scholarly journals Successful maternal and fetal outcome in patients with Takayasu arteritis: two case reports of Type I and Type IV in stage 2

2018 ◽  
Vol 7 (2) ◽  
pp. 759
Author(s):  
Rekha Upadhya ◽  
Vidyashree G. Poojari ◽  
Muralidhar V. Pai ◽  
Jayaraman Nambiar
Keyword(s):  
Heart Failure ◽  
Intrauterine Growth Restriction ◽  
Case Reports ◽  
Pulmonary Arteries ◽  
Fetal Outcome ◽  
Type I ◽  
Age Group ◽  
Intrauterine Growth ◽  
Type Iv ◽  
Child Bearing

Takayasu's arteritis, is a rare, chronic, idiopathic, inflammatory disease of the large arteries, primarily involves the aorta, its main branches as well as the coronary and pulmonary arteries. It is mostly seen among women with child bearing age group (80%). During pregnancy, the increased intravascular volume impair circulation and exacerbate aortic regurgitation, hypertension, and congestive heart failure. Hypertension is one of the serious complication that can develop, leading to intrauterine growth restriction, maternal heart failure, and fetal haemorrhage and during postpartum period.

scholarly journals A new ultrasound and clinical classification for management of prostatic abscess

2015 ◽  
Vol 87 (3) ◽  
pp. 246 ◽  
Author(s):  
Lucio Dell’Atti
Keyword(s):  
Ultrasound Imaging ◽  
Case Reports ◽  
Published Data ◽  
Type I ◽  
New Classification ◽  
Prostatic Abscess ◽  
Type Iv ◽  
Type V ◽  
Sonographic Pattern

Objectives: In literature, most of the published data regarding prostatic abscess (PA) are case reports, whereas there is no standardization of the diagnostic and therapeutic routines. The purpose of this study is a new classification of ultrasound imaging of PA with clinical features correlation. Material and Methods: We retrospectively analysed the ultrasound database archives and performed a MEDLINE<sup>®</sup> research of the peer reviewed literature on diagnosis and case reports of PA using the terms “prostate and abscess”. Results: PA can be classified into five Types: Type I - PA is present focally in a prostate lobe (≤ 10 mm). Type II - PA is present in a prostate lobe (&gt; 10 mm) and/or partially overcrosses the border of the midline prostatic glandular. Type III - PA is present in both glandular lobes form of multifocal areas (≤ 10 mm). Type IV - PA is present in both glandular lobes form of multifocal areas (&gt; 10 mm). Type V - PA involving intra or extraprostatic structures (bladder, urethra, seminal vesicles and prostatic capsule). The different ultrasound imaging and diagnostic criteria are listed for each type and subtype. Conclusions: The sonographic pattern of PA is usually characteristic and easily differentiated from other glandular lesions. The purpose of the study was to associate the use of TRUS to a clinical standardized classification in order to facilitate PA diagnosis and localization directing the clinician treatment to the correct management and adequate therapeutic treatment.

Therapeutic alternatives for vein of Galen vascular malformations

1993 ◽  
Vol 78 (3) ◽  
pp. 438-445 ◽  
Author(s):  
Pedro Lylyk ◽  
Fernando Viñuela ◽  
Jacques E. Dion ◽  
Gary Duckwiler ◽  
Guido Guglielmi ◽  
...  
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Vascular Malformations ◽  
Clinical Status ◽  
Severe Congestive Heart Failure ◽  
Type I ◽  
Vein Of Galen ◽  
Content Type ◽  
Type Iv ◽  
Fine Print

✓ From September, 1986, to March, 1990, the authors treated 28 children harboring a vein of Galen vascular malformation. Eleven (39.3%) of the patients were neonates, 13 (46.4%) were 1 to 2 years old, and four (14.3%) were more than 2 years old. Fifteen patients (53.6%) presented with severe congestive heart failure, six (21.4%) had seizures, four (14.3%) had hydrocephalus, and three (10.7%) presented with intraventricular hemorrhage. Based on the Yaşargil classification of malformations, 10 lesions (35.7%) were Type I, seven (25%) were Type II, eight (28.6%) were Type III, and three (10.7%) were Type IV. In 11 patients (39.3%), a combined transfemoral, transarterial, and transvenous embolization of the vein of Galen malformation was performed. A pure transtorcular approach was utilized in eight patients (28.6%), and postembolization surgical clipping of arterial feeders was performed in two cases with intractable congestive heart failure. Complete anatomical occlusion of the galenic malformation was achieved in 13 patients (46.4%). An immediate postembolization improvement in the patient's clinical status was obtained in 23 (82.1%) of 28 patients and a good long-term clinical outcome was seen in 17 patients (60.7%). Five deaths (17.9%) occurred in this series of 28 patients; three (10.7%) were related to a transtorcular embolization and two (7.1%) to the unchanged natural history of the disease.

scholarly journals Doppler velocimetry of umbilical, and middle cerebral arteries in the prediction of fetal outcome

2017 ◽  
Vol 5 (11) ◽  
pp. 4789
Author(s):  
Sumangali P. K. ◽  
Omana E. K. ◽  
Shabnam S. Nambiar
Keyword(s):  
Intrauterine Growth Restriction ◽  
Umbilical Artery ◽  
Cerebral Arteries ◽  
Fetal Outcome ◽  
Close Monitoring ◽  
Doppler Velocimetry ◽  
Intrauterine Growth ◽  
Medical College ◽  
Non Invasive ◽  
Middle Cerebral Arteries

Background: Doppler ultrasound offers a unique non-invasive technology for investigating fetal, feto placental and utero placental circulation Intrauterine growth restriction is associated with increased perinatal morbidity and mortality.Methods: A hospital based descriptive study of Doppler velocimetry of umbilical Artery and Middle cerebral Artery was carried out in the Department of Obstetrics and Gynecology Pariyaram Medical College over a period of 1 year – April 2016 to March 2017. A total of 180 patients with clinically IUGR were selected for the study. Close monitoring done with daily NST and repeated Doppler study.Results: The S/D ratio in Umbilical artery and RI ratio of MCA is valuable for monitoring growth retarded and small for gestational age fetuses and to take decision for early termination of pregnancy. In our study, perinatal outcome is very good, only 3 NND happened. i.e., due to extreme prematurity.Conclusions: Colour Doppler helps in detection of compromised fetuses in high risk pregnancies like PIH, IUGR and other risk factors likely to cause placental insufficiency. 

scholarly journals Chorioangioma with pre-eclampsia and IUGR: a case report

2021 ◽  
Vol 10 (6) ◽  
pp. 2501
Author(s):  
Kruti P. Doshi ◽  
Reena J. Wani ◽  
Aditi A. Khare
Keyword(s):  
Case Report ◽  
Ultrasound Imaging ◽  
Intrauterine Growth Restriction ◽  
Fetal Outcome ◽  
Growth Restriction ◽  
Benign Tumour ◽  
Large Tumour ◽  
Intrauterine Growth ◽  
Fetal Complications

Chorioangioma is a non-trophoblastic benign tumour of the placenta, arising from the primitive chorionic mesenchyme with an estimated incidence of 0.6% diagnosed antenatal on ultrasound imaging. Small chorioangiomas are often asymptomatic with a frequency of about 1%, giant chorioangiomas more than >5 cm in diameter, are rare seen in 1:3500 to 1:16000 births and are associated with maternal and fetal complications. We report a case of 23-year-old, primigravida 36.4 weeks of gestation with pre-eclampsia with asymmetrical intrauterine growth restriction (IUGR), ultrasound suggestive of large placental chorioangioma 8×6.8 cm. This patient despite having large tumour and being diagnosed late at 35 weeks had a favourable maternal and fetal outcome. Histopathology confirmed the diagnosis.

Death Due to Chronic Syrup of Ipecac Use in a Patient With Bulimia

PEDIATRICS ◽  
1986 ◽  
Vol 78 (3) ◽  
pp. 412-416
Author(s):  
Russell J. Schiff ◽  
Carol L. Wurzel ◽  
Sandra C. Brunson ◽  
Ilene Kasloff ◽  
Michael P. Nussbaum ◽  
...  
Keyword(s):  
Heart Failure ◽  
Skeletal Muscles ◽  
Weight Control ◽  
Case Reports ◽  
The Body ◽  
Toxic Substances ◽  
Age Group ◽  
Adolescent Patient ◽  
Amoebic Dysentery ◽  
Pharmacologic Property

A 17-year-old girl presented with malaise, weakness, palpitations, dysphagia, myalgias, and weight loss of 1 month's duration. Within 24 hours of admission to the hospital, she had hypotension unresponsive to medical management, intractable congestive heart failure, and arrhythmias; she died. Several empty bottles of syrup of ipecac were later found among her belongings. Syrup of ipecac is commonly used to induce emesis in patients who had ingested toxic substances. The chief pharmacologic property of this agent is due to its alkaloid component, emetine. There have been many previous reports of death due to emetine poisoning in patients receiving ipecac fluid extract and in those treated for amoebic dysentery. However, the literature cites only three case reports of fatalities secondary to chronic ipecac use as a means of losing weight. This is the first report of a death due to chronic ipecac use in an adolescent patient with bulimia. Emetine persists in the body for long periods, and in patients who have ingested it chronically, emitine is extremely toxic, specifically to cardiac smooth and skeletal muscles. With an increased awareness of the importance of weight control in the adolescent age group, the physician must carefully evaluate these patients for the use of emetics.

Perinatal Outcome of Selective Intrauterine Growth Restriction in Monochorionic Twins: Evaluation of a Retrospective Cohort in a Developing Country

2021 ◽  
pp. 1-5
Author(s):  
Carolina Aquino ◽  
Ana Elisa Rodrigues Baião ◽  
Paulo Roberto Nassar de Carvalho
Keyword(s):  
Intrauterine Growth Restriction ◽  
Retrospective Cohort ◽  
Umbilical Artery ◽  
Perinatal Outcomes ◽  
Growth Restriction ◽  
Type I ◽  
Monochorionic Twin ◽  
Intrauterine Growth ◽  
Twin Pregnancies ◽  
Estimated Fetal Weight

Abstract Selective intrauterine growth restriction (sIUGR) in monochorionic twin pregnancies is associated with greater morbidity and mortality for both fetuses when compared to singleton and dichorionic pregnancies. This retrospective cohort study aimed to assess the perinatal outcomes of monochorionic twin pregnancies affected by this disorder and conducted expectantly, by analyzing the results according to the end-diastolic flow in the umbilical artery Doppler of the smaller twin (type I: persistently forward/type II: persistently absent or reversed/type III: intermittently absent or reversed). Seventy-five monochorionic diamniotic twin pregnancies with sIUGR were included in this study. sIUGR was defined by estimated fetal weight below the 3rd centile for gestational age, or below the 10th centile, when associated with at least one of the following three criteria: abdominal circumference below the 10th percentile, umbilical artery pulsatility index of the smaller twin above the 95th percentile, or estimated fetal weight discordance of 25% or more. Perinatal outcomes were analyzed from the prenatal period to hospital discharge and included perinatal death, neurological injury, retinopathy of prematurity (ROP), bronchopulmonary dysplasia (BPD), necrotizing enterocolitis (NEC), and sepsis. The mortality rate was 1.33% in this cohort. The overall morbidity rate was lower in type I twin pregnancies. In conclusion, this study shows that sIUGR type I has lower morbidity than types II and III in expectant management.

scholarly journals Hemoptysis and Acute Respiratory Syndrome (ARDS) as Delayed-Type Hypersensitivity After FOLFOX4 Plus Bevacizumab Treatment

2013 ◽  
Vol 98 (4) ◽  
pp. 445-449 ◽  
Author(s):  
Takaaki Kobayashi ◽  
Tadahiko Masaki ◽  
Koji Kogawa ◽  
Hiroyoshi Matsuoka ◽  
Masanori Sugiyama
Keyword(s):  
Colorectal Cancer ◽  
Case Reports ◽  
Pulse Therapy ◽  
Delayed Type Hypersensitivity ◽  
Type I ◽  
Steroid Pulse ◽  
Type Iv ◽  
Bevacizumab Treatment ◽  
Tnf Α ◽  
Colorectal Cancer Patients

Abstract As there have been many multidrug regimens introduced in colorectal cancer treatment, hypersensitivity is more often encountered than in the past. Though most allergic adverse events of oxaliplatin are mainly classified as type I reaction, a limited number of case reports of type IV reaction (delayed-type hypersensitivity) have been reported. A 73-year-old man was hospitalized for receiving the third cycle of FOLFOX4 plus bevacizumab. Forty-two hours after administration, he had dyspnea and hemoptysis. Acute respiratory distress syndrome was suspected, and the patient underwent mechanical ventilation and steroid pulse therapy. Delayed-type hypersensitivity is induced by induction of inflammation via IL-1, TNF-α and IL-6. The serum level of IL-6 in patients with advanced colorectal cancers is usually greater than the normal range. Therefore, delayed-type hypersensitivity may be easily induced in those patients. We should pay special attention to delayed-type hypersensitivity in advanced colorectal cancer patients undergoing FOLFOX treatment.

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