Uterine Arterio-Venous Malformation: A Rare Post Mortem Finding in a Young Female

2021 ◽  
Vol 11 (11) ◽  
pp. 130-133
Author(s):  
Sumiti Gupta ◽  
Renuka Verma ◽  
Rajnish Kalra
Keyword(s):  
Vaginal Bleeding ◽  
Venous Malformation ◽  
Young Female ◽  
Uterine Bleeding ◽  
Post Mortem ◽  
Dysfunctional Uterine Bleeding ◽  
Maternal Morbidity And Mortality ◽  
Life Threatening ◽  
Arterio Venous Malformation ◽  
High Index Of Suspicion

Uterine arterio-venous malformation is one of the differentials of dysfunctional uterine bleeding that can result in life-threatening emergency with sudden, unexpected massive vaginal bleeding. We describe a case of 20-year old female, who presented with sudden heavy vaginal bleeding and was diagnosed with uterine arterio-venous malformation on post-mortem examination. High index of suspicion is required to make a timely diagnosis for appropriate management and to avoid maternal morbidity and mortality. Key words: Uterine arterio-venous malformations, embolization, dysfunctional uterine bleeding.

Resurgence of classical caesarean section in current obstetric practice- A case series

2021 ◽  
Vol 8 (4) ◽  
pp. 592-594
Author(s):  
Priyanka Mathe ◽  
Sanjana Narula Wadhwa ◽  
Taru Gupta
Keyword(s):  
Multidisciplinary Approach ◽  
Placenta Accreta ◽  
Case Series ◽  
Cesarean Sections ◽  
Obstetric Hemorrhage ◽  
Maternal Morbidity And Mortality ◽  
Life Threatening ◽  
Placenta Accreta Spectrum ◽  
High Index Of Suspicion ◽  
Lower Segment Uterine

Although, the incidence of placenta accreta spectrum (PAS) and large fibroids is rare but still these cases contributes to a large number of maternal morbidity and mortality. Major obstetric hemorrhage is one the dreadful complication of these types of cases and thus early diagnosis and intervention in such cases helps the physician to minimize the risk to mother and the fetus. Also, current widespread use of ultrasound has helped us to manage these cases judiciously, predict and prevent life threatening obstetric hemorrhage. Here we present three complicated obstetric cases of placenta accreta, large lower segment uterine fibroid and large cervical fibroid which necessitated classical cesarean sections (CCS) thus emphasizing prowess in CCS in modern obstetric era. High index of suspicion, Multidisciplinary approach alongwith expert surgical personnel should be available in high risks cases like placenta accreta syndrome and large fibroids in pregnancy.

SPONTANEOUS HETEROTOPIC PREGNANCY WITH UNSTABLE VITALS: A CASE REPORT

2021 ◽  
pp. 35-36
Author(s):  
Anshika Agarwal
Keyword(s):  
Early Diagnosis ◽  
Vaginal Bleeding ◽  
Clinical Symptoms ◽  
Transvaginal Ultrasound ◽  
Heterotopic Pregnancy ◽  
Intrauterine Pregnancy ◽  
Spontaneous Conception ◽  
Beta Hcg ◽  
Maternal Morbidity And Mortality ◽  
Life Threatening

A spontaneous heterotopic pregnancy is a rare obstetric entity which can be life threatening if early diagnosis is missed. There is co-existing intra uterine and extra uterine pregnancy, most often tubal and rarely cervical or ovarian. It is extremely rare in spontaneous conception but incidence is increasing with the use of ART’s. Early diagnosis is difcult probably because of the lacking clinical symptoms. It usually presents as a ruptured ectopic pregnancy. Timely diagnosis and intervention is of utmost importance to prevent maternal morbidity and mortality. Abdominal pain, swelling, peritoneal irritation, enlarged uterus, vaginal bleeding, pallor, tachycardia, features of shock may be a few presenting features. With the advances in technology, transvaginal ultrasound proves to be a great diagnostic tool in early diagnosis of heterotopic pregnancy. Serum beta-hcg levels is of importance. Intervention can be medical or surgical depending on the hemodynamic condition of the patient and the viability of the intrauterine pregnancy. Heterotopic pregnancy is an unusual diagnosis and so is often ignored in the presence of an intrauterine pregnancy. But as it can prove to be life threatening so its diagnosis as a differential should always be kept in mind. Early diagnosis and prompt and effective treatment can save a life or two!

scholarly journals Carcinosarcoma of uterine corpus – A case report

2021 ◽  
Vol 6 (3) ◽  
pp. 234-236
Author(s):  
Uttara K Aloorker ◽  
Narendra R Patil
Keyword(s):  
Case Report ◽  
Poor Prognosis ◽  
Vaginal Bleeding ◽  
Histopathological Examination ◽  
Uterine Bleeding ◽  
Rare Entity ◽  
Uterine Carcinosarcoma ◽  
Dysfunctional Uterine Bleeding ◽  
Uterine Corpus ◽  
Uterine Cancers

Uterine carcinosarcomas comprise a distinct rare entity of uterine malignancy with a very aggressive nature and poor prognosis. They make up to less than 5% of all uterine cancers. We report a case of 45yr old lady who presented with the complain of vaginal bleeding since two months and was a known case of dysfunctional uterine bleeding. Postoperative histopathological examination of the hysterectomy specimen revealed the diagnosis of uterine carcinosarcoma.

scholarly journals 27 Weeks Abdominal Pregnancy wıth Mısdıagnosed at the Fırst Center, A Case Report

2019 ◽  
Vol 4 (09) ◽  
Author(s):  
Recep ERİN ◽  
Kadri TEZEL ◽  
Ahmed ISAK ◽  
Samira AHMED ◽  
Mustafa KUŞAK
Keyword(s):  
Abdominal Pregnancy ◽  
Successful Management ◽  
Intrauterine Pregnancy ◽  
Incorrect Diagnosis ◽  
Maternal Morbidity And Mortality ◽  
Life Threatening ◽  
Failed Induction ◽  
Ectopic Pregnancies ◽  
The Right ◽  
High Index Of Suspicion

Abdominal pregnancy is a potentially life threatening form of ectopic gestation and is seen in 1% of all ectopic pregnancies. It’s a major cause of maternal morbidity and mortality and the potential mortality can be reduced seriously with early diagnosis and treatment. It is rarely seen in advanced pregnancy weeks due to detectability on ultrasonography in early weeks. We aimed to present a rare, misdiagnosed, abdominal pregnancy. We present a case of 20 years old primigravida with 27 weeks abdominal pregnancy who presented at the emergency room with abdominal pain and minimal vaginal bleeding. She was referred from another hospital after 2 days failed induction for incorrect diagnosis of intrauterine dead fetus. The ultrasonography was performed and seen a normal uterus with no intrauterine pregnancy but seen a single extra uterine fetus with 27 weeks gestational age lying in the peritoneal cavity on the right side. We managed successfully with laparotomy. Abdominal pregnancy is rare, and successful management depends on a high index of suspicion. Ultrasonography and serial human chorionic gonadotrophin may help in the diagnosis. Teamwork, a multidisciplinary approach and expert opinion cannot be overemphasised to ensure successful management of these cases.

Multicultural Issues in Pediatric Practice

1996 ◽  
Vol 17 (10) ◽  
pp. 349-354 ◽  
Author(s):  
Sara B. Kinsman ◽  
Mitchell Sally ◽  
Kenneth Fox
Keyword(s):  
Hormonal Therapy ◽  
Vaginal Bleeding ◽  
Treatment Plan ◽  
Health Care Team ◽  
Uterine Bleeding ◽  
Sexual History ◽  
Laboratory Evaluation ◽  
Dysfunctional Uterine Bleeding ◽  
Multicultural Issues ◽  
Adolescent Clinic

A Gap? NT, an 11-year-old Vietnamese female, presented to the adolescent clinic with a 1-month history of dysfunctional uterine bleeding. She was accompanied by her older sister and grandfather. Although her grandfather was the most proficient English speaker in the home, the older sister was asked to help translate questions regarding her younger sister's menstrual and sexual history. The most likely diagnosis appeared to be anovulatory dysfunctional uterine bleeding. The appropriate laboratory evaluation was undertaken to exclude other etiologies, and oral hormonal therapy was prescribed to stop the vaginal bleeding. To assure that the patient understood the need for hormonal therapy, the health-care team asked if the grandfather could be present when directions for the medications were reviewed. The patient agreed. She asked no questions as the treatment plan was discussed. One week later at a follow-up visit, the patient continued to experience vaginal bleeding and admitted to not having taken her oral contraceptive medication. She was admitted to the hospital with a significantly decreased hemoglobin level. During her hospital admission, nurses noted that the patient was pleasant and congenial, but she refused to take the hormonal therapy and secretly would hide the medication in her mouth so that she could throw it away later.

Arterio-venous malformation: how much do we know?

2009 ◽  
Vol 24 (5) ◽  
pp. 193-200 ◽  
Author(s):  
B B Lee ◽  
J Lardeo ◽  
R Neville
Keyword(s):  
Treatment Plan ◽  
Venous Malformation ◽  
Low Flow ◽  
Preliminary Treatment ◽  
Aggressive Approach ◽  
Risks And Benefits ◽  
Congenital Vascular Malformation ◽  
Life Threatening ◽  
Arterio Venous Malformation ◽  
Definitive Management

Arterio-venous malformation (AVM) is a congenital vascular malformation that is neither a venous malformation nor a haemangioma. An AVM is a potentially life-threatening and limb-threatening lesion, especially the ‘fistulous’ truncular form due to its unique embryological and haemodynamic characteristics. AVM treatment requires an early aggressive approach, one that is careful and based on a thorough assessment of the risks and benefits associated with the treatment plan. A successful treatment strategy requires an accurate assessment of the AVM taking into account the extent, severity and progression of the lesion. This is critical in order to minimize the morbidity associated with the currently available therapies. A multidisiciplinary approach that integrates endovascular and surgical therapy can substantially improve the treatment results seen in patients with AVMs. Preliminary treatment of a fistulous AVM with coil embolization is essential in order to minimize associated morbidity and to alter the lesion haemodynamics from a high-flow lesion to a low-flow lesion that is more amenable to subsequent, definitive management with ethanol or NBCA glue embolo/sclerotherapy.

scholarly journals Incidental Finding of Persistent Hydatidiform Mole in an Adolescent on Depo-Provera

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Olukayode Akinlaja ◽  
Rebecca McKendrick ◽  
Zineb Mashak ◽  
May Nokkaew
Keyword(s):  
Vaginal Bleeding ◽  
Incidental Finding ◽  
Hydatidiform Mole ◽  
Signs And Symptoms ◽  
Gestational Trophoblastic Disease ◽  
Positive Pregnancy Test ◽  
Life Threatening ◽  
Depo Provera ◽  
Abnormal Vaginal Bleeding ◽  
High Index Of Suspicion

Molar pregnancies represent an uncommon yet important obstetric problem with potentially fatal outcomes. Patients typically present with signs and symptoms of early pregnancy, and physicians most often suspect nonmolar pregnancy complications initially; however a hydatidiform mole should be included in the differential diagnosis of a woman with a positive pregnancy test and abnormal vaginal bleeding irrespective of the use of contraception. Our case is that of an adolescent female on Depo-Provera injectable contraceptive with increased vaginal bleeding, abdominal pain, nausea, and vomiting who was incidentally found to be pregnant and subsequently diagnosed with a molar pregnancy despite persistent denial of having initiated sexual intercourse. Though gestational trophoblastic disease is uncommon with an incidence of about 1-2 cases per 1,000 pregnancies, a clinician has to display a high index of suspicion when dealing with patients at extremes of age in order to avoid potentially life-threatening outcomes.

Arterio-venous malformation in the chest wall: a case report

1991 ◽  
Vol 27 (6) ◽  
pp. 796
Author(s):  
Yun Young Choi ◽  
Kyo Nam Kim ◽  
Heung Suk Seo
Keyword(s):  
Case Report ◽  
Chest Wall ◽  
Venous Malformation ◽  
Arterio Venous Malformation

Successful Control of Massive Vaginal Bleeding with Resuscitative Endovascular Balloon Occlusion of the Aorta and Pelvic Packing

2019 ◽  
Vol 3 (3) ◽  
Author(s):  
Emre Özlüer ◽  
Çagaç Yetis ◽  
Evrim Sayin ◽  
Mücahit Avcil
Keyword(s):  
Vaginal Bleeding ◽  
Balloon Occlusion ◽  
Emergency Physicians ◽  
Pelvic Packing ◽  
Gynecological Malignancies ◽  
Life Threatening ◽  
Successful Control ◽  
Endovascular Balloon Occlusion

Gynecological malignancies may present as life-threatening vaginal bleeding. Pelvic packing and Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) may be useful along with conventional vaginal packing when in terms of control of the hemorrhage. Emergency physicians should be able to perform these interventions promptly in order to save their patients from exsanguination.

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