Case of a huge recurrent retroperitoneal liposarcoma diagnosed in the second trimester of pregnancy

2021 ◽  
Vol 14 (7) ◽  
pp. e243639
Author(s):  
Ryle Siegfrid O Li ◽  
Sittie Aneza Camille A Maglangit ◽  
Jemimah T Cartagena-Lim ◽  
Rodney B Dofitas
Keyword(s):  
Surgical Oncology ◽  
Second Trimester ◽  
Lower Segment ◽  
Baby Girl ◽  
Current Case ◽  
Healthy Baby ◽  
Lower Segment Caesarean Section ◽  
Retroperitoneal Liposarcoma ◽  
Retroperitoneal Tumour ◽  
Lipomatous Tumour

We document a case of a 24-year-old gravida 2, para 1 (1001), on her second trimester, who was referred to the surgical oncology service for a palpable right hemiabdominal mass. She previously underwent wide excision of a retroperitoneal atypical lipomatous tumour 2 years ago. Her current case was successfully managed by a multidisciplinary team of doctors from the preoperative phase, the actual surgery up to the adjuvant treatment. She had a two-staged surgery: an elective lower-segment caesarean section at 34 weeks age of gestation for which she delivered a healthy baby girl and, 2 weeks after, she had excision of the huge retroperitoneal tumour recurrence. Histopathology revealed a 35 cm×25 cm×22 cm dedifferentiated liposarcoma, for which she was started on adjuvant systemic chemotherapy.

scholarly journals Successful External Cephalic Version in Early Labour: A Case Report and Literature Review

2021 ◽  
Vol 2 (10) ◽  
pp. 926-928
Author(s):  
Janjua NB ◽  
Birmani SA ◽  
Maeve White ◽  
Sarah Siu ◽  
Asish Das
Keyword(s):  
Breech Presentation ◽  
External Cephalic Version ◽  
Lower Segment ◽  
Baby Girl ◽  
Healthy Baby ◽  
Lower Segment Caesarean Section ◽  
Amniotic Fluid Volume ◽  
Early Labour ◽  
Vaginal Deliveries ◽  
Labour Pains

Presentation: A 35 year old woman, gravida 7 para 7, all vaginal deliveries, presented with labour pains at 39 weeks’ gestation with intact membranes. Cardiotocograph (CTG) was reassuring. Diagnosis: Breech presentation was confirmed by an ultrasound. Treatment: The patient was offered options of External Cephalic Version (ECV) versus (vs) Lower Segment Caesarean Section (LSCS). She opted for ECV which was successful, followed by controlled artificial rupture of membranes. She delivered a healthy baby girl vaginally and was discharged home on day 1 postpartum. Conclusion: Although intrapartum ECV is not recommended routinely, there is a place for its judicious use in selective cases. The prerequisites include an experienced obstetrician, reassuring CTG, previous vaginal delivery, no obstetric indication for performing LSCS, adequate amniotic fluid volume with intact membranes, early labour, and informed maternal consent. We recommend keeping theatre on standby while performing ECV in case an obstetric complication arises.

scholarly journals Primary Hyperparathyroidism in Pregnancy—A Rare Cause of Life-Threatening Hypercalcemia: Case Report and Literature Review

2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
S. Malekar-Raikar ◽  
B. P. Sinnott
Keyword(s):  
Case Report ◽  
Primary Hyperparathyroidism ◽  
Relevant Literature ◽  
Pregnant Patient ◽  
Second Trimester ◽  
Baby Girl ◽  
Healthy Baby ◽  
Intraoperative Pth ◽  
Threatening Condition ◽  
Life Threatening

Objective. To report a case of primary hyperparathyroidism in a pregnant patient, report the obstetric and neonatal outcomes, and review the relevant literature.Results. A 29-year-old primigravida was successfully treated for PHP with minimally invasive resection of a parathyroid adenoma in the second trimester of pregnancy. A healthy baby girl was delivered at 37-week gestation with an unremarkable neonatal course. To the best of our knowledge, this is the second case report in the literature utilizing intraoperative PTH during a parathyroidectomy in a pregnant woman.Conclusions. Primary hyperparathyroidism is a rare life-threatening condition that can present during pregnancy. The diagnosis can be difficult to establish during pregnancy, given the nonspecific symptoms related to hypercalcemia. However, a better understanding of the condition, improved diagnostic studies, and well-organized multidisciplinary management decisions can significantly reduce the morbidity and mortality associated with the disease during pregnancy. This case report is presented to highlight the value of early diagnosis and appropriate management of PHP during pregnancy.

scholarly journals Wound infiltration of local anaesthetic after lower segment Caesarean section

Anaesthesia ◽  
1991 ◽  
Vol 46 (5) ◽  
pp. 404-407 ◽  
Author(s):  
T. N. Trotter ◽  
P. Hayes-Gregson ◽  
S. Robinson ◽  
L. Cole ◽  
S. Coley ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Local Anaesthetic ◽  
Lower Segment ◽  
Wound Infiltration ◽  
Lower Segment Caesarean Section

scholarly journals Anaesthesia for lower-segment caesarean section: Changing perspectives

2010 ◽  
Vol 54 (5) ◽  
pp. 409 ◽  
Author(s):  
SeanBrian Yeoh ◽  
SngBan Leong ◽  
AlexSia Tiong Heng
Keyword(s):  
Caesarean Section ◽  
Lower Segment ◽  
Lower Segment Caesarean Section

scholarly journals Intra-operative uterine scar condition and fetomaternal outcome in patients of previous lower segment caesarean section (LSCS) with scar tenderness

2017 ◽  
Vol 5 (11) ◽  
pp. 4911
Author(s):  
Nidhi Gupta ◽  
Renuka Sinha
Keyword(s):  
Signs And Symptoms ◽  
Caesarian Section ◽  
New Delhi ◽  
Lower Segment ◽  
Average Hospital ◽  
Lower Segment Caesarean Section ◽  
Uterine Scar ◽  
Nicu Admission ◽  
One Year ◽  
A Prospective Study

Background: During past few years, there is increasing trend in trial of labor in cases of previous lower segment caesarian section (LSCS). It needs vigilant approach in identifying signs and symptoms of giving way of previous scar. This study is to see the intra-operative uterine scar condition and feto-maternal outcome in patients of previous LSCS with scar tenderness.Methods: This is a prospective study done in Safdarjung hospital, New Delhi. It includes 120 patients of previous lower segment caesarian section with scar tenderness operated as emergency cases over a period of one year. It excludes elective repeat LSCS.Results: During this period repeat emergency LSCS was done in 862 cases and scar tenderness was seen in 120 cases (13.92 %). Out of 120 cases enrolled for the study intra-operative scar was intact in 69 cases (57.5%). Scar was thinned out in 27 cases (22.5%). Scar dehiscence was found in 21 cases (17.5%). Rupture occurred in 3 cases (2.5%) out of which 2 were Fresh still births. NICU admission was done in 11 cases (9.17%). 1 neonatal death occurred. No maternal death was recorded. Average hospital stay was 6 days. Blood transfusion was needed in 23 cases (19.2%).Conclusions: Scar tenderness is a very important tool for predicting scar integrity. All cases of previous LSCS should have institutional delivery.

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