RESUMO
Aortic aneurysm in pregnancy is uncommon. A dissecting aortic aneurysm in pregnancy is less common. If present, a dissecting aortic aneurysm can lead to poor outcomes for both the mother and the fetus, including death. Swift recognition of the signs and symptoms of a dissecting aortic aneurysm can prevent a delay in diagnosis and possibly improve maternal-fetal outcomes. The report discusses a case of a pregnant patient who experienced a dissecting aortic aneurysm in the second trimester despite having none of the commonly associated risk factors. The evaluation, diagnosis, and surgical management of dissecting aortic aneurysm in pregnancy are discussed.
RESUMO
Despite the relatively high incidence of ovarian cysts, particularly in premenopausal women, cyst rupture may on occasion present painfully and require surgical intervention to resolve. Particularly in the case of ruptured hemorrhagic ovarian cysts, resulting hemoperitoneum can create a risk of further adverse events including hypovolemic shock; proper identification and management of such cases are therefore critical. This case focuses on a 22-year-old female that presented to the emergency department (ED) with suprapubic pain in the lower left quadrant of the abdomen. Ultrasonography and computed tomography of the abdomen and pelvis revealed a ruptured hemorrhagic corpus luteum cyst of the left ovary and secondary hemoperitoneum. Patient treatment required laparoscopic left ovarian cyst wall removal, with the removal of hemoperitoneum.
RESUMO
Sialadenitis is a stone in the salivary system that often presents as acute pain and swelling and can cause significant distress to patients. Here, we present a case of submandibular sialadenitis in a 41-year-old woman who experienced sudden-onset facial and neck pain and swelling. In addition, we discuss the diagnosis and emergency department management.
