Case Report: severe hemoperitoneum due to spontaneous rupture of uterine vessels during the second trimester of pregnancy

Spontaneous rupture of uterine vessels during pregnancy is a life-threatening condition though, it has a rare occurrence. This case report discusses about a 32-year-old lady at 16 weeks of gestation presented with spontaneous rupture of uterine artery and she was managed with emergency laparotomy with suturing of ruptured artery. She had delivered a healthy baby after 37 weeks of gestation by a caesarean section due to pregnancy induced hypertension at 36 weeks of gestation.

Download Full-text

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

Case Reports in Endocrinology ◽

10.1155/2011/520516 ◽

2011 ◽

Vol 2011 ◽

pp. 1-6 ◽

Cited By ~ 4

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.

Download Full-text

Spontaneous Heterotopic Pregnancy: Case Report and Literature Review

Medicina ◽

10.3390/medicina56080365 ◽

2020 ◽

Vol 56 (8) ◽

pp. 365 ◽

Cited By ~ 1

Author(s):

Miglė Černiauskaitė ◽

Brigita Vaigauskaitė ◽

Diana Ramašauskaitė ◽

Mindaugas Šilkūnas

Keyword(s):

Emergency Department ◽

Case Report ◽

Laboratory Tests ◽

Heterotopic Pregnancy ◽

Fallopian Tubes ◽

Lower Abdomen ◽

Healthy Baby ◽

Extrauterine Pregnancy ◽

Threatening Condition ◽

Life Threatening

Heterotopic pregnancy is defined as a condition when intrauterine and extrauterine pregnancy occur simultaneously. It is a life-threatening condition that requires immediate and accurate diagnostics and treatment. We present a case of a 28-year-old primigravida female who conceived spontaneously and at her seventh week of gestation and was presented to the emergency department with weakness and acute pain in lower abdomen. Laboratory tests and transvaginal ultrasonography revealed the diagnosis of heterotopic pregnancy. Urgent laparoscopic salpingotomy was chosen as a treatment option. The ectopic pregnancy was successfully removed with the preservation of the intrauterine embryo and fallopian tubes. The course of pregnancy after the surgery was without complications, and a healthy baby was delivered at the 39th week of gestation. When treated properly and on time, a heterotopic pregnancy can result in live childbirth with favorable outcomes for both the child and the mother.

Download Full-text

Second Trimester Heterotopic Triplet Pregnancy with Intrauterine Twin Pregnancy and Ruptured Interstitial Pregnancy: A Maternal Near-Miss Case Report

Case Reports in Obstetrics and Gynecology ◽

10.1155/2020/5240848 ◽

2020 ◽

Vol 2020 ◽

pp. 1-3

Author(s):

Charles Nkurunziza ◽

Theogene Rurangwa ◽

Vincent Ngendahimana ◽

Urania Magriples

Keyword(s):

Case Report ◽

Ectopic Pregnancy ◽

Twin Pregnancy ◽

Near Miss ◽

Second Trimester ◽

Triplet Pregnancy ◽

Interstitial Pregnancy ◽

Threatening Condition ◽

Life Threatening ◽

Twin Pregnancies

Heterotopic pregnancy is defined as the occurrence of simultaneous intrauterine and extrauterine pregnancies. It is a rare, potentially life-threatening condition and infrequent in natural conceptions. Here, we report a case of spontaneous heterotopic triplet pregnancy with ruptured cornual ectopic pregnancy and simultaneous twin intrauterine pregnancies at 18 weeks of gestation. The event led to miscarriage of all fetuses from both the ectopic and the intrauterine twin pregnancies.

Download Full-text

Second Trimester Cervical Ectopic Pregnancy and Hemorrhage: A Case Report and Review of the Literature

Case Reports in Obstetrics and Gynecology ◽

10.1155/2018/3860274 ◽

2018 ◽

Vol 2018 ◽

pp. 1-3

Author(s):

Jessian L. Munoz ◽

Amanda Kalan ◽

Katherine Singh

Keyword(s):

United States ◽

Case Report ◽

The United States ◽

Management Approach ◽

Second Trimester ◽

Rare Occurrence ◽

Review Of The Literature ◽

Life Threatening ◽

Ectopic Pregnancies ◽

Cervical Ectopic Pregnancy

Cervical ectopic pregnancies are a rare occurrence in the United States. Here we present the interdisciplinary and conservative management approach to a cervical ectopic at an advanced gestational age. In addition, we review the surgical management of hemorrhage from cervical ectopic pregnancies, which is often catastrophic and life-threatening.

Download Full-text

Brain abscess due to Aggregatibacter aphrophilus and Bacteroides uniformis

Acta Medica Academica ◽

10.5644/ama2006-124.144 ◽

2015 ◽

Vol 44 (2) ◽

pp. 181

Author(s):

Maja Bogdan ◽

Vlasta Zujić Atalić ◽

Ivan Hećimović ◽

Dubravka Vuković

Keyword(s):

Magnetic Resonance Imaging ◽

Case Report ◽

Surgical Treatment ◽

Brain Abscess ◽

Neurological Deficit ◽

Resonance Imaging ◽

Aggregatibacter Aphrophilus ◽

Threatening Condition ◽

Life Threatening ◽

The Brain

Objective. The aim of this report was to describe the occurrence of a bacterial brain abscess in a healthy individual, without any predisposing condition. Case report. A thirteen-year old boy was admitted to the Department of Neurosurgery after the onset of vomiting, headache and dizziness. A neurological deficit was detected during the physical examination so urgent magnetic resonance imaging of the brain was performed, revealing an intrahemispheric, right positioned solitary expansive mass with ring enhancement. Purulent material was obtained during osteoplastic craniotomy with total extirpation of the brain abscess. Aggregatibacter aphrophilus and Bacteroides uniformis were isolated. The patient’s general condition improved and the neurological deficit subsided as a result of the prompt recognition and treatment of this life threatening condition. Conclusion. To achieve a favourable clinical outcome, prompt recognition and surgical treatment of a brain abscess are of primary importance,followed by administration of appropriate antimicrobial therapy. To our best knowledge, this is the first report of this combination of microorganisms as the cause of a brain abscess.

Download Full-text

Recurrent ipsilateral ectopic pregnancy after partial salpingectomy: case-report

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20182908 ◽

2018 ◽

Vol 7 (7) ◽

pp. 2930

Author(s):

Tanjona Andriamanetsiarivo Ratsiatosika ◽

Romuald Randriamahavonjy ◽

Baco Abdallah Abasse ◽

Mahefarisoa Fnat ◽

Ibrahim Housni ◽

...

Keyword(s):

Case Report ◽

Surgical Treatment ◽

Ectopic Pregnancy ◽

Fallopian Tube ◽

Vaginal Bleeding ◽

Postoperative Recovery ◽

Common Site ◽

Threatening Condition ◽

Life Threatening ◽

Bilateral Salpingectomy

Ectopic pregnancy is a life-threatening condition occurring in 1-2% of all pregnancies. The most common site of implantation for an ectopic pregnancy is the fallopian tube. Authors report a case of recurrent ipsilateral ectopic pregnancy following right partial salpingectomy of a 29-Year-Old woman that led to tubal rupture. The pregnancy was conceived spontaneously. Diagnostic of ruptured ectopic pregnancy was done after clinical and ultrasonography examination. The presence of a massive hemoperitoneum with a positive pregnancy urinary test that lead us to the diagnosis of ectopic pregnancy. She underwent a laparotomy for a suspicion of ruptured ectopic pregnancy. The ectopic pregnancy was identified in the left remnant fallopian tube. Partial salpingectomy, removal of tubal stump, and resection of the uterine cornua, was performed. The postoperative recovery was uneventful. She has stayed for five days at the Hospital. All patients, even though they have already received a definitive contraception by tubal section and ligature or unilateral or by bilateral salpingectomy for any reason, must seek an ectopic pregnancy in case of pelvic pain, vaginal bleeding and/ or amenorrhea. Authors propose to carry a total salpingectomy after a chosen surgical treatment.

Download Full-text

Incidental amniocele in a case of antepartum haemorrhage

South African Journal of Radiology ◽

10.4102/sajr.v24i1.1817 ◽

2020 ◽

Vol 24 (1) ◽

Author(s):

Sheree C. Gray ◽

Jacobus A. Pienaar ◽

Zelia Sofianos ◽

Jacob Varghese ◽

Ilonka Warnich

Keyword(s):

Case Report ◽

Early Identification ◽

Uterine Rupture ◽

Placenta Previa ◽

Morbidity And Mortality ◽

Severe Morbidity ◽

Antepartum Haemorrhage ◽

Threatening Condition ◽

Life Threatening

An amniocele, or contained uterine rupture, is a phenomenon in which there is herniation of the amniotic sac through a uterine defect, secondary to various causes. It is associated with severe morbidity and mortality. This case presents the findings in a 36-year-old female at 29 weeks gestation who was initially managed as antepartum haemorrhage secondary to placenta previa, based on ultrasound. Upon further imaging, an amniocele was diagnosed. This case report illustrates the importance of early identification of this life-threatening condition.

Download Full-text

Mixed‐type primary germ cell tumor of the mediastinum in a young adult male with a sudden life threatening condition: A case report

Thoracic Cancer ◽

10.1111/1759-7714.13231 ◽

2019 ◽

Vol 11 (1) ◽

pp. 166-169

Author(s):

Tadashi Sakane ◽

Katsuhiro Okuda ◽

Takayuki Murase ◽

Takuya Watanabe ◽

Risa Oda ◽

...

Keyword(s):

Case Report ◽

Young Adult ◽

Germ Cell ◽

Germ Cell Tumor ◽

Adult Male ◽

Mixed Type ◽

Cell Tumor ◽

Young Adult Male ◽

Threatening Condition ◽

Life Threatening

Download Full-text

Midgut volvulus secondary to congenital malrotation in pregnancy

BMJ Case Reports ◽

10.1136/bcr-2020-234664 ◽

2020 ◽

Vol 13 (5) ◽

pp. e234664 ◽

Cited By ~ 1

Author(s):

Eelyn Chong ◽

David S Liu ◽

Vishnupriya Rajagopal ◽

Neil Strugnell

Keyword(s):

Perinatal Outcomes ◽

First Trimester ◽

Small Bowel Resection ◽

Emergency Laparotomy ◽

Midgut Volvulus ◽

Threatening Condition ◽

Life Threatening ◽

Uncommon Condition ◽

Adverse Perinatal Outcomes ◽

In Pregnancy

Midgut volvulus complicating congenital malrotation is a rare but life-threatening condition that can occur in pregnancy. We present a case of intestinal infarction resulting from midgut volvulus in a healthy 32-week pregnant woman who underwent emergency laparotomy and small bowel resection in the setting of fetal death in utero. This case highlights several challenging issues in diagnosing and managing this uncommon condition which leads to increased adverse perinatal outcomes. Prompt investigation and definitive surgical treatment are required when pregnant women present with bilious vomiting and new-onset abdominal or back pain especially beyond the first trimester.

Download Full-text