Vertebral hemangiomas occur in 10-12% of population but become symptomatic in less than 1% of cases. The management of the leison is guided by neurology status and gestational age as they tend to spontaneously regress post delivery only to recur in few cases. We describe a case on a patient that came in the nick of time with fetal distress and hence the baby was delivered first but patient declined for back surgery. Another unique finding was a non contagious presentation of a double level lesion with characteristically the proximal becoming aggressive.
This is a case of a 19 year old, who presented as a case of primary amenorrhea, diagnosed to have simple virilising type of CAH. She was started on Prednisolone at diagnosis and underwent labioplasty 3 months prior to marriage, at 22 years of age. She then conceived with ovulation induction and gave birth to a healthy pair of twin babies – male and female. CAH is a group of autosomal recessive disorders, caused due to enzyme defects in the adrenal steroidogenesis pathway. More than 90% of cases are caused due to 21 hydroxylase deficiency.1 Prompt diagnosis and treatment can help these patients lead a satisfactory menstrual, sexual and reproductive life.
Opioid dependence in pregnancy is a challenge. Ongoing opioid use is associated with inadequate antenatal care and several obstetric complications. Pregnancy makes the opioid-dependent women highly motivated to engage in the treatment for drug dependence that will benefit her and her unborn child. We describe a case of opioid dependence in pregnancy. The choice of opioid substitution therapy and neonatal abstinence syndrome is also discussed in this case report.
Haemoperitoneum anytime during pregnancy is a rare but catastrophic event. With advancement in antenatal and intrapartum care, the maternal survival has improved manyfold. Management involves immediate resuscitation with volume correction followed by surgery, mostly laparotomy. This case is of a booked primigravida, with otherwise uneventful pregnancy, who suffered a massive haemoperitoneum. On laparotomy, the only cause found was a small uterine varix on the posterior uterine surface. The patient survived after multiple transfusions, but it led to a fresh stillborn baby. Immediate action is the only answer to improving maternal and foetal survival.
Haemoperitoneum, Varix, Uterine varicesBackground: Osteogenesis imperfecta (OI) also known as the brittle bone disease is a connective tissue disorder typically characterized by bone fractures due to defective collagen synthesis. In case of no known family history of the parents related with OI, the prenatal diagnosis of the disease and definition of the subtype for additional information of the family to decide on the fate of pregnancy is of paramount importance. Case presentation We report a prenatal-case, of challenging bone disease diagnosed as OI type III during pregnancy with the differential diagnosis and its prenatal management.
Dermoid cysts are the most common ovarian lesions, accounting for about 10-20% of all ovarian tumors. They are usually seen in younger age group females as compared to epithelial tumors. Usually remains asymptomatic, but complications can lead to varied presentations. Dermoid cyst perforating bladder is a very rare presentation. Here we report two cases of ovarian dermoid perforating in bladder and patient presented with complaints of passage of hair in urine (Pilimiction). Imaging confirmed the finding in both the cases. Surgery remains the mainstay of treatment including removal of the mass along with bladder repair.
Background: Artificial intelligence or ‘big data’ comprises of algorithms which aid in decision making. It has made an impact on a number of professions including obstetrics and gynecology.
Objective: To make readers aware of where artificial intelligence has a role in obstetrics and gynecology.
Material and methods: A comprehensive review of the literature was undertaken to compile a list of instances where artificial intelligence was applied to obstetrics and gynecology.
Conclusion: Artificial intelligence should be utilized to benefit patient care and assist the physician in providing data for decision making.
Artificial intelligence, Obstetrics, Gynecology