Cases reported "Pre-Eclampsia"

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1/49. Anaesthesia for caesarean section in a patient with recent subarachnoid haemorrhage and severe pre-eclampsia.

    Subarachnoid haemorrhage is a leading 'indirect' cause of maternal death in the UK. We describe the case of a 43-year-old woman who presented with headache, photophobia and neck stiffness of sudden onset at 32 weeks' gestation. Cerebral computed tomography demonstrated subarachnoid blood in the cisterns around the midbrain, and oral nimodipine was started to prevent vasospasm. Preparations were made for endovascular coil embolisation in the event of identification of a posterior circulation aneurysm. However, angiography under general anaesthesia failed to reveal any vascular abnormality. On emergence from anaesthesia, headache persisted, and over the next 24 h severe pre-eclampsia developed. magnesium sulphate was started, and urgent Caesarean section performed under general anaesthesia without incident. The rationale for the neuroradiological, obstetric and anaesthetic management is discussed.
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ranking = 1
keywords = maternal death, death
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2/49. perinatal mortality and maternal mortality at the Provincial Hospital, Quang Ngai, South vietnam, 1967-1970.

    The perinatal mortality, maternal mortality, infant mortality rates, and the complications of delivery at the Provincial Hospital of Quang Ngai, South vietnam are described. The perinatal mortality is the only valid statistic available as the infant usually leaves the hospital within three days of delivery. knowledge pertaining to the 4th to 28th day after birth is scanty and there is insufficient knowledge about the first year of life. infant mortality is estimated at 277 per 1,000 live births. The perinatal mortality 64.6 per 1,000 live births, and maternal mortality, 106 per 10,000 live births are extremely high in contrast to Western countries. The high perinatal mortality is attributable to deaths during birth, the neonatal and immediate postnatal period. The high maternal mortality is primarily due to caesarean section, anemia, uterine rupture, toxemia, post-partum hemorrhage and puerperal infection.
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ranking = 0.0012532584001523
keywords = death
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3/49. Trophoblastic microemboli as a marker for preeclampsia-eclampsia in sudden unexpected maternal death: a case report and review of the literature.

    The authors report the case of a 25-year-old white woman at 7 months' gestation who died suddenly and unexpectedly at home. Anatomic findings at autopsy included a tongue contusion, glomerulonephritis, changes indicative of systemic hypertension, and trophoblastic microemboli in the lungs. review of the prenatal care record disclosed 3 proteinuria 2 days before death. The features of the postmortem examination were consistent with clinically undiagnosed preeclampsia-eclampsia and glomerulonephritis. The authors discuss the rarity of fatal preeclampsia-eclampsia, the contribution of concomitant glomerulonephritis, and the significance of trophoblastic microemboli in the lungs.
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ranking = 4.0012532584002
keywords = maternal death, death
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4/49. Two cases of acute leukaemia in pregnancy.

    2 cases of acute leukaemia which developed in the course of pregnancy are reported. The first was a 34-year-old woman who presented with acute myeloblastic leukaemia late in the second trimester and received combination chemotherapy. A normal male infant was delivered. The second patient, aged 24 years, presented with acute lymphoblastic leukaemia early in the second trimester and was treated with the same regime. Pre-eclamptic toxaemia developed at 29 weeks gestation. Intra-uterine death was confirmed 1 week later.
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ranking = 0.0012532584001523
keywords = death
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5/49. Severe preeclampsia in antithrombin iii deficiency with no history of venous thromboembolism.

    Complications of pregnancy, such as preeclampsia, placental abruption, fetal growth retardation, still-birth and fetal death are associated with an increased frequency of pro-thrombotic abnormalities. We describe a case of severe preeclampsia and multiple placental infarctions in a 28-year-old woman at 31 weeks' gestation. Despite a negative personal history for venous thromboembolism, coagulation screening for thrombophilia detected an isolated antithrombin iii deficiency. In view of the high prevalence of pro-thrombotic complications, laboratory screening for thrombophilia would be advantageous in women with complicated pregnancies, to ensure adequate management in high-risk situations, as suggested by larger-scale clinical investigations.
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ranking = 0.0012532584001523
keywords = death
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6/49. Advanced abdominal pregnancy with severe pre-eclampsia.

    Severe pre-eclampsia leading to fetal death in advanced abdominal pregnancy is reported. attention is drawn to the low reported incidence of pre-eclampsia in this condition and possible explanations are put forward.
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ranking = 0.0012532584001523
keywords = death
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7/49. Advanced disseminated gastric carcinoma in pregnancy.

    Gastric cancers associated with pregnancy are rare and often diagnosed at advanced stages where curative therapies are not possible. The outcomes have generally been very poor with death occurring within months of diagnosis. Suspicion and early endoscopy are necessary for early diagnosis. We herein report a case of advanced disseminated gastric cancer presenting in the third trimester with pre-eclampsia and death occurring less than a month after diagnosis.
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ranking = 0.0025065168003045
keywords = death
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8/49. Spontaneous reversal of mirror syndrome in a twin pregnancy after a single fetal death.

    The case report illustrates that pre-eclampsia like symptoms can arise as a consequence of pathological changes in a single feto-placental unit of a twin pregnancy and may resolve spontaneously when the cause is removed.
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ranking = 0.0050130336006091
keywords = death
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9/49. Preeclampsia-like syndrome that is associated with severe hypothyroidism in a 20-week pregnant woman.

    We report a case of overt hypothyroidism that was associated with a preeclampsia-like syndrome and fetal death in a 37-year-old woman (gravidity, 7; parity, 6). Rapid and robust correction of hypothyroidism is recommended in this situation.
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ranking = 0.0012532584001523
keywords = death
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10/49. Posttraumatic stress disorder following preeclampsia and hellp syndrome.

    Posttraumatic stress disorder (PTSD) in connection with pregnancy was first described in the 1990s--initially in relation to childbirth but later more specifically to the mode of delivery. Instrumental vaginal delivery carries the highest risk of PTSD followed by emergency caesarean section and normal spontaneous delivery. Loss of pregnancy, spontaneous abortion or intrauterine death for example can also lead to PTSD. Little systematic research has been performed regarding the psychological consequences of severe preeclampsia or hellp syndrome, although it would seem obvious that these conditions may have a great effect The combination of suffering a serious illness combined with an unexpected caesarean section or delivery, often of a premature child, is a heavy burden to bear both physically and psychologically. We describe here three patients who developed PTSD after pregnancies complicated by severe preeclampsia or hellp syndrome. PTSD can develop after preeclampsia or hellp syndrome.
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ranking = 0.0012532584001523
keywords = death
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