scholarly journals Major disruption of the pelvic ring during normal vaginal delivery: A case report

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
M van Heukelum ◽  
C Blake
1970 ◽  
Vol 6 (1) ◽  
pp. 51-52
Author(s):  
Nira Singh Shrestha ◽  
Shashi Pande ◽  
Mukunda Joshi ◽  
SM Padhye

A 32 year old, Para 2 with normal vaginal delivery presented with cyclical bleeding from a dark brown painful umbilical nodule for 6 months. The ultra sonogram showed a subcutaneous nodule at the umbilicus without any other abnormality. FNAC of the nodule diagnosed it as a case of umbilical endometriosis. A diagnostic laparosopy ruled out any associated pelvic endometriosis. Umbilectomy was done for the treatment of the condition. Keywords: Endometriosis, Umbilicus, Umbilectomy DOI: http://dx.doi.org/10.3126/njog.v6i1.5253 NJOG 2011; 6(1): 51-52


Author(s):  
Neelotparna Saikia ◽  
Sukalyan Halder ◽  
Punam Jain

Cornual ectopic pregnancy accounts for 2-4% of all the ectopic pregnancies with a mortality rate 6-7 times higher than that of the ectopics in general. It is a diagnostic and therapeutic challenge to the clinician with a significant risk of rupturing and bleeding. As of yet, the incidence of recurrent cornual ectopic pregnancies is unknown. This report described the case of a patient who developed two cornual ectopic pregnancies within a span of 3 years with an intervening full term normal vaginal delivery. The 1st cornual ectopic was successfully managed by laparoscopic resection, which was followed by an uneventful postoperative course. The following contralateral cornual ectopic was managed by laparotomy since the patient presented with large hemoperitoneum.


Author(s):  
Nasim Shokouh ◽  
Zeenat Ghanbari ◽  
Nafiseh Saedi

Uterine prolapse and cervical elongation are rare conditions that can complicate pregnancy, labor, and its management. To minimize complications, proper management of this conditionis necessary. A 26-year-old woman referred to our outpatient clinic with a lump protruding from her vagina. She was 16 weeks pregnant. Physical examination revealed uterine prolapseand cervical elongation, so to prevent the complications of the protruded cervix, a pessary was inserted. She had the pessary during the first stage of labor until the rupture of membranes(at 6 cm cervical dilatation). After removal of the pessary, although the cervix was out of introitus, the active phase of labor initiated and a normal vaginal delivery was done. Newonset prolapse during pregnancy with more probability is due to cervical elongation. During labor and delivery, this condition could be managed with conservative methods, includingpessary placement. and this condition could be managed with conservative methods including pessary placement during pregnancy and labor.


Author(s):  
Sonu Kumar ◽  
Poonam Dalal ◽  
. Neha ◽  
Ankit Singla

Myiasis is an infestation of live vertebrates (humans and/or animals) by larvae of dipterous fly. Although, it usually infects domestic and wild animals but humans may be rarely affected if they are reared in unhygienic condition. The index case is a seven-day-old male neonate born by normal vaginal delivery, who presented to the Emergency Department with complaint of passage of worms from umbilicus which do not extend to deeper tissues. On examination, periumbilical erythema was also visible along with white glistening worms. After application of turpentine oil to the umbilical stump, the worms were mechanically removed with the help of forceps. Umbilical myiasis is a very rare presentation indicating poor hygiene and a preventable condition.


2016 ◽  
Vol 22 (3) ◽  
pp. 374-377 ◽  
Author(s):  
Mehdi Salehi ◽  
Mohammad Setayesh ◽  
Roshanak Mokaberinejad

Infertility is a medical and psychosocial problem with a high prevalence. There are different treatments for this problem in Iranian traditional medicine. A 28-year-old woman presented with the complaints of 4 emergency operations of the left ovarian cyst during 4 years and infertility. Diagnostic laparoscopy showed an ovarian cyst, adhesion, and endometriosis. Hysteroscopy was unremarkable. After 2 months of letrozole administration, the ovarian cyst ruptured again. Considering the failure of conventional treatments, Iranian traditional medicine products were administered to the patient. After 3 months, the patient conceived and delivered a healthy boy through normal vaginal delivery. These compounds may help with pregnancy as a uterine tonic, vitalizer, and aphrodisiac with brain and cardiac tonic properties.


Author(s):  
Shamrao Ramji Wakode ◽  
Varsha Narayana Bhat

A 22 years old primipara presented after 1.5 years of uncomplicated normal vaginal delivery with complaints of difficulty during intercourse and inability to conceive. Examination revealed labial adhesion connecting left and right labia minora with only 5 mm pinhole opening at the posterior end. Surgical division under anaesthesia resulted in successful complete recovery.


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