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Obstetrics and Gynaecology Cases - ReviewsISSN: 2377-9004

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 Open Access DOI:10.23937/2377-9004/1410212

Intrahepatic Cholestasis in Pregnancy: Increased Surveillance and the Role of Bile Acids in a Patient with History of Fetal Demise

Noah Ryan Begley and Abdalyz Frias Beltran

Article Type: Case Report | First Published: October 11, 2021

Intrahepatic cholestasis of pregnancy (ICP) is a known risk for fetal demise and premature delivery. We describe the case of a third-trimester patient with ICP that would have gone unnoticed based on laboratory reporting. Symptoms presented two weeks after laboratory values consistent with ICP were obtained, and serial labs fell below the threshold despite persistent symptoms. The diagnosis was further complicated when the types of bile acids and the ranges for normal varied between facilities. ...

 Open Access DOI:10.23937/2377-9004/1410211

Successful Treatment of a Cesarean Scar Ectopic Pregnancy Using a Novel Approach with Oral Mifepristone followed by Trans Cervical Suction Evacuation with Prophylactic Tranexamic Acid: A Case Report

Muhunthan K, MBBS, MS, FRCOG, Anton Jenil Amirthanathan, MBBS, MD, Raguraman S, MBBS, MD, MRCOG and Guruparan K, MBBS, MD

Article Type: Case Report | First Published: October 09, 2021

Cesarean scar pregnancy is a rare form of ectopic pregnancy where the conceptus is implanted at the site of a previous cesarean section scar which pauses lifethreatening complications if not diagnosed and managed timely. Though numerous types of treatment approaches have been described there is no consensus on the optimal treatment modality which is a challenge to clinicians. Current treatment approaches are a combination of medical and surgical interventions with varying success rates and compl...

 Open Access DOI:10.23937/2377-9004/1410210

Case Report: Rare Presentation of Invasive Mole Following Term Pregnancy after Assisted Reproduction

S Raguraman, K Muhunthan and P Kabileshan

Article Type: Case Report | First Published: October 06, 2021

Invasive mole (IM) is one of the Gestational trophoblastic neoplasia lesions, characterized by local invasion of trophoblastic with rare distal spread. It could follow any type of pregnancy and commonly arising from a complete hydatidiform mole (CHM). Pathogenesis of hydatidiform mole due to an underlying oocyte defect. Embryos are examined for triploidy to exclude dispermic fertilization in assisted reproduction technology (ART). Besides, several potential mechanisms and risk factors had been d...

 Open Access DOI:10.23937/2377-9004/1410209

Primary Umbilical Endometriotic Nodule with an Ultrasound Incidental Finding of Ovarian Endometrioma and a Solitary Intramural Uterine Myoma: A Case Report

Ifeanyi Martin Okoye, Olufemi Omiwole and Oluwatoyosi Mary Adeoye

Article Type: Case Report | First Published: September 15, 2021

Endometriosis is the presence of endometrial stroma outside the uterine cavity. Endometrioma (chocolate cyst) is the most common form of endometriosis. Primary umbilical endometriosis (PUE) is rare, with a prevalence of < 1% of endometriosis cases. Our case is a 25-year-old nulliparous female with a three-year history of infertility presenting with primary umbilical endometriosis and an abdomino-pelvic ultrasonography finding of a right endometrioma, and a solitary intramural uterine myoma. Thes...

Volume 8
Issue 5