Venous Thromboembolism and Ovarian Torsion-detorsion in Pregnancy: a Case Report and Systematic Review of the Literature

Abstract The safety of adnexal detorsion in pregnant women is debatable as the hypercoagulable state during pregnancy intensifies the risk of thromboembolism. The diagnosis and treatment is challenging because its rarity and complexity due to the foetal health. Here we presented a rare case of venous thromboembolism (VTE) after ovarian detorsion during early pregnancy and conducted a review of the literature. VTE after ovarian torsion-detorsion in pregnancy is an infrequent event and is more likely to occur in the first and second trimester. The diagnosis depends mainly on the clinical manifestation, D-dimer level and imaging tests such as compression ultrasonography and computed tomography pulmonary angiogram. Low-molecular-weight heparin remains the drug of choice for both prophylactic measurement and therapeutic strategy. With prompt diagnosis and immediate treatment, VTE after ovarian torsion-detorsion is usually uneventful.

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A case of minimal change disease during pregnancy – Benefits of early diagnosis and use of corticosteroids

Obstetric Medicine ◽

10.1177/1753495x21990214 ◽

2021 ◽

pp. 1753495X2199021

Author(s):

Priyanka S Sagar ◽

Eddy Fischer ◽

Muralikrishna Gangadharan Komala ◽

Bhadran Bose

Keyword(s):

Nephrotic Syndrome ◽

Early Diagnosis ◽

Renal Biopsy ◽

Early Pregnancy ◽

Minimal Change Disease ◽

Minimal Change ◽

Risk Of Bleeding ◽

Increased Risk ◽

Prompt Diagnosis ◽

In Pregnancy

Nephrotic syndrome presenting in pregnancy is rare and poses a diagnostic and therapeutic challenge. Timing of renal biopsy is important given the increased risk of bleeding and miscarriage, and the choice of immunosuppression is limited due to the teratogenicity profiles of standard drugs. We report and discuss a case of minimal change disease diagnosed by renal biopsy during early pregnancy and treated with corticosteroids throughout the pregnancy. Prompt diagnosis and treatment of glomerular disease in pregnancy are vital to prevent poor maternal and fetal outcomes.

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May–Thurner Syndrome in Pregnancy-Associated Venous Thromboembolism

TH Open ◽

10.1055/s-0041-1731710 ◽

2021 ◽

Vol 05 (03) ◽

pp. e251-e252

Author(s):

Mateo Porres-Aguilar ◽

Debabrata Mukherjee

Keyword(s):

Venous Thromboembolism ◽

In Pregnancy

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Left ventricular assist device in pregnancy: Case report and review of the literature

Journal of Obstetrics and Gynaecology Research ◽

10.1111/jog.14699 ◽

2021 ◽

Vol 47 (4) ◽

pp. 1589-1593

Author(s):

Alexa Malik ◽

Mae‐Lan Winchester ◽

Kelly Gorman ◽

Jessica Parrott ◽

Marc Parrish

Keyword(s):

Case Report ◽

Left Ventricular Assist Device ◽

Ventricular Assist Device ◽

Left Ventricular ◽

Review Of The Literature ◽

Assist Device ◽

Ventricular Assist ◽

Left Ventricular Assist ◽

In Pregnancy

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Metastasis of Ewing Sarcoma to the Pancreas: Case Report and Literature Review

Case Reports in Oncological Medicine ◽

10.1155/2020/7075048 ◽

2020 ◽

Vol 2020 ◽

pp. 1-9

Author(s):

Hyma Polimera ◽

Prashanth Moku ◽

Shady Piedra Abusharar ◽

Monali Vasekar ◽

Jayakrishna Chintanaboina

Keyword(s):

Ewing Sarcoma ◽

Rare Case ◽

Bone Cancer ◽

Positive Outcome ◽

Tumor Burden ◽

Response To Treatment ◽

Effective Management ◽

Review Of The Literature ◽

Appropriate Treatment ◽

Prompt Diagnosis

Ewing sarcoma (ES) is a highly aggressive malignant bone cancer. ES is part of the Ewing sarcoma family of tumors (ESFT), which express characteristic t(11;22) translocation as well as higher levels of CD99. Given that metastasis and tumor burden are significant prognostic factors in patient’s response to treatment, prompt diagnosis is needed to effectively treat ESFT patients. However, the challenges in classifying and characterizing ESFT complicate effective management and treatment of ES. In this report, we present a rare case of ES metastasis to the pancreas. Upon review of the literature, we found 39 cases of ESFT involving the pancreas, but only 3 were metastatic to the pancreas while the remaining cases of ESFT primarily originated from the pancreas. Given the rarity of such metastasis, the positive outcome in our patient’s case may explain the importance of prompt diagnosis in order to initiate appropriate treatment.

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Ovarian Torsion in a 5-Year Old: A Case Report and Review

Case Reports in Emergency Medicine ◽

10.1155/2012/679121 ◽

2012 ◽

Vol 2012 ◽

pp. 1-3 ◽

Cited By ~ 3

Author(s):

Matthew F. Ryan ◽

Bobby K. Desai

Keyword(s):

Emergency Department ◽

Abdominal Pain ◽

Case Report ◽

Urinary Tract ◽

Clinical Suspicion ◽

Ovarian Torsion ◽

Surgical Emergencies ◽

High Clinical Suspicion ◽

Tract Infections ◽

Prompt Diagnosis

Ovarian torsion represents a true surgical emergency. Prompt diagnosis is essential to ovarian salvage, and high clinical suspicion is important in this regard. Confounding the diagnosis in general are more commonly encountered abdominal complaints in the Emergency Department (ED) such as constipation, diarrhea, and urinary tract infections and more common surgical emergencies such as appendicitis. Prompt diagnosis can be further complicated in low-risk populations such as young children. Herein, we describe the case of a 5-year-old girl with a seemingly benign presentation of abdominal pain who was diagnosed in the ED and treated for acute ovarian torsion after two prior clinic visits. A brief discussion of evaluation, treatment, and management of ovarian torsion follows.

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