Pub Date : 2020-07-01DOI: 10.5005/jp-journals-10006-1807
Shraddha Shetty, Rashmi Polnaya
{"title":"Atypical Presentation of Choriocarcinoma: A Report of Two Cases","authors":"Shraddha Shetty, Rashmi Polnaya","doi":"10.5005/jp-journals-10006-1807","DOIUrl":"https://doi.org/10.5005/jp-journals-10006-1807","url":null,"abstract":"","PeriodicalId":53559,"journal":{"name":"Journal of SAFOG","volume":"343 1","pages":"265-266"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75464822","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}
Pub Date : 2018-01-01DOI: 10.5005/jp-journals-10006-1575
Rohan Palshetkar, H. Pai, B. G. Dastidar, N. Lad, Jiteeka Thakkar, N. Palshetkar
{"title":"Blastocyst Culture and Embryo Transfer on Day 5 following Fertilization is a Viable Strategy for Acceptable Results in in vitro Fertilization: Intracytoplasmic Sperm Injection Program","authors":"Rohan Palshetkar, H. Pai, B. G. Dastidar, N. Lad, Jiteeka Thakkar, N. Palshetkar","doi":"10.5005/jp-journals-10006-1575","DOIUrl":"https://doi.org/10.5005/jp-journals-10006-1575","url":null,"abstract":"","PeriodicalId":53559,"journal":{"name":"Journal of SAFOG","volume":"10 1","pages":"131-133"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70738712","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}
Pub Date : 2017-09-01DOI: 10.5005/jp-journals-10006-1508
Philby Babu Menachery, J. Noronha, Sweety Fernandes, J. Malhotra
{"title":"Knowledge and Attitude on “Standard Days Method” of Family Planning among Female Postgraduate Students: A Cross-sectional Study","authors":"Philby Babu Menachery, J. Noronha, Sweety Fernandes, J. Malhotra","doi":"10.5005/jp-journals-10006-1508","DOIUrl":"https://doi.org/10.5005/jp-journals-10006-1508","url":null,"abstract":"","PeriodicalId":53559,"journal":{"name":"Journal of SAFOG","volume":"9 1","pages":"263-268"},"PeriodicalIF":0.0,"publicationDate":"2017-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44150069","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}
Pub Date : 2017-03-01DOI: 10.5005/JP-JOURNALS-10006-1449
A. Sultana, M. Faisal, R. Iqbal, K. Javaid, M. Khalid, M. A. Khalid
{"title":"Indications of Emergency vs Elective Cesarean Section: Cross-sectional Study done at Holy Family Hospital, Rawalpindi, Pakistan","authors":"A. Sultana, M. Faisal, R. Iqbal, K. Javaid, M. Khalid, M. A. Khalid","doi":"10.5005/JP-JOURNALS-10006-1449","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10006-1449","url":null,"abstract":"","PeriodicalId":53559,"journal":{"name":"Journal of SAFOG","volume":"9 1","pages":"14-17"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47484200","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}
Pub Date : 2017-01-01DOI: 10.5005/JP-JOURNALS-10006-1457
V. Mishra, S. Choudhary, Preeti A. Goyal, R. Aggarwal, J. Malhotra
Objectives: To describe the approach of transabdominal ultrasound-guided oocyte retrieval in a patient of Müllerian anomaly and ovarian malposition. Design: Case report. Setting: A tertiary referral reproductive medicine unit. Patient: A 23-year-old patient with Müllerian anomaly (right unicornuate with left rudimentary horn uterus) and ovarian malposition. Intervention: Controlled ovarian hyperstimulation, transabdominal ultrasound-guided oocyte retrieval. Main outcome measure: Total and mature oocytes retrieved, fertilization rate, embryo number, and quality. Results: Five oocytes were retrieved transabdominally, using percutaneous needle puncture under ultrasound guidance. Conclusion: In in vitro fertilization protocols, patients with Müllerian anomaly with vaginally inaccessible ovaries, transabdominal ultrasound-guided follicular aspiration is a safe and efficacious alternative technique for oocyte retrieval.
{"title":"Transabdominal Ultrasound-guided Follicular Aspiration in Case of Müllerian Anomaly with Ovarian Malposition","authors":"V. Mishra, S. Choudhary, Preeti A. Goyal, R. Aggarwal, J. Malhotra","doi":"10.5005/JP-JOURNALS-10006-1457","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10006-1457","url":null,"abstract":"Objectives: To describe the approach of transabdominal ultrasound-guided oocyte retrieval in a patient of Müllerian anomaly and ovarian malposition. Design: Case report. Setting: A tertiary referral reproductive medicine unit. Patient: A 23-year-old patient with Müllerian anomaly (right unicornuate with left rudimentary horn uterus) and ovarian malposition. Intervention: Controlled ovarian hyperstimulation, transabdominal ultrasound-guided oocyte retrieval. Main outcome measure: Total and mature oocytes retrieved, fertilization rate, embryo number, and quality. Results: Five oocytes were retrieved transabdominally, using percutaneous needle puncture under ultrasound guidance. Conclusion: In in vitro fertilization protocols, patients with Müllerian anomaly with vaginally inaccessible ovaries, transabdominal ultrasound-guided follicular aspiration is a safe and efficacious alternative technique for oocyte retrieval.","PeriodicalId":53559,"journal":{"name":"Journal of SAFOG","volume":"9 1","pages":"53-55"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70735209","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}
Pub Date : 2017-01-01DOI: 10.5005/JP-JOURNALS-10006-1459
R. Vatsa, J. Meena, Sunesh Kumar, R. Zangmo, J. Bharti, K. Roy, J. Malhotra
60 ABSTRACT Aim: To sensitize clinicians regarding possibility of heterotopic pregnancy even in spontaneous conceptions. Background: Though heterotopic pregnancy is a rare condition, its incidence is rising, which varies from one in 8,000 to 30,000, more in assisted reproductive technique conceptions. It is being commonly misdiagnosed. Here, we present a case of heterotopic pregnancy after spontaneous conception, diagnosis of which was confused with ovarian torsion. Case Report: A 31-year-old second gravid para one with one living issue at 12 week 6 day period of gestation presented to emergency with acute-onset pain in right lower abdomen for 3 days. On examination, an ovarian tumor with ascitis with probable torsion was suspected along with intrauterine pregnancy. These findings were further supported by similar ultrasound picture. Patient was taken up for laparotomy. Intraoperative finding was suggestive of heterotopic pregnancy with ruptured left tubal ectopic pregnancy. Left salpingectomy was done with minimal uterine manipulation. Histopathology showed blood clots, hyalinized villi, and acute inflammatory cell infiltrate suggestive of ectopic pregnancy. Ultrasonography (USG) done in the postoperative period showed viable intrauterine pregnancy. The patient is currently following with us and is in her second trimester of pregnancy. Conclusion: Heterotopic pregnancy is a diagnostic and therapeutic challenge; a high index of suspicion is required. It is important for clinicians to see adnexal in detail even if intrauterine pregnancy has been seen clearly during USG, especially in high-risk cases. Clinical significance: Heterotopic pregnancies can occur even in the absence of high-risk factors. In patients with intrauterine pregnancy, who present with adnexal mass with free fluid in abdomen, clinicians should keep their mind open for possible diagnosis of heterotopic pregnancy. Early diagnosis and surgical management will decrease maternal morbidity and increase chances of survival of intrauterine pregnancy.
{"title":"Successful Outcome of Spontaneously Conceived Heterotopic Pregnancy masquerading Ovarian Torsion","authors":"R. Vatsa, J. Meena, Sunesh Kumar, R. Zangmo, J. Bharti, K. Roy, J. Malhotra","doi":"10.5005/JP-JOURNALS-10006-1459","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10006-1459","url":null,"abstract":"60 ABSTRACT Aim: To sensitize clinicians regarding possibility of heterotopic pregnancy even in spontaneous conceptions. Background: Though heterotopic pregnancy is a rare condition, its incidence is rising, which varies from one in 8,000 to 30,000, more in assisted reproductive technique conceptions. It is being commonly misdiagnosed. Here, we present a case of heterotopic pregnancy after spontaneous conception, diagnosis of which was confused with ovarian torsion. Case Report: A 31-year-old second gravid para one with one living issue at 12 week 6 day period of gestation presented to emergency with acute-onset pain in right lower abdomen for 3 days. On examination, an ovarian tumor with ascitis with probable torsion was suspected along with intrauterine pregnancy. These findings were further supported by similar ultrasound picture. Patient was taken up for laparotomy. Intraoperative finding was suggestive of heterotopic pregnancy with ruptured left tubal ectopic pregnancy. Left salpingectomy was done with minimal uterine manipulation. Histopathology showed blood clots, hyalinized villi, and acute inflammatory cell infiltrate suggestive of ectopic pregnancy. Ultrasonography (USG) done in the postoperative period showed viable intrauterine pregnancy. The patient is currently following with us and is in her second trimester of pregnancy. Conclusion: Heterotopic pregnancy is a diagnostic and therapeutic challenge; a high index of suspicion is required. It is important for clinicians to see adnexal in detail even if intrauterine pregnancy has been seen clearly during USG, especially in high-risk cases. Clinical significance: Heterotopic pregnancies can occur even in the absence of high-risk factors. In patients with intrauterine pregnancy, who present with adnexal mass with free fluid in abdomen, clinicians should keep their mind open for possible diagnosis of heterotopic pregnancy. Early diagnosis and surgical management will decrease maternal morbidity and increase chances of survival of intrauterine pregnancy.","PeriodicalId":53559,"journal":{"name":"Journal of SAFOG","volume":"9 1","pages":"60-62"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70735265","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}
Pub Date : 2017-01-01DOI: 10.5005/JP-JOURNALS-10006-1490
Archana Kandasamy, U. Vishwanath, M. Anitha, P. Mehta, J. Malhotra
{"title":"An Unusual Case of Total Anomalous Pulmonary Venous Connection in Pregnancy","authors":"Archana Kandasamy, U. Vishwanath, M. Anitha, P. Mehta, J. Malhotra","doi":"10.5005/JP-JOURNALS-10006-1490","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10006-1490","url":null,"abstract":"","PeriodicalId":53559,"journal":{"name":"Journal of SAFOG","volume":"9 1","pages":"190-191"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70736173","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}
Pub Date : 2017-01-01DOI: 10.5005/JP-JOURNALS-10006-1495
R. Aggarwal, Syed Nawaz Ahmad, G. Radhakrishnan, A. Radhika, J. Malhotra
Meckel–Gruber syndrome (MGS), a rare lethal syndrome, is characterized phenotypically by polycystic kidneys, occipital encephalocele, and postaxial polydactyly. This entity with 100% fatality has autosomal recessive transmission with multiple gene loci. Mutation analysis is the confirmatory test to label a case as MGS. However, two of the three above-mentioned anomalies are sufficient to arrive at a working diagnosis of MGS. We report a case of MGS in a family with a history suggestive of multiple affected fetuses previously. Early diagnosis at 13 weeks gestation was made on antenatal ultrasound examination and the findings were confirmed on postabortal autopsy.
{"title":"The Case of Recurrent Lethal Fetal Syndrome: Meckel–Gruber Syndrome","authors":"R. Aggarwal, Syed Nawaz Ahmad, G. Radhakrishnan, A. Radhika, J. Malhotra","doi":"10.5005/JP-JOURNALS-10006-1495","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10006-1495","url":null,"abstract":"Meckel–Gruber syndrome (MGS), a rare lethal syndrome, is characterized phenotypically by polycystic kidneys, occipital encephalocele, and postaxial polydactyly. This entity with 100% fatality has autosomal recessive transmission with multiple gene loci. Mutation analysis is the confirmatory test to label a case as MGS. However, two of the three above-mentioned anomalies are sufficient to arrive at a working diagnosis of MGS. We report a case of MGS in a family with a history suggestive of multiple affected fetuses previously. Early diagnosis at 13 weeks gestation was made on antenatal ultrasound examination and the findings were confirmed on postabortal autopsy.","PeriodicalId":53559,"journal":{"name":"Journal of SAFOG","volume":"9 1","pages":"203-206"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70736853","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}
Pub Date : 2017-01-01DOI: 10.5005/jp-journals-10006-1500
S. Aryal, Pant Sb, S. Baniya, J. Malhotra
Introduction: Gender-based violence (GBV) is faced by many women in Nepal but health-seeking behavior is rare. A reproductive health facility may be the only place where a woman comes for a health visit. So, health care providers, especially gynecologists, play an important role to identify women suffering from GBV as they see clients suffering from the reproductive health effects of GBV on a daily basis. The purpose of this study was to find the prevalence and severity of GBV in women attending the outpatient department (OPD) and to compare their clinical diagnosis with those not facing GBV. Materials and methods: This is a prospective study conducted at Lumbini Medical College Teaching Hospital for a period of 3 months enrolling 741 nonpregnant women attending the OPD. A structured questionnaire was used for interview to identify women facing abuse and to assess their gynecological problems. Results: Out of 741 women, 172 faced GBV, so the prevalence was 23.21%. Emotional and physical abuse was the most common type of abuse faced by 56 (32.56%), but the severity was reported more in sexual abuse [8 (57.14%)]. Pain abdomen was the most common symptom [69 (40.12%)], and chronic pelvic pain (CPP) [60 (34.89%)] was the commonest clinical diagnosis made in these women. Chronic pelvic pain was diagnosed more in women facing abuse (p < 0.001). Conclusion: In this study, about one in four women in reproductive age group had experienced GBV. Gynecology OPD of a tertiary hospital could be used as a screening setting that can assist in early detection and prevention of GBV in Nepal.
{"title":"Gender-based Violence in Women attending Gynecology Outpatient Department in a Hospital of Western Nepal: An Issue of Endurance and Invisibility","authors":"S. Aryal, Pant Sb, S. Baniya, J. Malhotra","doi":"10.5005/jp-journals-10006-1500","DOIUrl":"https://doi.org/10.5005/jp-journals-10006-1500","url":null,"abstract":"Introduction: Gender-based violence (GBV) is faced by many women in Nepal but health-seeking behavior is rare. A reproductive health facility may be the only place where a woman comes for a health visit. So, health care providers, especially gynecologists, play an important role to identify women suffering from GBV as they see clients suffering from the reproductive health effects of GBV on a daily basis. The purpose of this study was to find the prevalence and severity of GBV in women attending the outpatient department (OPD) and to compare their clinical diagnosis with those not facing GBV. Materials and methods: This is a prospective study conducted at Lumbini Medical College Teaching Hospital for a period of 3 months enrolling 741 nonpregnant women attending the OPD. A structured questionnaire was used for interview to identify women facing abuse and to assess their gynecological problems. Results: Out of 741 women, 172 faced GBV, so the prevalence was 23.21%. Emotional and physical abuse was the most common type of abuse faced by 56 (32.56%), but the severity was reported more in sexual abuse [8 (57.14%)]. Pain abdomen was the most common symptom [69 (40.12%)], and chronic pelvic pain (CPP) [60 (34.89%)] was the commonest clinical diagnosis made in these women. Chronic pelvic pain was diagnosed more in women facing abuse (p < 0.001). Conclusion: In this study, about one in four women in reproductive age group had experienced GBV. Gynecology OPD of a tertiary hospital could be used as a screening setting that can assist in early detection and prevention of GBV in Nepal.","PeriodicalId":53559,"journal":{"name":"Journal of SAFOG","volume":"9 1","pages":"225-229"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70737510","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}
Pub Date : 2017-01-01DOI: 10.5005/JP-JOURNALS-10006-1513
P. Jain, Anuja Bhalerao, Sakshi Aggarwal, J. Malhotra
Aim: To differentiate nonclassical congenital adrenal hyperplasia (NCCAH) from polycystic ovarian syndrome (PCOS) in a 13-year-old girl. Introduction: Hirsutism and virilization are effects of hyperandrogenism by ovaries and adrenal glands. It has a marked psychological and social impact affecting the quality of life. About 75% of premenarchal girls have hyperandrogenism due to PCOS but late-onset CAH cannot be ruled out, and this leaves the clinician in a quandary regarding the diagnosis and management. Case report: A 131⁄2-year-old girl presented with excessive facial hair, hoarseness of voice, and darkening of elbow pits since past 2 months, which was increasing in severity. The patient had not yet attained menarche but had pubarche 1 year earlier. Examination revealed presence of acanthosis, underdeveloped breasts, and clitoromegaly >3 cm. Levels of 17-hydroxyprogesterone were normal but higher levels were reported poststimulation. Fasting insulin levels were also high. Appropriate treatment was started, which led to improvement in patient’s symptoms. Conclusion: There is significant overlapping between PCOS and NCCAH, which warrants accurate diagnosis based on hormonal analysis to institute early and appropriate therapy. Clinical significance: Early therapy can prevent infertility and androgenic complications later in life.
{"title":"Late-onset Congenital Adrenal Hyperplasia or Early-onset Polycystic Ovarian Syndrome: A Clinical Dilemma","authors":"P. Jain, Anuja Bhalerao, Sakshi Aggarwal, J. Malhotra","doi":"10.5005/JP-JOURNALS-10006-1513","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10006-1513","url":null,"abstract":"Aim: To differentiate nonclassical congenital adrenal hyperplasia (NCCAH) from polycystic ovarian syndrome (PCOS) in a 13-year-old girl. Introduction: Hirsutism and virilization are effects of hyperandrogenism by ovaries and adrenal glands. It has a marked psychological and social impact affecting the quality of life. About 75% of premenarchal girls have hyperandrogenism due to PCOS but late-onset CAH cannot be ruled out, and this leaves the clinician in a quandary regarding the diagnosis and management. Case report: A 131⁄2-year-old girl presented with excessive facial hair, hoarseness of voice, and darkening of elbow pits since past 2 months, which was increasing in severity. The patient had not yet attained menarche but had pubarche 1 year earlier. Examination revealed presence of acanthosis, underdeveloped breasts, and clitoromegaly >3 cm. Levels of 17-hydroxyprogesterone were normal but higher levels were reported poststimulation. Fasting insulin levels were also high. Appropriate treatment was started, which led to improvement in patient’s symptoms. Conclusion: There is significant overlapping between PCOS and NCCAH, which warrants accurate diagnosis based on hormonal analysis to institute early and appropriate therapy. Clinical significance: Early therapy can prevent infertility and androgenic complications later in life.","PeriodicalId":53559,"journal":{"name":"Journal of SAFOG","volume":"9 1","pages":"280-282"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70737587","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}
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