scholarly journals Non-Surgical Treatment of Cesarean Scar Pregnancy: Two Case Reports

2015 ◽  
Vol 6 (3) ◽  
Author(s):  
Mojgan Barati ◽  
Kobra Shojayi ◽  
Farideh Moramezi ◽  
Nafiseh Hoseiny Moghadam
Keyword(s):  
Surgical Treatment ◽  
Case Reports ◽  
Cesarean Scar Pregnancy ◽  
Cesarean Scar ◽  
Non Surgical Treatment

Surgical treatment for different types of cesarean scar pregnancy

2011 ◽  
Vol 31 (4) ◽  
pp. 450-452
Author(s):  
Yu-huan LIU ◽  
Ning HUI ◽  
Ming-juan XU ◽  
Hui ZHANG ◽  
Rui GUAN ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Cesarean Scar Pregnancy ◽  
Cesarean Scar ◽  
Different Types

scholarly journals Maternal Bochdalek Hernia during Pregnancy: A Systematic Review of Case Reports

Diagnostics ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. 1261
Author(s):  
Jin-Young Choi ◽  
Song-Soo Yang ◽  
Jong-Hwa Lee ◽  
Hyun-Jin Roh ◽  
Jun-Woo Ahn ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Diaphragmatic Hernia ◽  
Case Reports ◽  
Expectant Management ◽  
Bochdalek Hernia ◽  
Hernia Surgery ◽  
Maternal Deaths ◽  
Individualized Care ◽  
Non Surgical Treatment ◽  
Simultaneous Delivery

Background: Since the first report of a diaphragmatic hernia from Ambroise Paré’s necropsy in 1610, the Bochdalek hernia (BH) of the congenital diaphragmatic hernia (CDH) has been the most common types with high morbidity and mortality in the neonatal period. Due to the nature of the disease, CDH associated with pregnancy is too infrequent to warrant reporting in the literature. Mortality of obstruction or strangulation is mostly due to failure to diagnose symptoms early. Data sources and study selection: A systematic literature search of maternal BH during pregnancy was conducted using the electronic databases (PubMed and EMBASE) from January 1941 to December 2020. Because of the rarity of the disease, this review included all primary studies, including case reports or case series that reported at least one case of maternal BH in pregnant. Searches, paper selection, and data extraction were conducted in duplicate. The analysis was performed narratively regardless of the control groups’ presence due to their rarity. Results: The search retrieved 3450 papers, 94 of which were deemed eligible and led to a total of 43 cases. Results of treatment showed 16 cases in delayed delivery after hernia surgery, 10 cases in simultaneous delivery with hernia surgery, 3 cases in non-surgical treatment, and 14 cases in hernia surgery after delivery. Of 16 cases with delayed delivery after hernia surgery, 13 (81%) cases had emergency surgery and three (19%) cases had surgery after expectant management. Meanwhile, 10 cases underwent simultaneous delivery with hernia surgery, 6 cases (60%) had emergent surgery, and 4 cases (40%) had delayed hernia surgery after expectant management. 3 cases underwent non-surgical treatment. In this review, the maternal death rate and fetal/neonatal loss rate from maternal BH was 5% (2/43) and 16% (7/43), respectively. The preterm birth rate has been reported in 35% (15/43) of maternal BH, resulting from maternal deaths in 13% (2/15) of cases and 6 fetal loss in 40% (6/15) of cases; 44% (19/43) of cases demonstrated signs of bowel obstruction, ischemia, or perforation of strangulated viscera in the operative field, resulting from maternal deaths in 11% (2/19) of cases and fetal-neonatal loss in 21% (4/19) of cases. Conclusion: Early diagnosis and surgical intervention are imperative, as a gangrenous or non-viable bowel resection significantly increases mortality. Therefore, multidisciplinary care should be required in maternal BH during pregnancies that undergo surgically repair, and individualized care allow for optimal results for the mother and fetus.

scholarly journals Manual Physical Therapy for Non-Surgical Treatment of Adhesion-Related Small Bowel Obstructions: Two Case Reports

2013 ◽  
Vol 2 (1) ◽  
pp. 1-12 ◽  
Author(s):  
Amanda Rice ◽  
Richard King ◽  
Evette Reed ◽  
Kimberley Patterson ◽  
Belinda Wurn ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Physical Therapy ◽  
Small Bowel ◽  
Case Reports ◽  
Non Surgical Treatment

scholarly journals Osteopetrosis. Presentación de dos casos [Non-surgical management of osteopetrosis: two case reports an review of the literature]

2019 ◽  
Vol 84 (4) ◽  
pp. 386-392
Author(s):  
Juan Carlos Caruso ◽  
Juan Martín Patiño
Keyword(s):  
Surgical Treatment ◽  
Case Reports ◽  
Bone Dysplasia ◽  
Invasive Treatment ◽  
Non Invasive ◽  
History Of ◽  
Diaphyseal Fractures ◽  
Non Surgical Treatment ◽  
Delayed Consolidation

Las osteopetrosis (enfermedad de Albers-Schönberg) es un síndrome con cuatro tipos clásicos e instituye una displasia ósea secundaria a la falta de resorción de hueso por anormalidad de los osteoclastos, lo cual provoca un tejido óseo duro y quebradizo,propenso a fracturas difíciles de tratar quirúrgicamente. Se han publicado escasos artículos sobre el tema; por este motivo, decidimos presentar a dos pacientes con fracturas diafisarias de húmero con osteopetrosis, ambas tratadas en forma incruenta.Los objetivos son comunicar nuestra experiencia y el método de tratamiento de dicha afección y realizar una revisión bibliográfica acerca del tema. Creemos que el tratamiento de elección para las fracturas diafisarias de húmero en pacientes con osteopetrosises el incruento, ya que su tipo de tejido óseo dificulta la implementación de cualquier osteosíntesis. Además, la colocación de implantes puede provocar algunas complicaciones, como infecciones, retraso de la consolidación y seudoartrosis. La cirugía se reserva para ciertos casos, como en pacientes con riesgo de desarrollar deformidades incapacitantes, aquellos que han sufrido fracturas repetidas, con retraso de la consolidación, seudoartrosis, quienes no responden al tratamiento incruento o con unadeformidad previa.AbstractOsteopetrosis (also known as Albers-Schönberg disease) is a syndrome that includes four classic types and is characterized by bone dysplasia and lack of bone resorption due to abnormal osteoclastic activity and consequent development of brittle and hard bone that is prone to fractures that are difficult to treat surgically. Herein we present two cases of osteopetrosis with diaphyseal fractures of the humerus, both managed with non-surgical treatment. The objectives of our manuscript are to document our experience in the management of these cases and review the literature. The non-invasive treatment provides the best outcome for dyaphyseal fractures on the humerus in patients with osteopetrosis, given that the quality of the bone in these patients impairs the implementation of osteosynthesis. In addition, the placement of implants can lead to complications such as infections, delayed consolidation and pseudoarthrosis, among others. Surgical treatment should reserved for certain patients such as those with delayed consolidation, pseudoarthrosis, a history of repeated fractures, pre-existing deformity and those who are at risk for the development of disabling deformities or do not respond to non-surgical treatment.

scholarly journals Cesarean Scar Pregnancy - A Rare Entity: Two Case reports

2018 ◽  
Vol 2 (3) ◽  
pp. 312-315
Author(s):  
Krishna Mahato ◽  
Yu Bin
Keyword(s):  
Maternal Morbidity ◽  
Case Reports ◽  
Rare Entity ◽  
Ultrasound Guided ◽  
Management Options ◽  
Cesarean Scar Pregnancy ◽  
Major Hemorrhage ◽  
Cesarean Scar ◽  
Presenting Symptoms ◽  
Life Threatening

Cesarean scar pregnancy is the implantation of an embryo within the mymometrium of prior cesarean scar which is a rare variant of ectopic pregnancy. Such implantation is life threatening leading to uterine rupture, extensive hemorrhage and serious maternal morbidity. Making an early diagnosis minimizes risk of such major hemorrhage thus preserving the uterus and further fertility. In this case report we discuss two different management options: ultrasound guided intragestational methotrexate injection with sac aspiration; and transvaginal hysterotomy considering the severity of presenting symptoms. Birat Journal of Health SciencesVol.2/No.3/Issue 4/Sep- Dec 2017, Page: 312-315

scholarly journals OP12.02: Successful non-surgical treatment of early second trimester cesarean scar pregnancies

2008 ◽  
Vol 32 (3) ◽  
pp. 347-348
Author(s):  
J. Ilagan ◽  
E. Banks ◽  
J. Falls ◽  
M. Levie ◽  
P. Dar
Keyword(s):  
Surgical Treatment ◽  
Second Trimester ◽  
Cesarean Scar ◽  
Non Surgical Treatment

Molar Pregnancy in Cesarean Section Scar: A Case Report and Literature Review

2020 ◽  
Author(s):  
Mine Daggez ◽  
Mehmet Dolanbay
Keyword(s):  
Ultrasound Guidance ◽  
Case Reports ◽  
Hydatidiform Mole ◽  
Rare Condition ◽  
Molar Pregnancy ◽  
Resonance Imaging ◽  
Cesarean Scar Pregnancy ◽  
Cesarean Scar ◽  
Suction Curettage ◽  
Magnetic Resonance Imaging Mri

AbstractMolar pregnancy in cesarean scar is an extremely rare condition. It has a high risk of uterine rupture and bleeding. There is a small number of case reports in the literature, so the optimal diagnostic algorithms and management are not clear. We reported a 25-year-old woman who presented to our clinic with amenorrhea for 40 days and vaginal bleeding for 3 days. Transvaginal ultrasonography and serum human chorionic gonadotropin (hCG) level raised suspicion of a molar cesarean scar pregnancy (CSP). Magnetic resonance imaging (MRI) was conducted for further knowledge of the characteristics of the mass. Careful suction curettage under ultrasound guidance was performed. The histologic examination of the tissue confirmed a partial hydatidiform mole. The differential diagnosis between CSP and molar CSP is extremely challenging. Serum hCG, sonogram, and MRI are our tools, but none of them suffice for a definitive diagnosis. Histological examination of the postoperative sample is still the gold standard for the diagnosis of molar CSP; however, MRI can assist in planning the necessary interventions.

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