ABSTRACT
Pregnancy complicated by aplastic anemia is uncommon condition with the significant morbidity and mortality rates. the main complication to mother is hemorrhage due to thrombocytopenia and sepsis due to leukopenia and mortality rate in pregnancy complicated by aplastic anemia is more than 20%. But it remain controversy whether pregnancy play a pathogenic role in the development of the disease. We experienced a patient with severe aplastic anemia in pregnancy who was treated with supportive transfusion of red blood cells and platelets and so we present it here with brief review of literature.
Subject(s)
Humans , Pregnancy , Anemia, Aplastic , Erythrocytes , Hemorrhage , Leukopenia , Mortality , Mothers , Sepsis , ThrombocytopeniaABSTRACT
OBJECTIVE: To compare the advantages and disadvantages between total vaginal hysterectomy (VTH) and laparoscopically assisted vaginal hysterectomy (LAVH) including the indications and safety. METHODS: We reviewed the medical records of patients who underwent VTH from July 1998 to December 1999 and those who underwent LAVH from January 2000 to April 2002. We evaluated age, parity, previous abdominal operations, indications for hysterectomy, combined operations, operation time, bleeding amount, hemoglobin change, weight of uterus, and postoperative complications. RESULTS: 1. Age was not a notable factor but parity was significantly lower in LAVH group. 2. In VTH group, 48% of patients had previous operations compared with 46% in LAVH group. 3. The most common indication for hysterectomy of both group was uterine myoma. 4. The weight of hysterectomized specimen was 256 g in VTH group and 237 g in LAVH group. 5. In VTH group, 38% received concurrent surgical procedures of which colporrhaphy was the most common (14 cases). In LAVH group, 72.5% received concurrent surgical procedures of which salpingoo- phorectomy was most common. 6. The operation time showed a notable difference; 78.6 min. in VTH group and 105.4 min. in LAVH. 7. There was no significant difference in bleeding amount and hemoglobin change. 8. Postoperative complication was higher in VTH group (14%) than LAVH group (7.5%). However all the patients recovered with conservative treatment and close observation. CONCLUSION: Both VTH and LAVH had the following advantages compared with abdominal hysterectomy: less pain, shorter hospital stay, cosmetic advantages, lower prevalence. In this study we found out that in VTH, the procedure could be done safely even if the uterus was big or with previous abdominal operations. Limited operation field and the fact that we couldn't check the abdominal cavity were some disadvantages. In comparison, LAVH offered a view of the abdominal cavity which make easy adnexal operation but because of expensive operative tools, cost was a problem. In order to satisfy the patient and lower the cost, appropriate study on the indications and training on procedures will be necessary.
Subject(s)
Female , Humans , Abdominal Cavity , Bleeding Time , Hemorrhage , Hysterectomy , Hysterectomy, Vaginal , Leiomyoma , Length of Stay , Medical Records , Parity , Postoperative Complications , Prevalence , Uterine Prolapse , UterusABSTRACT
Trisomy 18, called Edward syndrome, occurs in about 3500-8000 births. It is much more common at conception, with about 95% of cases resulting in spontaneous abortion or stillbirth. Postnatal survival is poor, with the majority of patients dying in early infancy. Characteristic findings include cardiac malformations, mental retardation, growth retardation, a prominent occiput, micrognathia, clenched hands, and rocker-bottom feet, omphalocele. The prenatal sonographic findings of our case include delayed growth, omphalocele, wrist joint fixation, choroid plexus cyst, hydramnios and postnatal gross findings include growth retardation, omphalocele, wirst joint fixation, absence of radius, syndactyly, focal absence of phalanges and flexion deformities of fingers and toes. We report a case of prenatally diagnosed Edward syndrome, which is confirmed by chromosome analysis, with brief review of related literatures.
Subject(s)
Female , Humans , Pregnancy , Abortion, Spontaneous , Choroid Plexus , Congenital Abnormalities , Fertilization , Fingers , Foot , Hand , Hernia, Umbilical , Intellectual Disability , Joints , Parturition , Polyhydramnios , Radius , Stillbirth , Syndactyly , Toes , Trisomy , Ultrasonography , Ultrasonography, Prenatal , Wrist JointABSTRACT
A case of multilocular solitary cyst of the kidney containing approximately 5000 ml. of fluid has been reported along with a literatural review.
Subject(s)
Bone Cysts , KidneyABSTRACT
One hundred and twenty-six patients with pulmonary tuberculosis having no clinical evidence of genito-urinary tuberculosis were studied for tubercle bacilli in their urine and the following results were obtained 0f 126 patients studied, 5 cases (4.0%) were found having positive tubercle bacilli in urine. of which three were found in the moderately advanced cases of pulmonary tuberculosis and two in the far-advanced. While, in the treated group of 56 with anti-tuberculous drugs for pulmonary tuberculosis, three cases were positive for tubercle bacilli in urine, of which two were found in the moderately advanced and one in the far-advanced of pulmonary tuberculosis, two cases were also positive in the non-treated group of 70, of which one was found in the moderately advanced and another in the far-advanced of pulmonary tuberculosis. Two instances of positive tubercle bacilli in urine were found in the group of treatment for less than 6 months and only one in patients having treatment for more than 6 months.