Endometriosis is a common gynaecological condition and presents mainly with involvement of the pelvic organs. However umbilical endometriosis is uncommon. A correct differential diagnosis can be difficult and the use of epiluminescence and MRI is suggested for the accuracy of preoperative diagnosis. This case report was experienced at a tertiary care hospital at Dhaka city. The patient was 39 years old multigravid woman presented with umbilical swelling and pain during menstruation for last 1year with cyclical bleeding from the umbilical region for last 4 months. The patient had regular menstrual bleeding since the time of menarche. The patient had no previous history of endometriosis, dysmenorrhea or dyspareunia. Physical examination showed a hyperpigmented tender paraumbilical swelling with bloody discharge through umbilicus. An accurate anamnesis and clinical examination together with the use of high resolution ultrasonography and fine needle aspiration cytology led to an accurate pre-operative diagnosis of umbilical endometriosis. The surgical approach to umbilical endometriosis represented an important step in achieving a satisfying result. The lesion to be excised and adequate umbilical repositioning was done. The patient was asymptomatic at the follow-up visit (12 months after surgery), however, nevertheless warned of the risk of recurrence. A natural-looking umbilicus was observed in cases with minimal visible scars.
A 3-year-old girl was brought to Department of Obstetrics and Gynecology for breast development and excessive vaginal discharge. Her medical history and family history were unremarkable. From investigations she was diagnosed as a case of precocious puberty. This case report emphasized how this condition should be evaluated and how the girl was managed. TAJ 2008; 21(2): 177-179
Background: Perinatal mortality is closely related to the early and accurate recognition of foetal distress. Objective of the study was to find out neonatal outcome in suspected fetal distress cases. Methods: This was a cross sectional study done in ShSMCH. Purposively 38 samples were taken in three weeks time and clinical state related to fetal distress and neonatal outcome of them were observed. Results: Fetal movement were less in 36.8% cases. Abnormal fetal heart rate were present in 89.4% cases and in 47.4% cases amniotic fluid was meconium stained. First minute Apgar score was low in 36.8% cases and 47.4% were admitted in paediatric ward. The clinical profile for diagnosis of fetal distress was not significantly associated with low apgar scores. Conclusion: There was very little appreciation for assumption of fetal distress clinically. [J Shaheed Suhrawardy Med Coll 2016;8(1): 23-25]
Objectives: Maternal death was analyzed in Shaheed Suhrawardy Medical College hospital to improve the quality of maternal health care.
Methods: In this cross -sectional study, each case was reviewed individually and factors responsible for maternal death were identified and noted.
Results: During the study period January 2019 to December 2019 total 16 maternal death recorded among 3410 deliveries. 68% deceased mother were less than 30 years of age. Parity shows 37.50% multipara. 75% deceased mother was delivered by caesarean section, 6% was vaginal delivery and 12.5% mother died undelivered. Regarding time interval 25% of death occurred within 24 hours of admission to hospital. The main causes of death were severe preeclampsia- eclampsia (31.25%), PPH (12.5%), septicemia (12.5%), DIC (12.5%). Some factors were identified and among them lack of proper ANC, delayed admission to hospital, delayed blood transfusion were related.
Conclusion: Substantial number of maternal death occurred at or <30 years of age. Preeclampsia-eclampsia, hemorrhage, septicemia were identified as the major cause of maternal death.
J Shaheed Suhrawardy Med Coll 2020; 12(2): 63-66
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.