11/26. Trophoblastic tissue spread to the sigmoid colon after uterine perforation.BACKGROUND: Trophoblastic tissue spread following uterine perforation during dilation and curettage is rare. We present a case of trophoblastic spread to the sigmoid colon following uterine perforation, which was treated by surgical removal of the implants and intramuscular administration of methotrexate. CASE: A woman presented 3 weeks after curettage for a blighted ovum. laparotomy performed for suspected intra-abdominal bleeding revealed bleeding trophoblastic implants in a perforation tract and the anterior uterine wall and on the appendix epiploica of the sigmoid colon. The implants were surgically removed and methotrexate was administered for persistently high beta-hCG levels. The patient fully recovered. CONCLUSION: Extrauterine trophoblastic implants should be considered in women evaluated for abdominal pain whose pregnancy test is positive after uterine perforation. Conservative treatment with methotrexate in nonacute patients may be considered.- - - - - - - - - - ranking = 1keywords = pregnancy (Clic here for more details about this article) |
12/26. Uterine defect in a twin pregnancy with a history of hysteroscopic fundal perforation.A woman with a history of hysteroscopic resection of a uterine septum complicated by fundal perforation presented with a term twin pregnancy and spontaneous rupture of membranes. At cesarean, a 7-cm defect was present in the uterine fundus; the edges of the defect were scarred and without bleeding, suggesting a chronic process. women with a history of fundal perforation during hysteroscopic resection of a uterine septum should be counseled regarding the possibility of a chronic defect and its potential implications. As more uterine septa are resected via the hysteroscope, our understanding of potential long-term complications will increase.- - - - - - - - - - ranking = 5keywords = pregnancy (Clic here for more details about this article) |
13/26. Successful pregnancy after localized resection of perforated uterus in choriocarcinoma and a literature review.choriocarcinoma is an aggressive neoplasm arising in the body of the uterus. Rapid growth and myometrial invasion may be followed by uterine perforation. In this study, we present the cases of two young patients (18 and 19 years of age) with acute abdominal pain and shock, while they were under chemotherapy due to persistent trophoblastic disease. During emergent exploratory laparotomy, localized resection of uterus was performed. They had their first successful term pregnancy 5 and 4 years after surgery, respectively. uterine perforation following choriocarcinoma is a rare event. hysterectomy is recommended in emergency conditions, but localized resection of uterus should be considered in women who are desirous of future fertility.- - - - - - - - - - ranking = 5keywords = pregnancy (Clic here for more details about this article) |
14/26. Missing intrauterine contraceptive device presenting with strings at the anus.The rare condition of strings of a missing intrauterine contraceptive device presenting at the anus is described. Partial removal was achieved via the rectum and this was followed by a normal uncomplicated pregnancy and delivery.- - - - - - - - - - ranking = 1keywords = pregnancy (Clic here for more details about this article) |
15/26. choriocarcinoma following term pregnancy--a case report.A patient, with two previous term deliveries, presented with post-partum haemorrhage and spontaneous uterine perforation due to choriocarcinoma, requiring emergency laparotomy. choriocarcinoma following term pregnancy is a rare form of gestational trophoblastic disease. Such tumour appears to follow a more aggressive course with a more extensive metastatic spread and is less responsive to chemotherapy resulting in a poorer prognosis. choriocarcinoma presenting as postpartum haemorrhage, and spontaneous tumour perforation with intra-abdominal haemorrhage is even rarer. early diagnosis is an important factor for the patient's survival. A high index of suspicion is required as the tumour may be overlooked. An aggressive chemotherapeutic regime has improved the overall survival.- - - - - - - - - - ranking = 5.336113487455keywords = pregnancy, gestation (Clic here for more details about this article) |
16/26. A case report of unusual complication of myomatous uterus in pregnancy: spontaneous perforation of myoma after red degeneration.An unusual complication of myomatous uterus in pregnancy is presented. It shows spontaneous perforation of a myoma after red degeneration, presenting as an acute abdomen. To our knowledge spontaneous perforation of a necrotising leiomyoma has not been reported earlier. A review of the literature is given.- - - - - - - - - - ranking = 5keywords = pregnancy (Clic here for more details about this article) |
17/26. Severe clostridium infection following perforation of the uterus in a patient with an ectopic pregnancy.Twenty-eight hours after CO2 insufflation and curettage in a 26 year old, haemolysis, jaundice and anuria developed. As an ectopic pregnancy was also suspected, a diagnostic laparoscopy was done and was followed by a hysterectomy and left salpingo-oophorectomy before clostridium perfringens was grown on culture. The survival of the patient despite clostridial infection is probably due to immediate surgical treatment and intensive post-operative care.- - - - - - - - - - ranking = 5keywords = pregnancy (Clic here for more details about this article) |
18/26. A hole in a primigravid uterus--an unusual finding at elective caesarean section.The spontaneous rupture of the primigravid uterus before the onset of labour is an obstetric rarity. Invariably there is a history of antecedent scarring. A case of uterine rupture, an unusual finding at Caesarean section, is reported. The only antecedent history was partial salpingectomy and oophorectomy. The probable mechanism of rupture is discussed. Admission at 32 weeks and Caesarean section at 36 weeks is recommended in the next pregnancy.- - - - - - - - - - ranking = 1keywords = pregnancy (Clic here for more details about this article) |
19/26. Complications of amniocentesis: a review.amniocentesis is usually employed at two distinct times in gestation, either early in the second trimester or during the third trimester. Although major complications are infrequent, the types of complications encountered and their relative risk of occurrence differ depending on the time of gestation. Bloody contamination of amniotic fluid is both more frequent and troublesome in genetic amniocentesis performed in the second trimester. Serious injury to the placental vessels or to the mother appears to be a greater risk in the third trimester. The used of ultrasound to identify the placental and fetal location can help to better assess the hazards of amniocentesis for the individual patient and may reduce the risk if amniocentesis is performed immediately following the ultrasound examination.- - - - - - - - - - ranking = 0.67222697491004keywords = gestation (Clic here for more details about this article) |
20/26. Delayed presentation of uterine perforation.A 30-year-old woman presented to the emergency department with nonspecific abdominal pain 17 days after voluntary vacuum aspiration interruption of a first-trimester pregnancy. physical examination and laboratory evaluation demonstrated mild diffuse abdominal tenderness without peritoneal signs and a mildly increased WBC count, respectively. When the patient's condition failed to improve she was admitted, and exploratory laparotomy was performed 5 days later. It revealed two uterine perforations, one of which contained incarcerated omentum with associated ischemic small bowel and complete small-bowel obstruction. Although uterine perforation with intraabdominal injury is a well-described complication of vacuum aspiration termination of pregnancy, most postabortion perforations go undetected. Delayed presentation of an acute complication is rarely observed.- - - - - - - - - - ranking = 2keywords = pregnancy (Clic here for more details about this article) |
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