ABSTRACT
We report the case of a 22-year-old woman who presented a violent epigastric pain at eight-weeks gestation. Superior mesenteric vein thrombosis was detected, with an extension to portal vein and remaining blood flow. Screening for thrombophilia revealed a heterozygote prothrombin gene mutation. Portal vein thrombosis is uncommon and difficult to diagnose. Diagnosis is made by Doppler ultrasound, a second intention test to be done in case of unusual upper abdominal pain during pregnancy.
Subject(s)
Abdominal Pain/etiology , Portal Vein/diagnostic imaging , Pregnancy Complications, Hematologic/genetics , Pregnancy Trimester, First , Thrombosis/complications , Thrombosis/genetics , Abdominal Pain/diagnosis , Abdominal Pain/diagnostic imaging , Adult , Diagnosis, Differential , Female , Humans , Mutation , Pregnancy , Pregnancy Complications, Hematologic/diagnosis , Pregnancy Complications, Hematologic/diagnostic imaging , Thrombosis/diagnosis , Thrombosis/diagnostic imaging , UltrasonographyABSTRACT
Surgical management of unicornuate uterus with rudimentary horn is justified because of disabling dysmenorrhea but also because of associated morbidity and mortality complications. We describe here three new cases of laparoscopic removal of the horn following a new improved surgical technique.
Subject(s)
Hysterectomy/methods , Uterus/abnormalities , Adult , Female , Humans , Laparoscopy , Pelvic PainABSTRACT
We report a case of spontaneous rupture of a uterine varicosis in the third trimester of pregnancy resulting in massive peritoneal hemorrhage and maternal shock. This patient with an uncomplicated pregnancy presented symptoms suggestive of abruptio placenta with foetal distress. A caesarean section was performed identifying the cause and permitting the treatment of this syndrome. Since 1950, only 8 cases have been reported.
Subject(s)
Pregnancy Complications , Uterus/blood supply , Varicose Veins , Adult , Cesarean Section , Female , Humans , Pregnancy , Pregnancy Trimester, Third , Rupture, Spontaneous , Shock, Hemorrhagic/etiology , Shock, Hemorrhagic/therapy , Uterine Hemorrhage/etiology , Uterine Hemorrhage/surgery , Varicose Veins/diagnosisABSTRACT
The aetiology and physiology of congenital arachnoid cysts are a source of controversy. We report a case where fetal cerebral ultrasonography shows an extraventricular sonolucent cystic formation after 20 weeks of pregnancy. Ultrasonography provides its topographic relations with adjacent brain structures and is also used to diagnose possible associated malformations. MRI confirms the ultrasonographic findings by investigating cerebral gyri. The rest of the examination involves detection of extracerebral anomalies and a karyotype study. Other differential diagnoses will be considered as a function of the embryological origin and topography of arachnoid cysts. The outcome of these arachnoid cysts depends on the age at the time of diagnosis, their size and their topography. The problem is that hydrocephalus, due to compression of the cerebrospinal fluid drainage pathways, may develop. Treatment, if necessary, is nearly always surgical.