scholarly journals Diagnostic Dilemma in Abdominal Pregnancy - A Case Report

1970 ◽  
Vol 27 (3) ◽  
pp. 177-180
Author(s):  
Laila Afroz ◽  
Shiuly Chowdhury ◽  
Syed Iqbal Mazhar
Keyword(s):  
Fetal Death ◽  
Diagnostic Error ◽  
Fetal Outcome ◽  
High Index ◽  
Abdominal Pregnancy ◽  
Diagnostic Dilemma ◽  
Mortality And Morbidity ◽  
Advanced Abdominal Pregnancy ◽  
Maternal Mortality And Morbidity ◽  
High Index Of Suspicion

Advanced abdominal pregnancy is a very rare and complex condition demanding challenging management. High index of suspicion may reduce the diagnostic error. Maternal mortality and morbidity is high and fetal outcome is poor. The key to favorable maternal outcome is early diagnosis and management. A case of 37 weeks abdominal pregnancy with fetal death has been reported here. The patient was repeatedly admitted in the Gynae and Obstetric department in different units for unusual abdominal discomfort beginning from 20th weeks of pregnancy. But the diagnosis had been missed everytime. Finally, she reported with 37th week's pregnancy with intra-uterine fetal death. With high index of suspicion ultrasonography was done by an Obstetrician in the department which gave the diagnosis and was confirmed by laparotomy.   DOI:10.3329/jbcps.v27i3.4298 J Bangladesh Coll Phys Surg 2009; 27: 177-180

scholarly journals Hasűri terhesség élő újszülöttel

2017 ◽  
Vol 158 (13) ◽  
pp. 508-511
Author(s):  
Tamás Koltai ◽  
György Bacskó
Keyword(s):  
Abdominal Pregnancy ◽  
Mortality And Morbidity ◽  
The Third ◽  
Abdominal Bleeding ◽  
Literature Overview ◽  
Advanced Abdominal Pregnancy ◽  
High Incidence ◽  
Maternal Mortality And Morbidity ◽  
Fetal Malformations ◽  
Very High

Abstract: Advanced abdominal pregnancy is extremely rare. Symptoms are often nonspecific, and the diagnosis is frequently missed. Maternal mortality and morbidity are also very high especially if the condition is not diagnosed and managed properly. In abdominal pregnancy there is a high incidence of fetal malformations. We are presenting a case of a 38 year old primigravida with an undiagnosed advanced abdominal pregnancy carried beyond 36 weeks of gestation. We delivered a 2090 g baby from the abdomen. A relaparotomy was necessary on the third postoperative day because of abdominal bleeding. At the time of discharge both mother and baby were doing well. The publication also provides a literature overview, including definition, epidemiology, diagnosis and therapy. Orv. Hetil., 2017, 158(13), 508–511.

scholarly journals Undiagnosed advanced abdominal pregnancy: a case report

2021 ◽  
Vol 7 (12) ◽  
pp. 590
Author(s):  
Ekundayo O. Ayegbusi ◽  
Oluwatoyin O. Fadare ◽  
Akintunde O. Fehintola ◽  
Akinyosoye D. Ajiboye ◽  
Akaninyene E. Ubom
Keyword(s):  
Breech Presentation ◽  
Fetal Outcome ◽  
Morbidity And Mortality ◽  
Abdominal Pregnancy ◽  
Emergency Cesarean ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Advanced Abdominal Pregnancy ◽  
Live Fetus ◽  
High Index Of Suspicion

<p class="abstract">Abdominal pregnancy is a rare form of extra-uterine gestation in which implantation occurs in the peritoneal cavity, unlike this case it rarely reaches advanced gestation and viability of fetal outcome are not commonly documented. Abdominal pregnancy accounts for about 1-2% of ectopic gestation. It is associated with poor fetal outcome and great morbidity and mortality due to heamorrhage especially in a low resource setting. We present an undiagnosed advanced case of abdominal pregnancy of a 30 yr old unbooked G2P1+0 (1A) with early ultrasound estimation of 37 weeks and 6 days. She presented with (abdominal) labour pains and ultrasound diagnosis of breech presentation, suspicion of a bicornuate uterus and intrauterine growth restriction. She was planned for emergency cesarean delivery on this basis but found advanced abdominal pregnancy, and subsequently on delivery had good maternal and fetal outcome. Abdominal pregnancy with live fetus is extremely rare, and requires a high index of suspicion, to avoid high risk of maternal morbidity and mortality and it is also imperative for all healthcare givers to localized pregnancy whenever they get in contact with a woman who has recently missed her period.</p>

scholarly journals Undiagnosed Abdominal Term Pregnancy with Good Neonatal Outcome

2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Phoy Cheng Chun ◽  
Ka-Hee Chua ◽  
Mohamed Siraj Shahul Hameed ◽  
Manisha Mathur ◽  
Wai Kheong Ryan Lee
Keyword(s):  
Ectopic Pregnancy ◽  
Multidisciplinary Team ◽  
Neonatal Outcome ◽  
High Index ◽  
Abdominal Pregnancy ◽  
Rare Occurrence ◽  
Term Pregnancy ◽  
High Index Of Suspicion ◽  
Live Baby

Abdominal pregnancy is a rare occurrence and it represents only 1% of ectopic pregnancy. We report a case of an abdominal pregnancy that resulted in a term live baby. Diagnosis is unsurprisingly difficult in advanced gestation. A high index of suspicion detailed clinical and imaging examinations are needed to make the diagnosis. Multidisciplinary team involvement is crucial in the management of abdominal pregnancy.

scholarly journals Peri-partum cardiomayopathy-not a rare entity, clinical profile in a rural tertiary care center in Gujarat, India

2017 ◽  
Vol 6 (4) ◽  
pp. 1544 ◽  
Author(s):  
Rumi Bhattacharjee ◽  
Nitin Raithata ◽  
Molina Patel ◽  
Smruti Vaishnav
Keyword(s):  
Heart Failure ◽  
Care Center ◽  
Tertiary Care ◽  
Signs And Symptoms ◽  
Fetal Outcome ◽  
Obstetric Complications ◽  
Tertiary Care Center ◽  
Diagnostic Dilemma ◽  
High Risk Factors ◽  
High Index Of Suspicion

Background: Peri-partum cardiomayopathy (PPCM) in pregnancy has a potential to adversely affect both mother and fetus. Severe cases can be associated with life threatening complications unless managed promptly by multidisciplinary team. The objective was to study maternal and fetal outcome of PPCM patients.Methods: An observational cohort over 4 years (2012 to 2015) was conducted in a Rural tertiary care center. Consecutive antenatal and postpartum women with PPCM were studied for medical and obstetric complications, deliveries, fetal outcome and maternal mortality.Results: The incidence of PPCM was 0.3% and Most patients presented with typical signs and symptoms of heart failure. 55.5% were in NYHA 3 and 4 and 50% had ejection fraction below 30%. 83.3% required ICU admissions of varying length and Maternal mortality was in 1 patient (5.56%). PPCM occurred in 55.5% of ante partum against 44.4% of postpartum patients. Obstetric complications like PPH occurred in 11.1% while poor fetal outcome like preterm deliveries occurred in 50% while still births in 16.67%.Conclusions: The low incidence and rarity of PPCM presents itself with diagnostic dilemma. Obstetrician should have high index of suspicion in patients with heart failure and high risk factors. Early diagnosis and prompt treatment can only improve the outcome.

scholarly journals Subperiosteal Osteoid Osteoma of the Neck of Talus

2009 ◽  
Vol 48 (173) ◽  
Author(s):  
Javed Ahmad Khan ◽  
S Vaidya ◽  
P Devkota ◽  
BM Acharya ◽  
NMS Pradhan ◽  
...  
Keyword(s):  
Osteoid Osteoma ◽  
Ankle Sprain ◽  
Definitive Diagnosis ◽  
High Index ◽  
Review Of Literature ◽  
Ankle Pain ◽  
Diagnostic Dilemma ◽  
High Index Of Suspicion

Juxta-articular, subperiosteal osteoid osteomas arising around the ankle are unusual. Tumors arising on the neck of the talus commonly produce symptoms mimicking monoarticular arthritis. Patients are usually treated for arthritis or ankle sprain, which often leads to a delay in definitive diagnosis. Here we present a case of osteoid osteoma of neck of talus which was presented as ankle pain. It puzzled us until MRI was done. Diagnostic dilemma and delay can be avoided by high index of suspicion. The patient was treated with open removal of the tumor. We also present brief review of literature about juxta-articular, subperiosteal osteoid osteoma which is uncommon from the typical osteoid osteoma occurring elsewhere in the body.Keywords: juxta-articular, subperiosteal, osteoid osteoma, talus neck

scholarly journals Abruptio placenta: a retrospective study on maternal and perinatal outcome

2017 ◽  
Vol 6 (10) ◽  
pp. 4389
Author(s):  
Subha Sivagami Sengodan ◽  
Mohana Dhanapal
Keyword(s):  
Retrospective Study ◽  
Fetal Outcome ◽  
Age Group ◽  
Third Trimester ◽  
College Hospital ◽  
Maternal Deaths ◽  
Mortality And Morbidity ◽  
Medical College ◽  
Maternal Mortality And Morbidity ◽  
Abruptio Placenta

Background: Abruptio placenta is separation of a normally situated placenta after 20 weeks of gestation and prior to the birth of the fetus. It is an important cause of antepartum haemorrhage and presents as an acute abdomen in the third trimester of pregnancy. Obstetrical haemorrhage is one of the triad (Haemorrhage hypertension and infection) of causes of maternal deaths in both developed and underdeveloped countries.Methods: This is a retrospective study of Abruptio Placenta cases carried out between January 2015 and December 2015 at Government Mohan Kumaramangalam Medical College Hospital, Salem and about its perinatal and maternal outcome.Results: Incidence of Abruptio placenta is 0.5%. It is most common in the women of age group 26-30yrs. 67% of cases were associated with severe pre-eclampsia. Live births were 69.8% while stillbirths were 30.2%. PPH occurred in 19.6% of cases. DIC accounts for 16.7% of the complication.Conclusions: Abruptio placenta is associated with poor maternal and fetal outcome. Hence early diagnosis and prompt resuscitative measures would prevent both perinatal and maternal mortality and morbidity.

scholarly journals Ocular Dirofilariasis - A Diagnostic Dilemma

2020 ◽  
Vol 4 (1) ◽  
Keyword(s):  
Case Report ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
High Index ◽  
Diagnosis And Treatment ◽  
Care Hospital ◽  
Diagnostic Dilemma ◽  
Main Species ◽  
Proper Diagnosis ◽  
High Index Of Suspicion

Dirofilariasis is a zoonotic filariasis primarily affecting canines. It may infect humans causing pulmonary infarcts, subcutaneous and subconjunctival nodules. Dirofilaria repens is the main species inplicated in subconjunctival lesions. Proper diagnosis and treatment can cure the patient of all his symptoms. Hence it is important to have a high index of suspicion about this emerging zoonosis. This is a case report of ocular Dirofilariasis from a tertiary care hospital in Thrissur, Kerala.

scholarly journals Abruptio placenta and its maternal and fetal outcome

2019 ◽  
Vol 8 (8) ◽  
pp. 3323
Author(s):  
Ritu Mishra ◽  
Aditya Prakash Misra
Keyword(s):  
Neonatal Morbidity ◽  
Fetal Outcome ◽  
Age Group ◽  
College Hospital ◽  
Mortality And Morbidity ◽  
Medical College ◽  
Maternal Mortality And Morbidity ◽  
Life Threatening ◽  
Abruptio Placenta ◽  
The Common

Background: Abruptio placenta is one of the common cause of antepartum haemorrhage and is defined as premature separation of normally implanted placenta. It is more common in second half of pregnancy. Abruptio placenta is serious complication of pregnancy and causes high maternal and neonatal morbidity and mortality.Methods: This retrospective study of abruptio and its maternal and perinatal outcome was carried out between July 2016 and October 2017 at Rama Medical College Hospital and research centre.Results: Incidence of Abruptio placenta is 1.6%. It is most common in the women of age group 30-35 years. 75% of cases were associated with severe pre-eclampsia. Live births were 75% while stillbirths were 25%. PPH occurred in 30% of cases. DIC accounts for 25% of the complication.Conclusions: Abruptio placenta is life threatening complication of pregnancy and it is associated with poor maternal and fetal outcome if not managed appropriately. Hence early diagnosis and prompt resuscitative measures would prevent both perinatal and maternal mortality and morbidity.

scholarly journals CPK: The new tool in the diagnosis of ectopic pregnancy

2017 ◽  
Vol 6 (6) ◽  
pp. 2507
Author(s):  
Suvarna Jyothi Ganta ◽  
Sunanda R. Kulkarni ◽  
Vidya Muralidhar
Keyword(s):  
Maternal Mortality ◽  
Ectopic Pregnancy ◽  
Diagnostic Dilemma ◽  
Diagnostic Efficacy ◽  
Mortality And Morbidity ◽  
Appropriate Treatment ◽  
Future Fertility ◽  
Maternal Mortality And Morbidity ◽  
The Mean ◽  
Ectopic Pregnancies

Background: Ectopic pregnancy is still a diagnostic dilemma presenting with various complaints. The classic triad of amenorrhea, abdominal pain, vaginal bleeding and /or syncope is not always seen. Misdiagnosis can lead to delay in treatment, blood loss is found to be the major cause of death. Early and accurate diagnosis is critical in bringing down the maternal mortality and morbidity. Prompt and effective treatment of an ectopic pregnancy can help preserve the chances of future healthy pregnancies. Aim of present study was to investigate whether creatinine phosphokinase (cpk) can be used as an effective diagnostic tool in the early diagnosis of ectopic pregnancy which can help in decreasing the maternal mortality and morbidityMethods: This observational comparative three group clinical study was conducted at Chinmaya Mission Hospital, Bangalore, between May 2016 to January 2017.120 women in their early trimester were studied of which 40 were diagnosed cases of ectopic pregnancies, 40 women presented with intrauterine abortive pregnancies and 40 women had normal healthy pregnancies. Serum CPK, serum B-HCG, vaginal scans were done in all, along with routine investigations.Results: The mean CPK values in normal, abortive and ectopic pregnancies were 36.92±6.44, 43.95±11.96 and 91.55±30.43 respectively. It was found to be significantly higher in ectopic Pregnancies. Also, the mean CPK in ruptured and unruptured ectopic pregnancy were 97.26±25.97 and 63.82±34.92 respectively.Conclusions: Present study shows that maternal CPK levels are significantly higher in women with ectopic pregnancies. CPK can serve as the reliable biochemical marker to diagnose ectopic pregnancy particularly ruptured. CPK can be used to increase the diagnostic efficacy in ectopic pregnancy, which followed by rapid and appropriate treatment can reduce the mortality, morbidity and preserve future fertility.

scholarly journals Influence of maternal parameters on the morphometry of hypertensive and normotensive placenta

2019 ◽  
Vol 10 (2) ◽  
pp. 1118-1123
Author(s):  
Akshara VR ◽  
Kumar Sai Sailesh ◽  
Ramakrishnan PK ◽  
SeemaValsalan E ◽  
Chitra S ◽  
...  
Keyword(s):  
Negative Correlation ◽  
Significant Negative Correlation ◽  
Antenatal Clinic ◽  
Fetal Outcome ◽  
Morphometric Parameters ◽  
Mortality And Morbidity ◽  
Gestational Weight ◽  
Maternal Mortality And Morbidity ◽  
Gestational Week ◽  
Normal Placenta

The placenta is an essential component for maintaining pregnancy and the proper development of the fetus. Among the complications of pregnancy hypertensive disorders ranks first worldwide for maternal mortality and morbidity. Throughout gestation, placenta undergoes a lot of changes in its morphology and morphometric parameters. The aim of the present study to examine the effect of maternal parameters such as age, parity, height, pre-gestational weight, BMI and a gestational week on placental morphology and morphometric parameters. 80 pregnant women aged between18-40, parity1 - 4, gestational age between 37weeks-40weeks, who attended the antenatal clinic of the hospital and delivered by either vaginal route or caesarean section were included. Placental and maternal parameters were assessed using standard methods. In the present study pre-gestational weight shows a significant positive correlation with the thickness in both groups and significant negative correlation with the placental diameter in the normal placenta Height of the mother also shows a statistically significant negative correlation with the number of maternal cotyledons. Positive as well as negative correlation exists among variables. Longitudinal studies in more samples are required, and results cannot be generalized. Examination placental parameters and its correlation with the maternal parameters will help to manage future pregnancies, fetal outcome and maternal health.

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