Three dimensional ultrasound- its use in defining and prognosticating fibroid associated with pregnancy: one picture is worth more than a thousand words

Uterine fibroids are most frequent benign growths occur in female reproductive age with the frequency of 20-40%. The fibroid incidence in pregnancy estimated to be 0.1 to 3.9%. They affect the female fertility and embryo implantation rates after the assisted reproductive treatments. Although most of the uterine myomas are asymptomatic during pregnancy, seldom they lead to the various complications that harm the pregnancy. Henceforth it is advisable to diagnose the uterine myomas at early stages. Three-dimensional ultrasonography is excellent equipment producing high-resolution images in different panels. It is easily accessible, cost-effective and offers benefits for early diagnosis of uterine anomalies. In this case report, we emphasized on the early diagnosis of the uterine fibroid associated pregnancy that enabled the physician to manage the pregnancy without complications

Delayed Uterine Rupture After Fetal Reduction in a Case of Cornual Heterotopic Pregnancy

SummaryObjectiveAssisted reproductive technology has contributed to the rising rate of multiple and ectopic pregnancies. We report a case of heterotopic cornual pregnancy with delayed uterine rupture despite successful fetal reduction. To our knowledge, this has not been previously reported.Case ReportA 32-year-old woman, gravida 2, para 0, had secondary infertility. She had undergone laparoscopic tuboplasty for bilateral tubal obstruction and laparoscopic bilateral salpingectomy for hydrosalpinx. Successful pregnancy was achieved after transfer of five frozen embryos for this pregnancy. At 7 weeks of gestation, routine pelvic sonography identified three gestational sacs, two in the intrauterine cavity and one in the right cornua. Fetal reduction with potassium chloride injection into the cornual pregnancy was performed at 8 weeks of gestation in a private clinic. At 13 weeks of gestation, she had sudden-onset low abdominal pain and hypovolemic shock. Emergency laparotomy revealed right cornual rupture, with a 3.4-cm translucent sac extruding into the peritoneal cavity. The uterus was repaired by simple closure of the right cornua. The twins survived the operation and were born smoothly at 34 weeks of gestation by cesarean section due to preterm labor and malpresentation.ConclusionUterine rupture can occur in women who have undergone successful fetal reduction for cornual heterotopic pregnancy

Migration and Sub-galeal coiling of distal components of V-P shunt in a 2-year-boy: Does Electrical stimulation as part of physiotherapy is cause or casual association?

The ventriculo-peritoneal (VP) shunt surgery in resource constrained centre still remains, most common form of treatment for hydrocephalus. The V. P. shunt complications can occur along entire course of shunt, distal complications are obstruction of catheter, cerebrospinal fluid ascites, abscess and ulceration of skin. However, total cranial migration and getting coiled in subgaleal space, of peritoneal catheter end is very rare occurrence and is reported in only seven cases as isolated case- report in western literature, further more rare is associated extrusion of ventricular catheter and rarer is subgaleal coiling of both peritoneal and ventricular end. Author reports a rare and unique case of complete migration of peritoneal catheter into subgaleal space in a 2-year old boy associated, with partial extrusion of ventricular end, the child was also given electric stimulation by untrained physiotherapist along the shunt tract, which might have facilitated cranial migration of distal catheter in our case. Pertinent literature is briefly reviewed

In Their Own Words: The Health and Sexuality of Immigrant Women with Infibulation Living in Switzerland

Female genital mutilation (FGM) is a significant public health problem. It is estimated that around 14,700 women affected by FGM live in Switzerland, primarily among women with a history of migration. Our qualitative research investigated the sexual health of immigrant women living with FGM in Switzerland, describing their own perception of health, reproductive life and sexuality. We conducted semi-structured, in-depth interviews with a group of eight immigrant women of sub-Saharan origin living in Switzerland with Type III FGM (infibulation). Seven of the women were from Somalia and one was from the Ivory Coast. All of the Somali women were mothers and married (two separated), and the Ivorian woman was a single mother. The women in our study reported a low level of sexual satisfaction and reproductive health. They affirmed their desire to improve, or at least change, their condition. Although they rarely talk with their husbands about sexual subject matter, they would like to include them more and improve dialogue. Specific socio-sexual management is recommended when caring for immigrant women living with FGM in order to respond to their specific health care needs. Multidisciplinary approaches may be able to offer more comprehensive health care, including facilitated communication to improve dialogue between women and health care professionals, and eventually between women and their husbands in discussing sexual subject matter