scholarly journals Endometriosis Nodule Causing Spontaneous Haemoperitoneum in Pregnancy: A Case Report and Literature Review

2017 ◽  
Vol 2017 ◽  
pp. 1-3 ◽  
Author(s):  
Junaid Rafi ◽  
Geetha Mahindrakar ◽  
Debjani Mukhopadhyay
Keyword(s):  
Vital Signs ◽  
Lower Abdominal Pain ◽  
Rare Condition ◽  
Fetal Outcome ◽  
Sudden Onset ◽  
In Vitro Fertilisation ◽  
Abdominal Palpation ◽  
General Surgeons ◽  
In Pregnancy

Spontaneous haemoperitoneum in pregnancy (SHiP) due to endometriosis is a very rare condition and this is a case of a 41-year-old primigravida, who presented at 32 weeks with sudden onset of severe lower abdominal pain without any uterine activity. This was a dichorionic-diamniotic twin pregnancy, following in vitro fertilisation for subfertility secondary to severe endometriosis. On admission, pain score was eight, with ten being the maximum of the scale. The vital signs were stable. Abdominal palpation revealed generalised tenderness with no guarding or palpable contraction. There was no evidence of bleeding and the cervical os was closed on speculum examination. The cardiotocograph (CTG) was pathological and a plan was made to deliver the babies with emergency caesarean section. Intraoperatively, there was massive haemoperitoneum which was managed successfully with the involvement of multidisciplinary input from general surgeons and urologists with optimum maternal and fetal outcome.

Acupuncture Prior to and at Embryo Transfer in An Assisted Conception Unit – a Case Series

2006 ◽  
Vol 24 (1) ◽  
pp. 23-28 ◽  
Author(s):  
David Johnson
Keyword(s):  
Success Rate ◽  
Pregnancy Rate ◽  
Embryo Transfer ◽  
Assisted Reproduction ◽  
Case Series ◽  
In Vitro Fertilisation ◽  
Assisted Conception ◽  
Before And After ◽  
In Pregnancy

Over a period of three years, acupuncture was offered to patients entering assisted reproduction therapy. Acupuncture sessions were given at varying, but usually weekly, intervals during the in vitro fertilisation (IVF) cycle, and immediately before and after embryo transfer. Twenty two patients (average age 36.2 years) were treated over a total of 26 IVF cycles and 15 pregnancies were achieved, as determined by presence of foetal heartbeat on ultrasound at four weeks post embryo transfer. This was a success rate of 57.7% compared with 45.3% for patients in the IVF unit not treated with acupuncture (P>0.05). Relaxing effects were noted following acupuncture and it is speculated that this may have contributed to the increase in pregnancy rate for the acupuncture group.

scholarly journals Acute abdomen in a term pregnancy due to isolated tubal torsion

2020 ◽  
Vol 28 (3) ◽  
pp. 217-220
Author(s):  
Güneş Topçu ◽  
Yağmur Şimşek ◽  
Şenay Çetin ◽  
Murat Muhçu ◽  
Ayşegül Özel
Keyword(s):  
Acute Abdomen ◽  
Surgical Intervention ◽  
Lower Abdominal Pain ◽  
Rare Condition ◽  
Exploratory Laparotomy ◽  
Mri Findings ◽  
Obstetric Morbidity ◽  
Magnetic Resonance Imaging Mri ◽  
Early Surgical Intervention ◽  
In Pregnancy

Objective: Isolated tubal torsion in pregnancy is a rare condition we want to present this case. Case(s): In our study, we present a 23-year-old woman primigravida at 37 weeks of gestation with acute right lower abdominal pain. The clinical and Magnetic resonance imaging (MRI) findings led to diagnosis of acute appendicitis. Emergency exploratory laparotomy and cesarean section were performed. A twisted right Fallopian tube and Morgagni’s cyst was noted and right salpingectomy was performed. Conclusion: Although isolated tubal torsion during pregnancy is very rare, it should be included in the differential diagnosis of acute abdomen in pregnancy. Early surgical intervention will decrease obstetric morbidity.

scholarly journals Spontaneous Haemoperitoneum in Pregnancy- A Diagnostic Challenge

2020 ◽  
Author(s):  
Niranjan Mayadeo ◽  
Anusha Devalla
Keyword(s):  
Caesarean Section ◽  
Acute Pain ◽  
Rare Condition ◽  
Fetal Outcome ◽  
Emergency Caesarean Section ◽  
Posterior Surface ◽  
Diagnostic Challenge ◽  
Diagnostic Dilemma ◽  
Emergency Caesarean ◽  
In Pregnancy

Spontaneous haemoperitoneum in pregnancy is an extremely rare condition that poses a diagnostic dilemma for the obstetrician. The authors here present a case of 23-year-old primigravida presenting at 34-weeks with acute pain in abdomen masquerading as clinical chorioamnionitis secondary to prolonged rupture of membranes. Abdomen palpation revealed uterine tenderness and pathological cardiotocography tracings suggesting the need for immediate delivery of the foetus by emergency caesarean section. Intraoperatively, there was haemoperitoneum (800 mL) and bleeding superficial uterine serosal veins on the posterior surface of uterus seen on exploration. The patient was successfully managed with favourable maternal and fetal outcome.

scholarly journals Spontaneous uterine vessel perforation in late pregnancy following in vitro fertilisation: a rare cause of near miss maternal morbidity and fetal death

2017 ◽  
Vol 6 (8) ◽  
pp. 3664
Author(s):  
Shalini Gainder ◽  
Tanuja Muthyala ◽  
Subhas Chandra Saha
Keyword(s):  
Late Pregnancy ◽  
Near Miss ◽  
In Vitro Fertilisation ◽  
Emergency Laparotomy ◽  
Mortality And Morbidity ◽  
Uterine Vessel ◽  
Spontaneous Hemoperitoneum ◽  
Maternal Mortality And Morbidity ◽  
In Pregnancy

Spontaneous perforation of uterine vessels causing hemoperitoneum in pregnancy is rare and is associated with high perinatal and maternal mortality and morbidity. However, for the clinician identification of aetiology with ongoing resuscitation is important in order to affect the proper treatment. Case report: We report a case of spontaneous hemoperitoneum in pregnancy following IVF conception due to ruptured uterine vein successfully managed with emergency laparotomy and repair of the uterine vessel. Conclusion: Clinicians should be aware of such rare and potentially fatal complications after IVF, because early diagnosis and management in these cases can yield a favourable maternal and perinatal outcome. 

The use of donor eggs as an additional risk of obstetric complications in pregnancy after in vitro fertilisation

2017 ◽  
Vol 16 (5) ◽  
pp. 59-68
Author(s):  
V.V. Soboleva ◽  
◽  
N.S. Trifonova ◽  
L.S. Aleksandrov ◽  
A.I. Ishchenko ◽  
...  
Keyword(s):  
Obstetric Complications ◽  
In Vitro Fertilisation ◽  
Additional Risk ◽  
Donor Eggs ◽  
In Pregnancy

Ovarian ectopic pregnancy after in vitro fertilisation treated by laparoscopic excision with ovarian preservation

2020 ◽  
Vol 13 (11) ◽  
pp. e236680
Author(s):  
Kelly Ribeiro ◽  
Tarek El Shamy ◽  
Tariq Miskry
Keyword(s):  
Ectopic Pregnancy ◽  
Histopathological Examination ◽  
Early Recognition ◽  
Transvaginal Ultrasound ◽  
Lower Abdominal Pain ◽  
In Vitro Fertilisation ◽  
Free Fluid ◽  
Laparoscopic Excision ◽  
Life Threatening

A 42-year-old woman presented with lower abdominal pain and fainting episodes 36 days after in vitro fertilisation and embryo transfer. Transvaginal ultrasound revealed a large amount of free fluid in the pouch of Douglas and no evidence of an intrauterine gestational sac or adnexal mass suggestive of ectopic pregnancy. A presumed haemorrhagic corpus luteal cyst was seen in the left ovary. Laparoscopic exploration revealed a left ovarian haemorrhagic mass, which was excised with preservation of the ovary. Histopathological examination confirmed an ovarian ectopic pregnancy (OEP). OEP is rare but potentially life-threatening, as it can lead to internal haemorrhage. Its diagnosis is challenging as preoperative and intraoperative findings can be evocative of the far more frequent haemorrhagic corpus luteal cyst and histopathology is often necessary to confirm the diagnosis. Early recognition of OEP is crucial to reduce maternal morbidity and mortality, and allow treatment that preserves fertility as much as possible.

LARGE SOLITARY LUTEINIZED FOLLICULAR CYST OF PREGNANCY AND PUERPERIUM IN RUPTURED ECTOPIC PREGNANCY MANAGED LAPAROSCOPICALLY

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Vimee Bindra ◽  
Frsha Nozer Taraporewalla ◽  
Neha Agrawal ◽  
Aditya D Kulkarni
Keyword(s):  
Ectopic Pregnancy ◽  
Fetal Outcome ◽  
Sudden Onset ◽  
Ovarian Cysts ◽  
Comprehensive Management ◽  
Follicular Cyst ◽  
Neoplastic Lesion ◽  
Chief Complaints ◽  
Fetal Wellbeing ◽  
In Pregnancy

Abstract Background: Ovarian cysts in pregnancy are encountered in approximately 1 in 100 cases. Of these, most are benign. One such non-neoplastic lesion is Large Solitary Luteinized Follicular Cyst of Pregnancy and Puerperium (LSLFCPP). They are a rare lesion with unknown pathogenesis. They grow rapidly to very large sizes, causing symptoms. They are hormonally inactive. Maternal and fetal outcome is usually unaffected. Objective: we present a case of a Large Solitary Luteinized Follicular Cyst of Pregnancy and Puerperium encountered incidentally during the management of ruptured ectopic pregnancy. A 25 year old G2A1 with 7 weeks 3 days gestational age by dates presented to the emergency department with the chief complaints of sudden onset of pain in the lower abdomen accompanied by nausea and giddiness since 12 hours. What sets our case apart from rest in literature is it’s diagnosis very early in pregnancy. Also, it is, to our knowledge, the only case reported in literature, in an ectopic pregnancy. Conclusion: LSLFCPPis a rare, yet important entity to be kept in mind when evaluating patients with large ovarian cysts in pregnancy. Comprehensive management is the need of the hour, in order to ensure ideal maternal and fetal wellbeing.

scholarly journals Case Report: Ulcerative Colitis with Multiple Dural Venous Thrombosis

2021 ◽  
pp. 504-509
Author(s):  
Safia Mohamud ◽  
Mosunmola Oyawusi ◽  
Roger Weir ◽  
Richard M. Millis ◽  
Ozra Dehkordi
Keyword(s):  
Ulcerative Colitis ◽  
Magnetic Resonance ◽  
Vital Signs ◽  
Memory Loss ◽  
Lower Abdominal Pain ◽  
Neurological Status ◽  
Sudden Onset ◽  
University Hospital ◽  
History Of ◽  
Sound Sensitivity

<b>Background</b> Cerebral sinus vein thrombosis (CVT) is a rare but serious complication associated with ulcerative colitis (UC), an idiopathic autoimmune inflammatory disease of the gastrointestinal tract. Management approaches for CVT remain unclear but may include anticoagulation and surgical thrombectomy. Herein, we report a case of a 23-year-old male who developed CVT with a history of UC. The patient was presented to Howard University Hospital when he slipped and fell. On arrival at the hospital, he complained of a headache with an aching sensation, associated with light/sound sensitivity. The patient had a history of uncontrolled UC. He had positive bloody diarrhea, lower abdominal pain, but denied any other neurological deficit. Computed tomography of the head showed left frontoparietal lobe hypodensities. Neurological exam was nonfocal. Vital signs were within normal range, but the patient experienced some memory loss and personality changes. Subsequent diagnosis of CVT was made with magnetic resonance angiography and magnetic resonance venography. Immediate treatment with low-molecular-weight intravenous heparin (18 IU/kg) was introduced. His UC was managed with methylprednisolone (60 mg IV daily), proton pump inhibitors, mesalamine, ciprofloxacin, and metronidazole. His condition gradually improved. On discharge, he was prescribed prednisone, azathioprine for his UC, levetiracetam for seizure, and warfarin with an INR goal of 2–3. In conclusion, the sudden onset and/or acute worsening of neurological status such as headache and mental confusion in a patient with UC should alert the treating physician about the possibility of CVT so that timely intervention could be employed to prevent disabling and potentially lethal sequelae of this disease.

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