scholarly journals Placental Teratoma Presenting as a Lobulated Mass behind the Neck of Fetus: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-2 ◽  
Author(s):  
Adiga Prashanth ◽  
Rai Lavanya ◽  
K. M. Girisha ◽  
Anjali Mundkur
Keyword(s):  
Case Report ◽  
Cesarean Section ◽  
Germ Cells ◽  
Histopathological Examination ◽  
Breech Presentation ◽  
Fetal Outcome ◽  
Lower Segment ◽  
Lower Segment Cesarean Section ◽  
Cell Layers ◽  
Gross Examination

Placental teratoma is a rare nontrophoblastic benign tumour, which is thought to arise from germ cells. These tumours contain elements derived from multiple germ cell layers. We report a case of teratoma, where on ultrasound; there were two echogenic masses of 4 cm × 5 cm and 3 cm × 4 cm, arising from the placenta. Elective lower segment cesarean section was done in view of breech presentation at 38 weeks of gestation. Gross examination of the placenta showed two lobulated masses of 5 cm × 5 cm and 4 cm × 4.5 cm, respectively. Histopathological examination of the placenta was suggestive of teratoma of the placenta. The fetus was normal.The maternal and fetal outcome was good.

scholarly journals Anesthetic Management of a Parturient with Congenital Complete Heart Block posted for Emergency Lower Segment Cesarean Section

2015 ◽  
Vol 1 (4) ◽  
pp. 74-76
Author(s):  
GS Karthik ◽  
R Mamatha ◽  
MJ Sowmya ◽  
KT Venkateshmurthy ◽  
H Sahajananda
Keyword(s):  
Cesarean Section ◽  
Heart Block ◽  
Complete Heart Block ◽  
Anesthetic Management ◽  
Cardiac Pacing ◽  
Pregnant Patient ◽  
Fetal Outcome ◽  
Lower Segment ◽  
Lower Segment Cesarean Section ◽  
Congenital Complete Heart Block

ABSTRACT Pregnancy complicated with complete heart block is rare and usually required termination of pregnancy in the past. Improvement in medical technology in the form of cardiac pacing has allowed taking these women to term. Overall, maternal and fetal outcome is not affected in asymptomatic cases. We report here an unbooked, pregnant patient presented at 38+ weeks with complete heart block and pregnancy-induced hypertension for emergency lower segment cesarean section (LSCS). Emergency LSCS was performed under general anesthesia. Maternal and fetal outcome was good. How to cite this article Mamatha R, Sowmya MJ, Venkateshmurthy, Sahajananda H, Karthik GS. Anesthetic Management of a Parturient with Congenital Complete Heart Block posted for Emergency Lower Segment Cesarean Section. J Med Sci 2015;1(4):74-76.

Cardiovascular Collapse Under Spinal Anesthesia

2009 ◽  
Vol 1 (3) ◽  
pp. 67-69
Author(s):  
Randhir Puri ◽  
K Anand Shankar ◽  
Y Singh
Keyword(s):  
Case Report ◽  
Cesarean Section ◽  
Amniotic Fluid ◽  
Spinal Anesthesia ◽  
Fetal Distress ◽  
Cardiovascular Collapse ◽  
Lower Segment ◽  
Presumptive Diagnosis ◽  
Lower Segment Cesarean Section ◽  
High Spinal Anesthesia

ABSTRACT A 20 years old ASA I full term primigravida in labor, underwent an emergency lower segment cesarean section under spinal anesthesia, the indication being fetal distress. Immediately following delivery of fetus, she complained of severe breathlessness and suffered a cardiovascular collapse. A presumptive diagnosis of high spinal anesthesia was made and she was managed accordingly. Thirty minutes later she developed angioedema which increased in severity over the next two hours and a diagnosis of anaphylactic reaction was made. The patient responded to intravenous adrenaline and recovered over next 24 hours. The aim of this case report is to discuss cardiovascular collapse and its etiological factors, such as anaphylaxis, amniotic fluid embolism and high spinal anesthesia during cesarean section.

scholarly journals A Case of Torsion of Gravid Uterus Caused by Leiomyoma

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Gururaj Deshpande ◽  
Rajesh Kaul ◽  
Manjuladevi P.
Keyword(s):  
Abdominal Pain ◽  
Cesarean Section ◽  
Posterior Wall ◽  
Fetal Outcome ◽  
Gravid Uterus ◽  
Lower Segment ◽  
Fetal Bradycardia ◽  
Lower Segment Cesarean Section ◽  
Uterine Torsion ◽  
In Pregnancy

Uterine torsion during pregnancy is only sporadically reported in the literature. Here we present a case of leiomyoma causing uterine torsion in pregnancy and review the literature on etiology, diagnosis, and management. A 25-years-old primigravida with leiomyoma complicating pregnancy was admitted in our hospital with abdominal pain and uterine tenderness. She underwent emergency LSCS (lower segment cesarean section) for fetal bradycardia. Intraoperatively, the uterus was rotated 180 degrees left to right. Inadvertent incision on the posterior wall was avoided by proper delineation of anatomy. Torsion was corrected by exteriorization of leiomyoma and uterus, and lower segment cesarean was carried out safely. Prompt recognition and management of this condition is necessary for better maternal and fetal outcome.

scholarly journals Fetomaternal outcome in patients with previous one lower segment cesarean section, complications with repeat scar and trial of scar.

2019 ◽  
Vol 26 (10) ◽  
pp. 1600-1605
Author(s):  
Asma Batool ◽  
Mussarat Sultana ◽  
Saima Perveen
Keyword(s):  
Cesarean Section ◽  
Placenta Previa ◽  
Fetal Distress ◽  
Fetal Outcome ◽  
Lower Segment ◽  
Lower Segment Cesarean Section ◽  
Number Of Patients ◽  
Nicu Admission ◽  
Study Setting ◽  
Selection Of

Objectives: The aim of our study is to see the maternal and fetal outcome of pregnancies with previous one lower segment cesarean section. Study Design: Prospective study. Setting: Department of obstetrics and gynecology at DHQ Teaching Hospital Rawalpindi. Period:  1st July 2018 to 31st June 2018. Material and Methods: All pregnant women with previous one LSCS and at the gestation of more than 34 week are included after taking consent. Results: 258 patients were included. 132(51.2%) had elective LSCS, 106(41%) had emergency LSCS. 77(29.8%) patients actually took trial of scar, 20(25.9%) patients delivered vaginally. 179 (69.8%) patients had no maternal morbidity. 3(1.2%) patients had peripartum hysterectomy secondary to PPH due to placenta previa. The most common indication for emergency LSCS was fetal distress. The second commonest indication was failure to progress in first stage of labour. 248 (96.1%) of our neonates had good APGAR score(>7 at one minute).We had very low rate for NICU admission, only 10(3.9%) neonates were admitted to NICU. 4 neonates were premature, 5 neonates were admitted due to low birth weight and one with fetal hypoxia. Conclusion: Rate of repeat LSCS is increasing on maternal demand and fetal distress, by careful selection of the patients for VBAC, proper counseling and advanced facilities for monitoring of fetus, repeat LSCS rate can be decreased with associated decrease in maternal and perinatal morbidity and mortality. Comfortable environment and tender loving care during first delivery can decrease the number of patients with refused trial of labour.

scholarly journals Obstetric fracture of the femur during cesarean section in a preterm baby: A case report

2021 ◽  
Vol 2 (3) ◽  
pp. 22-24
Author(s):  
Freddy Mertens Bombah ◽  
Alphonse Ngalame ◽  
René Essomba ◽  
Yannick Ekani Boukar ◽  
Enrique Zoa Nkoa ◽  
...  
Keyword(s):  
Case Report ◽  
Cesarean Section ◽  
Femoral Fractures ◽  
Breech Presentation ◽  
Male Infant ◽  
Shaft Fracture ◽  
Long Bones ◽  
Preterm Baby ◽  
Breech Delivery ◽  
Lower Segment Cesarean Section

Introduction: Obstetric fractures or Birth fractures are rare events following childbirth. Although fracture of the femur is a relatively uncommon injury, it is the most common fracture of the lower extremity in the newborn. Since evolution of cesarean section rates in Africa, it is one of the most commonly practiced modes of delivery for breech. We described one case of fracture of the femur at cesarean section treated at Adlucem hospital in bonabéri-Douala (Cameroon). Case report: A 2.1 kg male infant was delivered by lower segment cesarean section for breech presentation. Clinical and radiological examination showed shaft fracture of femur with good evolution. Discussion: Fractures of the long bones are associated with cesarean section, breech delivery with assistance and low birth weight. Femoral fractures are the most associated long bones fracture with cesarean section. Conclusion: The clinical and paraclinical diagnosis is simple and the management is mostly non-operative. It is important to explain to the parents and especially to the mother the benignity of the lesion.

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