RESUMEN
Background: Jaundice in pregnancy has potentially serious consequences to both mother and foetus. This study aims to find out the aetiology of jaundice and its severity in pregnancy.Methods: This is an observational prospective study over a period of one and a half years conducted in the Department of Obstetrics and Gynaecology, Government Medical College, Kozhikode. Antenatal patients who presented with jaundice was included in this study.Results: Out of 24060 deliveries in the study period of one and a half years there were 52 cases of jaundice complicating pregnancy. Incidence of jaundice complicating pregnancy was found to be 0.22%. Largest number of women belonged to the age group 21-25 years of age. Most of the cases occurred in the third trimester. 55.8% of the cases were multigravidas Most common cause of jaundice in pregnancy was found to be HELLP syndrome (34.6%) followed by Hepatitis A (32.7%) 67.3% of the cases had only mild elevation of bilirubin levels (2-5.9mg/dl). 65.4% had an SGOT value of less than 200U/litre and 67.3 % had an SGPT value of less than 200U/litre.Conclusions: The decrease in the number of cases of viral hepatitis may be due to the increased awareness about the transmission of disease and improvement in sanitary conditions.
RESUMEN
Intussusception is a surgical emergency characterized by invagination of a segment of bowel into a distal portion. It leads to obstruction and compromise of mesenteric blood flow with resultant inflammation and the potential for ischemia of the bowel wall. It is very rare in pregnancy, and the high fetal and maternal mortality is due to a delay in diagnosis and treatment. We report a case of intussusception at a gestational age of 14 weeks and 6 days, when she presented with severe lower abdominal pain and vomiting. Diagnosis was confirmed by ultrasonography which revealed heteroechoic bowel in bowel appearance. Emergency laparotomy was done. Lead point was a submucosal lipoma at 60 cm from the ileocecal junction. Iloeocecal intussusception reduction and segmental ileal resection and end-to-end anastomosis was done. The post-operative period was uneventful.