Archives of gynecology and obstetrics
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Arch. Gynecol. Obstet. · Jan 2005
Review Case ReportsGanglioneuroma mimicking ovarian tumor: a report of a case and review of the ganglioneuromas.
Ganglioneuroma is the most common tumor of the sympathetic nervous system in the adults. It occurs most commonly in the mediastinum and retroperitoneum and are almost always benign tumors in nature. ⋯ Here, we report a case of the retroperitoneal ganglioneuroma mimicking an ovarian tumor in a 20 years old female patient.
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Arch. Gynecol. Obstet. · Jan 2005
ReviewLabor analgesia for the tobacco and ethanol abusing pregnant patient: a routine management?
Illicit substance use in pregnancy has received significant media attention over the past 25 years. However, far too little attention has been given to the consequences of the use/misuse of social drugs such as tobacco and ethanol, which are by far the most commonly used/misused substances in pregnancy. ⋯ While the deleterious effects of amphetamines or cocaine on the mother and the fetus are more pronounced and easier to detect, the addiction to tobacco and ethanol is usually subtle and more difficult to diagnose. As a result, recreational use of tobacco and alcohol in pregnancy may continue undetected, significantly impacting pregnancy outcome and the peripartum management of these patients.
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Arch. Gynecol. Obstet. · Mar 2004
Review Case ReportsPregnancy outcome after operative correction of puerperal uterine inversion.
Uterine inversion is an uncommon but life-threatening obstetric emergency. A review of the approaches to correct uterine inversion is presented. ⋯ In subsequent pregnancy, antenatal care should include placental localization and planning for an elective Caesarean Section. The outcome of future pregnancies may be complicated by placenta accreta and massive haemorrhage.
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Arch. Gynecol. Obstet. · Jul 2000
Review Case ReportsEndometriosis presenting as bloody pleural effusion and ascites-report of a case and review of the literature.
A 34 year-old female presented with blood-stained pleural effusion and ascites. Investigation revealed a pelvic mass. She underwent exploratory laparotomy, and was found to have endometriosis. Total abdominal hysterectomy and right salpingo-oophorectomy was performed.
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Arch. Gynecol. Obstet. · Feb 2000
ReviewDisseminated intravascular coagulopathy in pregnancy: thorough comprehension of etiology and management reduces obstetricians' stress.
In pregnancy and puerperium disseminated intravascular coagulopathy may accompany abruptio placenta, intrauterine fetal demise with retained dead fetus, amniotic fluid embolism, endotoxin sepsis, preecalampsia with HELLP and massive transfusion. Clinical signs and symptoms of DIC can include oozing from venipuncture sites and/or mucous membranes, red cell lysis from activation of the complement system, hemorrhage from coagulopathy and possible uterine atony, hypotension from hemorrhage and/or bradykinin release, and oliguria from end-organ insult and hypovolemia/hypotension. Treatment of DIC consists of replacement of volume, blood products, and coagulation components and cardiovascular and respiratory support with elimination of underlying triggering mechanism.