Obstetrics and gynecology
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Obstetrics and gynecology · Sep 2006
Case ReportsPersistent postpartum headache from a chronic subdural hematoma after peridural anesthesia.
Postpartum headache after peridural anesthesia is usually attributed to accidental perforation of the dura causing postlumbar puncture headache. ⋯ Caution is warranted in patients with peridural anesthesia for labor who present with unusually persistent headache.
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Obstetrics and gynecology · Sep 2006
Case ReportsMassive subchorionic hematoma associated with enoxaparin.
The use of low-molecular-weight heparins is increasing for the prevention of thromboembolism in pregnancy. Subchorionic hematoma as a complication of anticoagulation therapy is rarely reported. ⋯ Subchorionic hematoma is a potentially serious complication that can occur in pregnant patients receiving enoxaparin for the prevention of thromboembolism.
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Obstetrics and gynecology · Sep 2006
Case ReportsRemoval of pelvic leiomyomata and endometriosis five years after supracervical hysterectomy.
The number of laparoscopic supracervical hysterectomies performed has increased, yet the benefits and consequences are not well understood. ⋯ After a laparoscopic supracervical hysterectomy, pelvic seeding of morcellated uterine tissue may lead to symptomatic pelvic leiomyomata and endometriosis requiring further surgery. Surgeons performing laparoscopic supracervical hysterectomies should take measures to prevent pelvic seeding at the time of morcellation and recognize the complication when it occurs.