Ovarian vein thrombosis presenting as acute abdomen in puerperium

Postpartum Ovarian Vein Thrombosis (POVT) is a rare, but serious condition that causes slow quadrant pain in the postpartum period. POVT must be considered in the differential diagnosis of postpartum acute abdomen. We hereby report a case on a 36-year-old Italian woman who developed an acute abdomen a week after spontaneous vaginal delivery. She had persistent fever and constipation. Diagnosis of POVT was made with an abdominal Computed Tomography (CT) and treatment with heparin and broad-spectrum antibiotics were started. After 72 hours, the patient was switched from low molecular weight heparin to oral anticoagulant treatment. After 5 months a complete recanalization was demonstrated by abdomen CT and the treatment was stopped 6 months after diagnosis. POVT is a diagnosis of exclusion in the puerperium. This case illustrated that POVT may also occur in low risk patient

Comparison of Computerized Cardiotocography Parameters between Male and Female Fetuses

Fetal sex has been identified as an important factor influencing pregnancy outcomes, but its impact on fetal heart rate (FHR) variability in uncomplicated pregnancies is still unclear. The objective of the study was to assess short-term variability (STV) and other computerized cardiotocography (cCTG) parameters in relation to fetal sex during fetal antepartum surveillance. We retrospective compared cCTG parameters of male and female fetuses in uncomplicated singleton pregnancies at term. In addition to univariate analysis, a multivariate analysis was performed taking into account maternal characteristics. A total of 689 cCTG recordings were analyzed: 335 from male fetuses and 354 from female fetuses. Analysis of cCTG results by fetal sex showed no significant difference in percentage of signal loss, number of contractions, movements, accelerations and decelerations, long-term variability (LTV), and STV at both uni-and multivariate analysis. There was a statistically significant difference for baseline FHR at the univariate analysis, which was not confirmed by a multivariate analysis. Our results suggest that fetal sex did not affect cCTG parameters in uncomplicated term singleton pregnancies, and therefore it does not need to be taken into account when interpreting cCTG in physiological conditions

The Permian-Triassic succession of the Montagnola Senese Ridge (Middle Tuscan Ridge, Italy): a perspective for late Palaeozoic magmatism and continentalisation in the western Tethys

During the Permian-Triassic transition, dramatic environmental changes occurred, including the segmentation of Pangaea and the beginning of the Alpine orogenic cycle with widespread magmatism and tectonic activity. The Permian-Triassic succession deposited in the northern (palaeo-) Gondwana is now exposed in the inner Northern Apennines where it crops out discontinuously in the Middle Tuscan Ridge, a NS-oriented morphotectonic feature mainly formed by blue-schist and green-schist facies metamorphic rocks. In this paper, we describe a previously unreported late Palaeozoic succession exposed in the central part of the Middle Tuscan Ridge: the Montagnola Senese Ridge. This succession provides information concerning the enigmatic late Palaeozoic units exposed in southern Tuscany, and permits the age constraint of continentalization at the Permian-Triassic boundary with associated magmatism. Specifically, by integrating stratigraphic, structural, and petrographic data, we describe a siliciclastic, volcanoclastic-to-carbonate succession which recorded the transition from marine sedimentation to the typical continental, red-beds of the Verrucano tectofacies. Additionally, deformational features, metamorphism and age of the succession are discussed in terms of its tectono-sedimentary evolution and implications for the Palaeozoic-Triassic setting of the central Pangaea sector currently exposed in southern Tuscany. The results allow us to recognize a middle-late Permian pre-Verrucano succession, and to date the transition to continental facies as latest Permian. The microflora permits correlation of the pre-Verrucano succession to the late Palaeozoic units of the inner Northern Apennines, and establishes the diachronous nature of the Verrucano tectofacies exposed in the inner Northern Apennines. Finally, the thermal maturity of the organic matter indicates a maximum temperature of 387 +/- 30 degrees C attained during metamorphism