scholarly journals A case of multiple fibroid uterus, complete placenta praevia, antepartum haemorrhage, myomectomy and obstetric hysterectomy: a near miss

2021 ◽  
Vol 10 (5) ◽  
pp. 2130
Author(s):  
L. Thulasi Devi ◽  
Shivani Mahajan ◽  
Athul R. S.
Keyword(s):  
Haemorrhagic Shock ◽  
Anterior Wall ◽  
Interesting Case ◽  
Placenta Praevia ◽  
Near Miss ◽  
Extremely Low Birth Weight ◽  
Uneventful Recovery ◽  
Fibroid Uterus ◽  
Type Iv ◽  
Life Saving

An interesting case of young unbooked, unregistered, primigravida with multiple fibroid uterus, placenta praevia type IV, presented with APH in haemorrhagic Shock, impacted large fibroid in Lower Uterine Segment and Multiple fibroids on Anterior wall, fundus for which myomectomy was performed. Preterm Caesarean Section with extremely low birth weight infant delivered followed by life-saving Emergency Obstetric hysterectomy. She had uneventful recovery without any complications of massive transfusion or surgery. Case is being reported as an obstetric near miss.

scholarly journals Tracheostomy in Head and Neck Cancers

2010 ◽  
Vol 2 (1) ◽  
pp. 53-60 ◽  
Author(s):  
Reema Rai ◽  
Parag Watve ◽  
Bachi T Hathiram
Keyword(s):  
Head And Neck ◽  
Simple Procedure ◽  
Fistulous Tract ◽  
Emergency Operation ◽  
Anterior Wall ◽  
Cricothyroid Membrane ◽  
Respiratory Obstruction ◽  
Anterior Aspect ◽  
Life Saving ◽  
Adults And Children

Abstract The term ‘tracheostomy’ or ‘tracheotomy’ refers to the procedure whereby a communication is made between the anterior wall of the trachea and the exterior which bypasses the upper air passages. It results in the formation of a fistulous tract between the anterior aspect of the neck and the trachea allowing air to enter the lower respiratory passages without passing through the nose, pharynx and larynx. It is performed at all ages, however, there are significant differences in the procedure when performed in adults and children. ‘Laryngotomy’ or ‘cricothyrotomy’ is the emergency operation where the airway is opened through the cricothyroid membrane in case of acute respiratory obstruction where there is no time for tracheostomy or inavailability of a competent surgeon to perform the tracheostomy. It is a relatively simple procedure and life-saving.

scholarly journals Giant Intramuscular Lipoma of Biceps Brachii – A Rare Case Report

2021 ◽  
Author(s):  
Saifullah Nizam ◽  
Dinesh Kardam ◽  
Raghav Yelamanchi ◽  
Udit Khurana
Keyword(s):  
Biceps Brachii ◽  
Soft Tissue Tumors ◽  
Interesting Case ◽  
Uneventful Recovery ◽  
Mesenchymal Tumors ◽  
Primary Tumors ◽  
Left Elbow ◽  
Intramuscular Lipoma ◽  
Rare Case Report ◽  
Giant Lipoma

Abstract Lipomas are benign mesenchymal tumors. They are the most common type of soft tissue tumors. Intramuscular lipoma is a relatively uncommon condition and accounts for about1.8% of all primary tumors of adipose tissue and are relatively rare in upper extremity. When deep, large and unusual in location, magnetic resonance imaging (MRI) can identify and localise these tumours and is the best modality to differentiate lipoma and liposarcoma. We report an extremely rare and interesting case of giant intramuscular biceps brachii lipoma. A 22-year male patient presented with insidious onset, firm and non-tender swelling in the left elbow without any distal neurovascular deficits. MRI and biopsy were suggestive of lipoma. Wide local excision was done and patient had an uneventful recovery. Post-operative histopathology was suggestive of lipoma. To conclude, intramuscular giant lipoma of biceps brachii is an infrequent clinical entity due to its location. Imaging is necessary to differentiate it from its malignant counterpart and to plan surgical management.

Successful Multimodality Life-saving Management of Placenta Percreta with Hemoperitoneum in Shock

2016 ◽  
Vol 50 (4) ◽  
pp. 201-203
Author(s):  
Kajal Jain ◽  
Neelam Aggarwal ◽  
Navneet Kumar ◽  
Sujata Siwatch ◽  
Ujjwal Gorsi
Keyword(s):  
Intensive Care ◽  
Care Center ◽  
Tertiary Care ◽  
Placenta Percreta ◽  
Near Miss ◽  
Pelvic Packing ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Life Saving ◽  
Internal Iliac

ABSTRACT Introduction Placenta percreta is rare but may present with life-threatening emergencies. Case Report We present a near-miss case with a placenta percreta presenting with hemoperitoneum and shock and describe how multidisciplinary multimodality management was used to save the lady in a tertiary care center of a low-resource setting. Peripartum hysterectomy with bilateral internal iliac ligation could not completely control the oozing. The general condition of the patient was poor with acidosis, coagulopathy, and hypothermia. Pelvic packing followed by embolization was done along with intensive care to treat metabolic derangements. It helped salvage the patient who later underwent a relaparotomy for pack removal. Conclusion and clinical significance: Role of individualized multimodality multidisciplinary management and intensive care is emphasized. How to cite this article Chopra S, Siwatch S, Jain K, Aggarwal N, Gorsi U, Kumar N. Successful Multimodality Life-saving Management of Placenta Percreta with Hemoperitoneum in Shock. J Postgrad Med Edu Res 2016;50(4):201-203.

Antepartum haemorrhage

2020 ◽  
pp. 284-294
Author(s):  
Gbemisola Okunoye ◽  
Justin C. Konje
Keyword(s):  
Placenta Accreta ◽  
Negative Impact ◽  
Placenta Praevia ◽  
Near Miss ◽  
Morbidity And Mortality ◽  
Care Bundle ◽  
Antepartum Haemorrhage ◽  
Developed Economies ◽  
Vasa Praevia ◽  
The World

Antepartum haemorrhage (APH) remains a leading cause of maternal and perinatal morbidity and mortality across the world. As a key component of obstetric haemorrhage, it features high on the list of near-miss obstetric events; thus highlighting the continued importance of developing strategies aimed at reducing the negative impact on maternal and fetal outcome. The causes of APH include placenta praevia, placenta accreta, placenta abruption, vasa praevia, and local genital causes. Some cases of APH would be retrospectively classified as of unknown origin. Placenta praevia, placenta abruption, and vasa praevia have the greatest impact on maternal and fetal morbidity and mortality. The impact of APH on pregnancy outcome is more pronounced in low-resourced countries when compared to developed economies; therefore, a system-oriented approach based on sound evidence and multidisciplinary involvement with regularly rehearsed drills is required to drive a sustained improvement in the management of APH across the world. The rising incidence of placenta accreta, with the associated risk and complexity, presents an ongoing challenge, and the adoption of a composite care bundle that incorporates key components of multidisciplinary care is highly recommended.

scholarly journals Volvulus of the liver with intrathoracic herniation

2014 ◽  
Vol 96 (7) ◽  
pp. e27-e29 ◽  
Author(s):  
G Moussa ◽  
PM Thomson ◽  
A Bohra
Keyword(s):  
Abdominal Pain ◽  
Transverse Colon ◽  
Abdominal Cavity ◽  
Liver Perfusion ◽  
Previous History ◽  
Interesting Case ◽  
Oval Window ◽  
Uneventful Recovery ◽  
Pericardial Window ◽  
History Of

Introduction We present a rare case of a liver volvulus, stomach and transverse colon herniating through the diaphragm. This scenario has not been reported previously. We discuss the presentation and management of this interesting case. Case history A 65-year-old woman with a history of sarcoidosis and recurrent pericardial effusions, treated previously with a subxiphoid pericardial oval window fenestration, presented with acute upper abdominal pain radiating to the chest. High contrast computed tomography showed a volvulus of the liver with consequent venous congestion, and herniation of the liver, stomach and transverse colon through an anterior diaphragmatic defect. With liver perfusion threatened, an urgent laparoscopic repair was performed. The stomach and transverse colon were reduced, and the twisted left lobe of the liver was unrotated and reduced into the abdominal cavity. A double-sided synthetic mesh was used to repair the defect. The patient made an uneventful recovery. Conclusions This is a novel complication of a patient presenting with abdominal pain with a previous history of pericardial window fenestration. A laparoscopic reduction and repair can be performed safely with excellent postoperative results.

scholarly journals Large mural thrombus in the non-aneurysmal and non-atherosclerotic ascending aorta: a case report

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Xiaoyi Dai ◽  
Chengyao Ni ◽  
Wenzong Luo ◽  
Sihan Miao ◽  
Liang Ma
Keyword(s):  
Anterior Wall ◽  
Ascending Aorta ◽  
Preoperative Imaging ◽  
Uneventful Recovery ◽  
Surgical Removal ◽  
Mural Thrombus ◽  
Aortic Thrombus ◽  
Thrombotic Complications ◽  
Aorta Replacement ◽  
Atherosclerotic Ascending Aorta

Abstract Background The mural thrombus in the ascending aorta is rare, most of which are associated with aneurysm or atherosclerotic lesions, with high risks of causing catastrophic thrombotic events. A mural thrombus in the non-aneurysmal and non-atherosclerotic ascending aorta is exceptionally uncommon. Case presentation We reported a large mural thrombus in normal ascending aorta of an asymptomatic patient. Preoperative imaging confirmed the presence of the sessile thrombus located at the left anterior wall of ascending aorta. Given that it had the potential to cause fatal thrombotic complications, surgical removal and segment of ascending aorta replacement were executed. The patient had an uneventful recovery and discharged 14 days after surgery. Conclusions Anticoagulant is the therapeutic cornerstone of ascending aortic thrombus, but surgery should be performed aggressively when the thrombus is large or floating to avoid severe embolic complications or recurrence.

scholarly journals The Course and Anatomical Characteristics of Sciatic and Femoral Nerves in Unilateral Crowe Type IV Hip Dysplasia

2021 ◽  
Author(s):  
Ping Song ◽  
Xiangpeng Kong ◽  
Minzhi Yang ◽  
Wei Chai
Keyword(s):  
Femoral Nerve ◽  
Anterior Wall ◽  
Ischial Tuberosity ◽  
Developmental Dysplasia ◽  
Anatomical Characteristics ◽  
Female Patients ◽  
Type Iv ◽  
Bony Landmarks ◽  
Dysplasia Of The Hip ◽  
Control Study

Abstract Background This study aims to investigate the course and anatomical characteristics of sciatic and femoral nerves in unilateral Crowe type IV developmental dysplasia of the hip (DDH) patients. Methods We conducted a retrospective own-control study of patients with unilateral Crowe type IV DDH. Bilateral hips’ CTs of 21 female patients were reviewed in our institute from February 2018 to February 2020. The distances between nerves and bony landmarks were measured in different CT sections (anterior superior iliac spine, acetabular inner wall, teardrop, and ischial tuberosity) to analyze the anatomical position and course of sciatic and femoral nerves between bilateral hips. Results In the section of acetabular inner wall, the distance between femoral nerve and acetabular anterior wall in affected hip (13.20±3.59 mm) was significantly smaller than that in healthy hip (16.58±5.12mm) (p=0.000). In other sections, the distances between nerves and bony landmarks in affected hips were significantly larger than or equal to those in healthy hips. Conclusion In female patients with unilateral Crowe type IV DDH, the femoral nerve in affected hip runs closer to anterior acetabular wall than that in healthy hip.

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