scholarly journals A case of congenital maldisposition of pelvic peritoneum & chronic retention of urine at term pregnancy

2014 ◽  
Vol 42 (3) ◽  
pp. 89-91
Author(s):  
N Banu ◽  
J Ferdouse
Keyword(s):  
Term Pregnancy ◽  
Lower Segment ◽  
Fetal Head ◽  
Pelvic Organs ◽  
Abdominal Organs ◽  
Pelvic Peritoneum ◽  
Healthy Female ◽  
Chronic Urinary Retention ◽  
History Of ◽  
Female Baby

Mal disposition of peritoneum over abdominal organs were reported both in cadaver & in diseased persons; but no report was found particularly about mal disposition of pelvic peritoneum. We are sharing our experience of a rare cause of chronic urinary retention due to abnormal disposition of pelvic peritoneum, diagnosed incidentally during lower segment ceaserian section. A 23 years young lady admitted at her term pregnancy as a case of prolong labour with failure of descend of fetal head. A healthy female baby was delivered by ower segment ceaserian section. But the procedure was not so smooth, though she had no risk factors for adhesive disease or past abdominal surgery. The bladder was hugely distended & atonic without any sign of obstructed labour. The peritoneal reflection was near fundus of the uterus; that’s why the bladder was pulled up along with the growing uterus. On further inquiry, she gave the history of incomplete voiding from her 28th weeks of pregnancy. The peritoneum over other pelvic organs was also found loosely attached. The abnormal disposition of peritoneum over bladder & uterus is absolutely benign congenital malformation; but the condition is not free from complication. DOI: http://dx.doi.org/10.3329/bmj.v42i3.19003 Bangladesh Med J. 2013 Sept; 42 (3): 89-91

scholarly journals Successful Pregnancy of a DVR Patient -A Case Report.

KYAMC Journal ◽  
2013 ◽  
Vol 3 (2) ◽  
pp. 306-308
Author(s):  
Mst. Stia Sultana ◽  
Md. Saiful Islam ◽  
Monira Akter ◽  
Masuma Khatun
Keyword(s):  
Normal Limit ◽  
Normal Limits ◽  
Double Valve Replacement ◽  
Mitral Position ◽  
Healthy Female ◽  
Minor Ailments ◽  
History Of ◽  
Female Baby ◽  
Surgery Department ◽  
Rheumatic Heart

Mrs Rojina Akter 27 years old lady presented to us with complains of 12 weeks amenorrhea with the history of Rheumatic heart disease(MS-severe with MR Gr-2+ with AR Gr-2) treated surgically with mechanical metallic Double valve Replacement on 7th April 2010 in Cardiac Surgery Department of KYAMCH. It was her second conception.first one was terminated by MR due to fear of cardiac problem out side of this hospital. She also noticed slight breathlessness & palpitation. On examination- she was anxious, her respiratory rate, pulse rate & blood pressure were within normal limits. Her ECG report was within normal limit & colour Doppler Echo study showed normally functioning prosthetic metallic valves in Aortic & Mitral position with normal ejection fraction. Under joint-consultation with Cardiologist & Obstetrician she was advised to continue her pregnancy with careful & regular antenatal check up. During antenatal period she continued her cardiac medications & other supplementary drugs for her pregnancy. Without some minor ailments she continued her pregnancy up to 38 wks, then she delivered a healthy female baby by caesarean section on 6th August 2012 .Now she is well under the supervision of Cardiologist. KYAMC Journal Vol. 3, No.-2, January 2013, Page 306-308 DOI: http://dx.doi.org/10.3329/kyamcj.v3i2.15173

scholarly journals Pregnancy in Pott’s Disease: A Case Report and Review

2013 ◽  
Vol 25 (1) ◽  
pp. 37-40 ◽  
Author(s):  
N Yusuf ◽  
MA Ali ◽  
Q Ahmad ◽  
L Rahman ◽  
T Nigar
Keyword(s):  
Case Report ◽  
Intervertebral Disc ◽  
Spinal Tuberculosis ◽  
Cord Compression ◽  
Lower Limbs ◽  
Sensory Loss ◽  
Term Pregnancy ◽  
Delay In Diagnosis ◽  
Healthy Female ◽  
Female Baby

Spinal tuberculosis (Pott’s disease) during pregnancy reported to be rare & can be associated  with destruction of the intervertebral disc & adjacent vertebrae that can lead to cord compression  & thereby paraplegia or quadriplegia. Delay in diagnosis is common & most cases are diagnosed  when paraplegia has already been occurred. This serious complication requires special attention  during pregnancy & delivery. Here we reported a case of term pregnancy with Pott’s paraplegia.  As the patient had complete motor & sensory loss from D7 level, (above the level of umbilicus  to the lower limbs) LUCS was done without anesthesia & a healthy female baby was delivered.  She did not require any analgesia post operatively DOI: http://dx.doi.org/10.3329/bjog.v25i1.13731 Bangladesh J Obstet Gynaecol, 2010; Vol. 25(1) : 37-40

scholarly journals Giant Ovarian Mucinous Cystadenoma Complicating Term Pregnancy

2018 ◽  
Vol 56 (210) ◽  
pp. 629-632
Author(s):  
Sangeeta Kaushal Mishra ◽  
Manoj Yadav ◽  
Sripad J Walavalkar
Keyword(s):  
Ovarian Cyst ◽  
Elective Surgery ◽  
Mucinous Cystadenoma ◽  
Expectant Management ◽  
Breech Presentation ◽  
Normal Vaginal Delivery ◽  
Local Health ◽  
Healthy Female ◽  
History Of ◽  
Female Baby

  Huge ovarian cyst are found in less than 1% of all ovarian cyst in pregnancy and are associated with poor feto-maternal outcome. A 28 years old G2P1 with history of normal vaginal delivery 3 years back was referred from local health post with complains of intermittent pain abdomen at 29 weeks. Her scan showed huge ovarian cyst of 18.9×17.6 cm with multiple thick septation. Woman was conservatively managed till term and elective surgery was planned however she presented in labour with breech presentation at 39 weeks and 4days. Emergency lower segment caesarian section along with left sided salpingo–oophorectomy was done along with delivery of 2.5 kg healthy female baby. Histopathology was suggestive of mucinous cystadenoma of ovary. Although antepartum removal of ovarian cyst has been recommended to ensure good pregnancy outcome, expectant management and timed intervention can be adopted for pregnancy with huge ovarian cysts.

scholarly journals Successful Outcome Following Hysteroscopic Septoplasty in a Woman with Seven Consecutive Pregnancy Losses

2021 ◽  
pp. 1-4
Author(s):  
Jesmine Banu ◽  
Mumtahena Amir ◽  
Shakeela Ishrat ◽  
Sadia Afrin Munmun ◽  
Nighat Sultana
Keyword(s):  
Reproductive Tract ◽  
Elective Caesarean Section ◽  
First Trimester ◽  
Successful Outcome ◽  
Healthy Female ◽  
Endocrine Parameters ◽  
History Of ◽  
Consecutive Pregnancy ◽  
Recurrent Abortions ◽  
Female Baby

Anomalies of the reproductive tract are common and present in about 3%–5% of the general population and in about 3% of infertile women. In general, they are asymptomatic, but they can also be associated with recurrent abortions or infertility. This is the case of a 27-year-old nulliparous woman presenting with the history of seven consecutive first trimester spontaneous abortions. Since her marriage 10 years back she conceived on repeated times but all the pregnancies ended in spontaneous miscarriage at around 10–12 weeks. Hysterosalpingography revealed a bicornuate/septate uterus. Hysteroscopic septoplasty with concurrent laparoscopy was planned after normalization of the endocrine parameters. She conceived spontaneously 7 months after the surgery. She had luteal phase support with progesterone, cervical cerclage and management of gestational diabetes, and pregnancy-induced hypertension. At 37 weeks of gestation, elective caesarean section was done with the delivery of a healthy female baby.

scholarly journals Pott's Disease in Pregnancy: A Case Report and Review

2009 ◽  
Vol 22 (2) ◽  
pp. 282-286
Author(s):  
N Yusuf ◽  
A Ali ◽  
Q Ahmad ◽  
L Rahman ◽  
T Nigar
Keyword(s):  
Spinal Tuberculosis ◽  
Cord Compression ◽  
Lower Limbs ◽  
Sensory Loss ◽  
Term Pregnancy ◽  
Delay In Diagnosis ◽  
Pott’S Disease ◽  
Healthy Female ◽  
Female Baby ◽  
In Pregnancy

Spinal tuberculosis (Pott's disease) during pregnancy reported to be rare & can be associated with destruction of the intervertebral disc & adjacent vertebrae that can lead to cord compression & thereby paraplegia or quadriplegia. Delay in diagnosis is common & most cases are diagnosed when paraplegia has already been occurred. This serious complication requires special attention during pregnancy & delivery. Here we reported a case of term pregnancy with Pott's paraplegia. As the patient had complete motor & sensory loss from D7 level, (above the level of umbilicus to the lower limbs) LUCS was done without anesthesia & a healthy female baby was delivered. She did not require any analgesia post operatively.TAJ 2009; 22(1): 282-286

scholarly journals Pregnancy outcomes in women with preexisting thyroid diseases: a French cohort study

2020 ◽  
pp. 1-10
Author(s):  
Marion Lecorguillé ◽  
Juliane Léger ◽  
Anne Forhan ◽  
Marie Cheminat ◽  
Marie-Noëlle Dufourg ◽  
...  
Keyword(s):  
Thyroid Hormone ◽  
Gestational Diabetes ◽  
Head Circumference ◽  
Thyroid Diseases ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Fetal Head ◽  
History Of ◽  
Multivariable Regression ◽  
Multivariable Regression Models

Abstract Women with thyroid diseases at the beginning of pregnancy may have suboptimal thyroid hormone levels because of potential difficulties in compensating for the physiological thyroid hormone changes occurring in pregnancy. Our objective was to study the association between preexisting thyroid diseases, pregnancy complications, and neonatal anthropometry. In total, 16,395 women from the ELFE French longitudinal birth cohort were included, and 273 declared pre-pregnancy thyroid diseases. Associations were investigated with multivariable regression models, with adjustment for relevant potential confounders. Body mass index (BMI) was additionally adjusted for in a second stage. As compared with other women, women with pre-pregnancy thyroid diseases were more frequently obese (19.6% vs. 9.8%) and had greater odds of gestational diabetes development (odds ratio [OR] = 1.58 [95% confidence interval [CI] 1.08, 2.30]) or had undergone treatment for infertility (OR = 1.57 [95% CI 1.07, 2.31]). After adjustment for BMI, the association with gestational diabetes was no longer significant (OR = 1.27 [95% CI 0.86, 1.88]). After excluding women with another medical history, those with pre-pregnancy thyroid diseases had increased odds of premature rupture of membranes (OR = 1.51 [95% CI 1.01, 2.25]). Children born from mothers with hypothyroidism before conception due to a disease or as a potential side effect of treatment had a smaller head circumference at birth than other children (β = −0.23 [95% CI −0.44, −0.01] cm). In conclusion, pre-pregnancy thyroid diseases were associated with risk of infertility treatment, gestational diabetes, and premature rupture of membranes. The association between history of hypothyroidism and moderate adverse effects on fetal head circumference growth needs replication.

Factitious Hematuria With Underlying Renal Abnormalities

PEDIATRICS ◽  
1988 ◽  
Vol 82 (3) ◽  
pp. 377-379
Author(s):  
RICHARD F. SALMON ◽  
BILLY S. ARANT ◽  
MICHEL G. BAUM ◽  
RONALD J. HOGG
Keyword(s):  
Vesicoureteric Reflux ◽  
Term Pregnancy ◽  
Gross Hematuria ◽  
Persistent Symptoms ◽  
History Of ◽  
Appropriate Therapy ◽  
Complete Duplication ◽  
Renal Abnormalities ◽  
Recurrent Hematuria ◽  
Collecting System

Factitious hematuria is a well-described cause of hematuria in adult patients but is rarely seen or considered in children.1-6 In this article, a 5-year-old girl with a history of gross hematuria with more than one pathologic explanation for recurrent hematuria is described. Because of persistent symptoms despite appropriate therapy, a factitious cause was considered. CASE REPORT The patient was the healthy product of the uncomplicated full-term pregnancy of an unmarried woman who reared the child in the home of her mother and sister. The diagnosis of urinary tract infection was made first at 2 years of age. In subsequent radiographic studies, two normal kidneys were identified, with complete duplication of the left collecting system and bilateral grade 2 vesicoureteric reflux.

SPINAL ANAESTHESIA USING TAYLOR’S APPROACH SAVES THE DAY IN OBESE PARTURIENT.

2021 ◽  
pp. 228-228
Author(s):  
Vishal Vashist ◽  
Roohani Mahajan ◽  
Bhanu Gupta
Keyword(s):  
Caesarean Section ◽  
General Anesthesia ◽  
General Anaesthesia ◽  
Spinal Anaesthesia ◽  
Case History ◽  
Breech Presentation ◽  
Lower Segment ◽  
Subarachnoid Block ◽  
Lower Segment Caesarean Section ◽  
History Of

Subarachnoid block is commonly employed for caesarean deliveries, by virtue of its simplicity in terms of performance, safety for the parturients as compared to general anesthesia. The case history of a 27-yearold female parturiant patient is presented. She was posted for emergency lower segment caesarean section in view of primigravida with breech presentation in labour . She was obese with bodyweight of 102 kg. She had a thick scaly plaque over the back in midline from L1 to L5 area, which is contraindication for administration of spinal anaesthesia via standard median and paramedian approach . Taylor’s approach for administration of the same was tried and proved successful, thus saving the patient from receiving general anaesthesia .

scholarly journals Pregnancy outcome of a patient following myomectomy performed during first trimester for red degeneration of fibroid

2016 ◽  
Vol 6 (1) ◽  
pp. 69
Author(s):  
Asma Habib ◽  
Shahla Khatun ◽  
Nafisa Khanum
Keyword(s):  
Surgical Intervention ◽  
First Trimester ◽  
Female Child ◽  
Clinical Findings ◽  
Lower Segment ◽  
Early Gestation ◽  
Lower Segment Caesarean Section ◽  
Healthy Female ◽  
The Common ◽  
Red Degeneration

Pain due to red degeneration of fibroid during pregnancy is usually associated with large myomas. Necrobiosis / red degeneration typically manifests itself about midpregnancy when Lhe leiomyoma suddenly becomes acutely painful, enlarged and tender. The common differential diagnosis of this condition are torsion of the pedicle of an ovarian cyst/a leiomyoma, abruplion placentae, acute pyelitis or any abdominal catastrophe. Ultrasound can easily delineate the presence of myomas of mixed echogenicity along with pregnancy and clinical findings usually suggest the diagnosis of pregnancy complicated by red degeneration of fibroid. The acute pain usually subsides within 3-10 days of conservative treatment. Only refractory cases (2% of patients) may demand surgical intervention in early gestation with the known risk of miscarriage. Here we report a pregnancy managed at 13 weeks by myomectomy for red degeneration. The patient ultimately delivered a healthy female child at 38 weeks by lower segment caesarean section.

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