Introduction: Preeclampsia is a disease of trophoblastic tissue. it is a complex clinical syndrome involving multiple organ systems and still remains the principle cause of maternal and perinatal morbidity and mortality. The search for an ideal predictive test is still on, and preventive measures for preeclampsia remain a challenging entity.
Unilateral twin ectopic is a rare condition. Only 100 cases reported till date in the literature. A 34-year-old woman having secondary infertility reported to emergency with amenorrhea of one and half months and pain in abdomen. Her urine pregnancy test was positive and ultrasonography showed multiple (twin) ectopic gestational sacs in left adenexa. Color Doppler showed ring of fire sign encircling both the gestational sacs suggestive of twin ectopic pregnancy (diamniotic-dichorionic) in left adenexa. Exploratory laparotomy confirmed the diagnosis.
Cervix cancer is one of the most common cancers in women after breast cancer. Pap smear and colposcopy are cornerstone for the diagnosis for premalignant conditions, though the specificity and sensitivity of each is different. Present study was conducted to see the correlation of coloposcopy, histopathology and Pap smear in low resource setting.
Eclampsia is the leading cause of maternal and perinatal mortality as well as morbidity. This prospective study was carried out at a tertiary institute from Jan 2008 to Dec 2010.
Aim and objectives
(1) To evaluate the rate of eclampsia in antenatal women attending our hospital, (2) to evaluate the epidemiological factors and clinical presentation in women with eclampsia, (3) to analyze the maternal and perinatal outcome in women with eclampsia, and (4) to formulate strategies to improve the maternal and perinatal outcome.
Materials and methods
Fifty-five women with eclampsia were evaluated over a period of 3 years.
Results
During the above period, total number of deliveries were 6,100 out of which 55 were eclampsia giving incidence of —0.9%. The women with eclampsia were treated with magnesium sulfate. Around 70.91% of women had antenatal eclampsia, 18.18% of women had intrapartum eclampsia and 10.91% of women had postpartum eclampsia. Out of 55 women, maternal mortality was 5.45% and perinatal mortality was 25.45%.
Conclusion
Incidence of eclampsia is higher in developing countries, like India. Magnesium sulfate is an effective anticonvulsant drug leading to cessation of convulsions in 100% cases. Magnesium sulfate toxicity was not observed in any case, indicating effectivity of clinical monitoring during magnesium sulfate therapy.
How to cite this article
Bhalerao A, Kulkarni S, Ghike S, Kawthalkar A, Joshi S, Somalwar S. Eclampsia: Maternal and Fetal Outcome. J South Asian Feder Obst Gynae 2013;5(1): 19-21.
Intracranial lipomas are extremely rare fat-containing lesions that comprise 0.1%-0.5% of all primary brain tumors. They are congenital lesions that arise due to persistence and maldifferentiation of the meninx primitive (subarachnoid space precursor). We report a case of a 30-year-old woman who presented with seizures due to an intracranial lipoma and no neurological deficits. CT (computerized tomography) imaging findings demonstrated a large interhemispheric partially calcified lipoma that communicated with a large scalp lipoma and was associated with agenesis of the corpus callosum. Compared to the prior CT imaging, the lipoma increased in size from 3.4 cm to 4.1 cm transversely. A recent CT angiogram done due to suspicion of an aneurysm showed the lipoma now measuring 6 cm by 4.7 cm. Most cases of intracranial lipoma have been reported in the pediatric age group. Here, we report a rare case of interhemispheric intracranial lipoma in the adult age group. This case also demonstrates the importance of imaging modalities for detecting intracranial lipoma without performing invasive brain biopsy.
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