Symptomatic Postoperative Rectus Sheath Haematomas

We retrospectively reviewed six cases of post-operative rectus sheath haematoma (RSH) managed at our institute during last six years. Out of 6 patients (mean age 27 years) who presented with RSH, four preceded caesarean section and two abdominal hysterectomy. They presented clinically as pain abdomen (n-6), shock (n-3), DIC (n-2) and fever (n-1). Haemoperitoneum was observed in 3 patients with shock and the diagnosis was confirmed at surgery. Three clinically stable patients with an infraumbilical abdominal mass were managed conservatively. One required US guided aspiration of the infected haematoma. Massive RSH is an unusual potentially life threatening condition. The diagnosis should be considered in all patients with acute post-operative pain and free fluid in the abdomen.

Chorioangioma Syndrome: Co-relation of Color Doppler Ultrasound and Pregnancy Outcome

Large chorioangiomas are rare and associated with significant fetal and maternal risks. A case of chorioangioma syndrome is presented with polyhydramnios, pre-eclampsia, preterm labor and fetomaternal hemorrhage. Antenatal diagnosis is possible with ultrasound, and the prognosis for pregnancy outcome can be predicted by evaluating the vascularity of the tumor on color doppler sonography.

Metastatic invasive mole in the urinary bladder.

We report an unusual case of invasive mole metastasized to the urinary bladder. The patient presented with hematuria one month after evacuation of a molar pregnancy. The serum chorionic gonadotropin levels regressed spontaneously following transurethral cystoscopic resection of the tumour. Metastasis of an invasive mole to the urinary bladder has not been previously reported.