Pelvic Inflammatory Disease Caused by Salmonella Bacteremia: Report of Two Cases

Pelvic inflammatory disease (PID) is one of the most serious complications of the sexually transmitted diseases. The most important step in early diagnosis is a high index of clinical suspicion. In this report, we document two cases of PID due to Salmonella bacteremia

Bladder Horn Appearance on Ultrasonographic Examination Prior to Cesarean Section: Does it Predict High Cranial Attachment of the Bladder?

OBJECTIVE: To investigate the value of bladder horn appearance seen on ultrasonography performed prior to cesarean section in prediction of high cranial attachment of bladder. STUDY DESIGN: The study was carried out in delivery unit of a teaching hospital. Two hundred pregnant women, 66 with and 134 without ultrasonographic appearance of bladder horn with at least one previous CS delivery beyond 37 weeks of gestation were enrolled in the study. RESULTS: The rate of high cranial attachment of the bladder in patients with or without bladder horn appearance is 33.3% and 26.9%, respectively (p=0.51). There was no difference in the incidence of dense adhesions between uterus and bladder requiring sharp dissection to create a bladder flap between two groups (22.7% vs. 20.2%) (p>0.05). CONCLUSION: Ultrasonographic appearance of horn shaped attachment of bladder base to the uterus does not predict the high attachment of bladder to the uterus

Does the minor trauma during pregnancy have any effect on perinatal outcome?

Objective: Women having major trauma during pregnancy are at increased risk for both maternal and fetal morbidity. However, the association between minor trauma and adverse perinatal outcomes is still unknown. Therefore, we aimed to analyze the incidence of minor trauma in pregnancy and effect on the outcomes of pregnancy. Methods: The data of patients, who were admitted to the emergency service of Etlik Zübeyde Hanım Women’s Health Training and Research Hospital between January 2013 and December 2014, were evaluated. A total of 283 patients (0.3%), who had minor trauma during pregnancy, were included in the study. Demographic and obstetric data were analyzed with descriptive statistics. Additionally, antenatal complications and pregnancy outcomes were evaluated in 188 patients, who were followed during pregnancy and delivered their babies at our hospital Results: During the study period, of 105,727 women who were admitted to the emergency service of our hospital, 283 (0.3%) had minor trauma during pregnancy. The causes of minor trauma, in order of frequency, included home accidents (81.3%), domestic violence (9.9%) and traffic accidents (8.8%). Preterm delivery has been the most frequently antenatal complication observed in these patients (15.4%). Conclusion: Home accidents and domestic violence are the most common causes of minor trauma during pregnancy, and the patients are particularly at risk during the second trimester. The patients must be cautioned regarding the risk of preterm delivery and advised to attend regular pregnancy follow-up visits due to the fact that these patients have a higher risk of preterm delivery