Frequency of molar pregnancies in health care centers of Tehran, Iran

Hydatidiform mole is an important obstetric problem which can result in harmful and serious outcomes. In this study, an attempt was made to determine the proportion of hydatidiform mole in prenatal clinics of Iran University of Medical Sciences [IUMS] to find the precise frequency of this disease. Between January 2012 and January 2013, all women who immediately after positive pregnancy test or after retarded menstruation came to prenatal clinics in health care centers of IUMS were included in the study. The women were followed until 8-10 weeks of pregnancy and at this time abdominal sonography was used for confirmation or exclusion of molar pregnancy. In this descriptive study between January 2012 and January 2013, 8614 pregnant women with mentioned criteria were included and 61 cases of hydatidiform mole were diagnosed [0.7% or 7 per 1000 pregnancy]. Ten cases [16.4%] were patients with partial moles. There was no significant difference in blood types in molar and non-molar pregnancies, but molar group differed significantly from non-molar group in terms of history of molar pregnancy, abortion, OCP use and ovulation induction. Proportion of hydatidiform mole in this study was more than the reported European and American statistics

Acute appendicitis following laparoscopic hysterectomy

Appendicitis after age 40 is unusual, and appendicitis two days after laparoscopic hysterectomy is very rare and has not been reported to date. We describe a 44-year-old woman who had abdominal pain two days after laparoscopic hysterectomy. The pathology report indicated early appendicitis and the pain disappeared after appendectomy. In our opinion, the cause of appendicitis may have been related to the use of monopolar and bipolar coagulation during laparoscopic hysterectomy, although the coincidence of appendicitis and laparoscopic surgery may be accidental

Prinzmetal's angina in a pregnant woman: a case report

Acute myocardial infarction [MI] during pregnancy is rare and MI due to Prinzmetal's angina is much rarer. We present a 35-year-old, obese, multigravida, and pre-eclamptic woman, who developed acute anterior wall MI at the 30th week of gestation. On coronary angiography, the second obtuse marginal branch was totally occluded and the right coronary artery [RCA] was normal. Three days later, she had chest pain and ST elevation in the inferior leads. On second angiography, there was narrowing in the RCA, while the obtuse marginal branch was patent. We presume that this discrepancy between the first and second electrocardiograms and angiographic findings was due to Prinzmetal's angina

Pulmonary pseudomonas colonization in cystic fibrosis

Respiratory tract mucus plugging and Pseudomonas aeruginosa [PA] colonization in cystic fibrosis patients can influence the health indices, morbidity and mortality. Our aim was to evaluate the relation between pulmonary infection with PA and its effects on respiratory function test and some health-related parameters. This study was a cross-sectional study. Thirty CF patients, who were admitted to GI department of Children Medical Center because of gastrointestinal and/or pulmonary disturbances, were enrolled in this study. Management began by taking a medical history, physical examination, sputum or pharyngeal swab for culture and antibiogram, spirometric assessment for cooperative children [over 6 years old] and filling out a questionnaire for the abovementioned items and some health related parameters [weight, mean hospital stay days, mean absent days from school, and mean ICU admission time during the last year]. The mean [ +/- SD] age was 6.39 [ +/- 5.88] years [11 females, 19 males]. Pseudomonas aeruginosa grew in sputum or pharyngeal swab of 13 cases [43.3%], did not grow in 12 cases [40%] and other organisms grew in 5 cases [16.7%]. Mean of hospitalization period was higher in cases with positive culture [31.83 Vs 13.08 days, Paired sample t-test, P= 0. 005]. Mean [ +/- SD] predicted FEV1% was 34.6 [ +/- 28.0], but this difference was not significant in age, age of diagnosis, days of ICU hospitalization, absent days from school, days of using respiratory assistance equipments, days of antibiotics administration during the last year, body weight, predicted FEV1%, predicted FEV1/FVC% and predicted FEF 25-75%. Prevention and early treatment of PA colonization can reduce hospital stay and its cost. Further large controlled trials are required in this regard