11/43. Surgical packing as a means of controlling massive haemorrhage in association with advanced abdominal pregnancy.A case of advanced abdominal pregnancy was diagnosed at laparotomy. During surgery, there was massive haemorrhage from the placenta which was controlled using surgical gauze packing.- - - - - - - - - - ranking = 1keywords = haemorrhage (Clic here for more details about this article) |
12/43. Clinical considerations and sonographic findings of a large nonpedunculated primary cervical leiomyoma complicated by heavy vaginal haemorrhage: a case report and review of the literature.Leiomyomas of the uterine cervix are uncommon. Cervical leiomyomas in non-pregnant women rarely are of clinical significance and their complications include pressure effects on the bladder or urethra, degenerative phenomema and menorrhagia. We present a case of 46-year-old female, gravida 2, para 1 who was presented in the gynaecological emergency room with the chief complaint of profound vaginal bleeding over the previous three weeks with recent passage of clots. Pregnancy test was negative. She suffered from profound orthostatic hypotension and tachycardia. On examination, her abdomen was soft, non-tender, and without rebound, guarding or palpable masses. Bimanual examination was notable for the presence of a large firm mass fixed to the uterine cervix. The cervix was 8 cm dilated and the body of the uterus was felt separate from the mass. The sonographic findings were consistent with a large cervical leiomyoma. Subtotal hysterectomy with salpingo-oophorectomy was performed and the patient's postoperative course was uneventful. In conclusion, in the present case the cause of the heavy vaginal bleeding was a primary cervical fibroid as the uterus attempted to abort it.- - - - - - - - - - ranking = 0.8keywords = haemorrhage (Clic here for more details about this article) |
13/43. urinary bladder carcinoma as apparent cause of antepartum haemorrhage in pregnancy.A 34-year-old multipara presented with painless profuse genital bleeding during the third trimester of pregnancy in a state of hemorrhagic shock. Haematuria because of urinary bladder carcinoma was found to be the cause of bleeding. cystoscopy was useful for accurate diagnosis as well as for achieving haemostasis. This case emphasizes the possibility and importance of haematuria when dealing with a patient with antepartum haemorrhage.- - - - - - - - - - ranking = 1keywords = haemorrhage (Clic here for more details about this article) |
14/43. pregnancy outcome after operative correction of puerperal uterine inversion.uterine inversion is an uncommon but life-threatening obstetric emergency. A review of the approaches to correct uterine inversion is presented. In cases where time has elapsed between delivery and presentation, the inversion ring may have become too tight to allow manual reposition of the fundus. In such cases, it has to be divided by a vertical incision. In subsequent pregnancy, antenatal care should include placental localization and planning for an elective Caesarean Section. The outcome of future pregnancies may be complicated by placenta accreta and massive haemorrhage.- - - - - - - - - - ranking = 0.2keywords = haemorrhage (Clic here for more details about this article) |
15/43. Necrotizing crepitant cellulitis of the abdominal wall following a caesarean section and subsequent hysterectomy.A case report of necrotizing crepitant cellulitis of abdominal wall following caesarean section is presented. Because of intense haemorrhage it was namely necessary to perform additional hysterectomy and bilateral hypogastric artery ligation. Serious wound infection and sepsis were successfully treated by administration of antibiotics and repeated deep incisions.- - - - - - - - - - ranking = 0.2keywords = haemorrhage (Clic here for more details about this article) |
16/43. Postabortal haemorrhage and disseminated intravascular coagulation due to placenta accreta.We describe the case of a second trimester placenta accreta presenting as postabortal haemorrhage complicated by disseminated intravascular coagulation, requiring hysterectomy.- - - - - - - - - - ranking = 1keywords = haemorrhage (Clic here for more details about this article) |
17/43. munchausen syndrome by proxy--a cause of preterm delivery.OBJECTIVE: To present the first case of munchausen syndrome by proxy involving self-induced preterm delivery. CLINICAL FEATURES: A 27-year-old Caucasian woman induced antepartum haemorrhage and rupture of membranes with a knitting needle at 26 weeks' gestation, leading to delivery of the infant. This "prenatal child abuse" led to a prolonged intensive care stay, extensive treatment and subsequent bronchopulmonary dysplasia. As the child recovered from the effects of extreme prematurity, he became a victim of fabricated illness and recurrent smothering episodes. INTERVENTION AND OUTCOME: After the diagnosis of munchausen syndrome by proxy was made, the child was removed from the mother and he has since enjoyed good health. CONCLUSION: Self-induction of antepartum haemorrhage can lead to preterm delivery and may be recognisable by certain clinical parameters. The victim of self-induced preterm delivery, if survival ensues, may be subject to further abuse.- - - - - - - - - - ranking = 0.4keywords = haemorrhage (Clic here for more details about this article) |
18/43. Puerperal uterine inversion and shock.uterine inversion is an unusual and potentially life-threatening event occurring in the third stage of labour. It is associated with significant blood loss, and shock, which may be out of proportion to the haemorrhage, although this is questionable. When managed promptly and aggressively, uterine inversion can result in minimal maternal morbidity and mortality. A recent case is described, followed by a short review of the literature.- - - - - - - - - - ranking = 0.2keywords = haemorrhage (Clic here for more details about this article) |
19/43. Maternal blood aspiration: an unusual cause of respiratory distress in a neonate.Maternal blood aspiration is an unusual cause of respiratory distress in neonates. It is occasionally seen in babies born to mothers with antepartum haemorrhage (APH). We report a term neonate with a history of maternal APH who developed respiratory distress soon after birth with a radiological appearance compatible with aspiration syndrome. The infant required ventilation for 36 hours. The aspirated blood was the mother's.- - - - - - - - - - ranking = 0.2keywords = haemorrhage (Clic here for more details about this article) |
20/43. Abdominal apoplexy associated with the levonorgestrel intrauterine system--case report.Abdominal apoplexy is defined as intraabdominal haemorrhage without an identifiable pathology. This life-threatening situation is hardly mentioned in the literature. The clinical tableau is non-specific. The onset can be with nausea, mild to severe abdominal pain, a palpable mass in the abdomen or flank and sings of hypovolemic shock. The approach should be resuscitation, look for a likely underlying cause and control the bleeding. The present report will describe a case of abdominal apoplexy in a patient using a levonorgestrel intrauterine system. The management and possible origins of abdominal apoplexy will be discussed.- - - - - - - - - - ranking = 0.2keywords = haemorrhage (Clic here for more details about this article) |
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