scholarly journals A case of an ectopic pregnancy. Gluttony. Recovery

2020 ◽  
Vol 7 (4) ◽  
pp. 355-356
Author(s):  
A. Hermonius
Keyword(s):  
Ectopic Pregnancy ◽  
Lower Abdomen ◽  
Fetal Head ◽  
Abdominal Tumor ◽  
Pregnant Uterus ◽  
Posterior Fornix ◽  
The Right ◽  
Short Time ◽  
Small Parts

The patient, 32 years old, came to the author at the end of May with suspicion of some abdominal tumor. She has been married for 6 years, was not pregnant. Since the end of last year, she began to suffer from bleeding and pain in the lower abdomen. On examination, the patient turned out to be a well-fed woman. In the abdomen, a swelling is felt that goes 3 fingers above the navel and resembles a pregnant uterus when examined; dorsum of the fetus to the right, small parts to the left. The heartbeat could be heard only for a very short time, to the right of the navel, and upon repeated auscultation, it was not heard at all. The vaginal part is soft and loosened. Resistance is felt in the anterior and posterior fornix, which is softer than the fetal head. Diagnosis: pregnancy, complicated by presentation of the child's place or endometritis.

Infrahepatic Implantation of an Ectopic Pregnancy

2021 ◽  
pp. 1-3
Author(s):  
Peter Kern ◽  
Paula Ulrich ◽  
Rainer Kimmig ◽  
Peter Kern
Keyword(s):  
Ectopic Pregnancy ◽  
Close Contact ◽  
Blood Clot ◽  
Abdominal Cavity ◽  
Uterine Cavity ◽  
Greater Omentum ◽  
Free Fluid ◽  
Fallopian Tubes ◽  
Lower Abdomen ◽  
The Right

Background: Ectopic pregnancies occur predominantly in the fallopian tubes or ovaries. Very rarely, the distal part of the greater omentum may have close contact to the fallopian tubes and implantation of the embryo may occur in this part of the greater omentum. In the absence of signs of pregnancy in the uterus or the fallopian tubes, the greater omentum has to be closely examined for ectopic pregnancy. Case Presentation: A 22-year-old woman in her 4th week of pregnancy presents with spotting and severe pain in the right lower abdomen with a history of 2 cesarean sections. The sonographic examination showed a normal uterus with a thin endometrial line. The uterine cavity did not present with any signs of a gestational sac. A great amount of free fluid in the Douglas cavity suspicious of a hemoperitoneum. ßhCG-values in serum was highly elevated up to 16749 mU/ml and confirmed the suspicion of an ectopic pregnancy. A diagnostic laparoscopy was performed, during which a blood clot reaching from the right lower abdomen to the greater omentum was detected. After removing the blood clot, a normal-sized uterus with regular ovaries and no signs of a pregnancy in the fallopian tubes were seen. However, an abdominal adhesion in the right upper part of the omentum close to the liver with bleeding was seen. While examining the abdominal cavity for the cause of bleeding, a small cystic lesion adherent to the greater omentum – close the offspring from the colon – representing an ectopic pregnancy became apparent. A partial omentectomy of 9,5 cm x 5,5 cm x 2,5 cm was performed with the finding of trophoblast and embryoblast implantated in the infrahepatic part of the greater omentum. Conclusion: In cases of ectopic pregnancy with hemoperitoneum, special care has to be taken examining not only the fallopian tubes or ovaries but also the greater omentum, which may harbour an implanted trophoblast and embryoblast – even in the upper part directly beneath the liver – as presented in this case. In cases of ruptured ectopic pregnancy of the greater omentum, the cases may be dealt with laparoscopic partial omentectomy if the case is early detected.

scholarly journals Dr. James Murphy. — Abdominal Section during Pregnancy .— (Lancet., 1895, 19 / i, p. 148). - Gluttony during pregnancy.

2020 ◽  
Vol 9 (9) ◽  
pp. 818-819
Author(s):  
M. Ginzburg
Keyword(s):  
Peritoneal Cavity ◽  
Ovarian Cyst ◽  
Living Child ◽  
Pregnant Uterus ◽  
Abdominal Section ◽  
The Right ◽  
Short Time

A 22-year-old woman with a left ovarian cyst, which caused her considerable pain, considering herself to be 2 months pregnant, turned to Dr. Murphy for advice; he did not find a reason for the immediate production of the operation. After a short time, the patient suddenly developed a collapse, a liquid was felt in the abdomen. Murphy immediately made a cut in the abdomen with chloroform, at which up to 20 ounces of liquid blood had escaped from the last day, and rinsed the peritoneal cavity with boron solution. The uterus turned out to be enlarged, the tubes and ovaries were healthy, but near the right ovary, a bleeding place was found in the ruptured pseudo-membrane, by which the ovary was attached to the Douglas space. When the pregnant uterus was lifted up, the membrane ruptured and gave profuse bleeding, probably not long before the operation. After bandaging the bleeding membrane, the operation is over; recovery is smooth. Pregnancy continued and the patient was destroyed in time by a living child.

scholarly journals Dr. Vargos. Simultaneous intra-uterine and extra-uterine fetation. (Lancet, 18 March., 94). Simultaneous intra and ectopic pregnancy

2020 ◽  
Vol 8 (12) ◽  
pp. 1108
Author(s):  
M. Ginzburg
Keyword(s):  
Ectopic Pregnancy ◽  
Rare Case ◽  
Twin Pregnancy ◽  
Factory Worker ◽  
Lower Abdomen ◽  
The Right

Dr. V. describes a rare case of twin pregnancy, which gave rise to contradictory diagnoses and ended in death. A cigar factory worker, mother of 3 children, complained of pain, heaviness and abnormal sensations in the right lower abdomen. The factory doctor mistook this for salpingitis.

scholarly journals 35. Т. Cramer: Parametritis abscedens bei einem 12 jährigem Mädchen (Deutsche med. Wochenschr., 1892, № 33). Parametritis abscedens y 12 year old girl.

2020 ◽  
Vol 7 (2) ◽  
pp. 192-193
Author(s):  
B. Feinberg
Keyword(s):  
Anterior Wall ◽  
Intestinal Lumen ◽  
Left Groin ◽  
Intestinal Stenosis ◽  
Left Posterior ◽  
Colicky Pain ◽  
Increased Sensitivity ◽  
Posterior Fornix ◽  
The Right ◽  
Short Time

The disease begins with headaches lasting 2 days, then colicky pains in the abdomen come to the fore, with painful sensations on palpation in the Colon descendens area. Opіy only slightly and for a short time reduces pain and as a result of this rinsing of the intestines is impossible. Acceptance 01. Ricini induces vomiting. Warm poultices relieve colicky pain only when they are applied. As soon as it cools, the pain intensifies. This Status continues from September 7 to September 15, when a clearly flattened defecation appeared. Intestinal stenosis is diagnosed. Despite the use of narcotic drugs, colicky pains are so excruciating that the child rushes about in bed and screams good obscenities. The new study shows increased sensitivity in the left groin area, in the right groin area the pain is much less. Due to this edge of intestinal stenosis, an inflammatory process of the peritoneum of this space is assumed. Examination under anesthesia showed: an abscess in the left posterior fornix, which protrudes more posteriorly and presses the anterior wall of the recti into the intestinal lumen. Trial puncture into the posterior fornix. A large amount of green pus is erupting. The trocar tube is left in the abscess opening. Warm baths and warm flaxseed poultices are prescribed. Colicky pain after puncture is significantly reduced; appetite appeared. On September 20, pains again come as a result of stagnation of expiration. September 23 secondary punctuation. Significant relief of all symptoms. In the next days, the puncture site again overgrown and the pains resumed, but on September 27. during defecation, a mass of pus came out. Since then, the patient began to slowly recover. On October 15, pus came out of the last cut. The next day the temperature dropped to 36.5 . In 3 months after the onset of the disease, the patient began to attend school.

scholarly journals Platypnoea–orthodeoxia syndrome induced by short-term weight loss: a case series

2020 ◽  
Author(s):  
Yudai Tamura ◽  
Tomohiro Sakamoto
Keyword(s):  
Weight Loss ◽  
Septal Defect ◽  
Case Series ◽  
Transoesophageal Echocardiography ◽  
Sitting Position ◽  
Short Time Period ◽  
Time Period ◽  
Uncommon Condition ◽  
The Right ◽  
Short Time

Abstract Background Platypnoea–orthodeoxia syndrome (POS) is an uncommon condition characterized by dyspnoea and arterial desaturation in the standing or sitting position that improves in the supine position. Case summary We report two cases of POS caused by an atrial septal defect (ASD) and a patent foramen ovale (PFO). Both cases reported a recent decrease in body weight of more than 10 kg in a short time period. Transoesophageal echocardiography (TOE) with agitated saline bubble study revealed and a large amount of contrast bubble through the ASD (Patient 1) or the PFO (Patient 2) from the right atrium to the left atrium in the sitting position. Both patients were diagnosed by the finding of positional dyspnoea and the results of TOE using agitated saline bubble contrast. Discussion Taken together, their presentations suggest that weight loss in a short time period could be a pathogenic factor for POS.

HETEROTOPIC PREGNANCY WITH INEVITABLE ABORTION (RIGHT ADNEXAL LIVE ECTOPIC AND COEXISTING INTRAUTERINE TRIPLETS WITH ABSENT FETAL CARDIAC ACTIVITY)

2021 ◽  
pp. 58-59
Author(s):  
Jayanta Sarkar ◽  
Mini Sengupta
Keyword(s):  
Ectopic Pregnancy ◽  
Abdominal Cavity ◽  
Lower Abdominal Pain ◽  
Cardiac Activity ◽  
Exploratory Laparotomy ◽  
Sudden Onset ◽  
Heterotopic Pregnancy ◽  
Intrauterine Pregnancy ◽  
Short Period ◽  
The Right

Heterotopic pregnancy describes the occurrence of two or more pregnancies in different implantation sites simultaneously, intrauterine pregnancy coexists withectopic pregnancies (ampullary in 80%). A 27-year-old women (P ,L1) presented to the emergency department with a complaint of sudden onset of right-sided lower abdominal pain with 1+1 vaginal bleeding and had a short period of Amenorrhea. Ultrasonography demonstrated three intrauterine gestational sacwith foetal pole noted but Cardiac activity was absent . The right adnexa showed a heteroechoic area andmoderate amount of free uid was present in the lower abdominal cavity. Ectopic pregnancy was disturbed. An emergency exploratory laparotomy was performed under general anesthesia. Haemoperitoneum was found with a ruptured righttubal ectopic pregnancy as well. Both the ovaries appeared normaland a corpus luteal cyst was presentin right ovary. Right sided salpingectomy was performed with removal of the ectopic mass,heamostasis secured ,on table blood transfusion had been given.Suction evacuation had also been performed by manual vacuum aspirationon same sitting.Both the specimen send for histopathology. Histology conrmedGestational sac suggestive of an intra uterine pregnancy coexists with ectopic pregnancy. Left tube and both ovaries were found healthy. Episodes of PID also have a strong correlation with occurrence of ectopic gestation. Once diagnosis of heterotrophic pregnancy has been made the management is essentially surgical.

scholarly journals Use And Comparison of Topis And Electre Methods In Personnel Selection

2018 ◽  
Vol 22 ◽  
pp. 01021 ◽  
Author(s):  
Bilgin Şenel ◽  
Mine Şenel ◽  
Gizem Aydemir
Keyword(s):  
Personnel Selection ◽  
Selection Process ◽  
Minimum Cost ◽  
Point Of View ◽  
Blue Collar Worker ◽  
Automotive Company ◽  
Worker Selection ◽  
Electre Method ◽  
The Right ◽  
Short Time

One of the most important function of human resources is personnel selection process. This process should be done professionally, in a short time and with minimum cost. After personnel selection process, performance of the hired person is very important for the permanence and success of the company. From this point of view, the aim of this study is to select a personnel among the candidates efficiently, with minimum cost and within a short time in one of the leading companies of Turkey in automotive sector. In order to select the right personnel all criterias which has great impact on blue collar worker selection was decided and these criterias are weighted. From the candidate pool of automotive company, appropriate candidates were selected by using TOPSIS AND ELECTRE method which are multi-criteria decision making methods

scholarly journals A Case of Ovarian Pregnancy Diagnosed by MRI

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Shingo Io ◽  
Masaaki Hasegawa ◽  
Takashi Koyama
Keyword(s):  
Ectopic Pregnancy ◽  
High Intensity ◽  
Transvaginal Ultrasonography ◽  
Mr Images ◽  
Diagnostic Challenge ◽  
Rare Form ◽  
Low Intensity ◽  
Ovarian Pregnancy ◽  
Gestational Sac ◽  
The Right

Ovarian pregnancy is a rare form of ectopic pregnancy, causing a great diagnostic challenge. We report a case of ovarian pregnancy in a 42-year-old woman, in whom MRI successfully demonstrated the implantation in the ovary. Transvaginal ultrasonography showed an echogenic mass in the right ovary but failed to demonstrate tubal pregnancy. T2-weighted MR images disclosed a gestational sac structure in the right ovary, which exhibited heterogeneous high intensity intermingled with punctate foci of distinct low intensity. MRI may be a useful tool for diagnosing ovarian pregnancy, by demonstrating a gestational sac in the ovary.

scholarly journals Necrotizing fasciitis with group A Streptococci and Eggerthella lenta as a complication of Varicella in a child – case presentation –

2014 ◽  
Vol 20 (1) ◽  
pp. 35-39
Author(s):  
Cambrea Simona Claudia ◽  
Ilie Maria Margareta ◽  
Carp Dalia Sorina ◽  
Ionescu C.
Keyword(s):  
Necrotizing Fasciitis ◽  
Severe Disease ◽  
The Body ◽  
Group A Streptococci ◽  
Threatening Condition ◽  
Life Threatening ◽  
Group A ◽  
The Right ◽  
Surgery Department ◽  
Short Time

ABSTRACT Necrotizing fasciitis is a life threatening condition that can be quickly spread through the flesh surrounding the muscle. The disease can be polymicrobial, or caused by group A beta hemolytic Streptococci, or by Clostridium spp. We present a case of a 7 years old girl, which was hospitalized in Children Infectious Diseases Department in a 7th day of chickenpox (hematic crusts all over the body), high fever, asthenia, vomiting, oligoanuria, and tumefaction, pain and functio lessa in the right thigh. In a very short time in the right thigh swelling, edema and congestion have increased gradually, and in the third highest middle thigh the ecchymotic areas appeared evolving towards bubbles and blisters which included the right thigh and calf. After excluding the diagnosis of thrombophlebitis was raised suspicion of necrotizing fasciitis. CT pelvic scan evidenced pelvic asymmetry by maximus and medium right gluteal muscles swelling with important inflammatory infiltrate extended laterally in the subcutaneous adipose tissue. In blood culture was isolated Eggerthella lenta, and from throat swab was isolated group A Streptococci. Treatment consists of a combination of antibiotics associated with intravenous immunoglobulin administration. Despite medical treatment evolution worsened and required transfer in a pediatric surgery department where emergent surgical debridement associated with intensive antibiotic therapy was done. After this intervention evolution was slowly favorable without major limb dysfunction. Polymicrobial necrotizing fasciitis is a severe disease, which if recognized early can have a favorable outcome.

Sign in / Sign up

Export Citation Format

Share Document