scholarly journals Rare case of broad ligament pregnancy

2021 ◽  
Vol 10 (7) ◽  
pp. 2893
Author(s):  
Pragya Ojha ◽  
Kalika Vaish
Keyword(s):  
High Risk ◽  
Early Diagnosis ◽  
Maternal Morbidity ◽  
Rare Case ◽  
Broad Ligament ◽  
Exploratory Laparotomy ◽  
Abdominal Pregnancy ◽  
Lower Abdomen ◽  
Rare Form ◽  
Maternal Morbidity And Mortality

Broad ligament pregnancy is rare form of abdominal pregnancy. There is high risk of maternal morbidity and mortality. Due to its rarity, usually, diagnosis cannot be established before surgery. We reported a 27 year old, G3P2L2 who presented with 4 month amenorrhea with pain in lower abdomen. Ultrasonography revealed a single live extra-uterine pregnancy of 17 weeks in right adnexa. A right sided Broad ligament pregnancy was found on exploratory laparotomy. Excision of mass with right sided salpingo-oophrectomy was performed. Post operative course was uneventful. Early diagnosis with high risk of suspicion and early intervention is needed to overcome it’s related complications.

scholarly journals A rare case of caesarean scar ectopic pregnancy: a case report

2020 ◽  
Vol 9 (3) ◽  
pp. 1315
Author(s):  
Hiremath P. B. ◽  
Vinothini Anandabaskar ◽  
Nivedhana Arthi ◽  
Rohini E. ◽  
Indu N. R.
Keyword(s):  
Case Report ◽  
Postoperative Complications ◽  
Early Diagnosis ◽  
Ectopic Pregnancy ◽  
Maternal Morbidity ◽  
Rare Case ◽  
Rare Entity ◽  
Caesarean Scar ◽  
Maternal Morbidity And Mortality ◽  
Gestational Sac

Scar ectopic pregnancy is a condition where the gestational sac implants into the previous caesarean scar site. Although it is a rare entity, its incidence is increasing due to rising rates of caesarean deliveries. Here authors report a case of caesarean scar ectopic pregnancy managed by laparotomy with caesarean scar ectopic excision following failed medical management. The patient recovered without any intraoperative or postoperative complications. An early diagnosis and management are vital in preventing maternal morbidity and mortality.

scholarly journals Diagnostic Challenges of an Abdominal Pregnancy in the Second Trimester

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Niccole Ranaei-Zamani ◽  
Tetyana Palamarchuk ◽  
Swena Kapoor ◽  
Mandeep K. Kaler ◽  
Favour Atueyi ◽  
...  
Keyword(s):  
Maternal Morbidity ◽  
Unusual Case ◽  
Significant Risk ◽  
Abdominal Pregnancy ◽  
Second Trimester ◽  
Intrauterine Pregnancy ◽  
Rare Form ◽  
Pelvic Mri ◽  
Antenatal Ultrasound ◽  
Maternal Morbidity And Mortality

Abdominal pregnancies are a rare form of ectopic pregnancy, which presents a significant risk of maternal morbidity and mortality. We describe an unusual case of a late diagnosis of an abdominal pregnancy in the second trimester, which due to diagnostic challenges, was not detected on 1st trimester and subsequent antenatal ultrasound scans (USS). The abdominal pregnancy was later diagnosed at the repeat anomaly scan and confirmed with a pelvic MRI. This case of abdominal pregnancy is unique when compared to other reported cases, as the fetus was initially enclosed within the amniotic sac with normal liquor volume. Both transvaginal and transabdominal scans appeared to demonstrate an intrauterine pregnancy. The diagnosis of abdominal pregnancy was only made possible following rupture of the amniotic sac, leading to anhydramnios, which resulted in the repositioning of the fetus to the upper maternal abdomen. This case represents the challenges faced by obstetricians in diagnosing, managing, and counselling a woman when faced with an abdominal pregnancy.

Puerperal sub-acute uterine inversion: a rare case report

2017 ◽  
Vol 6 (8) ◽  
pp. 3709
Author(s):  
Reena Sharma ◽  
Kapil Malhotra ◽  
Poojan Dogra ◽  
Anil Kumar ◽  
Sushruti Kaushal ◽  
...  
Keyword(s):  
Case Report ◽  
Maternal Morbidity ◽  
Rare Case ◽  
Morbidity And Mortality ◽  
Uterine Inversion ◽  
Peripheral Hospital ◽  
Third Stage ◽  
Maternal Morbidity And Mortality ◽  
Rare Case Report

Puerperal uterine inversion is a complication of third stage of labour, which can lead to maternal morbidity and mortality due to haemorrhage shock and infection. Early cases can be managed by manual reposition of uterus but neglected or late cases of uterine inversion are managed by Haultain`s repair. Here we are presenting a case of subacute uterine inversion referred from peripheral hospital managed by Haultain’s technique.

Uterine laceration – a rare case of postpartum hemoperitoneum

2021 ◽  
Vol 86 (5) ◽  
pp. 335-338
Author(s):  
Carlos Silva Macedo ◽  
◽  
Cristina Pestana Domingos ◽  
Rita Leiria Gomes ◽  
Zeferino Pina ◽  
...  
Keyword(s):  
Key Words ◽  
Uterine Rupture ◽  
Maternal Morbidity ◽  
Rare Case ◽  
Postpartum Haemorrhage ◽  
Morbidity And Mortality ◽  
Early Postpartum ◽  
Maternal Morbidity And Mortality

Postpartum haemorrhage is a major cause of maternal morbidity and mortality worldwide. Early dia gnosis and treatment are essential to prevent sequelae or even death. We describe a rare case of early postpartum haemorrhage with hemoperitoneum due to a laceration of the uterine serosa with exposure of a uterine vessel solved by laparotomy. Key words: postpartum haemorrhage – uterine rupture – parturition

Predictors of Maternal Mortality and Prognostic Models in Obstetric Patients

2017 ◽  
Vol 38 (02) ◽  
pp. 191-200 ◽  
Author(s):  
Jezid Miranda ◽  
Jose Rojas-Suarez ◽  
Andrew Levinson
Keyword(s):  
High Risk ◽  
Maternal Morbidity ◽  
Prediction Models ◽  
Severity Of Illness ◽  
Scoring Systems ◽  
Morbidity And Mortality ◽  
Prognostic Models ◽  
High Risk Patients ◽  
Maternal Morbidity And Mortality ◽  
Risk Patients

AbstractThe use of predictive models has been proposed as a potential tool to reduce maternal morbidity and mortality, by aiding in the timely identification of potential high-risk patients. Prognostic models in critical care have been used to characterize the severity of illness of specific diseases. Physiological changes in pregnancy may result in general critical illness prediction models overestimating mortality in obstetric patients. Models that specifically reflect the unique characteristics of obstetric patients may have better prognostic value. Recently developed tools have focused on identifying at-risk patients before they require intensive care unit (ICU) admission to target early interventions and prevent acute clinical decompensation. The aim of the newest scoring systems, specifically designed for groups of obstetric patients receiving non-ICU care, is to reduce maternal morbidity and mortality by identifying early high-risk patients and initiating prompt effective medical responses.

scholarly journals A rare case of severe pulmonary hypertension in pregnancy

2020 ◽  
Vol 9 (11) ◽  
pp. 4707
Author(s):  
Ramna Banerjee ◽  
Farheen Rahman
Keyword(s):  
Pulmonary Hypertension ◽  
Maternal Morbidity ◽  
Rare Case ◽  
Heart Diseases ◽  
Tertiary Care ◽  
Morbidity And Mortality ◽  
Care Hospital ◽  
Severe Pulmonary Hypertension ◽  
Maternal Morbidity And Mortality ◽  
In Pregnancy

Heart diseases in pregnancy have always been a source of major concern for both the patients as well as the caregivers because of the high risk of maternal morbidity and mortality and the need for specialist care by a multidisciplinary team preferably in a tertiary care hospital. Amongst the whole gamut of heart diseases, pulmonary hypertension is associated with high maternal morbidity and mortality (in the order of 20% in some studies) and hence is considered a contraindication for pregnancy. We report a rare case of a lady at 36 weeks gestation in her second pregnancy, with a previous caesarean section, who was incidentally diagnosed with severe pulmonary hypertension (PAP-110 mmHg) during her antenatal check-up in the third trimester of pregnancy and survived without any major complications after being promptly referred to and treated in a multispecialty hospital. Her previous pregnancy was absolutely uneventful and even in this pregnancy she had very mild symptoms as compared to the severity of the disease found on further investigation.

scholarly journals Broad Ligament Pregnancy Through A Cesarean Scar : An Unusual One

2016 ◽  
Vol 15 (1) ◽  
pp. 60-62
Author(s):  
Sabina Yeasmin ◽  
Tahera Begum ◽  
Md Jalal Uddin
Keyword(s):  
High Risk ◽  
Broad Ligament ◽  
Rare Event ◽  
Clinical Suspicion ◽  
Abdominal Pregnancy ◽  
Fetal Demise ◽  
Cesarean Scar ◽  
Ultrasound Evaluation ◽  
Gestational Sac ◽  
Previous Cesarean

Broad ligament pregnancy is an extremely rare event with high risk of maternal mortality. Diagnosis is often late in our setting and finally made during laparotomy. It is a type of secondary abdominal pregnancy.We present a case which remained undiagnosed throughout her pregnancy till she reached to 35 weeks and unfortunately had intrauterine fetal demise when she reported to our hospital.After admission her pregnancy was induced with misoprostol but did not response. On clinical suspicion,repeat ultrasound evaluation was done by senior sinologist, which picked up the diagnosis of abdominal pregnancy. On laparotomy a broad ligament pregnancy was found with a rent in the previous Cesarean scar towards the gestational sac in the broad ligament.Chatt  Shi Hosp Med Coll J; Vol.15 (1); Jan 2016; Page 60-62

scholarly journals African traditional abdominal massage in pregnancy resulting in antepartum uterine rupture, abruptio placenta and foetal demise – a case report

2021 ◽  
Vol 11 (1) ◽  
pp. 265
Author(s):  
Simeon C. Amadi ◽  
Peter A. Awoyesuku ◽  
Rose S. Iwo-Amah ◽  
Sandra U. Ibeabuchi
Keyword(s):  
Case Report ◽  
Uterine Rupture ◽  
Maternal Morbidity ◽  
Exploratory Laparotomy ◽  
Foetal Death ◽  
Birth Attendants ◽  
Maternal Morbidity And Mortality ◽  
Abdominal Massage ◽  
Abruptio Placenta ◽  
In Pregnancy

The practice of abdominal massage dates to years ago and associated with foetal and maternal morbidity and mortality when undertaken by untrained traditional birth attendants in our setting. We present a 30-year old G3P2+0 with uterine rupture and intra-uterine foetal death following abdominal massage. She was resuscitated and had emergency exploratory laparotomy and repair of uterine rupture.

scholarly journals Pendidikan Kesehatan tentang Anemia kepada Ibu Hamil

2020 ◽  
Vol 2 (2) ◽  
pp. 94
Author(s):  
Safitri Safitri
Keyword(s):  
Developing Countries ◽  
High Risk ◽  
Pregnant Women ◽  
Maternal Morbidity ◽  
World Health ◽  
Maternal Morbidity And Mortality ◽  
The World ◽  
Before And After ◽  
Health Organization ◽  
Prevalence Of Anemia

AbstractAnemia is a major factor causing maternal morbidity and mortality in developing countries. According to the World Health Organization (WHO) the prevalence of anemia in pregnant women in developing countries is 51%. In Indonesia, based on the results of the 2018 Riskesdas survey, data on the proportion of anemia in pregnant women increased from 37.1% (2013) to 48.9% (2018). Likewise, the Jambi City, in the Puskesmas Pakuan Baru there are still pregnant women who have anemia. Target outcomes expected are: there is an increased knowledge between before and after counseling. The method used is counseling. The results of dedication are an increase in knowledge in pregnant women as an effort to prevent and recognize high risk or complications of Anemia in early pregnancy.

scholarly journals Investigating a rare cause of intestinal occlusion

2017 ◽  
Vol 13 (1) ◽  
Author(s):  
Bahjat Barakat ◽  
Raffaele Pezzilli
Keyword(s):  
Early Diagnosis ◽  
Physical Examination ◽  
Intestinal Obstruction ◽  
Rare Case ◽  
Gallstone Ileus ◽  
Rare Entity ◽  
Rare Form ◽  
Emergency Situations ◽  
Gastrointestinal Obstruction ◽  
Mechanical Intestinal Obstruction

Gallstone ileus is a rare form of mechanical intestinal obstruction caused by the passage of gallstones in the gastrointestinal lumen and is often diagnosed in elderly females. Diagnosis can be difficult due to nonspecific findings during physical examination and there are a number of options regarding surgical or endoscopic treatment. We report the rare case of a 77- year-old female patient with gastrointestinal obstruction due to a gallstone, but without a cholecystointestinal fistula. Clinicians should be aware of this rare entity especially in emergency situations, as early diagnosis and appropriate subsequent therapy in such cases is essential to reduce mortality.

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