Obstetrics and gynecology
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Obstetrics and gynecology · Feb 2008
Case ReportsThrombosed fetal dural sinus malformation diagnosed with magnetic resonance imaging.
Dural sinus malformations are rare congenital forms of dural arteriovenous shunt. Our goal is to describe prenatal ultrasonography and magnetic resonance imaging (MRI) findings of a thrombosed midline dural venous malformation. ⋯ Dural sinus malformations can lead to fetal intracranial thrombosis. Prenatal imaging is useful to establish the diagnosis of dural sinus malformations and to plan perinatal management and treatment options.
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To examine trends in pregnancy hospitalizations with a diagnosis of amphetamine or cocaine abuse and the prevalence of associated medical complications. ⋯ III.
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To estimate the effect of chorionicity on the risk of stillbirth in twins. ⋯ II.
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Obstetrics and gynecology · Feb 2008
Case ReportsLate postpartum hemorrhage due to von Willebrand disease managed with uterine artery embolization.
Von Willebrand disease is the most common inherited bleeding disorder caused by quantitative or qualitative defects of von Willebrand factor, which may lead to postpartum bleeding problems. In such patients, resistant postpartum hemorrhage may be treated effectively by using transcatheter arterial embolization. ⋯ Selective transcatheter uterine artery embolization may be used to control life-threatening pelvic hemorrhage unresponsive to traditional local measures. Such an intervention may also be used successfully in patients with bleeding disorders as the last chance of uterine preservation.
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Tubal sterilization is a common method of contraception used worldwide. The Filshie clip is a device designed to occlude the fallopian tubes. It is common practice to apply the clips across the isthmus using laparoscopy. It is often suggested that failures occur due to problems with the technique used to occlude the fallopian tubes. ⋯ It is important to understand why sterilization clips lead to contraceptive failure and to inform patients of this risk. Contraceptive failure after female sterilization remains a medical issue.