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A molar masquerading as an ectopic pregnancy in the early first trimester: a salutary lesson
Govind A, Lakhi N
International Journal of Women's Health , 2012, DOI: http://dx.doi.org/10.2147/IJWH.S32893
Abstract: molar masquerading as an ectopic pregnancy in the early first trimester: a salutary lesson Case report (1127) Total Article Views Authors: Govind A, Lakhi N Published Date August 2012 Volume 2012:4 Pages 423 - 425 DOI: http://dx.doi.org/10.2147/IJWH.S32893 Received: 12 April 2012 Accepted: 01 May 2012 Published: 22 August 2012 Abha Govind,1 Nisha Lakhi2 1Department of Obstetrics and Gynaecology, North Middlesex University Hospital, London, UK; 2Department of Obstetrics and Gynecology, Richmond University Medical Center, Staten Island, New York, NY, USA Abstract: The authors report a case in which a molar pregnancy was mistaken for an ectopic pregnancy in the early first trimester. This confusion delayed diagnosis and caused distress; follow-up led to the final diagnosis of complete hydatidiform mole. Correct preoperative diagnosis of molar pregnancy by ultrasound in early pregnancy may be tricky. It is important to obtain histological evidence to make the final diagnosis of gestational trophoblastic disease. While relatively rare, consideration of molar pregnancy in the differential diagnosis of early pregnancy loss may avoid unnecessary distress.
Response to an Earthquake in Bangladesh: Experiences and Lesson Learnt  [PDF]
Animesh Biswas, Saidur Rahman Mashreky, Koustuv Dalal, Toity Deave
Open Journal of Earthquake Research (OJER) , 2016, DOI: 10.4236/ojer.2016.51001
Abstract: A powerful earthquake occurred in Nepal on 25th April 2015 where the highest measure of the tremor was 7.9 on the Richter scale with a minimum of 6.6. The death toll was around 3000 and thousands were injured in the devastation of the disaster. The earthquake and subsequent earth tremors were also felt in other South East Asian countries including Bangladesh, India and China. Bangladesh was jolted twice by tremors and, although the tremor was not as severe, it was reported to be between 4 and 5 on the Richter scale. Aftershocks over the next few days were also experienced and these ranged around 5 on the Richter scale. In Bangladesh, six lives were lost, and more than 200 people were injured and were taken to hospital. There were also many buildings that collapsed in the mega city Dhaka and its surrounding areas. This study describes the country’s response to the earthquake. This experience and the lessons learnt highlight the importance for national earthquake-proof building regulations and systems to lessen the damage and devastation of any future earthquake.
Investigation of an outbreak of device-related postoperative ventriculitis: A lesson learnt  [cached]
Veena Kumari H,Nagarathna S,Chandramouli B,Umamaheshwara Rao G
Indian Journal of Pathology and Microbiology , 2008,
Abstract: Pseudomonas aeruginosa (P aeruginosa) is one of the most common nosocomial pathogens. We report our experience of a device-related outbreak of postoperative ventriculitis caused by P aeruginosa thus initiating investigation of the unusual occurrence. Five neurosurgical patients were affected, postoperatively. The investigations entailed extensive screening of the common sources of contamination for colonization of P aeruginosa. Sterilized instruments used for surgery, including the ultrasonic aspirator (USA) sets and other hollow devices, were randomly sampled and cultured. Conventional culture methods yielded P aeruginosa, with almost similar antibiotic sensitivity pattern in all the patients and the ultrasonic aspirator, clinching the source of contamination. Routine surveillance, identification of unusual patterns, molecular epidemiological typing would be helpful in quick control of outbreaks of postoperative infections
An unusual case of ectopic tungiasis with pseudoepitheliomatous hyperplasia
Heukelbach, J.;Sahebali, S.;Van Marck, E.;Sabóia Moura, R.C.;Feldmeier, H.;
Brazilian Journal of Infectious Diseases , 2004, DOI: 10.1590/S1413-86702004000600012
Abstract: tungiasis is caused by the penetration of the female sand flea tunga penetrans into the epidermis, and subsequent hypertrophy of the parasite. in most cases lesions are confined to the feet. during a cross-sectional study, an unusual case of ectopic tungiasis in the inguinal area was detected. histological examination of tissue samples showed a remarkable pseudoepitheliomatous aspect of the epidermis. clinical features and differential diagnoses are discussed.
Diagnosis of Ruptured Ectopic Pregnancy is still a Challenge in Eastern Sudan
AA Ali, TM Abdallah, MF Siddig
African Journal of Reproductive Health , 2011,
Abstract: This was a cross sectional prospective study carried out in Kassala Maternity Hospital, Eastern Sudan (2008-2011) to investigate the incidence rate and factors associated with delayed presentation in ruptured ectopic pregnancy. The total number of deliveries during the study period was 9578. The total number of ectopic pregnancy was 199 yielding an incidence rate of (1 in 48 deliveries or 20.7 per 1000 deliveries). One hundred eighty six (93.5%) out of these were ruptured ectopic reflecting very low rate of diagnosis (6.5%) before rupture occurred. Maternal education≤ secondary, parity and history of subfertilty were associated with ruptured ectopic pregnancy (P =0.00, 0.003 and 0.00 respectively). The causes of delay reported by the patients include: 64.5 not aware of the pregnancy, 28% have been seen by health provider but reassure and 7.5% regarded the symptoms not serious enough to ask for care.
A molar masquerading as an ectopic pregnancy in the early first trimester: a salutary lesson  [cached]
Govind A,Lakhi N
International Journal of Women's Health , 2012,
Abstract: Abha Govind,1 Nisha Lakhi21Department of Obstetrics and Gynaecology, North Middlesex University Hospital, London, UK; 2Department of Obstetrics and Gynecology, Richmond University Medical Center, Staten Island, New York, NY, USAAbstract: The authors report a case in which a molar pregnancy was mistaken for an ectopic pregnancy in the early first trimester. This confusion delayed diagnosis and caused distress; follow-up led to the final diagnosis of complete hydatidiform mole. Correct preoperative diagnosis of molar pregnancy by ultrasound in early pregnancy may be tricky. It is important to obtain histological evidence to make the final diagnosis of gestational trophoblastic disease. While relatively rare, consideration of molar pregnancy in the differential diagnosis of early pregnancy loss may avoid unnecessary distress.Keywords: first trimester ultrasound, molar pregnancy, gestational trophoblastic disease, complete hydatidiform mole, diagnosis
Ectopic ACTH syndrome: a clinical challenge
NI Tsabedze, C Ray, M Hale
Journal of Endocrinology, Metabolism and Diabetes of South Africa , 2011,
Abstract: A patient was managed in our endocrinology unit with ectopic Cushing’s syndrome from an adrenocorticotropic hormoneproducing neuroendocrine carcinoma of the anal canal. There was limited response to standard therapy, which made it difficult to correct the electrolyte and metabolic derangements associated with the disease. This is a summary of the challenges encountered during treatment.
Abdominal Compartment Syndrome complicating massive hemorrhage from an unusual presentation of ruptured ectopic pregnancy
RB Sanda, R Aziz, A Bhutto, SI Seliem
Annals of African Medicine , 2011,
Abstract: Abdominal Compartment Syndrome (ACS) is characterized by intra-abdominal hypertension (IAH), elevation and splinting of the diaphragm, high pleural pressure, and poor venous return to the heart, producing low cardiac output and shock which, in turn, results in poor venous return across the capillaries to set in a vicious cycle. Unless the Intra-abdominal pressure is reduced quickly by urgent surgical or medical interventions, death is inevitable. We report a case of ACS resulting from an unrecognized slow but massive intra-abdominal bleeding caused by a ruptured ectopic pregnancy (REP) in an Arab woman. Due to the unusual nature of the presentation of the REP, the diagnosis proved elusive for over a week until the patient succumbed to hypovolemic shock after losing about 4.2 l inside the peritoneal space. The fruitless effort at aggressive fl uid resuscitation was at operation found not due to hypovolemia per se but due to IAH causing ACS. The lessons learned from this case emphasize the need for awareness about atypical presentations of REP and the need for quick intervention to terminate the vicious cycle of ACS.
Spontaneous Ipsilateral Ectopic Pregnancy in the Tubal Stump of Previous Partial Salpingectomy  [PDF]
Sian Cooper
Nepal Journal of Obstetrics and Gynaecology , 2012, DOI: 10.3126/njog.v7i1.8837
Abstract: We present an unusual case of recurrent ectopic pregnancy in the tubal stump of a previous partial salpingectomy. The patient presented with the classic triad of amenorrhoea, per vaginal bleeding and abdominal pain paired with a void uterus on ultrasonography. Her history was notable for a previous ectopic pregnancy resulting in a laparotomy and salpingectomy-oophrectomy. A positive B-hCG and echogeneic areas in the right adnexa led to a diagnosis of recurrent ectopic pregnancy. On laparotomy, an ectopic pregnancy was found in the right tubal stump. Nepal Journal of Obstetrics and Gynaecology / Vol 7 / No. 1 / Issue 13 / Jan- June, 2012 / 50-52 DOI: http://dx.doi.org/10.3126/njog.v7i1.8837 ?
An unusual case of retrovesical ectopic prostate tissue accompanied by primary prostate cancer  [cached]
Tan Fu-Qing,Xu Xin,Shen Bo-Hua,Qin Jie
World Journal of Surgical Oncology , 2012, DOI: 10.1186/1477-7819-10-186
Abstract: We report an unusual case of retrovesical ectopic prostate tissue in a 73-year-old man with primary prostate cancer. The man’s prostate-specific antigen was 24.66 ng/ml.Transabdominal ultrasonography, pelvic computed tomography,and pelvic magnetic resonance imaging demonstrated a heterogeneous 8.5 × 8.0 × 7.0 cm mass in contact with the posterior wall of the urinary bladder. The patient underwent a retropubic radical prostatectomy and resection of tumor. Pathological examination of prostate revealed a prostatic adenocarcinoma, Gleason score of 4 + 5 = 9, and the retrovesical tumor was confirmed to be a benign prostate tissue.
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