A rare presentation of deep infiltrating cervical endometriosis mimicking cervical cancer

Though endometriosis is a common progressive benign disorder of women, endometriosis of the cervix is rarely seen. It poses a challenge both for diagnosis and management. Most of the patients with Cervical endometriosis are asymptomatic, present with abnormal vaginal bleeding, post-coital bleeding or intermenstrual bleeding. In this paper, we report a rare case of deep infiltrating cervical endometriosis involving the ureter mimicking cervical cancer, the need for awareness to include cervical endometriosis as a differential diagnosis in case of menstural irregularities and its potential to cause serious complications.

A case of placental chorioangioma

Chorioangioma is a benign tumor of placenta, incidence being 1 in 100 cases. It is mostly diagnosed ultrasonically in the second trimester of pregnancy. Large chorioangiomas render a challenge to obstetricians due to the foeto maternal complications and adverse outcomes. Here by authors present a case report of large chorioangioma with no fetomaternal complications but just for awareness of the importance of early diagnosis and to look out for possible adverse effects on mother and foetus.

Multidrug resistant tuberculous meningitis in pregnancy: a rare case report

The prevalence of tuberculosis, especially extrapulmonary tuberculosis is increasing worldwide. TB meningitis is one of severe manifestations of extra pulmonary TB. Prognosis of cases of multidrug resistance tuberculosis meningitis is worse and even more challenging in pregnant women. It’s mostly associated with increased frequency of maternal disability, hospitalisation during pregnancy, foetal growth retardation, prematurity, low-birth weight and increased perinatal mortality. As information on outcome of pregnancy among women with extra pulmonary TB is limited; various medical and surgical options for timely management has been discussed. Authors bring out a case report of a primigravida at 26 weeks gestation with severe multidrug resistant TB meningitis who was successfully managed at our hospital with a healthy infant.

ABO incompatibility: its impact on pregnancy and neonate

ABO incompatibility is one of the most common cause of haemolytic disease of fetus and new-born (HDFN). The expression of ABO incompatibility in most of the cases is mild due to the lower expression of A and B Antigens on fetal red cells. ABO incompatibility has affected the first pregnancy and is milder in the subsequent pregnancies.  However, we describe this case with unusually severe form of ABO incompatibility which had an effect not only in her first pregnancy but also in all her subsequent pregnancies, evident as recurrent abortions and both her neonates developed pathological jaundice requiring exchange transfusion. It also emphasizes the fact that ABO incompatibility is not always a benign condition and should be considered in all babies whose mothers have O blood group, even in the presence of a negative DAT. Anticipation of ABO incompatibility not only in the first pregnancy but also in the subsequent pregnancies is necessary. Early diagnosis with cord blood bilirubin can prevent neonatal morbidity.