scholarly journals Clinical case of delivery of a pregnant woman with vasa previa

2020 ◽  
Vol 7 (1) ◽  
pp. 53-56
Author(s):  
E. P. Shevtsova ◽  
N. A. Linchenko
Keyword(s):  
Pregnant Woman ◽  
Umbilical Cord ◽  
High Frequency ◽  
Clinical Case ◽  
Rare Condition ◽  
Birth Process ◽  
Common Causes ◽  
Vasa Previa ◽  
Diagnostic Difficulties ◽  
The Common

Anomalies of the umbilical cord are manifold and pose the greatest danger during the development of labor. Sheath attachment of the umbilical cord is one of the common causes of presentation of umbilical cord vessels. Vasa previa (VP) causes diagnostic difficulties, cannot be corrected during pregnancy and does not affect the birth process, but is characterized by a high frequency of perinatal mortality. This observation demonstrates the need for close attention of obstetrician-gynecologists and ultrasound doctors to such a rare condition as VP. The article discusses the clinical case of successful delivery of a pregnant woman with this pathology.

scholarly journals Clinical case of delivery of a pregnant woman with Vasa previa on the background of Placenta previa/accreta

2021 ◽  
Vol 4 ◽  
pp. 23-29
Author(s):  
О.V. Golyanovskiy ◽  
O.A. Dyadyk ◽  
V.I. Oshovskyy ◽  
N.E. Geint ◽  
V.V. Mekhedko ◽  
...  
Keyword(s):  
Pregnant Woman ◽  
Umbilical Cord ◽  
Clinical Case ◽  
Placenta Previa ◽  
Multiple Pregnancy ◽  
Diagnostic Methods ◽  
Doppler Imaging ◽  
Fetal Mortality ◽  
Standard Clinical Practice ◽  
Vasa Previa

Vasa previa is characterized by the presentation of blood vessels of the umbilical cord, which pass through the amniotic sac over the inner eye of the cervix or in its immediate vicinity (up to 5 cm) and are associated with umbilical cord blood flow and are in front of the anterior part of the fetus.Risk factors for Vasa Previa are placental pathology, in particular placenta previa and low placental location; membranous attachment of the umbilical cord, IVF, the presence of an additional share of the placenta or dichotomous placenta, as well as multiple pregnancy. Without prior diagnosis of Vasa previa, fetal mortality reaches 44%, while in antenatal detection the survival rate is up to 97%.Current standard clinical practice during pregnancy with obstetric risk factors for Vasa previa includes assessment of the condition of the lower segment of the uterus and cervix using TVUS and enhanced / color Doppler imaging. The use of additional modern diagnostic methods is a very important step in the aspect of differential diagnosis, especially when additional structures are visualized in the immediate vicinity of the cervix.The article describes a clinical case of Vasa previa on the background of Placenta previa / accreta in women with a burdened somatic and obstetric history and with 4 previous surgeries on the pelvic organs (laparotomy). The management of a clinical case with timely diagnosis and delivery with the help of modern medical and technical support of cesarean section (tranexamic acid, carbetocin, argon plasma tissue coagulation) is presented. Pathology and histology data confirming the diagnosis are attached as well.Thanks to the use of modern methods of diagnosis and delivery, it was possible to prevent severe complications, primarily hemorrhagic, both from the fetus and from the pregnant woman with a rather rare obstetric pathology in the form of Vasa previa with umbilical cord membranous attachment, Placenta previa / accreta partialis.

scholarly journals The Role of Ultrasound in Obstetric Hemorrhage

2010 ◽  
Vol 4 (1) ◽  
pp. 35-42
Author(s):  
Janet M Burlingame
Keyword(s):  
Ectopic Pregnancy ◽  
List Type ◽  
Obstetric Hemorrhage ◽  
Abnormal Placentation ◽  
Diagnosis And Management ◽  
Ultrasound Findings ◽  
Common Causes ◽  
Vasa Previa ◽  
The Common

Abstract Ultrasound assists in the diagnosis and management of obstetric hemorrhage. With improving technology and increasing availability, there has been a decreased morbidity and mortality from obstetric hemorrhage due to ectopic pregnancy, vasa previa and abnormal placentation. There is also theoretic benefit for the use of ultrasound in less common conditions such as uterine varix. The goal of this article is to review the common causes of obstetric hemorrhage; to review the ultrasound findings in these causes; and to discuss the intraoperative use of ultrasound in the treatment of obstetric hemorrhage. Objectives Review common causes of obstetric hemorrhage Review the ultrasound findings of these causes Discuss the role of ultrasound during procedures for obstetric hemorrhage

Near miss: a clinical case of a successful childbirth in a pregnant woman with Vasa Previa

2019 ◽  
Vol 17 (4) ◽  
pp. 107-110
Author(s):  
O. A. Toktarova ◽  
◽  
R. S. Zamaleeva ◽  
E. Yu. Yupatov ◽  
◽  
...  
Keyword(s):  
Pregnant Woman ◽  
Clinical Case ◽  
Near Miss ◽  
Vasa Previa

scholarly journals The new method of pelvic packing against continuing intrapelvic bleeding resulting from the unstable pelvic ring fractures

2019 ◽  
pp. 76-80
Author(s):  
K. A. Egiazaryan ◽  
D. I. Gordienko ◽  
D. A. Starchik ◽  
A. M. Lysko
Keyword(s):  
Clinical Case ◽  
Causes Of Death ◽  
Pelvic Ring ◽  
New Method ◽  
Concomitant Injuries ◽  
Pelvic Packing ◽  
Balloon Tamponade ◽  
Pelvic Ring Fractures ◽  
Common Causes ◽  
The Common

Unstable pelvic ring fractures are one of the common causes of death of patients with concomitant injuries. The existing methods applied to treat such conditions can cause a number of complications and have contraindications. We have described a successful clinical case of intrapelvic hemorrhage arrest in a patient with multiple injuries. in this case, we applied the new method combining minimally invasive angioembolization and easily applicable and effective balloon tamponade.

Clinical case of periostitis in pregnant women complicated by sepsis

2020 ◽  
pp. 61-63
Author(s):  
S. Sh. Kakvaeva ◽  
M. A. Magomedova ◽  
A. N. Dzhalilova
Keyword(s):  
Pregnant Woman ◽  
Multiple Organ Failure ◽  
Pregnant Women ◽  
Organ Failure ◽  
Clinical Case ◽  
Clinical Observation ◽  
Infectious Agent ◽  
Modern Medicine ◽  
Multiple Organ ◽  
Number Of Patients

One of the most serious problems of modern medicine is sepsis. The number of patients undergoing this complication is 20–30 million (WHO) annually and has no tendency to decrease. Sepsis is characterized by severe multiple organ failure due to a violation of the response of the macroorganism to an infectious agent. Moreover, it is dangerous with high mortality. Sepsis often develops in patients with immunodeficiency conditions, which primarily include pregnant women. The article presents a clinical observation of a case of periostitis in a pregnant woman complicated by a septic state.

Prenatal ultrasound diagnosis of velamentous insertion of the umbilical cord: clinical cases and literature review

2018 ◽  
Author(s):  
M.A. Esetov , A.M. Esetov , I.V. Ramazanova
Keyword(s):  
Umbilical Cord ◽  
Color Doppler ◽  
Color Doppler Ultrasound ◽  
Ultrasound Diagnosis ◽  
Cesarean Sections ◽  
Previous Cesarean Section ◽  
Vasa Previa ◽  
Obstetrical Management ◽  
Previous Cesarean ◽  
Singleton Pregnancies

Seven cases of ultrasound diagnosis of velamentous insertion (VCI) of the umbilical cord at singleton pregnancies on 21–34 weeks of gestation are presented. The ultrasound picture two of the VIC types is presented: fixed in 5 cases and free in 2 cases. In one case the VCI was in the lower third of the uterus and the wound has been diagnosed the vasa previa. In other cases, the VCI was in middle third of the uterus. In all cases delivery was at 37–39.1 weeks of gestation. In 4 cases Cesarean sections were performed. In two of the VCI cases elective Ce sarean sections were performed for the following indications: previous Cesarean section and vasa previa. VCI can reliably be detected prenatally by gray-scale and color Doppler ultrasound. For fixed VCI located in the middle-upper of the uterus, no change in standard obstetrical management seems to be required.

scholarly journals A case report of cobalt cardiomyopathy leading to electric storm and cardiogenic shock: the importance of the orthopaedic background in patients with heart failure of unknown aetiology

2021 ◽  
Vol 5 (4) ◽  
Author(s):  
Cristina Castrillo Bustamante ◽  
Ángela Canteli Álvarez ◽  
Virginia Burgos Palacios ◽  
Jose Aurelio Sarralde Aguayo ◽  
David Serrano Lozano ◽  
...  
Keyword(s):  
Heart Failure ◽  
Cardiogenic Shock ◽  
Hip Prosthesis ◽  
Rare Condition ◽  
Restrictive Cardiomyopathy ◽  
Circulatory Support ◽  
Metal Levels ◽  
Common Causes ◽  
End Stage ◽  
Hip Arthroplasties

Abstract Background  The first series of cobalt cardiomyopathy was described in the 60s in relation to the abuse of a cobalt containing beer. Since then, millions of metal hip arthroplasties have been performed and a small number of cobalt cardiomyopathies related to metal prosthesis have been reported. Case summary  We report a case of a 48-year-old man who developed a severe non-dilated restrictive cardiomyopathy in the setting of a systemic metallosis following several hip arthroplasties. The diagnosis was suspected by exclusion of other more common causes for restrictive cardiomyopathies and confirmed by the levels of cobalt and chromium in the serum and the endomyocardial biopsy performance that showed metal deposits in myocardial tissue. Despite the removal of the metal prosthesis and a significant decrease in serum metal levels, he suffered cardiogenic shock (CS) and electric storm that required emergency mechanical circulatory support as a bridge to heart transplant. Discussion  Cobalt cardiomyopathy is a rare condition that has been observed in patients who develop cobalt toxicity after metal hip arthroplasty. The condition may improve after diagnosis and removal of the prosthesis or get worse and progress to end-stage heart failure or CS. The concern about the metal toxicity associated with metal hip prosthesis has increased in the last few years. Orthopaedic surgeons and cardiologists should be aware of this severe complication that is probably under diagnosed.

scholarly journals From “Technical Newbies” to “Optimistic Politicians”

2019 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
James Prater ◽  
Konstantinos Kirytopoulos ◽  
Tony Ma
Keyword(s):  
Information Technology ◽  
Quantitative Research ◽  
Valuable Insight ◽  
Scheduling Problems ◽  
Information Technology Projects ◽  
Content Type ◽  
Common Causes ◽  
The Common ◽  
Project Estimation ◽  
Engineering Projects

Purpose Despite the advent of sophisticated control methods, there are still significant issues regarding late delivery of information technology projects. The purpose of this paper is to investigate the common causes of scheduling problems specifically in the information technology projects context. Design/methodology/approach Through a quantitative research, the importance of those causes, as well as the underpinning factors driving them, is explored. The causes are ranked according to their relative important index, and exploratory factor analysis is employed to reveal underlying dimensions (factors) of these causes. Findings From the analysis, four factors were extracted, namely, “Dataless Newbie,” “Technical Newbie,” “Pragmatic Futurist” and “Optimistic Politician.” These factors explain the different latent conditions that lead to scheduling problems in information technology projects. Practical implications The key contribution of this research is that it enlightens the latent conditions underpinning scheduling problems. Also, the evidence provides that schedule development for information technology projects is impacted by the same causes that impact engineering projects, and that applying a number of mitigation techniques widely used within the engineering area, such as reference class, would, no doubt, not only improve information technology schedules but also reduce the political pressures on the project manager. Originality/value This research provides a valuable insight into understanding the underlying factors for poor project estimation.

The Effect of Combined Loads on the Destruction of Rocks with a Granular Structure

2021 ◽  
Vol 1022 ◽  
pp. 1-6
Author(s):  
Victoria S. Romanova ◽  
Viktor V. Gabov
Keyword(s):  
Ultimate Strength ◽  
Experimental Research ◽  
High Frequency ◽  
Granular Structure ◽  
Common Method ◽  
Crushed Material ◽  
Combined Loads ◽  
Rock Disintegration ◽  
The Common ◽  
Destruction Of Rocks

The article addresses the features of rock disintegration based on the principles of selective and preferential destruction in high-frequency cone vibratory crushers with a free-turning inner cone. Based on the common method for determining the ultimate strength of rocks, a method for investigating the process of ore destruction under repeated and versatile influences has been proposed depending on the structure of the crushed material. The results of an experimental research of the destruction of rock samples on a press with limited force are given.

Cholangiocarcinoma in pregnancy (clinical case)

2020 ◽  
pp. 19-27
Author(s):  
A. Yu. Ralnikova ◽  
V. F. Bezhenar ◽  
B. V. Arakelyan ◽  
N. A. Tatarova ◽  
M. E. Malysheva
Keyword(s):  
Pregnant Woman ◽  
Clinical Case ◽  
Clinical Observation ◽  
Late Diagnosis ◽  
Biliary Cancer ◽  
In Pregnancy

The article discusses the problems of diagnosing biliary cancer during pregnancy, proceeding under the guise of complications associated with gestation. A clinical observation of late diagnosis of cholangiocarcinoma in a pregnant woman is presented.

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