scholarly journals A Case of Type 2 Youssef’s Syndrome following Caesarean Section for Placenta Previa Totalis

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Sefa Kurt ◽  
Funda Obuz

Vesicouterine fistula is a rare type of urogenital fistulas. It is most commonly observed after cesarean section (C/S) due to iatrogenic reasons. In this article, a case of a vesicouterine fistula which developed after C/S operation is presented. This was the patient’s second C/S and this time placenta previa totalis was the primary pathology. Since it is a rare complication, we found it interesting, and, in this article, this clinical problem was discussed with details about diagnosis and treatment in light of the literature.

2021 ◽  
pp. 7-8
Author(s):  
Kumari Nisha ◽  
Renu Jha ◽  
Kumudini Jha ◽  
Debarshi Jana

Background: Caesarean section is the most commonly performed major surgery among women. The aims and objective of this study was to know the incidence of primary Caesarean section in multigravidas, its indications and to know the maternal and foetal outcome among these patients. Methodology: This was an observational study conducted at Department of Obstetrics and Gynaecology of Darbhanga Medical College and Hospital, Laheriasarai, Bihar. Aim of the study was to study the indication, maternal and fetal outcome in primary cesarean in multiparous women. All multiparous women admitted for delivery were included in the study Results: The total number of deliveries were 3064 and cesarean section were 1026 (33%).The total number of primary cesarean section in multiparous women were 84 constituting 2.7%. In this study, majority of women were Gravida 2. 91.6% of the cases were underwent emergency cesarean section and anesthesia was spinal. Majority of patients were between age group of 22 to 27 yrs (70%). Indications for cesarean section in our study were severe oligohydroamnios (22%), fetal distress (15.4%), and breech presentation (14%), premature rupture of membrane (12%).Intra operative ndings were meconium stained liquor, post partum hemorrhage, thinned out lower segment and extension of incision. Out of 84 cases, 48 cases needed intra operative or immediate post operative blood transfusion. The post operative morbidity was present in 6 cases i.e paralytic ileus, puerperal fever, urinary tract infection and wound gaping. Majority of babies, weighed in the range of 2-3kgs (55%).Out of 84 cases 7 were causes were placenta previa, obstructed labor and fetal distress. Conclusion: Many unforeseen complications occur in women who previously had a normal vaginal delivery. It is recommended that all antenatal patients must be booked and receive proper and regular antenatal care. Also 100% deliveries in multigravida should be institutional deliveries in order to reduce maternal and perinatal morbidity and mortality.


1988 ◽  
Vol 139 (1) ◽  
pp. 123-125 ◽  
Author(s):  
Z. Lenkovsky ◽  
D. Pode ◽  
A. Shapiro ◽  
M. Caine

1970 ◽  
Vol 9 (3) ◽  
pp. 179-183
Author(s):  
S Chhetri ◽  
U Singh

Background: There has been a sustained increase in the rate of caesarean section in the last few years around the world. Data regarding the current caesarean rate and the trends of its indications in eastern Nepal have not been estimated earlier. Aim: To assess the rate of caesarean sections and the varying indications for caesarean section in a tertiary referral center in eastern Nepal. Methods: All hospital deliveries that took place in BPKIHS between January 2006 and December 2007 were recorded to assess the caesarean section rate and its indications. Results: A total of 5330 deliveries were conducted in 2006. Likewise the total number of deliveries conducted in 2007 was 6634. In 2006 caesarean sections were performed in 28.6% (1524) of all patients. The rate of caesarean sections in 2007 increased and was 33.7% (2239). The most common indication for caesarean section was meconiumstained liquor, which constituted 23.4% (883). The next frequent indication was previous caesarean section, which accounted for 17.2% (650), followed by breech presentation in 11.1% (417), fetal distress in 9.6% (364), non-progress of labor in 7.2% (270), cephalopelvic disproportion in 6.2% (234, and placenta previa in 4.4% (165). Conclusions: There is a increasing trend of performing cesarean section in the tertiary referral center in east era Nepal. The most common indication for cesarean section is meconium-stained liquor. Keywords: Caesarean section; caesarean delivery rates; Nepal DOI: http://dx.doi.org/10.3126/hren.v9i3.5587   HR 2011; 9(3): 179-183


Author(s):  
Prakash Kumar Nath ◽  
Mamata Samal ◽  
Chintamani Mohanta ◽  
Sanjaya Mahapatra

ABSTRACT Vesicouterine fistula (Youssef's syndrome), a rare complication of cesarean section is presented. A 35-year-old female had vesicouterine fistula with symptoms of apparent amenorrhea, cyclic hematuria and meconuria following cesarean section. The patient was treated by abdominal hysterectomy and the fistula tract was repaired. How to cite this article Nath PK, Samal M, Pradhan K, Mohanta C, Mahapatra S. Youssef's Syndrome. J South Asian Feder Menopause Soc 2014;2(2):113-114.


2018 ◽  
Vol 25 ◽  
pp. 87-89
Author(s):  
M Durrul Huda ◽  
M Hafizur Rahman ◽  
Shermin Selina Sultana ◽  
M Kabiruzzaman Shah ◽  
M Mohibul Hasan ◽  
...  

A uterocutaneous fistula is a rare clinical presentation that occurs following Cesarean section and other pelvic operations. We report a case of Uterocutaneous fistula which was formed following lower segment caesarean section. USG was helpful in the diagnosis and was treated successfully with fistulectomy and repair of uterine wall. The case highlights the rare complication in caesarean section and diagnosis with USG and experience with its management.TAJ 2012; 25: 87-89


Author(s):  
M S Prabhu

Spinal segmental myoclonus is a rare type of myoclonic disorder that may occur during spinal anaesthesia. A few cases of spinal myoclonus have been reported after administration of intrathecal bupivacaine. The exact cause and pathophysiology of spinal myoclonus is unknown. We report a case of a 28-year-old female who underwent caesarean section under spinal anaesthesia with 0.5% hyperbaric bupivacaine. Myoclonic movements appeared in the early postoperative period in the left lower limb. The myoclonus was acute and transient. The patient recovered completely without any neurological complications. After ruling out all the possible causes, spinal myoclonus diagnosis was made, and the patient was discharged on the 3rd postoperative day. Keywords: Spinal anaesthesia, Spinal myoclonus, Myoclonus


2020 ◽  
pp. 66-67
Author(s):  
Surya Subhashi Tadala ◽  
Valsa Diana. G

• Small bowel obstruction, is a rare complication following cesarean section, due to herniation of bowel through the rectus sheath. • This is a case of uncomplicated primary cesarean section. The incidence of small bowel obstruction after caesarean section is very low. • In a population-based cohort study, the risk of small bowel obstruction among women with a cesarean delivery was 16.3/10,000 person-years versus 6.4/10,000 person-years in women without caesarean delivery (odds ratio [OR] 2.54, 95% CI 2.15-3.00); and an increasing number of cesarean deliveries was associated with an increasing risk of small bowel obstruction (OR 1.61, 95% CI 1.46-1.78, per additional cesarean delivery)(1).


2013 ◽  
Vol 20 (06) ◽  
pp. 916-923
Author(s):  
NAZIA MUSSARAT ◽  
SAIMA QURASHI ◽  
MAHNAZ ROOHI

Introduction: Caesarean section is one of the commonly performed surgical procedures in obstetric and is certainly one ofthe oldest operations in surgery. Recently there has been a dramatic rise in the caesarean section rate world wide especially in thedeveloped countries. As primary caesarean deliveries contributed most to the overall caesarean section rate (CSR). So this is clear thatprimary caesarean section is an important target for reduction because it leads to an increased risk for repeat caesarean delivery.Objectives: To have an overview of fetomaternal indications for LSCS at a teaching hospital And to review intra-operative and postoperativecomplications of LSCS at tertiary care centre. Material And Methods: All caesarean sections performed at Obstetrics andGynecology Unit Independent University Hospital Faisalabad from January 2009 to December 2010 were reviewed. Information wasobtained from operation theater and labor ward records. Results: During the study period 100 patients undergone caesarean section. Outof 100 patients, 58(58%) had emergency and 42(42%) had elective caesarean section. The leading maternal indications were previouscaesarean section 34 (34%), severe pre- eclampsia 6(6%),post date& failed induction of labor6 (6%), placenta previa 6(6%), and failureof progression of labor 5(5%), PROM3(3%), Pre-PROM3(3%)and cephalopelvic disproportion2 (2%).Major fetal indications include fetaldistress9 (9%), malpresentation 6(6%), cord prolapse 3(3%),IUGR 5(5%) and pregnancy complicated by multiple fetuses 7 (7%). Intraoperativesurgical and anesthetic complications were observed in very few patients. Nine babies had perinatal deaths in this study, 8belonged to emergency and only one baby died in elective group due to aspiration pneumonia. Conclusions: Majority of cesarean sectionare done in emergency situations and previous CS is the most frequent indication of cesarean section. The most effective mean to controlCS is the prevention of first caesarean section which could be achieved by adopting the policy of trial of vaginal birth after previous Csection,selective vaginal breech delivery and regular audit of C-section as well as early detection of at risk cases and proper referral intime is the key factor in decreasing the cesarean section rate and complications.


Author(s):  
Namrita Sandhu ◽  
Sanjay Singh

Post-operative ascites following caesarean section is rarely reported in pregnancy. Ascites has multiple etiologies including malignancies, liver cirrhosis, intraperitoneal infections and trauma. Authors report a case of post-operative ascites following caesarean section performed at around 37 weeks of gestation. The patient was normotensive. The diagnosis and treatment of ascites as well as the pregnancy outcome is presented. Literature review of ascites in pregnancy is discussed as well. This case was that of an idiopathic ascites with no definitive cause. An allergic or inflammatory peritoneal reaction may be the most likely cause for this complication.


Author(s):  
Djabbarova Yulduz Kasimovna ◽  
Babazhanova Sh D ◽  
Lyubchich AS

In recent years, in practical obstetrics, placental adherence into the myometrium, diagnosed after the birth of the fetus during caesarean section or in the 3rd period of labor, has become increasingly common. It causes massive bleeding, hysterectomy and maternal mortality. Purpose: To assess the outcome of childbirth with organ-preserving technology in cases of placenta accreta. Material and methods: 56 women in placenta accreta were observed and delivered for 2016-2018. 49 women delivered by Cesarean section and 7 women gave vaginal delivery. Two methods were used to preserve the uterus during placenta accreta: the first method -35 women who have laparotomy, a cesarean section with a section on the uterus above the scar and above the edge of the placenta, ligation of the uterine arteries, excision of the incremental area and metroplasty, imposition of compression sutures on the uterus. The second method -7 women after vaginal delivery left the whole or part of the placenta in the uterus - placenta in situ. The risk of placenta accreta was placenta previa, scar on the uterus, abortions in anamnesis, over 30 years of age third or more births. Results and discussion: From 35 pregnant women who underwent an organ-preserving procedure for caesarean section, 33 (94,3%) women managed to preserve the uterus, the remaining 2 (5,7%) women underwent hysterectomy Of 7 cases of placenta in situ, in 2 (28,6%) cases a hysterectomy was performed и. and uterus was preserved in 5 (71.4%) women. Conclusions: The effectiveness of improved organ-preserving technology to preserve the reproductive function of women with placenta accreta is high. In the group with the organ-preserving method with placenta, the volume of blood loss, the volume of transfusion of blood components is much lower than in the hysterectomy group.


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