scholarly journals Acute pancreatitis with eclampsia-preeclampsia syndrome and poor maternal outcome: two case reports and review of literature

2015 ◽  
Vol 8 (3) ◽  
pp. 146-148 ◽  
Author(s):  
Shalini Gainder ◽  
Parul Arora ◽  
SC Saha ◽  
Lileswar Kaman
Keyword(s):  
Acute Pancreatitis ◽  
Maternal Mortality ◽  
Case Reports ◽  
Maternal Outcome ◽  
Multidisciplinary Management ◽  
Rare Entity ◽  
Review Of Literature ◽  
In Pregnancy

Acute pancreatitis in pregnancy is a rare entity and has been reported to be associated with preeclampsia in the literature. Fulminant pancreatitis may have a guarded prognosis despite intensive multidisciplinary management. Two cases of maternal mortality in women with acute pancreatitis noted in the setting of preeclampsia-eclampsia syndrome are reported here.

scholarly journals Evaluation of maternal and fetal outcome in pregnancies complicated by jaundice-an observational study

2021 ◽  
Author(s):  
Ruchi Kishore ◽  
Neha Thakur ◽  
Mitali Tuwani
Keyword(s):  
Mortality Rate ◽  
Observational Study ◽  
Maternal Mortality ◽  
Viral Hepatitis ◽  
Hellp Syndrome ◽  
Fetal Outcome ◽  
Maternal Outcome ◽  
Fetal Mortality ◽  
Maternal Mortality Rate ◽  
In Pregnancy

Background: The spectrum of jaundice in pregnancy varies from a benign condition with good maternal and fetal outcome to a severe form resulting in liver failure and maternal and fetal mortality. Jaundice may complicate 3-5% of pregnancies. Present study was aimed to analyze the cause, course and impact of jaundice during pregnancy so as to have better understanding and hence better feto-maternal outcome. The present study aimed to analyze the various causes of hepatic dysfunction in pregnancy, maternal and fetal outcome in pregnancies complicated by jaundice and various hematological and liver function variables for predicting maternal and fetal outcome.Methods: The present study was an observational study conducted in the department of obstetrics and gynecology, Pt. JNM medical college and associated Dr. BRAM hospital, Raipur (CG) over period of 2 year from September 2018 to September 2020.Results: Total 0.72% pregnancies were complicated by jaundice. HELLP syndrome was the commonest cause of jaundice in pregnancy (36.7%), followed by viral hepatitis (32.7%). Hepatitis E was the most common type of viral hepatitis (91.8%). Hemolytic jaundice presented with best maternal outcome (maternal mortality rate 8.6%). Worst maternal outcome was seen in AFLP (maternal mortality rate 100%). Best fetal outcome was seen in viral hepatitis (live birth rate 67.6%), whereas worst noted with AFLP (fetal death rate 66.6%). Higher total serum bilirubin, higher serum AST, anemia and deranged INR had significant correlation with maternal mortality.Conclusions: HELLP syndrome and viral hepatitis are preventable causes of jaundice yet it contributed to significant proportion of maternal deaths in 26.5 and 18.5% cases respectively. AFLP is often under diagnosed and had a fulminant course in pregnancy causing maternal and fetal mortality.

scholarly journals Symptomatic Thoracic Intramedullary Arachnoid Cyst: “A Rare Entity” Report of Two Cases with Short Review of Literature

2019 ◽  
Vol 10 (02) ◽  
pp. 306-311 ◽  
Author(s):  
Naresh Panwar ◽  
Devendra Kumar Purohit ◽  
Somnath Sharma ◽  
Sanjeev Chopra
Keyword(s):  
Arachnoid Cyst ◽  
Case Reports ◽  
Adult Population ◽  
Short Review ◽  
Arachnoid Cysts ◽  
Rare Entity ◽  
Review Of Literature ◽  
Benign Lesions ◽  
Clinicopathological Profile ◽  
Compressive Myelopathy

ABSTRACTSpinal arachnoid cysts are uncommon benign lesions of spine axis and most commonly present as compressive myelopathy. Intramedullary arachnoid cyst is uncommonly seen, hence, not much discussed in literature. Due to rarity of this entity, many questions are yet to be answered and should be addressed properly, particularly related to etiopathogenesis, accustomed course, behavior, differential diagnosis, and the best treatment modality. We report the clinicopathological profile of thoracic intramedullary arachnoid cysts in two adult patients, and present a detailed review of available literature on the spinal intramedullary arachnoid cyst. Most of the literature concerning with intramedullary arachnoid cysts are in the form of case reports from pediatrics population. As far to the best of our knowledge, only a few cases excluding our two were found in both pediatrics and adult population.

scholarly journals Study of heart disease in pregnancy and its effect on maternal outcome

2019 ◽  
Vol 8 (8) ◽  
pp. 3031
Author(s):  
Nitin Kumar Jain ◽  
Shabana Sultan
Keyword(s):  
Heart Disease ◽  
Maternal Mortality ◽  
Heart Diseases ◽  
Functional Class ◽  
Maternal Outcome ◽  
Class Iii ◽  
Nyha Functional Class ◽  
Number Of Patients ◽  
Heart Disease In Pregnancy ◽  
In Pregnancy

Background: Heart diseases in pregnant women and has higher incidence of maternal mortality and morbidity and is regarded as risk factor for unfavourable outcome of pregnancy both for the mother and the foetus. Heart disease in pregnancy was found to be second indirect cause contributing to maternal mortality in India.Methods: This study is a hospital based prospective analytical study carried out in the Department of Obstetrics and Gynaecology, Sultania Zanana Hospital, Gandhi Medical College, Bhopal over a period of 1 year from 1st March 2017 to 28th February 2018. Patients were evaluated clinically by both obstetrician and cardiologist and followed all through their hospital stay till discharge.Results: Total 51 cases of heart disease were found during the study period. Incidence of heart disease in our study during study period was found 0.25%. Most patients were unbooked 33(64.71%) and maximum number of patients belonged to NYHA functional class II 24 (47.06%), RHD cases were 4 times more common than CHD. 24 (47.06%) patients had undergone surgical intervention for heart disease. Congestive cardiac failure was most common complication seen. Three maternal deaths were seen. All cases belonged to NYHA functional class III. All 3 cases were unbooked presented first time in labor.Conclusions: We found that pregnancy outcome was good in booked cases with regular checkup by obstetrician and cardiologist, surgically corrected cases and those with NYHA functional class I and II. Hence, joint management by obstetrician, cardiologist, and anesthetist is required to ensure better maternal outcome.

scholarly journals Acute Pancreatitis in COVID-19 Patients: Two Case Reports and Review of Literature

2020 ◽  
Vol 2 (6) ◽  
pp. 165-168
Author(s):  
Sreenivas Reddy Madhurantakam ◽  
Padmakumar V Arayamparambil ◽  
Garud Suresh Chandan ◽  
Pooja Prathapan Sarada
Keyword(s):  
Acute Pancreatitis ◽  
Case Reports ◽  
Review Of Literature

scholarly journals ACUTE PANCREATITIS IN PREGNANCY

2012 ◽  
Vol 19 (05) ◽  
pp. 747-750
Author(s):  
SHAMA CHAUDHRY ◽  
RUBINA HUSSAIN
Keyword(s):  
Acute Pancreatitis ◽  
Caesarean Section ◽  
Maternal Mortality ◽  
Dermoid Cyst ◽  
Conservative Management ◽  
Epigastric Pain ◽  
Fetal Loss ◽  
Pedal Edema ◽  
Severe Epigastric Pain ◽  
In Pregnancy

Acute pancreatitis during pregnancy is rarely encountered and can have a high maternal mortality and fetal loss. We report herea case of a 35-year-old woman para 1+0 previous 1LSCS at 32 weeks of gestation. She had laparotomy at 29 weeks of gestation due to torsionof dermoid cyst in this pregnancy. Now she was presented with, severe epigastric pain, vomiting and pedal edema. Investigation revealedhyperamylasemia and leukocytosis, hypokalemia, hypocalcaemia. The patient was kept on conservative management, antibiotics, analgesics& intravenous fluids.Pancreatitis resolved & she delivered at 38 weeks by caesarean section.

scholarly journals Type VI choledochal cyst: a rare entity case report and review of literature

2017 ◽  
Vol 4 (3) ◽  
pp. 1129
Author(s):  
Digvijoy Sharma ◽  
Nagari Bheerappa ◽  
Venu Madhav Thumma ◽  
Suryaram Varma G. ◽  
Kunduru Navakishore
Keyword(s):  
Case Report ◽  
Choledochal Cyst ◽  
Single Case ◽  
Case Reports ◽  
Rare Entity ◽  
Rare Occurrence ◽  
Review Of Literature ◽  
Choledochal Cysts ◽  
Cystic Dilatation ◽  
Cyst Excision

Choledochal cysts (CDC) are cystic dilatations of the biliary system, which are usually found in children and uncommon in adults, and type VI choledochal cyst which is isolated cystic dilatation of the cystic duct is a very rare occurrence and only single case reports are documented in the literature. We have reported a case of a young girl who was diagnosed as having Type VI CDC on pre-operative MRCP and found to have the same intraoperatively. She was treated with a simple cholecystectomy with cyst excision.

scholarly journals Pulmonary Embolism Associated with Hyperemesis Gravidarum Two Case Reports

2017 ◽  
Vol 23 (3) ◽  
pp. 169 ◽  
Author(s):  
Bekir Keskinkılıç ◽  
Dilek Uygur ◽  
Ayşe Özcan ◽  
Yaprak Engin Üstün ◽  
Hüseyin Levent Keskin ◽  
...  
Keyword(s):  
Risk Factors ◽  
Pulmonary Embolism ◽  
Pregnant Woman ◽  
Literature Review ◽  
Maternal Mortality ◽  
Clinical Evidence ◽  
Hyperemesis Gravidarum ◽  
Case Reports ◽  
Changes In Pregnancy ◽  
In Pregnancy

Pulmonary embolism is a major cause of death during pregnancy or the puerperium. The hemostatic changes in pregnancy creates a prothrombotic milieu. Hyperemesis gravidarum  is one of the recognised risk factors for venous tromboembolism.Two cases of maternal mortality were attributed to  PE associated with severe hyperemesis gravidarum in 2014 in Turkey. These two cases have been reported and discussed in the literature review. We aimed to alert clinicians that thromboprophylaxis should be considered when a pregnant woman suffers vomiting leading to clinical evidence of dehydration.

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