Postpartum eclampsia is defined as eclampsia that occurs after delivery within 48 h. Now-a-days, the incidence of antenatal and intrapartum.

Postpartum eclampsia is defined as eclampsia that occurs after delivery within 48 h. Now-a-days, the incidence of antenatal and intrapartum eclampsia is reduced considerably due to good antenatal care, and preeclampsia diagnosed early and treated well. However, postpartum cases nowadays show a unique pattern occurring too late, which can be nearly missed and difficult to diagnose. Postpartum eclampsia has to be differentiated from other causes such as cerebral malaria, cerebral tumor, cerebral hemorrhage, cerebral venous thrombosis, cerebral aneurysm, brainstem syndrome, posterior reversible encephalopathy syndrome, epilepsy, thrombotic thrombocytopenic purpura, strychnine poisoning, chronic hypertension, chronic renal disease and hemolytic uremic syndrome. Postpartum eclampsia requires prompt treatment. Left untreated can result in seizures and other serious complications. Here, we present a unique and interesting case of atypical delayed onset postpartum eclampsia. Hence that such unique cases should not be missed in the diagnosis and management.

Lower Uterine Segment Fibroid Complicating Pregnancy: A Case Report.

Th e uterine fi broids are very common in the reproductive age group. During pregnancy, it may undergo rapid growth and red degeneration. It may get infected during puerperium. Most of the fi broids are asymptomatic. Women with fi broids may have infertility, a tendency for miscarriage, pre-term labor, placental abruption, placenta previa, fetal growth restrictions, fetal anomalies, postpartum hemorrhage, uterine dystocia, malpresentations and increased risk of caesarean. Here, we present 26-year-old primigravida who was admitted with 9 months of amenorrhea and anterior lower uterine segment intramural fi broid of size 7.2 cm × 7.1 cm on the right side. She conceived immediately after marriage. All Investigations were normal. She was delivered by a cesarean section. An alive female baby of 2.5 kg with good Apgar score. Th e indication was lower uterine segment fi broid. Th e liquor was meconium stained. Th ere was no sign of intrauterine growth restriction of the baby. Th e Doppler study, cardio-topography was normal before section. Th e post-operative period was uneventful. Th e patient was discharged and came for follow-up after a month and was found to be alright.

Morphological And Morphometric Study of Human Foetal Spleen.

Background: Spleen is a part of circulatory system, it is generally described with the lymphatic organs because of very large population of lymphocytes present in it. In surgical and medical history spleen has been described as a mysterious organ. Clear understanding and appreciation of its function emerged only later half of the 20th century, because of erythropoitic nature of foetal spleen the present study was conducted. Aims and Objects: To study variations on morphology and morphometry of human foetal spleen at different gestational ages. Materials and Methods: Foetal spleens were collected from SV Medical college, Tirupati and JJM Medical College, Davangere, India. Total 108 spleens were collected from foetal cadavers. The measurements length, width, thickness and weight of foetal spleen and ratio between foetal weight and spleen weight were measured. Results: The average length, width and thickness of foetal spleen of gestational age between 12 to 24 weeks were 1.7cm, 1.08 and 0.8cm respectively, gestational age between 25 to 36 weeks were 2.53cm, 1.64 and 1.0cm respectively and gestational age greater than 36 weeks were 2.67cm, 1.67 and 1.0cm respectively. The average foetal weight and spleen weight of gestational age between 12 to 24 weeks were 800gm and 2.84gm respectively and ratio between two was 0.35%, gestational age between 25 to 36 weeks were 1321.42gm and 4.52gm respectively ratio between two was 0.34% and gestational age greater than 36 weeks were 2100gm and 7.07gm respectively ratio between two was 0.33%. Conclusion: The measurements of foetal spleen are very helpful in medicine and surgical practice because of its clinical importance. The human foetal spleen is a secondary site of red blood cell.