Open Access DOI:10.23937/2377-9004/1410180
Meconium Peritonitis: In Utero Diagnosis of a Rare Clinical Entity and Postnatal Outcome
Sarita Agrawal, MD, FICOG, FIAMS, FCGP, Arpana Verma, MS, Sarita Rajbhar, MS, Pushpawati Thakur, MD, Loukya Kodumuri, MBBS and Swati Kumari, MS, FNB
Article Type: Case Report | First Published: October 23, 2020
Meconium peritonitis (MP) is a rare cause of non-immune hydrops with reported incidence of 1:35,000 live births. MP is defined as an aseptic localized or generalized peritonitis caused due intrauterine bowel perforation and extravasation of the meconium. Few causes which might result in perforation include Ileal atresia, intussusception, Hirschsprung’s disease, cystic fibrosis, volvulus, colonic atresia, Meckel diverticulitis and vascular insufficiency. Successful outcome with conservative man...
Open Access DOI:10.23937/2377-9004/1410178
Spontaneous Conception after Hysterosalpingography in an Infertile Woman with Bilateral Tubal Factors: A Case Report
Ayissi Grégory, Astrid Ndolo Kondo, Kasia Onana Yves Bertrand, Ebode Koa Vanessa, Azambou Kenteu Sandrine, Ngo Dingom Anne Madye and Essiben Felix
Article Type: Case Report | First Published: October 16, 2020
Hysterosalpingography (HSG) is an outpatient fluoroscopy procedure that evaluates the uterine cavity and fallopian tube patency. In some cases, HSG may have a therapeutic effect. We present the case of a 35-year-old HIV-positive woman with a 3-years-old history of secondary tubal infertility, a hysterosalpingogram revealing bilateral proximal tubal obstruction and presented later on with a 6-weeks pregnancy on ultrasound after HSG evaluation. Hysterosalpingography (HSG) is an inexpensive and wid...
Open Access DOI:10.23937/2377-9004/1410177
SARS-CoV-2 Infection in Pregnancy: A Case Report on the First Emergency Cesarean Section in Vietnam and Literature Review
Tran Dinh Vinh, Vu Van Long and Pham Chi Kong
Article Type: Case Report and Literature Review | First Published: October 12, 2020
We report the first case of a pregnant woman infected with SARS-CoV-2 having an emergency cesarean section in Vietnam. This is the 569th patient infected with SARS-CoV-2 in Vietnam and is one of the first two pregnant women infected with SARS-CoV-2 in Vietnam (along with patient number 495 who is 11 weeks pregnant). The patient has a history of treatment at Da Nang General Hospital (an outbreak in Da Nang City) due to urinary tract infection. The patient was discharged from the hospital on July ...
Open Access DOI:10.23937/2377-9004/1410176
Gynaecological Near-Miss from Meleney’s Gangrene Post- Abdominal Myomectomy: A Case Report
Babatunde Olaniyi ROSIJI, Omagbeitse Henry ABIYERE, Babatunde Ajayi OLOFINBIYI, Olalekan Oladipupo ROSIJI, Blessing Oluwatosin OLANREWAJU and Olakunle John AYELOJA
Article Type: Case Report | First Published: October 03, 2020
Necrotizing fasciitis is a severe, rare, potentially lethal soft tissue infection that develops in the scrotum and perineum, the abdominal wall or the extremities. It progresses rapidly and septic shock may ensue. When the anterior abdominal wall is involved it is referred to as Meleney's gangrene. It is seen as a serious complication of surgery which evolves rapidly and could carry a high mortality rate of 30-50%, approaching up to 90% in diabetic patients. It is a synergistic infection involvi...
Open Access DOI:10.23937/2377-9004/1410175
Value of Minimally Invasive Gynecologic Surgeon in Surgical Management of Endometriosis
Natasha Gupta, MD
Article Type: Short Commentary | First Published: October 01, 2020
The quality of endometriosis surgery performed by a Minimally Invasive Gynecologic Surgeon (MIGS) is significantly different from that of a general gynecologist. Their training offers them the experience to detect subtle endometriosis, excise deeply infiltrative endometriosis, manage extra pelvic endometriosis and restore normal anatomy in stage 4 endometriosis. They are able to preserve fertility in an endometriosis patient if patient desires fertility. They are also able to address or excise e...
Open Access DOI:10.23937/2377-9004/1410174
In Vitro Fertilization Treatment of a Patient with Primary Partial Empty Sella and Other Co-Factors
Tünde Herman, Péter Török, Antonio Simone Laganà and Attila Jakab
Article Type: Case Report | First Published: September 23, 2020
We report the case of a patient with primary empty sella, who had successful assisted reproductive treatment. The patient is a 28-years-old infertile female with primary amenorrhoea and hypogonadotropic hypogonadism. Serum FSH, LH, E2 indicated central anovulation, but the production of GH, ACTH, TSH and PRL were normal. Obesity and insulin resistance were present. Male partner had asthenozoo-teratospermia and hyperprolactinaemia. After three failed intrauterine inseminations, she was addressed ...
Open Access DOI:10.23937/2377-9004/1410173
Management of Complete Hydatidiform Mole with Co-existing Fetus
Kaitlin DiBartola, MD, Devin Smith, MD, Kara Rood, MD and David O'Malley, MD
Article Type: Case Report | First Published: September 21, 2020
Complete hydatidiform mole with co-existing fetus (CHMCF) is a rare obstetrical finding. These pregnancies pose a unique set of health concerns including hemorrhage, thyrotoxicosis, preeclampsia, and gestational trophoblastic neoplasia (GTN). In this report, we present a 34-year-old G5P1 presented at 6 weeks and 5 days with vaginal bleeding. Further follow-up revealed a complete hydatidiform mole with co-existing fetus in a patient who desired continuation of pregnancy. There is a lack of data a...
Open Access DOI:10.23937/2377-9004/1410172
Case Report: Pregnancy While Using an IUD
Elvin Piriyev and Thomas Römer
Article Type: Case Report | First Published: September 19, 2020
Intrauterine contraception, mostly in the form of copper IUD or hormone-releasing system, is a widely used method with a high level of contraceptive security. Despite high contraceptive efficiency, pregnancy can still occur. Pregnancy with a levonorgestrel-releasing intrauterine system (LNGIUS) in situ is very rare. Intracavitary pregnancy with an IUD can lead to a higher risk of infection and preterm birth. We present the case of a 28-year-old woman who was admitted to our hospital due to pregn...
Open Access DOI:10.23937/2377-9004/1410171
Uterine Arteriovenous Malformation after First Trimester Termination of Pregnancy in a Patient with Hereditary Haemorrhagic Telangiectasia
Nicola Strobelt, MD, Elena Osella, MD and Vittorio Aguggia, MD
Article Type: Case Report | First Published: September 13, 2020
Hereditary haemorrhagic teleangiectasia (HHT) is a rare autosomic dominant genetic disorder, characterised by epistaxis, cutaneous teleangiectasias, and arteriovenous malformations (AVMs) located mainly in lungs, gastrointestinal tract, liver, and central nervous system. We report a case of uterine arteriovenous malformation acquired after medical pregnancy interruption in a patient with HHT, discussing the atypical genetic setting and the strategy for the case management. Uterine arteriovenous ...