertical Descemet's membrane breaks. The patient's past medical history was remarkable for a complicated vaginal delivery with the use of obstetrical forceps and presumed obstetrical forceps corneal injury. Herein, we demonstrate for the first time the use of descemet's stripping automated endothelial keratoplasty (DSAEK) in the management of this complication and for the first time show histologically the area of prior descemet's membrane break in the submitted stripped descemet's membrane.

Pneumomediastinum: A Rare Presentation of Inflicted Injuries in Infants

2020 ◽  
Author(s):  
Adam Lee ◽  
Adam Bajinting ◽  
Abby Lunneen ◽  
Colleen M. Fitzpatrick ◽  
Gustavo A. Villalona
Keyword(s):  
Literature Review ◽  
Retrospective Review ◽  
Review Of The Literature ◽  
Rare Presentation ◽  
Spontaneous Pneumomediastinum ◽  
Nonaccidental Trauma ◽  
Comprehensive Literature Review ◽  
Healthy Infants ◽  
History Of

AbstractReports of incidental pneumomediastinum in infants secondary to inflicted trauma are limited. A retrospective review of infants with pneumomediastinum and history of inflicted trauma was performed. A comprehensive literature review was performed. Three infants presented with pneumomediastinum associated with inflicted trauma. Mean age was 4.6 weeks. All patients underwent diagnostic studies, as well as a standardized evaluation for nonaccidental trauma. All patients with pneumomediastinum were resolved at follow-up. Review of the literature identified other cases with similar presentations with related oropharyngeal injuries. Spontaneous pneumomediastinum in previously healthy infants may be associated with inflicted injuries. Clinicians should be aware of the possibility of an oropharyngeal perforation related to this presentation.

scholarly journals Vestibular neuritis caused by severe acute respiratory syndrome coronavirus 2 infection diagnosed by serology: Case report

2021 ◽  
Vol 9 ◽  
pp. 2050313X2110132
Author(s):  
Alexandra Halalau ◽  
Madalina Halalau ◽  
Christopher Carpenter ◽  
Amr E Abbas ◽  
Matthew Sims
Keyword(s):  
Case Report ◽  
Severe Acute Respiratory Syndrome ◽  
Medical History ◽  
Cranial Nerve ◽  
Respiratory Illness ◽  
Vestibular Neuritis ◽  
Past Medical History ◽  
Significant Past Medical History ◽  
Eighth Cranial Nerve ◽  
Male Physician

Vestibular neuritis is a disorder selectively affecting the vestibular portion of the eighth cranial nerve generally considered to be inflammatory in nature. There have been no reports of severe acute respiratory syndrome coronavirus 2 causing vestibular neuritis. We present the case of a 42-year-old Caucasian male physician, providing care to COVID-19 patients, with no significant past medical history, who developed acute vestibular neuritis, 2 weeks following a mild respiratory illness, later diagnosed as COVID-19. Physicians should keep severe acute respiratory syndrome coronavirus 2 high on the list as a possible etiology when suspecting vestibular neuritis, given the extent and implications of the current pandemic and the high contagiousness potential.

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