A rare case report on double J stenting in a rare case antepartum patient with right sided hydronephrosis and hydroureter

Gestational hydronephrosis (GH) is caused due to dilatation effect of the progesterone as well as physical pressure of the gravid uterus. In pregnancy, its management is challenging as routine radiological investigations and surgical treatments cannot be performed due to the potential harm to the foetus. Women who fail to respond to conservative methods require intervention. Acute hydronephrosis and renal colic are common aetiologies for loin pain, and can lead to severe form of urinary tract infection affecting perinatal outcome. Double J (DJ) stenting during pregnancy is safe, requiring no intra-operative imaging, and inserted under local anaesthesia. It provides good symptom relief, low complication rate, efficient and safe modality for women with refractory symptoms. Multidisciplinary approach to this procedure is advised.

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Acardiac-acephalus Twinning- A Very Rare Case Report

Medicine Today ◽

10.3329/medtoday.v32i2.48839 ◽

2020 ◽

Vol 32 (2) ◽

pp. 143-144

Author(s):

Parvez Ahmed ◽

Nasrin Begum ◽

Mostofa Shamim Ahsan ◽

Mosharruf Hossain ◽

Munshi Md Arif Hosen ◽

...

Keyword(s):

Case Report ◽

Rare Case ◽

Severe Form ◽

Monochorionic Twin ◽

Arterial Perfusion ◽

Trap Sequence ◽

Rare Case Report ◽

Medicine Today ◽

Twin Pregnancies ◽

Twin Reversed Arterial Perfusion

Introduction:This study highlights a very rare case which was related to abnormal monochorionic twinning status. Case Report: This case (a 28 year old pregnant woman) came at this institute for ultrasonographic evaluation of herpregnancy status. Her ultrasonographic results were consistent with acardiac-acephalus twinning condition (which isalso known as, twin reversed arterial perfusion or TRAP sequence). Discussion: This monochorionic twin pregnancy isa severe form of twin-to-twin transfusion syndrome (TTTS) and severe TTTS has mortality rate of about 60–100%. Conclusion: This case is very rare showing prevalence of about 1/35,000 overall pregnancies and accounting 1.0% ofthe monochorionic twin pregnancies. Medicine Today 2020 Vol.32(2): 143-144

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Acute Axial Torsion of Gravid Uterus by 360 degrees – A rare case report and an unpredictable complication of pregnancy

IOSR Journal of Dental and Medical Sciences ◽

10.9790/0853-0350406 ◽

2013 ◽

Vol 3 (5) ◽

pp. 4-6

Author(s):

Dr Mousumi Acharya

Keyword(s):

Case Report ◽

Rare Case ◽

Gravid Uterus ◽

Axial Torsion ◽

Rare Case Report

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A multidisciplinary approach to sphenoid wing dysplasia presenting with pulsatile proptosis in neurofibromatosis Type 1: A rare case report

Indian Journal of Ophthalmology ◽

10.4103/ijo.ijo_429_17 ◽

2018 ◽

Vol 66 (1) ◽

pp. 157

Author(s):

S Prathibha ◽

Vandana Parasar ◽

S Yasmin ◽

VV Seetha Pramila

Keyword(s):

Case Report ◽

Neurofibromatosis Type 1 ◽

Rare Case ◽

Multidisciplinary Approach ◽

Neurofibromatosis Type ◽

Rare Case Report

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A retrospective study on maternal and perinatal outcome in pregnancy requiring DJ stent and PCN during pregnancy

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20194351 ◽

2019 ◽

Vol 8 (10) ◽

pp. 3903

Author(s):

Liji David ◽

Swati Rathore ◽

Neeraj Kulkarni ◽

Batiston Decruse Waanbah ◽

Benedict Paul Samuel ◽

...

Keyword(s):

Retrospective Study ◽

Perinatal Outcome ◽

Symptom Relief ◽

Percutaneous Nephrostomy ◽

Severe Form ◽

Gravid Uterus ◽

Team Approach ◽

Tertiary Center ◽

Dj Stent ◽

In Pregnancy

Background: Gestational hydronephrosis (GH) is result of dilatation effect of the progesterone and mechanical compression of the gravid uterus. Management during pregnancy is challenging as routine radiological investigations and surgical treatments cannot be applied due to the potential harm to the fetus. Intervention is indicated in women who fail to respond to conservative management. Acute hydronephrosis and renal colic are common etiologies for loin pain, and can lead to severe form of urinary tract infection affecting perinatal outcome. Ureteric stenting and percutaneous nephrostomy (PCN) during pregnancy are safe, requiring no intra-operative imaging, and inserted under local anaesthesia. It provides good symptom relief, low complication rate, efficient and safe modality for women with refractory symptoms.Methods: A retrospective study of pregnant women admitted under obstetric units with acute hydronephrosis requiring DJ stenting and/or PCN. Aim was to evaluate the course and pregnancy outcomes in a tertiary center of Southern India over a period of five years.Results: Descriptive statistical analysis was done in 12 women with acute hydronephrosis in pregnancy. 66.7% were nulliparous and mean gestational age at admission was 31 weeks. Diagnosis was done by USG. One-fourth had pyelonephritis and calculus being the main pathology (n=9;75%).Women requiring DJ stent and PCN were 41.6% and 58.4% respectively. 41.7% had preterm labour. 66.7% delivered vaginally, birth weight was more than 2.5kg in 50%.Conclusions: Maternal and neonatal outcome mainly depends on the early diagnosis. In this study we emphasize on the importance of multidisciplinary team approach in the management of women with acute hydronephrosis. DJ stent and PCN are efficient and safe modalities in women with refractory symptoms.

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Primary Leiomyoma of ovary – A rare case report presenting with clinical diagnosis of subserosal uterine fibroid

IP Journal of Diagnostic Pathology and Oncology ◽

10.18231/j.jdpo.2021.031 ◽

2021 ◽

Vol 6 (2) ◽

pp. 144-147

Author(s):

Ruchica Goel ◽

Shipra Gupta ◽

Jai Kishan Goel ◽

Ruchee Khandelwal ◽

Neeraj Prajapati

Keyword(s):

Case Report ◽

Clinical Diagnosis ◽

Uterine Fibroid ◽

Rare Case ◽

Broad Ligament ◽

Gravid Uterus ◽

Abdominal Ultrasonography ◽

Abdominal Masses ◽

Rare Case Report ◽

Benign Ovarian Tumors

Primary leiomyoma of ovary are rare benign ovarian tumors. We present a rare case report of ovarian leiomyoma who was planned for laparotomy with a clinical diagnosis of subserosal uterine fibroid. Twenty three years old unmarried girl presented with heaviness and mass in lower abdomen, gravid uterus size of 20 weeks. Abdominal Ultrasonography raised suspicion of subserous fibroid. MRI pelvis was suggestive of ovarian neoplasm versus broad ligament fibroid. On laparotomy and removal of mass, histopathology and immunohistochemistry confirmed leiomyoma of ovary. Presently she is on follow up without any complaints. Ovarian leiomyoma is clinically often misdiagnosed and should be kept in differential diagnosis in lower abdominal masses.

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