Calcified abdominal pregnancy with eighteen years of evolution: case report

CONTEXT: The lithopedion (calcified abdominal pregnancy) is a rare phenomenon and there are less than 300 cases reported in the medical literature. CASE REPORT: In this case, a 40 year-old patient had had her only pregnancy 18 years earlier, without medical assistance since then. She came to our hospital with pain and tumoral mass of approximately 20 centimeters in diameter. Complementary examinations (abdominal X-ray, ultrasonography and computerized tomography) demonstrated an extra-uterine abdominal 31-week pregnancy with calcification areas. Exploratory laparotomy was performed, with extirpation of a well-conserved fetus with partially calcified ovular membranes

Gestante portadora de cifoescoliose acentuada associada a pelve raquitica e sequela de poliomelite: apresentaçäo de um caso e revisäo da literatura / Pregnant carrier of pronounced kyphoscoliosis, associated to rachitic pelvis and sequel of polyomyelitis: report of a case and review of the literature

O presente caso diz respeito a uma paciente portadora de cifoescoliose acentuada associada a pelve raquitica e sequela de poliomelite, contraida aos 11 meses de idade e pré eclampsia leve

Embarazo ectópico en cavidad abdominal: presentación de un caso y revisión de la literatura / Ectopic pregnancy in abbdominal cavity: a case presentation and literature review

Se presenta un caso de embarazo ectópico en cavidad abdominal, su evolución clínica y la resolución del mismo, así como una revisión de la literatura mundial, haciendo énfasis en los aspectos históricos más relevantes, incidencia, clasificación, cuadro clínico y manejo. Finalmente se realiza un comentario en cuanto al abordaje quirúrgico y el manejo de la placenta

audit of caesarean section among Saudi females in Jeddah, Saudi Arabia

In this study the case records of 1414 patients who delivered at Alshaty hospital within one year were examined and some important variables related to cesarian section cases and their outcome were discussed. The Caesarean section rate was found to be 9.9%. The high number of grand multigravida and primigravida among these Saudi mothers hay, contributed to this high caesarean section rate. The high emergencies in these sections [73.6%] have resulted in higher incidence of maternal and fetal morbidity namely postoperative pyrexia [37%], maternal anemia [20%] and extensive neonatal resuscitation [34%]. The main indications of caesarean section in this hospital were repeated caesarean section [34.3%], failure of progress [19.3%] and fetal distress 12.9% The relation and interaction between the three groups were thoroughly discussed based on the mechanisms of these indications. It is concluded that the changing trend of indications of caesarean section was mostly related to the change' in departmental management rather than change in the characteristics of the patients

Uso de anticoagulantes e prognóstico fetal em gestantes com próteses de valvas cardíacas / Anticoagulant therapy and fetal prognosis in pregnancy women with artificial heart valves

Foram analizadas retrospectivamente 13 gestaçoes de seis pacientes em uso de terapia anticoagulante devido a próteses de valvas cardíacas. A alta taxa de complicaçoes nessas gestaçoes, principalmente morte fetal (15 por cento), descolamento prematuro de placenta (23 por cento) e parto pré-termo (30 por cento), atribuídas principalmente ao uso dos anticoagulantes, vem confirmar o alto risco nessas pacientes, sendo sua prevençao usualmente indicada