Ectopic pregnancy is the implantation of fertilized ovum at an abdominal site. Cervical ectopic pregnancy is an extremely rare form of pregnancy where the implantation of the egg occurs. It usually presents with uncontrolled vaginal haemorrhage during the first trimester of pregnancy. It can be rarely found in the second trimester of pregnancy. The early diagnosis using ultrasonography methods likely transvaginal sonography and βhcg. In this case, 30 years old patient came to the hospital after taking MTP twice in a week and local examination showed a normal uterus and enlarged cervix and an antenatal scan revealed the gestational sac with a foetal pole and good cardiac activity within the lower uterine segment. Due to heavy vaginal bleeding for 2 weeks emergency laparotomy with bilateral tubectomy has been performed. Here we concluded that cervical pregnancy is a rare condition that can be fatal if not recognised and treated promptly. Chemotherapy administration may be the first line of therapy, but there may be a risk of excessive haemorrhage which may require a more radical approach done instantly.
Phenytoin-induced organicity along with vitamin D deciency is a rare adverse drug reaction that is observed upon long-term usage of phenytoin. We present a case of a 35-year-old female who presented with seizures, nausea, vomiting, irritability, mild gingival hypertrophy, and altered sensorium. Based on her clinical presentation a provisional diagnosis of meningoencephalitis was made. However, after further evaluation, it was observed that the patient has epilepsy and had been taking antiepileptics (phenytoin 100 mg/BD) for the previous 30 years, and based on her condition she was diagnosed with chronic phenytoin toxicity. The patient's condition improved after phenytoin withdrawal but, she remained irritable, so she was referred to a psychiatrist, and they determined that she had developed organicity and treated her accordingly. After 3 weeks of phenytoin withdrawal, the complete recovery of the patient was observed. We decided to report this case because of the uncommon presentation of this rare intoxication.
Sturge–Weber syndrome (SWS) belongs to a group of disorders collectively known as the phakomatoses. It consists of congenital hamartomatous malformations that may affect the eye, skin, and central nervous system (CNS) at different times, characterized by the combination of venous angiomas of leptomeninges, face, jaws and oral soft tissues. SWS is referred to as complete when both central nervous system and facial angiomas are present, and incomplete when only one area is affected. Epilepsy is the most common and often the first neurological complication of SWS. Here we present a case of seizure with hypocalcaemia to the risk of Sturge weber syndrome. Brain – MRI with contrast, however, be advised that due to the progressive nature of SWS, brain involvement may not be evident on early scans. So initially child was treated for seizures with anti-epileptic drugs. The health professionals have to be suitably able to recognize its characteristic signs and symptoms, and so improve the quality of life of the patients.
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