1/16. Cervico-isthmic pregnancy: an extremely rare case diagnosed during labour.This case report describes a cervico-isthmic pregnancy ending in a live vaginal birth at 37 2 weeks' gestation. The case remained undiagnosed throughout pregnancy when after a fairly normal labour a massive haemorrhage occurred. After an unsuccessful effort to control the bleeding conservatively, a total abdominal hysterectomy was carried out. During the operation the diagnosis of cervico-isthmic pregnancy was confirmed, which was in accordance with the pathology report.- - - - - - - - - - ranking = 1keywords = haemorrhage (Clic here for more details about this article) |
2/16. Hindbrain hernia masquerading as postpartum subarachnoid haemorrhage.A 29-year-old postpartum lady presented with a headache suggestive of subarachnoid haemorrhage. Investigations were negative for sources of haemorrhage, but revealed a hindbrain hernia. Hindbrain hernia should be considered as a cause of headache postpartum, as repeated Valsalva manoeuvres performed during vaginal delivery may further aggravate tonsillar decent.- - - - - - - - - - ranking = 6keywords = haemorrhage (Clic here for more details about this article) |
3/16. Intracranial haemorrhage as initial presentation of severe haemophilia B: case report and review of Mayo Clinic Comprehensive Hemophilia Center experience.A neonate who had intracranial haemorrhage (ICH) at birth received a diagnosis of severe haemophilia B at 6 months of age. ICH had been the initial presentation of his bleeding disorder. His family history was negative for haemophilia. review of our institutional experience as well as the literature indicates that intracranial bleeding as the initial presentation of haemophilia is rare.- - - - - - - - - - ranking = 5keywords = haemorrhage (Clic here for more details about this article) |
4/16. Obstetrical anaesthesia and analgesia in chronic spinal cord-injured women.Improved acute and rehabilitative care and emphasis on integrating patients into society after spinal cord injury is likely to result in increasing numbers of cord-injured women presenting for obstetrical care. Anaesthetists providing care to these women should be familiar with the complications resulting from chronic cord injury and aware that many may be aggravated by the physiological changes of normal pregnancy. These complications include reduced respiratory volumes and reserve, decreased blood pressure and an increased incidence of thromboembolic phenomena, anaemia and recurrent urinary tract infections. patients with cord lesions above the T5 spinal level are at risk for the life-threatening complication of autonomic hyperreflexia (AH) which results from the loss of central regulation of the sympathetic nervous system below the level of the lesion. Sympathetic hyperactivity and hypertension result in response to noxious stimuli entering the cord below the level of the lesion. Labour appears to be a particularly noxious stimulus and patients with injuries above T5 are at risk for AH during labour even if they have not had previous AH episodes. morbidity is related to the degree of hypertension and intracranial haemorrhage has been reported during labour and attributed to AH. We report our experience in providing care to three parturients with spinal cord injuries. Two patients had high cervical lesions, one of whom experienced AH during labour and was treated with an epidural block. The second was at risk for AH having had episodes in the past and received an epidural block to provide prophylaxis for AH. In both cases epidural blockade provided effective treatment and prophylaxis for AH.(ABSTRACT TRUNCATED AT 250 WORDS)- - - - - - - - - - ranking = 1keywords = haemorrhage (Clic here for more details about this article) |
5/16. Inferior vena cava ligation for intractable pelvic haemorrhage.Inferior vena cava ligation was performed as the last resort in a case of iatrogenic injury to the common iliac veins during pelvic surgery. The post-operative recovery was satisfactory.- - - - - - - - - - ranking = 4keywords = haemorrhage (Clic here for more details about this article) |
6/16. Orbital haemorrhage induced by labour.A case of acute orbital haemorrhage induced by labour is reported in a woman giving birth for the eighth time. The diagnosis was confirmed by computed tomography. The haemorrhage subsided spontaneously within three weeks. The mechanism of orbital haemorrhage following certain kinds of strain is discussed.- - - - - - - - - - ranking = 7keywords = haemorrhage (Clic here for more details about this article) |
7/16. Accidental subdural catheterisation.A case of accidental subdural catheterisation is presented, and its course is compared with previously reported subdural injections of local anaesthetic agents. The importance of obtaining proof of the site of malposition of an epidural catheter is stressed.- - - - - - - - - - ranking = 28.328756363625keywords = subdural (Clic here for more details about this article) |
8/16. Extensive spread of local anaesthetic solution following subdural insertion of an epidural catheter during labour.A case is described where a small dose of bupivacaine was accidentally injected into the subdural, extra-arachnoid space resulting in extensive unilateral block and hypotension. The spread of solution was confirmed radiologically.- - - - - - - - - - ranking = 23.607296969688keywords = subdural (Clic here for more details about this article) |
9/16. A rare complication of extradural analgesia.A case is reported of probable subdural injection of bupivacaine during attempted extradural analgesia for an operative obstetric procedure.- - - - - - - - - - ranking = 4.7214593939375keywords = subdural (Clic here for more details about this article) |
10/16. Perforation of a placental fetal vessel by an intrauterine pressure catheter.Perforation of a fetal vessel on the placental surface by an intrauterine catheter is reported. The immediate recognition of this unusual complication is important. To minimize the risks of perforation, haemorrhage and infection, several precautions should be observed when inserting the catheter.- - - - - - - - - - ranking = 1keywords = haemorrhage (Clic here for more details about this article) |
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