scholarly journals Massive intra-abdominal Haemorrhage in a Pregnant Patient with Cirrhosis of Liver - A Case Report

2016 ◽  
Vol 28 (2) ◽  
pp. 100-102
Author(s):  
Monowara Begum ◽  
Housneara Begum
Keyword(s):  
Pregnancy Outcomes ◽  
Post Partum ◽  
Rare Event ◽  
Pregnant Patient ◽  
Successful Pregnancy ◽  
Advanced Cirrhosis ◽  
High Incidence ◽  
Threatening Condition ◽  
Life Threatening ◽  
Cirrhosis Of Liver

Pregnancy is a rare event in patients with cirrhosis. Recent improvements in the treatment of chronic liver disease have resulted in higher conception rates and more successful pregnancy outcomes. Still pregnancy in cirrhosis is associated with high incidence of foetal loss as well as higher maternal mortality both during pregnancy and in the post-partum period. In this paper we described a case of a successful pregnancy in a young woman with advanced cirrhosis facing life threatening condition in her last trimester and perioperative period.Bangladesh J Obstet Gynaecol, 2013; Vol. 28(2) : 100-102

scholarly journals Miracle Happening In Life: Intra-Abdominal Haemorrhage in Cirrhosis in Pregnancy Managed By Massive Blood Transfusion

Pulse ◽  
2014 ◽  
Vol 5 (1) ◽  
pp. 50-53
Author(s):  
Monowara Begum ◽  
Housneara Begum ◽  
Anisur Rahman
Keyword(s):  
Pregnancy Outcomes ◽  
Post Partum ◽  
Rare Event ◽  
Fetal Loss ◽  
Perioperative Period ◽  
Successful Pregnancy ◽  
Advanced Cirrhosis ◽  
High Incidence ◽  
Threatening Condition ◽  
Life Threatening

Pregnancy is a rare event in patients with cirrhosis. Recent improvements in the treatment of chronic liver disease have resulted in higher conception rates and more successful pregnancy outcomes. Still pregnancy in cirrhosis is associated with high incidence of fetal loss as well as higher maternal mortality both during pregnancy and in the post-partum period. In this paper we described a case of a successful pregnancy in a young woman with advanced cirrhosis facing life threatening condition in her last trimester and perioperative period. DOI: http://dx.doi.org/10.3329/pulse.v5i1.20191 Pulse Vol.5 January 2011 p.50-53

scholarly journals Aortic Dissection in a Pregnant Patient without Other Risk Factors

2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Priya V. Patel ◽  
Raanan Alter ◽  
Recia Frenn ◽  
Thaddeus P. Waters
Keyword(s):  
Risk Factors ◽  
Aortic Dissection ◽  
Aortic Rupture ◽  
Treatment Options ◽  
Pregnant Patient ◽  
Physical Exam ◽  
Vascular Events ◽  
Increased Risk ◽  
Threatening Condition ◽  
Life Threatening

Background. An aortic dissection is a life-threatening condition in which the intima of the artery tears causing separation of the intima and media. Pregnancy places women at a significantly increased risk of common vascular events including venous thromboembolism, myocardial infarction, and stroke, while also increasing the risk of rarer vascular events such as aortic dissection and aortic rupture. Case. A 30-year-old previously healthy multiparous woman presenting at 36 weeks of pregnancy with a Type A aortic dissection. She underwent a combined emergent cesarean delivery followed by repair of her aortic root. Conclusions. Aortic dissection should be high on the differential for pregnant patients presenting with the characteristic complaints and physical exam findings given the high mortality rate associated with this vascular event. Teaching Points. (1) This report reviews the characteristic presentation, risk factors, and physical exam findings in a patient with an aortic dissection. (2) The report includes treatment options for pregnant patients based on the classification of the dissection.

scholarly journals Acute Fatty Liver of Pregnancy: A Life Threatening Condition

2020 ◽  
Vol 15 (1) ◽  
pp. 79-80
Author(s):  
Sarita Sitaula ◽  
Ajay Agrawal ◽  
Achala Thakur ◽  
Tara Manandhar ◽  
Babauram Dixit Thapa ◽  
...  
Keyword(s):  
Fatty Liver ◽  
Postpartum Hemorrhage ◽  
Post Partum ◽  
High Morbidity ◽  
Third Trimester ◽  
Delay In Diagnosis ◽  
Threatening Condition ◽  
Life Threatening ◽  
Acute Fatty Liver ◽  
Catastrophic Disease

Acute Fatty Liver of Pregnancy (AFLP) is a rare but catastrophic disease affecting women in pregnancy. It usually occurs in the third trimester or post-partum period. Delay in diagnosis is associated with morbid complications with high morbidity and mortality. We report a case of 24 years old female at 38 weeks period of gestation who presented with jaundice, vomiting for 3 days and deranged liver function test. She was diagnosed as acute fatty liver of pregnancy and was delivered by instrumental delivery but required cesarean hysterectomy due to postpartum hemorrhage. She started improving with supportive care and discharged after 4 weeks of hospital stay. Key words: AFLP, Hysterectomy, Postpartum hemorrhage

scholarly journals Clinical profile of patients with thrombocytopenia at tertiary health care centre

2017 ◽  
Vol 4 (6) ◽  
pp. 1551
Author(s):  
Sanjay V. Patne ◽  
Kailash N. Chintale
Keyword(s):  
Megaloblastic Anemia ◽  
Medical Science ◽  
Hemorrhagic Fever ◽  
Clinical Profile ◽  
Health Care Centre ◽  
Cross Sectional ◽  
Medical College ◽  
Threatening Condition ◽  
Life Threatening ◽  
Cirrhosis Of Liver

Background: In tropical countries like India thrombocytopenia is commonly encountered by clinicians in any speciality. Thrombocytopenia present as asymptomatic condition to sometimes becomes a life-threatening condition requiring blood transfusion in various etiological conditions. Infections like malaria and dengue are invariably associated to thrombocytopenia with changing trends in clinical features. Infection is the commonest cause of thrombocytopenia. The objective of study was to evaluate the different causes of thrombocytopenia along with study of clinical profile and laboratory parameters in patients with thrombocytopenia.Methods: A cross-sectional hospital based study was conducted in Department of Medicine at Indian Institute of Medical Science and Research Medical College, Badnapur, Dist. Jalna, Maharashtra, India from November 2015 to August 2017. This study comprises cases of thrombocytopenia of age more than 12 years admitted with platelet count <1 lack/mm3 was included in study, whereas patients with malignancy and chemotherapy induced thrombocytopenia, idiopathic thrombocytopenic purpura, cirrhosis of liver were excluded.Results: Study shows almost 55.83 % of total patients were below age of 30 years and 44.17% patients were above 30 years of age. The highest incidence of thrombocytopenia was seen in the age group of 21-30 years (32.50%) followed by 31-40 (25.83%) and 12-20 years (23.33%). The most common diseases that causes thrombocytopenia were infections (63.33%) [i.e. Dengue (30%), Malaria (20.83%), Enteric fever (5%), HIV (4.166%), Leptospirosis (1.66%) and DIC (1.66%)] and Megaloblastic anemia (21.66%) were common in younger population.Conclusions: Study concluded that most common causes of thrombocytopenia were infections (63.33%) and megaloblastic anemia (21.66%). Bleeding manifestations were present in 37.50% of patients and the most common site of bleeding was skin and mucous membrane. The main etiological cause of bleeding in our study was dengue hemorrhagic fever followed by megaloblastic anaemia and malaria.  

scholarly journals Severe Odontogenic Infections during Pregnancy and Related Adverse Outcomes. Case Report and Systematic Literature Review

2021 ◽  
Vol 6 (2) ◽  
pp. 106
Author(s):  
Resi Pucci ◽  
Andrea Cassoni ◽  
Daniele Di Carlo ◽  
Marco Della Monaca ◽  
Umberto Romeo ◽  
...  
Keyword(s):  
Pregnancy Outcomes ◽  
Pregnant Patient ◽  
Adverse Outcomes ◽  
Cesarean Sections ◽  
Review Of The Literature ◽  
Odontogenic Infections ◽  
Life Threatening ◽  
The Mean ◽  
Adverse Pregnancy ◽  
Dental Infections

Odontogenic infections have the potential to develop into deep-space infections and may cause severe diseases with possible life-threatening complications. Dental infections during pregnancy require special attention in terms of possible complications and treatments due to the potential to affect the lives of two individuals. A case of a 36-year-old pregnant patient with a submandibular abscess caused by an odontogenic infection is reported, followed by a comprehensive systematic review of the literature in order to retrieve information regarding severe odontogenic infections and adverse pregnancy outcomes. The review was conducted according to the PRISMA guidelines using PubMed, Scopus, and Google Scholar databases. A total of 69 cases were included in the qualitative analysis. The mean age was 27.72 years. Patients were managed with surgery in combination with antibiotics. Nine infectious-related cesarean sections were detected, and preterm birth was associated in 3 cases, low birth weight in 2 cases, death of the fetus in 9 cases (13%), and maternal death in 4 cases (5.8%). The possible compromise of oral health during pregnancy is well known; however, severe odontogenic infections are rarely considered in the literature, and they may be associated with severe and life-threatening complications for both mother and the fetus.

scholarly journals Cirrhosis of liver with third trimester of pregnancy: First report of two cases from Bangladesh

1970 ◽  
Vol 1 (1) ◽  
pp. 51-53
Author(s):  
Mamun Al-Mahtab ◽  
Salimur Rahman ◽  
Provat Kumar Podder ◽  
Mobin Khan ◽  
Faroque Ahmed ◽  
...  
Keyword(s):  
Blood Flow ◽  
Maternal Mortality ◽  
Hepatic Blood Flow ◽  
Hepatic Dysfunction ◽  
Post Partum ◽  
Third Trimester ◽  
Foetal Loss ◽  
High Incidence ◽  
Cirrhosis Of Liver ◽  
First Time

Pregnancy is uncommon in cirrhosis. This is however not related to the aetiology of cirrhosis and rather results from hepatic dysfunction, reduced hepatic blood flow and reduced end organ sensitivity to sex hormones in these patients. Pregnancy in cirrhosis is associated with high incidence of foetal loss as well as higher maternal mortality both during pregnancy and in the post-partum period. Here we report two cases of cirrhosis of liver with third trimester of pregnancy for the first time from Bangladesh. doi: 10.3329/blj.v1i1.2626 Bangladesh Liver Journal Vol.1(1) 2009 p.51-54 

scholarly journals Positive Outcome of Heterotopic Pregnancy Following Ovulation Induction: A Rare Case Report

2009 ◽  
Vol 22 (2) ◽  
pp. 287-288
Author(s):  
S Jesmin ◽  
N Akhte ◽  
N Naha ◽  
N Shamima
Keyword(s):  
Ovulation Induction ◽  
Clomiphene Citrate ◽  
Rare Event ◽  
Positive Outcome ◽  
Tubal Pregnancy ◽  
Heterotopic Pregnancy ◽  
Singleton Pregnancy ◽  
Rare Case Report ◽  
Threatening Condition ◽  
Life Threatening

We report a combined intra-uterine and ruptured tubal pregnancy following ovulation induction by clomiphene citrate (cc) and timed intercourse. The diagnosis of heterotopic pregnancy (HP) is the major problem until occurrence of tubal rupture. Because HP is a life threatening condition, the diagnosis should be made as soon as possible. In a spontaneous conception HP is a rare event. The risk of HP significantly increases after ovulation induction. Clomiphene itself should be associated with a high HP rare. We present a case with normally developing intra uterine singleton pregnancy successfully with synchronous tubal pregnancy following ovulation induction by cc.TAJ 2009; 22(1): 287-288

scholarly journals Placenta percreta with bladder invasion: managed successfully

2021 ◽  
Vol 12 (3) ◽  
pp. 157-158
Author(s):  
Kumari Ranjeeta ◽  
Prativa Sadangi
Keyword(s):  
Caesarean Section ◽  
Care Center ◽  
Tertiary Care ◽  
Previous History ◽  
Pregnant Patient ◽  
Placenta Percreta ◽  
Mother And Child ◽  
Threatening Condition ◽  
Life Threatening ◽  
Bladder Invasion

Placenta percreta (PP) is a potentially life-threatening condition. When PP is complicated by bladder invasion, mortality rates have been estimated as high as 9.5% and 24% for mother and child, respectively. Early diagnosis allows for appropriate antenatal care and accordingly surgical planning and management. Herein, we are going to present a case report, in which a woman G3P2L2 with previous 2 caesarean section with pre-term gestation was diagnosed with placenta accreta, but intra-operatively it was placenta percreta with bladder invasion. Patient was managed successfully by doing subtotal hysterectomy. Any pregnant patient with previous history of caesarean section we should be suspicious of placenta accrete spectrum, hence should be managed in a tertiary care center with a multidisciplinary approach, and with earliest possible involvement of the urologist in decision-making.

scholarly journals A Case Report on Decompensated Cirrhosis of Liver in Pregnancy

2013 ◽  
Vol 22 (2) ◽  
pp. 60-62
Author(s):  
Mohammad Mahabubul Alam ◽  
Faiz Ahmad Khondakar ◽  
Syed Abul Foez ◽  
Mamun Al-Mahtab ◽  
Salimur Rahman
Keyword(s):  
Case Report ◽  
Liver Disease ◽  
Decompensated Cirrhosis ◽  
Hepatitis B Virus Infection ◽  
Advanced Liver Disease ◽  
Successful Pregnancy ◽  
Advanced Cirrhosis ◽  
B Virus ◽  
Cirrhosis Of Liver ◽  
In Pregnancy

Pregnancy in women with advanced liver disease is rare. Cirrhosis results in metabolic and hormonal derangements that lead to anovulation and amenorrhea1. In this paper we described the case of a successful pregnancy in a young woman with advanced cirrhosis due to hepatitis B virus infection. DOI: http://dx.doi.org/10.3329/bjmed.v22i2.13591 Bangladesh J Medicine 2011; 22: 60-62

Clinical Course

2020 ◽  
pp. 99-125
Keyword(s):  
Clinical Course ◽  
Cell Damage ◽  
Post Partum ◽  
Thyroid Cell ◽  
Myxedema Coma ◽  
Silent Thyroiditis ◽  
Clinical Presentations ◽  
Threatening Condition ◽  
Life Threatening ◽  
Painless Thyroiditis

The various clinical presentations of Hashimoto's thyroiditis (HT) include euthyroidism and goiter, subclinical hypothyroidism and goiter, primary thyroid failure, hypothyroidism, adolescent goiter, painless thyroiditis or silent thyroiditis, post-partum painless thyrotoxicosis, and alternating hypo- and hyper-thyroidism. Generally, the progress from euthyroidism to hypothyroidism is considered “irreversible” due to thyroid cell damage and loss of thyroidal iodine stores. Myxedema psychosis is a relatively uncommon consequence of hypothyroidism. Myxedema coma, a rare, life-threatening condition, occurs late in the progression of hypothyroidism when the body's compensatory responses to hypothyroidism are overwhelmed by a precipitating factor such as infection, medication, environmental exposure, or other metabolic-related stresses. Several unusual syndromes that are believed to be associated with HT include amyloidosis, interstitial pneumonitis, Vitiligo, hives, and alopecia. Hashimoto's encephalopathy and Hashimoto's ophthalmopathy are rare complications of HT. This chapter explores the clinical course of Hashimoto's disease.

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