J Reprod Med
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While it has never been shown that warming fluid to body temperature prior to using it for amnioinfusion in labor is necessary, the practice is generally accepted. Ideally it is done with a blood warmer. Since blood warmers are expensive and not always available, fluid bags are often warmed in "constant temperature" devices used to heat blankets and fluid used in surgery. ⋯ The temperatures were extremely variable, ranging from 21 degrees C to > 50 degrees C. The variability in opening temperatures was a result of wide temperature fluctuations in the warming oven itself and the condition of the fluid bags on removal. Blanket and surgical fluid warming ovens are not appropriate for heating fluids used in amnioinfusion during labor.
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Splenosis is the autotransposition of splenic tissue and is rarely encountered by the gynecologist. Most patients with splenosis are asymptomatic but may present with gynecologic symptoms. There are few reports in the gynecologic literature describing the management of pelvic splenosis. This paper reports the first case of laparoscopic management of pelvic splenosis.
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Case Reports
Pregnancy and functional deterioration in a woman with a univentricular heart. A case report.
A patient who had undergone Pott's procedure and a right Blalock-Taussig shunt in childhood for complex cyanotic congenital heart disease with a single ventricle presented with a planned pregnancy at age 22. Although asymptomatic prior to pregnancy, she experienced functional deterioration from the first trimester and had preterm labor with a footling breech presentation at 29 weeks following prelabor rupture of the membranes. A normal, 900-g female infant was delivered by cesarean section. Despite delivery the patient continued to experience progressive functional deterioration and returned to her prepregnancy cardiac status only after a Fontan operation, performed 14 months postpartum.
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Review Case Reports
Streptococcal toxic shock-like syndrome as an unusual complication of laparoscopic tubal ligation. A case report.
Toxic shock-like syndrome due to Streptococcus pyogenes is an unusual occurrence. Previously reported cases have been the result of focal infections with S pyogenes. We present a case in which manipulation of a colonized mucosal surface during laparoscopic tubal ligation was the presumed cause of the sepsis syndrome. Whereas other reports of this syndrome have all noted concurrent infections with S pyogenes, in this instance it was unclear if toxin-mediated disease was initiated by mild endometritis or iatrogenic manipulation of a colonized mucosal surface.
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Case Reports
Small cell carcinoma of the uterine cervix with neurosecretory granules associated with pregnancy. A case report.
An extremely rare case is reported of small cell carcinoma of the cervix with a fulminating course complicating pregnancy. The primary lesion was first noted in the 27-year old patient at 36 weeks of gestation. ⋯ The patient died suddenly of massive tumor emboli in the brain. The microscopic and ultrastructural findings, immunohistochemical studies and flow cytometric analysis are presented.