Ugeskrift for laeger
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Ugeskrift for laeger · Feb 2014
Case Reports[Uterine rupture caused by placenta percreta in the first half of the pregnancy].
A 32-year-old woman in her 18th week of gestation was admitted to hospital due to abdominal pain and hypotension. A CT scan showed bleeding from the uterus into the abdomen and an acute laparotomy revealed a uterine rupture due to placenta percreta. ⋯ However the next morning the bleeding continued and a total hysterectomy was unavoidable. This case report shows that uterine rupture due to placenta percreta is a differential diagnosis in pregnant woman with abdominal pain and hypotension, even in the first half of the pregnancy.
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Ugeskrift for laeger · Feb 2014
Review[Faecal transplantation as a treatment for Clostridium difficile infection, ulcerative colitis and the metabolic syndrome.]
Faecal transplantation as a therapeutic tool is increasingly reported in the scientific literature. Faecal transplantation is currently becoming a treatment for nosocomial, refractory infections with C. difficile. ⋯ In the accumulated literature faecal transplantations appear to be safe, effective and superior to current treatments. Faecal transplantation remains a sparsely investigated treatment, however, especially for other diagnoses than C. difficile infection.
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Fentanyl is a potent synthetic opioid. Abuse of fentanyl patches is rarely occurring, but has been described. In this case a patient had been drinking hot tea mixed with two fentanyl patches. ⋯ He was intubated and he responded to naloxone treatment, which was repeated several times during the observation. When fentanyl patches are abused this way large quantities of fentanyl are absorbed, giving severe and prolonged effect - exceeding the antidote. The patient must be observed for several hours in an intensive care unit.
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Ugeskrift for laeger · Feb 2014
Case Reports[Recurrent Clostridium difficile infection treated with faecal microbiota transplantation].
Treatment of severe Clostridium difficile infection (CDI) poses a clinical challenge. Emerging evidence supports the use of faecal microbiota transplantation (FMT). ⋯ The patient recovered completely without further relapse during follow-up. FMT was shown to be an efficient adjuvant treatment of complicated CDI.
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During the latest decades the incidence of birth traumas has decreased significantly. Even so the traumas still contribute to an increased mortality and morbidity. ⋯ The fractures healed without neurosurgical intervention. Case reports show that even in uncomplicated vaginal deliveries skull fractures can be seen and should be suspected in children with facial abnormalities.