Chethan Kishanchand, L. Ramachandra, Prasad Seetharam
Symptomatic Meckels diverticulum is an extremely rare entity in pregnancy , and Perforated Meckel’s diverticulum even more. The clinical presentation may be variable as in any case of acute abdomen in pregnancy and the preoperative diagnosis may be hampered by the various anatomical and physiological changes that occur during pregnancy. The treating surgeon should have a high index of suspicion to diagnose such cases , as prompt diagnosis and appropriate treatment is imperative in these cases to prevent high rate of maternal and fetal morbidity. We report one such case of perforation of Meckel’s diverticulum in whom the clinical findings on abdominal examinations did not reveal any signs of peritonitis , the patient underwent spontaneous abortion within a few hours after admission , massive pneumoperitoneum was only diagnosed after a CT scan of abdomen was done . Patient had been treated outside at a local hospital for 3 days conservatively, probably due to normal abdominal findings except for distension . When we did an exploratory laparotomy we found to our surprise a perforated Meckel’s diverticulum with gross fecal contamination , segmental resection and anastomoses was done . The patient was discharged on the 10th post operative day .
{"title":"Perforation Of Meckel’s Diverticulum – An Unusual Cause For Acute Abdomen In Pregnancy","authors":"Chethan Kishanchand, L. Ramachandra, Prasad Seetharam","doi":"10.5580/134e","DOIUrl":"https://doi.org/10.5580/134e","url":null,"abstract":"Symptomatic Meckels diverticulum is an extremely rare entity in pregnancy , and Perforated Meckel’s diverticulum even more. The clinical presentation may be variable as in any case of acute abdomen in pregnancy and the preoperative diagnosis may be hampered by the various anatomical and physiological changes that occur during pregnancy. The treating surgeon should have a high index of suspicion to diagnose such cases , as prompt diagnosis and appropriate treatment is imperative in these cases to prevent high rate of maternal and fetal morbidity. We report one such case of perforation of Meckel’s diverticulum in whom the clinical findings on abdominal examinations did not reveal any signs of peritonitis , the patient underwent spontaneous abortion within a few hours after admission , massive pneumoperitoneum was only diagnosed after a CT scan of abdomen was done . Patient had been treated outside at a local hospital for 3 days conservatively, probably due to normal abdominal findings except for distension . When we did an exploratory laparotomy we found to our surprise a perforated Meckel’s diverticulum with gross fecal contamination , segmental resection and anastomoses was done . The patient was discharged on the 10th post operative day .","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115372662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rabia Khurshid, Mustafa, K. Fatima, I. Shamas, Shahida Mir
Objective:To study the cases of uterine rupture and find out the incidence in KashmirMethods:100 women with uterine rupture were studied over a period of two years (March 2007 to March 2009) in a tertiary care hospital of Kashmir Valley (LDH).Results:The incidence of uterine rupture was 0.2% (1:467) more common in women with low socio-economic status, 60% of the cases had unscarred uterus, 40% had scarred uterus, 91% of the women with uterine rupture were in labour, 73% ruptures were spontaneous, 48% presented with shock and 38% had abnormal vaginal bleeding.Conclusion(s):Availing universal proper antenatal care, identification of high risk cases, timely referral to a proper institution and awareness for medically supervised delivery avoid rupture of uterus.
{"title":"To Study the Incidence of Uterine Ruptures in Kashmiri Population","authors":"Rabia Khurshid, Mustafa, K. Fatima, I. Shamas, Shahida Mir","doi":"10.5580/2121","DOIUrl":"https://doi.org/10.5580/2121","url":null,"abstract":"Objective:To study the cases of uterine rupture and find out the incidence in KashmirMethods:100 women with uterine rupture were studied over a period of two years (March 2007 to March 2009) in a tertiary care hospital of Kashmir Valley (LDH).Results:The incidence of uterine rupture was 0.2% (1:467) more common in women with low socio-economic status, 60% of the cases had unscarred uterus, 40% had scarred uterus, 91% of the women with uterine rupture were in labour, 73% ruptures were spontaneous, 48% presented with shock and 38% had abnormal vaginal bleeding.Conclusion(s):Availing universal proper antenatal care, identification of high risk cases, timely referral to a proper institution and awareness for medically supervised delivery avoid rupture of uterus.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130813917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BackgroundThe introduction of fertiloscopy has revolutionized the investigation and treatment of patients with unexplained infertility. Hitherto, this group of patients have been either been subjected to ineffective treatment, or been ‘over treated’. TechniqueAs fertiloscopy is a relatively new technique, it is essential for practitioners to be educated regarding the proper techniques in order to carry out the procedure successfully with minimal complications. The five important steps in fertiloscopy are described in detail. Evidence Acquisition/ JustificationA multicentre prospective randomized study (FLY) was conducted to compare
{"title":"Fertiloscopy - An Overview","authors":"Ws Law, A. Watrelot","doi":"10.5580/1f7c","DOIUrl":"https://doi.org/10.5580/1f7c","url":null,"abstract":"BackgroundThe introduction of fertiloscopy has revolutionized the investigation and treatment of patients with unexplained infertility. Hitherto, this group of patients have been either been subjected to ineffective treatment, or been ‘over treated’. TechniqueAs fertiloscopy is a relatively new technique, it is essential for practitioners to be educated regarding the proper techniques in order to carry out the procedure successfully with minimal complications. The five important steps in fertiloscopy are described in detail. Evidence Acquisition/ JustificationA multicentre prospective randomized study (FLY) was conducted to compare","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122169929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Presentation of abruption of placenta and ruptured uterus is extremely rare, there were only a few cases described in the past. A 40 year-old woman, gravida 7 para 6 presented with features of placenta abruption with fetal demise, where she was allowed to labour while anticipating vaginal delivery. Unfortunately during the course of labour she was suspected to have ruptured uterus, and laparotomy was performed. Findings were hemoperitoneum, Couvelaire uterus with bilateral uterine rupture involving uterine vessels. A dead fetus was delivered followed by supracervical hysterectomy. She recovered without major complications. Careful monitoring of this patient was the only thing which allowed us to discover this unusual presentation.
{"title":"An unusual case of placenta abruption complicated with ruptured uterus: case report","authors":"A. Massinde, Edgar Ndaboine, A. Kihunrwa","doi":"10.5580/dce","DOIUrl":"https://doi.org/10.5580/dce","url":null,"abstract":"Presentation of abruption of placenta and ruptured uterus is extremely rare, there were only a few cases described in the past. A 40 year-old woman, gravida 7 para 6 presented with features of placenta abruption with fetal demise, where she was allowed to labour while anticipating vaginal delivery. Unfortunately during the course of labour she was suspected to have ruptured uterus, and laparotomy was performed. Findings were hemoperitoneum, Couvelaire uterus with bilateral uterine rupture involving uterine vessels. A dead fetus was delivered followed by supracervical hysterectomy. She recovered without major complications. Careful monitoring of this patient was the only thing which allowed us to discover this unusual presentation.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129667054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction In the recent years, the province of Ferrara, in the Italian Northeast has been characterized by the phenomenon of massive immigration. The aim was to study hospital admissions related to the immigrant female population and its implications. Materials and Methods The Local Healthcare Unit of the National Health Service provided data related to hospital admissions between 01/01/2006 to 31/12/2006. Results and Conclusions On 53699 admissions of female subjects, 2656 were related to immigrants. A total of 1509 admissions were obstetrical or gynecological hospitalizations. The high number of DRGs representative of spontaneous abortions and voluntary interruptions of pregnancy may be an expression of social problem of some sections of the immigrant people community. The dissemination of information on the existence of social assistance programs is important. This can prevent the occurrence of critical health situations, especially during pregnancy and childbirth. BACKGROUND AND AIM OF THE WORK The territory of the province of Ferrara, in north-eastern Italy has been in recent years characterized by the phenomenon of mass migration of people from countries especially outside the European Union [1]. This led to differing health needs compared to the Italian population one. This could be a result from the differences in demographic characteristics of the two populations, such as the lower mean age of the immigrant population. The present work is aimed to identify areas of possible interventions allowing optimization of resources in the light of possible changes over time. MATERIALS AND METHODS The Local Healthcare Unit (LHU) of Ferrara provided data related to the hospital admissions from 01/01/2006 to 31/12/2006 granted to immigrant and Italian citizens. The database included nationality, date of birth, residence. The gender was inferred from the tax code. From a health-related point of view, the database showed data related to the type of access, the type of admission (ordinary or day hospital (DH)), the days of hospitalization, the hospital facility, the DRG (Version 19). The facilities included those directly controlled by LHU, the University Hospital, private structures, and extra-provincial structures. GynecologicalDRG included those from 353 to 369 included and obstetrical-DRG included those from 370 to 384. Access 2003 [2] and Excel 2003 [3] were used to manage and analyse data.
{"title":"Differences between Italian and immigrant female citizens’ hospitalizations related to obstetrical and gynecological diseases in the province of Ferrara, Italy","authors":"Cucchi Alessandro, B. Mauro","doi":"10.5580/1233","DOIUrl":"https://doi.org/10.5580/1233","url":null,"abstract":"Introduction In the recent years, the province of Ferrara, in the Italian Northeast has been characterized by the phenomenon of massive immigration. The aim was to study hospital admissions related to the immigrant female population and its implications. Materials and Methods The Local Healthcare Unit of the National Health Service provided data related to hospital admissions between 01/01/2006 to 31/12/2006. Results and Conclusions On 53699 admissions of female subjects, 2656 were related to immigrants. A total of 1509 admissions were obstetrical or gynecological hospitalizations. The high number of DRGs representative of spontaneous abortions and voluntary interruptions of pregnancy may be an expression of social problem of some sections of the immigrant people community. The dissemination of information on the existence of social assistance programs is important. This can prevent the occurrence of critical health situations, especially during pregnancy and childbirth. BACKGROUND AND AIM OF THE WORK The territory of the province of Ferrara, in north-eastern Italy has been in recent years characterized by the phenomenon of mass migration of people from countries especially outside the European Union [1]. This led to differing health needs compared to the Italian population one. This could be a result from the differences in demographic characteristics of the two populations, such as the lower mean age of the immigrant population. The present work is aimed to identify areas of possible interventions allowing optimization of resources in the light of possible changes over time. MATERIALS AND METHODS The Local Healthcare Unit (LHU) of Ferrara provided data related to the hospital admissions from 01/01/2006 to 31/12/2006 granted to immigrant and Italian citizens. The database included nationality, date of birth, residence. The gender was inferred from the tax code. From a health-related point of view, the database showed data related to the type of access, the type of admission (ordinary or day hospital (DH)), the days of hospitalization, the hospital facility, the DRG (Version 19). The facilities included those directly controlled by LHU, the University Hospital, private structures, and extra-provincial structures. GynecologicalDRG included those from 353 to 369 included and obstetrical-DRG included those from 370 to 384. Access 2003 [2] and Excel 2003 [3] were used to manage and analyse data.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116698913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In order to determine the perceptions, prevalence and prognosis of leg oedema during pregnancy as well as the treatmentseeking behaviour for the condition among Nigerian Igbo women, we conducted a point prevalence survey of 1000 consecutive pregnant Igbo women over a 10-month period.The age of respondents ranged from 17 years to 45 years with a mean of 28years. The overall prevalence rate of leg oedema during pregnancy was 8.5%. The earliest gestational age at which it first appeared during pregnancy was 24 weeks, and 100% of cases disappeared within one week of delivery. Anaemia, malnutrition, excessive body water, kidney diseases, liver diseases and hypertension/preeclampsia were the presumed causes of leg oedema during pregnancy. 73% of those who have had the condition had sought treatment for it outside the hospital.The low prevalence rate of this condition as well as its presumed association with ill-health could explain why the few women who develop the condition consider it abnormal. Its excellent prognosis supports reassurance as adequate management for the condition. Reassurance should, however be preceded by adequate counselling to dissuade the women from receiving potentially harmful medications for this condition.
{"title":"Leg Oedema During Pregnancy Among Nigerian Igbo Women: Perceptions, Prevalence, Prognosis And Treatment-Seeking Behaviours","authors":"P. Nkwo","doi":"10.5580/ebd","DOIUrl":"https://doi.org/10.5580/ebd","url":null,"abstract":"In order to determine the perceptions, prevalence and prognosis of leg oedema during pregnancy as well as the treatmentseeking behaviour for the condition among Nigerian Igbo women, we conducted a point prevalence survey of 1000 consecutive pregnant Igbo women over a 10-month period.The age of respondents ranged from 17 years to 45 years with a mean of 28years. The overall prevalence rate of leg oedema during pregnancy was 8.5%. The earliest gestational age at which it first appeared during pregnancy was 24 weeks, and 100% of cases disappeared within one week of delivery. Anaemia, malnutrition, excessive body water, kidney diseases, liver diseases and hypertension/preeclampsia were the presumed causes of leg oedema during pregnancy. 73% of those who have had the condition had sought treatment for it outside the hospital.The low prevalence rate of this condition as well as its presumed association with ill-health could explain why the few women who develop the condition consider it abnormal. Its excellent prognosis supports reassurance as adequate management for the condition. Reassurance should, however be preceded by adequate counselling to dissuade the women from receiving potentially harmful medications for this condition.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117127383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Synchronous primary malignancies of the female genital tract are uncommon. Synchronous ovarian and cervical malignancies with different histopathology are rarer still. Case: A 55-year-old woman with poor general condition presented with ascites and post-menopausal bleeding. She was diagnosed to have ovarian serous adenocarcinoma, clinical stage III and cervical squamous cell carcinoma, clinical stage III B. She deteriorated rapidly after a cycle of chemotherapy and expired after nineteen days. Conclusion: Synchronous genital malignancies cause more clinical problems as compared to singly occurring ones. Hence such cases tend to be detected at an earlier stage. However, the prognosis is determined not only by clinical staging but also by histological grade of the adenomatous component. Incidence of multiple synchronous malignancies may be expected to increase in view of increased life expectancy.
{"title":"Synchronous primary malignancy of ovary and cervix with different histopathology: a rare presentation","authors":"K. Srivastava, F. Zahra","doi":"10.5580/296d","DOIUrl":"https://doi.org/10.5580/296d","url":null,"abstract":"Background: Synchronous primary malignancies of the female genital tract are uncommon. Synchronous ovarian and cervical malignancies with different histopathology are rarer still. Case: A 55-year-old woman with poor general condition presented with ascites and post-menopausal bleeding. She was diagnosed to have ovarian serous adenocarcinoma, clinical stage III and cervical squamous cell carcinoma, clinical stage III B. She deteriorated rapidly after a cycle of chemotherapy and expired after nineteen days. Conclusion: Synchronous genital malignancies cause more clinical problems as compared to singly occurring ones. Hence such cases tend to be detected at an earlier stage. However, the prognosis is determined not only by clinical staging but also by histological grade of the adenomatous component. Incidence of multiple synchronous malignancies may be expected to increase in view of increased life expectancy.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"107 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116375941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acute fatty liver of pregnancy (AFLP) is a serious complication and usually occurs in second half of pregnancy. It is rare but potentially fatal complication for both mother and baby as often the diagnosis is delayed. Etiology is still unclear but known to be associated with defective fatty acid oxidation in fetus. AFLP is thought to be a rare variant of pre-eclampsia (associated in 50 to 100% of cases) and can be associated with mild to moderate disease . It can cause multiple organ failure in case of delayed diagnosis. Early diagnosis and prompt delivery is the mainstay of treatment.
{"title":"Acute Fatty Liver of Pregnancy - A Review:","authors":"P. Sinha, P. Kyle, P. Gubbala","doi":"10.5580/1d1d","DOIUrl":"https://doi.org/10.5580/1d1d","url":null,"abstract":"Acute fatty liver of pregnancy (AFLP) is a serious complication and usually occurs in second half of pregnancy. It is rare but potentially fatal complication for both mother and baby as often the diagnosis is delayed. Etiology is still unclear but known to be associated with defective fatty acid oxidation in fetus. AFLP is thought to be a rare variant of pre-eclampsia (associated in 50 to 100% of cases) and can be associated with mild to moderate disease . It can cause multiple organ failure in case of delayed diagnosis. Early diagnosis and prompt delivery is the mainstay of treatment.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125125205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
I. Chakrabarti, A. De, Mimi Gangopadhyay, Pranati Bera
Sertoli-Leydig tumors are rare tumors of the ovary, occurring in young women in the majority of cases. They constitute less than 0.5 % of all ovarian neoplasms and 1% of sex-cord tumors. Here, we report a case of a 26 year old multiparous woman presenting with abdominal lump, pain, secondary amenorrhea and virilizing signs and symptoms. A diagnosis of Sertoli-Leydig cell tumors of the ovary of intermediate differentiation with heterologous elements was given. Unilateral salpingo-oophorectomy followed by Bleomycin, Etoposide and Cisplatin combined chemotherapy was given. The patient was healthy and symptom-free at the 6 month follow-up.
{"title":"Sertoli-Leydig cell tumour of ovary with heterologous elements—A case report","authors":"I. Chakrabarti, A. De, Mimi Gangopadhyay, Pranati Bera","doi":"10.5580/145b","DOIUrl":"https://doi.org/10.5580/145b","url":null,"abstract":"Sertoli-Leydig tumors are rare tumors of the ovary, occurring in young women in the majority of cases. They constitute less than 0.5 % of all ovarian neoplasms and 1% of sex-cord tumors. Here, we report a case of a 26 year old multiparous woman presenting with abdominal lump, pain, secondary amenorrhea and virilizing signs and symptoms. A diagnosis of Sertoli-Leydig cell tumors of the ovary of intermediate differentiation with heterologous elements was given. Unilateral salpingo-oophorectomy followed by Bleomycin, Etoposide and Cisplatin combined chemotherapy was given. The patient was healthy and symptom-free at the 6 month follow-up.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125502464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Krupa H Shah, S. Anjurani, V. Ramkumar, Parvathi Bhat, Urala
Ovarian masses greater than 5 cm are rare during pregnancy. We report six pregnant women with an ovarian mass more than 5 cm and operated during pregnancy or at the time of cesarean delivery. Elective surgery in second trimester of pregnancy is safe. Emergency surgery is required for complication such as torsion or hemorrhage. Complication of emergency antenatal surgery can be reduced by proper care. Malignant ovarian mass is uncommon during pregnancy. Ultrasound morphology is quite accurate to decide characteristic of mass and further management. Careful selection of ovarian mass is important for expectant management till term.
{"title":"Ovarian mass in pregnancy: A review of six cases treated with surgery","authors":"Krupa H Shah, S. Anjurani, V. Ramkumar, Parvathi Bhat, Urala","doi":"10.5580/2452","DOIUrl":"https://doi.org/10.5580/2452","url":null,"abstract":"Ovarian masses greater than 5 cm are rare during pregnancy. We report six pregnant women with an ovarian mass more than 5 cm and operated during pregnancy or at the time of cesarean delivery. Elective surgery in second trimester of pregnancy is safe. Emergency surgery is required for complication such as torsion or hemorrhage. Complication of emergency antenatal surgery can be reduced by proper care. Malignant ovarian mass is uncommon during pregnancy. Ultrasound morphology is quite accurate to decide characteristic of mass and further management. Careful selection of ovarian mass is important for expectant management till term.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114397509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：