Obstetrics and gynecology
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Obstetrics and gynecology · Feb 2009
Case ReportsPseudoaneurysm of the uterine artery after cesarean delivery: management with superselective arterial embolization.
Uterine artery pseudoaneurysm is a rare but serious complication of pelvic surgery. Cesarean delivery is the most common cause. ⋯ Color Doppler ultrasonography and computed tomography were useful for the early diagnosis of uterine artery pseudoaneurysm. Primary transcatheter arterial embolization controlled bleeding without compromising reproductive potential.
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Obstetrics and gynecology · Feb 2009
Case ReportsUreterocele misdiagnosed as pelvic inflammatory disease in an adolescent.
Acute pelvic pain in reproductive-aged women presents a diagnostic challenge. In the case that follows, we report the management of a patient initially misdiagnosed with pelvic inflammatory disease. ⋯ An infected ureterocele was misdiagnosed as pelvic inflammatory disease. In patients with acute pelvic pain who do not respond to appropriate interventions, it is important to consider alternative diagnoses.
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Obstetrics and gynecology · Feb 2009
Case ReportsSpontaneous spinal epidural hematoma in pregnancy associated with using low molecular weight heparin.
Spontaneous epidural hematoma of the spine occurring in pregnancy is uncommon and may result in permanent damage if not promptly treated. The use of low molecular weight heparin may be a risk factor for this condition. ⋯ Spontaneous epidural hematoma of the spine may present in pregnant patients using low molecular weight heparin. The onset of neurologic symptoms and pain in these gravidas should be evaluated with MRI. Expeditious surgery is almost always the best treatment option.
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Obstetrics and gynecology · Feb 2009
Case ReportsIntracranial subdural hematoma after spinal anesthesia in a parturient.
: An intracranial subdural hematoma is a rare and potentially fatal complication of spinal anesthesia. ⋯ : Headache and atypical neurologic signs presenting after spinal anesthesia should prompt rapid evaluation for intracranial hemorrhage.
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Obstetrics and gynecology · Jan 2009
Biography Historical ArticleA medical journal editor's role in exposing an unethical research study.
The involvement of Dr. Richard Mattingly, Editor of Obstetrics & Gynecology between 1972 and 1985, in the publication of an article on carcinoma in situ (CIS) of the cervix, facilitated exposure of an unethical study into the natural history of CIS of the cervix (now termed cervical intraepithelial neoplasia 3) by Dr. Herbert Green. ⋯ Mattingly, a senior U. S. academic and journal editor wishing to publish important scientific data, and Dr. McIndoe, an unknown antipodean clinician intent on revealing an unethical experiment, provides important lessons for all who practice medicine, in particular those in positions of responsibility.