Most pregnant women with a history of ulcerative colitis will have a normal pregnancy and deliver a healthy child. Medical therapy can usually control the disease in those patients who experience an exacerbation, and only a minority of women progress to severe colitis necessitating surgery in pregnancy. We describe a ...

Advanced abdominal pregnancy is a rare event with a high fetal and maternal morbidity and mortality. We present 3 cases of abdominal pregnancy seen at our hospital. The perinatal mortality was 100% with no maternal deaths. Literature has been reviewed and management of abdominal pregnancy is discussed. Awareness of this ...

Prenatal ultrasound has advanced our understanding of congenital abdominal wall defects. In addition to providing insights into the divergent embryological origins and natural history of abdominal wall defects, ultrasound has had an important impact on the management of these anomalies. For fetuses with gastroschisis, the changes in appearance of the ...

The authors present a retroperitoneal fetus in fetus in a 3-month-old girl. A 15-cm cystic mass with a monstrous fetuslike structure surrounded by a complete sac containing serous fluid was removed from the left retroperitoneal space. The draining vessel of the cystic mass was connected to the right renal vein ...

BACKGROUND: The differential diagnosis of abdominal pain in pregnancy is extensive. An important consideration in endemic areas is a bite by a black widow spider. CASE: A 30-year-old woman at 30 weeks' gestation presented with acute abdominal pain following an insect bite. We based the diagnosis on classic symptomatology in ...

OBJECTIVE: Untreated major mood disorders during pregnancy pose significant risks. The author reviews case reports of the use of electroconvulsive therapy (ECT) during pregnancy to clarify potential risks and modifications of ECT techniques that make the procedure safer for pregnant women. METHODS: A total of 300 case reports of ECT ...

The infectious complications of 122 consecutive abdominal twin deliveries over the period 1984-1989 were analyzed in a prospective clinical study, comparing them with 761 singleton abdominal deliveries over the period 1984-1986. The incidence of endometritis was nearly three-fold after twin deliveries and the incidence of abdominal wound infections nearly two-fold ...

The case of a woman suffering from progressive diaphyseal dysplasia is presented. Characteristic symptoms of crippling pain in both legs, severe aching in both forearms, and episodic temporofrontal and occipital headache were only partially regulated by corticosteroid treatment. However, pregnancy resulted in a progressive disappearance of these symptoms, allowing withdrawal ...

Some degree of abdominal pain is virtually physiologic in pregnancy, for which reason these women will commonly present to the emergency physician for clinical evaluation. Appendicitis is the commonest nonobstetric surgical malady complicating pregnancy; however, its clinical presentation may resemble several other surgical as well as medical entities reviewed in ...

OBJECTIVE: To evaluate the value of selective laparotomy in pregnant women with penetrating abdominal injuries. METHODS: A retrospective survey was carried out at our center over 16 years of civil war, extending from 1975 to 1991. Fourteen pregnant women had uterine injuries secondary to high-velocity abdominal penetrating trauma. The corresponding ...

This is a report of a 17-year-old female with congenital insensitivity to pain who was noted to develop significant truncal asymmetry during pregnancy. A dense paraparesis developed 10 days after delivery. Charcot arthropathy of the spine had resulted in severe destructive changes of both L3 and L4 with significant canal ...

Spontaneous rupture of the hepatic capsule and subsequent massive intra-abdominal bleeding is a rare but life-threatening complication of pregnancy, which is often associated with pregnancy-induced hypertension. High maternal and fetal mortality rates have been reported. We describe a case with massive intra-abdominal bleeding. The diagnosis and treatment of this condition ...

Abdominal pain in pregnancy is most commonly caused by complications of the pregnancy, e.g., abortion, ectopic pregnancy and abruptio placentae. A careful history and methodical physical examination and, if necessary, simple ultrasonographic investigations will reveal the cause in most of these conditions. In a few cases of abdominal pain in ...

A case of term abdominal pregnancy is reported. The patient was followed throughout pregnancy, but the diagnosis was made only at the time of laparotomy for elective cesarean section. The report exemplifies the ease with which the diagnosis of abdominal pregnancy can be overlooked and stresses the importance of considering ...

OBJECTIVES: To analyze the risks versus benefits of panendoscopy to the pregnant female and fetus. METHODS: Retrospective study of 20 consecutive pregnant patients admitted to three university teaching hospitals during 7 1/2 yr who underwent panendoscopy. RESULTS: Indications for panendoscopy included hematemesis in eight, vomiting and abdominal pain in five, ...

A woman in the 32nd week of pregnancy was referred for investigation because of fetal abnormalities, including an abdominal wall defect, detected by ultrasonography. In view of the increased risk of chromosome abnormality, amniocentesis was performed to enable informed decisions about the management of the pregnancy and delivery to be ...

BACKGROUND: Although successful pregnancy has been reported in women with prosthetic mesh abdominal wall grafts, the complication of severe pain in pregnancy from shearing of the graft has not been described. We report an unusual case of severe pain in pregnancy caused by abdominal wall stretching by the enlarging uterus. ...

BACKGROUND: Primary peritoneal pregnancy is extremely rare in the category of extrauterine pregnancy and usually has wide attachment to the peritoneal surface at the implantation site. CASE: A 37-year-old woman had severe lower abdominal pain 13 days before laparotomy for a preoperative diagnosis of extrauterine pregnancy. The conceptus was implanted ...

A 20-year-old woman presented to the emergency department with a history of lower abdominal pain and recent loss of consciousness. She was admitted with a primary diagnosis of abdominal pain; ectopic pregnancy was ruled out. The culture of the endocervix was positive for Neisseria gonorrhoeae. Surgical exploration of the pelvis ...

The ratio pelvic/abdominal cavity is 6.9% in samples of nonhuman mammals and nonhuman primates, and rises to approximately 30% in humans. This relative reduction of the abdomen and increase of the pelvis is associated with a partial or total shift of some organs from the abdomen to the pelvis: rectosigmoid ...

The purpose of this study was to test the ability of uterine electrical activity recorded by electrohysterography (EHG) from abdominal electrodes during pregnancy to provide reliable information about uterine contractions. In this preliminary study, abdominal EHG was used to monitor the uterine contractions of eight women, three of whom were ...

Intraamniotic instillation of urea is a common mode of legal second-trimester pregnancy termination. Associated mortality rarely occurs and is most commonly due to amniotic fluid embolism, pulmonary thromboembolism, infection, hemorrhage, and disseminated intravascular coagulation (DIC). We present the case of an 18-year-old gravida 2, para 1 white woman at 18 ...

BACKGROUND: Malrotation of the intestine is an uncommon anomaly most often seen in infants, but occasionally in adults. Rarely, symptoms from malrotation may occur during pregnancy. CASE: A 30-year-old woman, with a long history of abdominal pain and constipation, developed more frequent and severe symptoms in the second trimester of ...

A case report is described in which abdominal pregnancy was misdiagnosed by ultrasound scanning as a pregnancy within a horn of a bicornuate uterus. Two serum alpha fetoprotein (SAFP) results were greatly elevated and an amniocentesis was performed, the liquor alpha fetoprotein (LAFP) and karyotype were normal. Elective Caesarean section ...

Acute pancreatitis in pregnancy and post-partum period, rarely encountered in surgical practice, can have a lethal effect on the mother and the foetus. We report here a case of a 35 year old tertigravida who presented with high grade fever, abdominal pain with distension, tachycardia and tachypnoea. Chest examination and ...

Obstetric delivery may be accomplished by only two methods, vaginally or abdominally. In the management of the pregnancy complicated by a fetal malformation, the choice of delivery method may be made on obstetrical grounds or in belief that one method offers the fetus benefit over the other. That choice must ...

Hepatic rupture and infarction associated with toxemia of pregnancy usually occur in multiparous women close to 30 years of age. The most important presenting symptom is right upper-quadrant abdominal pain. Sonography is the most expedient way of making the diagnosis of either rupture or hemorrhagic necrosis, but computed tomography is ...

The current retrospective study was undertaken at a tertiary care academic reproductive medical center to evaluate the role of abdominal metroplasty (Jones or Strassman techniques) in patients with bicornuate uteri, T-shaped uteri and septate uteri when associated with other pelvic lesions not amenable to the transcervical approach. Fifteen patients with ...

Two hundred women with apparently normal pregnancies were interviewed in the obstetric wards within 24 to 48 hours after delivery. Of the parturients, 54.5% had been bothered by low back pain in some degree during pregnancy; nine of them were unable to continue their daily work because of severe pain. ...

The epididymis is one of two organs which during the process of development in certain mammalian species descends from the dorsal abdominal wall into the scrotum. This phenomenon may or may not be accompanied by the testis during the descent, and it requires androgens. Androgen deficiency experimentally achieved induced cryptoepididymis. ...

Several biomechanical factors were recorded intermittently in 855 pregnant women from the 12th to the 36th week of gestation and were related to back pain occurrence during pregnancy. The three factors related to the development of back pain were abdominal sagittal diameter, which correlated with back pain, with a coefficient ...

Thirteen cases of heterotopic pregnancy were diagnosed among 1171 pregnancies established in Denmark after in-vitro fertilization and embryo transfer (IVF-ET). Thus the frequency of heterotopic pregnancy was 13/1171 or 1.1%. In five cases the diagnosis of heterotopic pregnancy was made by ultrasound at 6-9 weeks of gestation; three of these ...

Two young adult males presented with fever, severe pain, redness, swelling over the left sacroiliac joint and inability to walk and squat. A differential diagnosis of tuberculous sacroiliitis was considered. On blood culture isolation of S. Typhi in both of them was suggestive of sacroiliitis of salmonella etiology. They recovered ...

We describe two patients with pregnancy-associated pigmentary demarcation lines overlapped by erythematous changes. In both cases, there was a symmetrical well-defined erythematous pigmentation involving the buttocks and flexor aspects of the legs. After normal delivery the erythema disappeared within 7-10 days, followed by slow resolution of the pigmentation. Compression by ...

Colonic cancer during pregnancy is rare. Herein we describe a case of adenocarcinoma of the transverse colon in a 29-year-old pregnant patient. Early diagnosis is difficult because the initial symptoms of colorectal cancer, such as abdominal pain, nausea and vomiting, constipation, and abdominal distention, are often attributed to a normal ...

The purpose of the study was to investigate the anatomic location of the flexible rectosigmoidoscope (60 cm) when introduced as far as technically possible. One hundred and forty-nine consecutive patients referred for double-contrast enema (DCE) were examined with rectosigmoidoscopy before the radiologic examination, and CO2 was used for insufflation. A ...

The gastric residual (GR) volume was measured in 50 healthy preterm babies, 38 appropriate-for-dates (AFD), and 12 small-for-dates (SFD) with gestational age of 28-36 weeks. The mean basal 4-hour gastric residual (B4 GR) volume was 2.8 +/- 0.63 ml in parenterally fed babies. There was a marked decrease in the ...

Intestinal obstruction is a rare but serious complication of pregnancy with significant maternal and fetal mortality. The reported incidence of intestinal obstruction complicating pregnancy varies widely, from 1 in 66,431 to 1 in 1,500 deliveries. A retrospective review of 66 cases of intestinal obstruction complicating pregnancy and the puerperium, including ...

Hemangiomas of bone are extremely common vascular tumors that are most commonly discovered as incidental findings in the vertebral column. Infrequently, these benign lesions may cause local or radicular pain and neurologic deficits, from myeloradiculopathy to paralysis. This report describes the occurrence of a symptomatic vertebral hemangioma during pregnancy, in ...

On ultrasound examination, a 20-year-old pregnant woman was found to have a fetus with a large ventral abdominal wall defect diagnosed as a fetal omphalocele. The neonate was delivered by cesarean; the abdominal viscera including liver, stomach, spleen, pancreas, intestine, and uterus were contained in an extraembryonic sac directly attached ...

Congenital lacrimal fistulae are developmental anomalies of the lacrimal apparatus that are usually symptomatic, frequently causing epiphora and occasionally causing fistulitis or dacryocystitis. They may be associated with other abnormalities of the lacrimal system or with systemic anomalies. Complete excision alone, or in combination with nasolacrimal intubation and/or dacryocystorhinostomy is ...

Recent reports have indicated that identification of the yolk sac should precede the detection of the embryo in a normal first-trimester sonographic examination and that failure to visualize a yolk sac strongly suggests an abnormal intrauterine pregnancy. A first-trimester prospective study was performed in 163 normal and 49 abnormal consecutive ...

The effects of response-specific prompts, prompts identifying long-term and short-term consequences, a combination of long-term and short-term consequences, and a combination of short-term consequences and response-specific prompts on the reduction of environmentally destructive lawn-walking were investigated. The response-specific prompt alone was effective, and its effectiveness was enhanced by the identification ...

OBJECTIVES: The purpose of this study was to evaluate the fetal thoracic versus abdominal circumference ratio in the prediction of pulmonary hypoplasia after preterm premature rupture of the membranes. STUDY DESIGN: A standard curve of thoracic versus abdominal circumference ratio versus gestational age was derived from 120 uncomplicated pregnancies. Thoracic ...

The case of a 33-year-old woman who presented with abdominal pain referable to the lower abdomen is discussed. She had had an uncomplicated intrauterine abortive procedure two weeks earlier. It was determined that a ruptured ectopic pregnancy was the etiology of her abdominal pain. The rare phenomenon of combined intrauterine ...

The first reported case in Thailand of pelvic actinomycosis during pregnancy is presented. It occurred in a 38-year-old Thai female with a history of IUD wearing for 2 years until the symptoms of intermittent lower abdominal pain. She had a history of postcoital bleeding at 16 weeks' pregnancy and bleeding ...

Fetal meconium is usually hypoechoic or isoechoic to adjacent abdominal structures on antenatal sonography. Hyperechoic meconium is associated with pathologic conditions, such as meconium ileus, meconium peritonitis, and anorectal malformations. The authors describe three third trimester fetuses with hyperechoic meconium and a normal outcome. Although a prospective study revealed that ...

Peripheral acclimatization to cold in scuba divers stationed at the British Antarctic Survey's Signy Station was investigated during a year in Antarctica. Five divers and five non-diver controls underwent monthly laboratory tests of index finger immersion in cold water for 30 min. Index finger pulp temperature and time of onset ...

Adenosine content was higher in omental adipose tissue (0.91 +/- 0.13 nmol g-1 of wet weight; mean +/- S.E.M.) than in abdominal subcutaneous adipose tissue (0.42 +/- 0.08 nmol g-1 of wet weight) in rapidly frozen surgical biopsy samples taken from ten patients undergoing elective abdominal surgery. This difference was ...

Although pregnancy is a healthy condition, anatomical changes do occur that cause poor alignment and low back pain. A pregnant worker will feel stronger and more comfortable if she maintains her pelvis in a tilted position. The occupational health nurse can instruct the pregnant worker about exercises and proper body ...