Further Experience With Intragastric Oxygen Measurement to Diagnose H-Type Tracheoesophageal Fistula

PEDIATRICS ◽  
1979 ◽  
Vol 63 (4) ◽  
pp. 668-669
Author(s):  
William F. Powers
Keyword(s):  
Cesarean Section ◽  
Oxygen Concentration ◽  
Black Woman ◽  
Tracheoesophageal Fistula ◽  
Case Reports ◽  
Second Trimester ◽  
Oxygen Measurement ◽  
Repeat Cesarean Section

In their report on the measurement of elevated intragastric oxygen concentration to detect H-type tracheoesophageal fistula (TEF), Korones and Evans1 mention that they waited two years before reporting their experience in hopes of finding additional cases. We have recently encountered two cases of H-type TEF in which the intragastric oxygen test proved helpful in confirming the diagnosis. CASE REPORTS Case 1 A 1,925-gm girl was born by repeat cesarean section on December 10, 1977, to a 27-year-old gravida 4, para 4 black woman after 34 weeks' gestation. The mother had had a bloody discharge in the second trimester. Membranes ruptured 17 hours before delivery.

STUDIES OF CARBOHYDRATE METABOLISM IN THE NEWBORN INFANT

PEDIATRICS ◽  
1962 ◽  
Vol 30 (5) ◽  
pp. 769-775
Author(s):  
William Oh ◽  
Gloria S. Baens ◽  
Claude J. Migeon ◽  
Susan H. Wybregt ◽  
Marvin Cornblath
Keyword(s):  
Cesarean Section ◽  
Carbohydrate Metabolism ◽  
Newborn Infant ◽  
Repeat Cesarean Section ◽  
Elective Repeat Cesarean

Cortisol administered to the mother prior to elective repeat cesarean section resulted in an increased level of this hormone in both the mother and the infant's blood at the time of delivery. Cortisol given either to the mother prior to delivery or to the infant directly augmented the infant's hyperglycemic response to 30 µg/kg of glucagon. Some implications of these findings are discussed.

scholarly journals A close call: does the location of incision at cesarean delivery matter in patients with vasa previa? A case report.

F1000Research ◽  
2013 ◽  
Vol 2 ◽  
pp. 267 ◽  
Author(s):  
Werner M Neuhausser ◽  
Laxmi V Baxi
Keyword(s):  
Case Report ◽  
Cesarean Section ◽  
Post Partum ◽  
Elective Cesarean Section ◽  
Second Trimester ◽  
Uterine Incision ◽  
Vasa Previa ◽  
Close Call ◽  
Elective Cesarean ◽  
Utmost Care

We present here a case of vasa previa in a multipara, diagnosed at the time of her late second trimester ultrasonogram. The patient subsequently underwent an elective cesarean section after 37 weeks gestation, giving birth to a healthy child with an uneventful post-partum, neonatal and infant course. At the time of cesarean section, the incision was gradually deepened in layers through the myometrium by utmost care allowing the amniotic sac to protrude through the uterine incision hereby avoiding laceration of the vasa previa and its branches. Fetal exsanguination and a need for blood transfusion as well as a possible adverse neonatal course were therefore avoided.

Angiolymphoid Hyperplasia With Eosinophilia Associated With Pregnancy: A Case Report and Review of the Literature

2005 ◽  
Vol 129 (9) ◽  
pp. 1168-1171 ◽  
Author(s):  
Neda Zarrin-Khameh ◽  
James E. Spoden ◽  
Ruc M. Tran
Keyword(s):  
Case Reports ◽  
Inflammatory Cells ◽  
Germinal Centers ◽  
Second Trimester ◽  
Review Of The Literature ◽  
Lymphoid Follicles ◽  
Oral Contraceptive Pills ◽  
Angiolymphoid Hyperplasia With Eosinophilia ◽  
Angiolymphoid Hyperplasia ◽  
Contraceptive Pills

Abstract A case of angiolymphoid hyperplasia with eosinophilia (ALH) is reported in a 33-year-old woman who developed an auricular nodule during the second trimester of her pregnancy. Angiolymphoid hyperplasia with eosinophilia usually occurs on the head and neck of young adults and is more common in women than in men. Characteristic histologic features of ALH present in this case included proliferation of thick-walled blood vessels lined by prominent endothelial cells, infiltration of the interstitium by chronic inflammatory cells (mainly eosinophils), and presence of lymphoid follicles with germinal centers. The auricular tumor was completely excised. Thirteen months after excision, the patient remains tumor free. Although there are not many case reports on ALH during pregnancy or involving use of oral contraceptive pills, sex hormones may play a role in the pathogenesis of ALH. This hypothesis, in the context of cases previously described in the literature, and the differential diagnosis of ALH are discussed.

scholarly journals Anesthetic Management and Perioperative Events of Peripartum Cardiomyopathy during Cesarean Delivery a Series of Five Cases

2018 ◽  
Vol 03 (02/03) ◽  
pp. 198-203
Author(s):  
Sree Rama Mellacheruvu ◽  
Kousalya Chakravarthy ◽  
Khaliq Ahmed
Keyword(s):  
Cesarean Section ◽  
General Anesthesia ◽  
Case Reports ◽  
Anesthetic Management ◽  
Rare Condition ◽  
Late Pregnancy ◽  
Postoperative Management ◽  
Peripartum Cardiomyopathy ◽  
Morbidity And Mortality ◽  
High Morbidity

AbstractPeripartum cardiomyopathy (PPCM) is a rare idiopathic cardiomyopathy having an incidence of less than 0.1%. PPCM is associated with high morbidity and mortality rates ranging from 5 to 32%. In this review, the authors report a series of five PPCM cases. The case reports included pregnant women with PPCM, admitted in the hospital from October 1, 2017 to June 1, 2018 over a period of 9 months who required cesarean section. The authors aim to discuss the presentation, optimization, anesthetic management, and postoperative care of this rare condition. One of the cases was a booked case. The remaining four pregnant patients were referred in late pregnancy with features of congestive cardiac failure. One patient was in acute pulmonary edema, required intubation, and subsequently had cesarean section under general anesthesia. Four patients were managed with incremental epidural anesthesia. The need for proper preoperative optimization and intra- and postoperative management was discussed. The authors had one maternal mortality in our series. There was no neonatal mortality. Early diagnosis of PPCM, prompt treatment of heart failure, planning the delivery, and postpartum care can decrease maternal morbidity and mortality. Incremental epidural dosing can be used for cesarean section and has the advantage of stable hemodynamic status without the risks associated with general anesthesia.

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