scholarly journals Ischaemic stroke and pre-eclampsia in the third trimester of pregnancy: a diagnostic and therapeutic challenge

2019 ◽  
Vol 12 (12) ◽  
pp. e229635
Author(s):  
Alexandros Loukas Grammatis ◽  
Hannah Louise Catton ◽  
Derek Hilton
Keyword(s):  
Severe Hypertension ◽  
Fetal Monitoring ◽  
Mass Effect ◽  
Emergency Caesarean Section ◽  
Middle Cerebral Artery Territory ◽  
Good Recovery ◽  
Left Hemiparesis ◽  
Third Trimester ◽  
The Third ◽  
The Right

A 23-year-old low-risk primiparous patient, who was 35 weeks pregnant, presented in the emergency department after collapsing at home. Her observations showed severe hypertension with proteinuria. On examination, she had left hemiparesis and was aphasic. Fetal monitoring was reassuring. Initial CT did not reveal any evidence of intracranial pathology. She was stabilised and delivered via emergency caesarean section. Subsequent MRI and CT showed an acute right-sided infarct involving the right middle cerebral artery territory, frontal and parietal regions, and increased mass effect. She was transferred to the nearest neurosurgical centre where she was conservatively managed and discharged home 3 weeks later for continuing rehabilitation. She achieved a good recovery.

Giant fibroepithelial vulvar polyp in a pregnant woman

2021 ◽  
Vol 14 (1) ◽  
pp. e236106
Author(s):  
Carolina Smet ◽  
Tatiana Gigante Gomes ◽  
Lurdes Silva ◽  
Júlio Matias
Keyword(s):  
Pregnant Woman ◽  
Elective Caesarean Section ◽  
Reproductive Age ◽  
Benign Lesions ◽  
Third Trimester ◽  
Women Of Reproductive Age ◽  
Spontaneous Bleeding ◽  
The Third ◽  
Fibroepithelial Polyps ◽  
The Right

Fibroepithelial polyps are benign lesions that may appear in the vulvovaginal region. They usually occur in women of reproductive age and tend to grow up to 5 cm, but there are some rare cases in which they grow up to 20 cm. We report a case of a 22-year-old woman in the third trimester of her first pregnancy with spontaneous bleeding from a pedunculated mass measuring 15 cm in the widest diameter on the right side of the vulva. Features of this case are discussed as well as its implications, especially regarding the decision of labour. Due to the big size of the mass and its propensity to bleed, we decided to perform an elective caesarean section as well as its excision.

scholarly journals Interstitial Pregnancy in the Third Trimester with Severe Preeclampsia: A Case Report and Literature Review

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Shiho Nagayama ◽  
Hironori Takahashi ◽  
Shohei Tozawa ◽  
Risa Narumi ◽  
Rie Usui ◽  
...  
Keyword(s):  
Placenta Accreta ◽  
Color Doppler ◽  
Color Doppler Ultrasound ◽  
Severe Preeclampsia ◽  
Third Trimester ◽  
Interstitial Pregnancy ◽  
The Third ◽  
Emergency Cesarean ◽  
Placenta Accreta Spectrum ◽  
The Right

An interstitial pregnancy that continues beyond the second trimester is a rare phenomenon. We report a patient with an interstitial pregnancy undiagnosed until the third trimester. A multiparous woman was referred to us because of preeclampsia at 26 weeks of gestation. The placental position was the right fundus, and color Doppler ultrasound revealed myometrial thinning and subplacental hypervascularity, leading to a suspicion of placenta accreta spectrum (PAS). Emergency cesarean section was performed at 281/7 weeks of gestation due to severe preeclampsia. The right tubal horn to the isthmus of the fallopian tube bulged with placental adhesion and a part of the tube had ruptured, with the omentum adhering to the ruptured part. Interstitial and tubal isthmic pregnancy with uterine rupture was diagnosed.

scholarly journals Uterine torsion of 90 degrees: case report

2020 ◽  
Vol 9 (4) ◽  
pp. 1743
Author(s):  
S. Tanouti ◽  
M. Chakri ◽  
H. Taheri ◽  
H. Saadi ◽  
A. Mimouni
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Emergency Caesarean Section ◽  
Third Trimester ◽  
Singleton Pregnancy ◽  
The Third ◽  
Emergency Caesarean ◽  
Uterine Torsion ◽  
Vaginal Deliveries ◽  
Obstetrical Unit

Uterine torsion is defined as a rotation of uterus more than 45 degrees along its long axis. However, a pathologic rotation of the uterus beyond 45 degrees-torsion of the entire uterus-is rarely seen in obstetrical practice, authors report a case of torsion of the uterus by 90 degrees. The patient, a 30-year-old gravida 3 para 2 at 37 weeks’ gestation with a singleton pregnancy, her prior obstetrical history included two uncomplicated term vaginal deliveries, and the current pregnancy had been uncomplicated until the date of presentation was admitted to the obstetrical unit  with  labour at 37 weeks 5 days ,on obstetric examination the patient was in labour with transversal presentation of the fetus so an emergency caesarean section (CS) was carried out for. At the time of CS, the diagnosis of uterine torsion of 90 degrees was made. After the delivery of the baby, uterus returned to anatomical position and the torsion corrected spontaneously. The patient recovered and was discharged home with her baby on the third postoperative day. Uterine torsion is an infrequently reported and potentially dangerous complication of pregnancy that occurs mainly in the third trimester.

Thrombosis of the internal carotid artery due to soft palate injury

1989 ◽  
Vol 103 (8) ◽  
pp. 796-797 ◽  
Author(s):  
Brian Mains ◽  
Michael Nagle
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Soft Palate ◽  
Internal Carotid ◽  
Rare Complication ◽  
Cerebral Infarct ◽  
Good Recovery ◽  
Left Hemiparesis ◽  
One Year ◽  
The Right

AbstractThrombosis of the internal carotid artery is a rare complication of soft palate injury, only 16 cases having been previously documented. We present the case of a 51/2 year-old-boy who sustained an apparently trival laceration to the right aspect of the soft palate. However, 48 hours after injury, a right cerebral infarct occurred with subsequent left hemiparesis. On supportive and rehabilitative management he made a good recovery over a period of one year.

Prenatal ultrasound diagnosis of adrenal gland hemorrhage: differential diagnosis

2019 ◽  
Author(s):  
N.A. Àltynnik
Keyword(s):  
Differential Diagnosis ◽  
Adrenal Gland ◽  
Prenatal Ultrasound ◽  
Ultrasound Diagnosis ◽  
Third Trimester ◽  
Male Fetus ◽  
Domestic Literature ◽  
The Third ◽  
The Right

The case of prenatal ultrasound diagnosis of hemorrhage in the right adrenal gland in a male fetus in the third trimester of pregnancy is presented. The data of foreign and domestic literature on the possibilities of differential diagnosis of volumetric formations in the adrenal gland in the fetus are analysed.

scholarly journals Measurements of Pupillary Diameter and Wavefront Aberrations in Pregnant Women

Scientifica ◽  
2016 ◽  
Vol 2016 ◽  
pp. 1-5
Author(s):  
Yesim Altay ◽  
Mehmet Metin Altay ◽  
Gulizar Demirok ◽  
Ozgur Balta ◽  
Hulya Bolu
Keyword(s):  
Pregnant Women ◽  
Postpartum Period ◽  
Pupil Size ◽  
Control Group ◽  
Pupillary Diameter ◽  
Third Trimester ◽  
Wavefront Aberrations ◽  
The Third ◽  
The Right ◽  
Control Study

Purpose. To show whether pregnancy affects the measurements of pupillary diameter and wavefront (WF) aberrations.Methods. This was a case-control study including 34 healthy pregnant women in the third trimester and age-matched 34 nonpregnant women. Only women who had no ocular abnormalities and no refractive error were included. We measured photopic and mesopic pupil diameter and WF aberrations at the third trimester and at the second postpartum month. Measurements of the right eyes were used in this study. The differences between groups were analysed by pairedt-test andt-test.Results. Pregnant women’s mean photopic pupil size in the third trimester was significantly higher than in postpartum period and in control group (3.74 ± 0.77, 3.45 ± 0.53, and 3.49 ± 0.15 mm,p<0.05, resp.). Mesopic pupil size in the third trimester was also higher than in postpartum period and in control group (6.77 ± 0.52, 6.42 ± 0.55, and 6.38 ± 0.21 mm,p<0.05, resp.). RMS-3 and RMS-5 values were higher in pregnancy but these differences were not statistically significant.Conclusion. Pregnancy increased photopic and mesopic pupil size significantly but did not increase wavefront aberrations notably. Increased pupil size may be due to increased sympathetic activity during pregnancy. And this activity can be noninvasively determined by measuring pupil size.

scholarly journals Paracingulate sulcus morphology in men with early-onset schizophrenia

2003 ◽  
Vol 182 (3) ◽  
pp. 228-232 ◽  
Author(s):  
Jean-Bernard Le Provost ◽  
David Bartrés-Faz ◽  
Marie-Laure Paillère-Martinot ◽  
Eric Artiges ◽  
Sabina Pappata ◽  
...  
Keyword(s):  
Magnetic Resonance ◽  
Left Hemisphere ◽  
Early Onset ◽  
Comparison Group ◽  
Magnetic Resonance Images ◽  
Third Trimester ◽  
Early Onset Schizophrenia ◽  
Healthy Men ◽  
The Third ◽  
The Right

BackgroundCingulate dysfunction has been reported in schizophrenia. Although the paracingulate sulcus (PCS) is known to be asymmetric in healthy people, little information is available about its morphology in schizophrenia.AimsTo search for morphological anomalies of the PCS in men with early-onset schizophrenia.MethodThe PCS was examined in magnetic resonance images of the brains of men with schizophrenia and 100 healthy men.ResultsA significant asymmetry was found in the brains of healthy volunteers, whose sulci were more frequent and more marked in the left hemisphere. In contrast, the sulcus was as frequent in the right as in the left hemisphere in the patient group. Moreover, patients displayed significantly more rightward asymmetry, and overall less-asymmetrical patterns than the comparison group.ConculsionsSince the PCS has developed at 36 weeks of gestation, these findings suggest an impaired maturation of the cingulate region during the third trimester.

scholarly journals Corrective surgery using a gridiron incision for abdominal pain caused by a folded ovary in the third trimester of pregnancy

2021 ◽  
Vol 49 (3) ◽  
pp. 030006052199774
Author(s):  
A Mi Kim ◽  
Jong Woon Kim ◽  
Yoon Ha Kim ◽  
Tae Young Kim ◽  
Hyun Kyung Ryu ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Laparoscopic Surgery ◽  
Tender Point ◽  
Sudden Onset ◽  
Third Trimester ◽  
Normal Appendix ◽  
Abdominal Ultrasonography ◽  
Lower Quadrant ◽  
The Third ◽  
The Right

Introduction Sonography and magnetic resonance imaging (MRI) may be helpful to obtain an accurate diagnosis of acute abdominal pain in pregnancy. Adnexal torsion presenting in the first or second trimester can be confirmed and treated through laparoscopic surgery; however laparoscopic surgery in the third trimester can be difficult owing to the large uterus, and a gridiron incision can be useful. Case Report/Case presentation An 18-year-old gravida 1, para 0 (G1P0) woman at 30 + 4 weeks of gestation presented with sudden-onset cyclic pain in the right lower quadrant. Abdominal ultrasonography showed a normal appendix, and MRI showed a normal appendix and normal ovaries. The patient’s prominent tender point was marked and compared with the MR images, which confirmed the mark as the position of the right ovary. Laparotomy was performed through a gridiron incision, and a folded right ovary was identified. The ovary was unfolded, and TachoSil® and Surgicel® were used to maintain the unfolded position. The patient’s pain resolved, and her postoperative course was uneventful. She delivered a healthy, 2540-g male baby at 35 weeks’ gestation. Discussion/Conclusions A gridiron incision was useful to treat a folded ovary in the third trimester and to evaluate the adnexa and minimize uterine manipulation.

Effects of Body Image on Tactile Sensitivity to a Tickle: A Study of Pregnancy

1979 ◽  
Vol 49 (2) ◽  
pp. 555-563 ◽  
Author(s):  
Vezio Ruggieri ◽  
Maria Milizia ◽  
M. Francesca Romano
Keyword(s):  
Body Image ◽  
Middle Class ◽  
Body Schema ◽  
The Body ◽  
Control Group ◽  
Tactile Sensitivity ◽  
Third Trimester ◽  
The Third ◽  
Actual Duration ◽  
The Right

A group of 20 middle-class women between 20 and 40 yr. of age and in the third trimester of pregnancy was compared with a control group of 20 non-pregnant women for cutaneous sensitivity (to a tickle) and for modifications of body schema which were hypothesized to occur during pregnancy. Latency and actual duration were considered in the perception of the tickle. Body schema were studied using two of Fisher's tests, Body Prominence and Body Carhexis. Pregnancy leads to modifications in sensitivity to tickle, specifically with regard to the right half of the body and to some extent in body schema.

Sign in / Sign up

Export Citation Format

Share Document