scholarly journals Bladder stone: still a rare cause of obstructed labour

2012 ◽  
Vol 26 (1) ◽  
pp. 1
Author(s):  
Sonika Mann ◽  
Amit Mann ◽  
Pushpa Dahiya ◽  
Krishna Dahiya

Bladder stone is still a rare cause of obstetrical dystocia. We report a rare case of obstructed labour due to a huge bladder stone. Diagnosis was confirmed only at the time of cesarean section because of the unusual posterolateral location of the stone, which was impacted below the fetal head thus obstructing labour. A bladder stone weighing 140 g and measuring 9×6×5 cm3 was removed by cystolithotomy at the time of cesarean section. The postoperative period was uneventful.

2017 ◽  
Vol 4 (7) ◽  
pp. 2352
Author(s):  
Mangala Sonak ◽  
Sangeeta Ramteke ◽  
Medha Davile

Bladder stone is a rare cause of obstructed labour. Study report a case of bladder stone obstructing the labour in a multipara. Diagnosis was made during labour on pervaginal examination. The stone was impacted below the fetal head thus obstructing labour. A bladder stone weighing approximately 120 g and measuring 6x6 cm was removed by cystolithotomy at the time of caesarean section. The postoperative period was uneventful. Mechanical cause resulting in obstructed labour is a very common phenomenon but vesical calculus causing dystocia is very rare and till date very few cases of vesical calculus resulting in obstructed labour has been reported in the literature. Prompt diagnosis of the condition is very important to prevent grave complications like vesicovaginal fistula and rupture uterus.


2012 ◽  
Vol 2012 ◽  
pp. 1-2 ◽  
Author(s):  
Meleesa Joy Schultz ◽  
Triveni Nanda

The risk of uterine rupture during attempted trial of labor after caesarean delivery (TOLAC) is well documented. However, vaginal rupture (in the absence of obstructed labour) is exceptionally uncommon. Below is described the rare case of a 37-year-old multiparous woman attempting TOLAC, who suffered a vaginal—rather than uterine—rupture, during the first stage of spontaneous labour. This case is an important reminder to obstetricians that concealed ruptures of both the vagina and uterus do occur and must be considered in clinical situations where another explanation is not apparent.


Author(s):  
Priyanka HK ◽  
Madhavi Yeddala ◽  
Vimala KR ◽  
Shailaja N. ◽  
Bhat BS ◽  
...  

Background: Delivery of fetal head through uterine incision is often the major technical problem during low transverse cesarean section when the presenting part is unengaged. Techniques to deliver head under special circumstances are traumatic to both mother and fetus. This study aims to establish the role of vectis in extraction of fetal head during lower segment cesarean section (LSCS) and to assess associated difficulties or untoward effects of use of vectis over manual method.Methods: The study was undertaken in PESIMSR, Kuppam, Andhra Pradesh over two years. Vectis was used in extraction of fetal head in LSCS in 100 cases of full term pregnancy and maternal and neonatal outcomes were compared with 100 cases of manual extraction.Results: Incision-delivery time interval was similar in both vectis and manual extraction method (p value of 0.390). Vectis group did not require any fundal pressure for extraction of head where as 100% of women in manual extraction group required fundal pressure (p value: <0.001) which is statistically significant. The length of abdominal incision for majority of cases in vectis group was smaller and statistically significant compared to manual extraction group (p value of 0.001). Neonatal outcomes were similar in both the groups.Conclusions: As per our study, usage of vectis has shown significant advantage in reducing maternal discomfort caused due to fundal pressure and length of abdominal incision required, with negligible difference in neonatal and other maternal outcomes in comparison to manual method of extraction.


2019 ◽  
Vol 12 (11) ◽  
pp. e230956
Author(s):  
Snehal A Bhange ◽  
Mehul Bhansali ◽  
Tanveer Shaikh ◽  
Utkarsh Ajgaonkar

Pemphigus vulgaris (PV), in association with malignancy of the rectum, is a very rare presentation. We present here a case of a 58-year-old woman presenting with atypical skin eruptions in the peristomal area, which gradually progressed to her entire body. These lesions were later diagnosed to be PV. She developed these lesions in her postoperative period following an anterior resection with a covering ileostomy for her rectal malignancy. She had received neoadjuvant chemo+radiotherapy for her malignancy.


2013 ◽  
Vol 5 (3) ◽  
pp. 166-167 ◽  
Author(s):  
Salil Barsode ◽  
Vaishali Taralekar ◽  
Tushar Panchanadikar

ABSTRACT This case of 21 years old primigravida with 28 weeks pregnancy with a massive lower uterine fibroid is unique because of the classical cesarean section and spontaneous degeneration and expulsion of the fibroid which is a rarity. How to cite this article Barsode S, Taralekar V, Panchanadikar T. A Rare Case of Massive Lower Uterine Segment Fibroid with Pregnancy with Spontaneous Postpartum Expulsion. J South Asian Feder Obst Gynae 2013;5(3):166-167.


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