Successful maternal and fetal outcome in patients with Takayasu arteritis: two case reports of Type I and Type IV in stage 2

Takayasu's arteritis, is a rare, chronic, idiopathic, inflammatory disease of the large arteries, primarily involves the aorta, its main branches as well as the coronary and pulmonary arteries. It is mostly seen among women with child bearing age group (80%). During pregnancy, the increased intravascular volume impair circulation and exacerbate aortic regurgitation, hypertension, and congestive heart failure. Hypertension is one of the serious complication that can develop, leading to intrauterine growth restriction, maternal heart failure, and fetal haemorrhage and during postpartum period

Epithelioid leiomyosarcoma: a rare uterine cancer

A uterine epithelioid leiomyosarcoma is a rare malignant tumour that arises from the smooth muscle lining the walls of the uterus. The exact cause of leiomyosarcoma, including uterine leiomyosarcoma accounting for 5 to 10% is unknown. Leiomyosarcoma is the most common subtype of uterine sarcoma, accounts for 1-2% of uterine malignancies. Malignancy should be suspected in menopausal women with tumour growth who are not on hormonal replacement therapy. A 64-year-old female had attained menopause 16 year back and developed postmenopausal bleeding since 2 months, with palpable mass, of 16 weeks size. Ultrasonography showed whorled mass lesions, endometrium and myometrium could not be seen separately. Uterus with both ovaries removed. Intra-operative findings showed 16 weeks uterine mass with size 15×10.5×10cm and weight 1kg with intramural fibroid. Necrotic and haemorrhagic areas with degenerative changes seen on cut section suggestive of malignancy. Histopathology and immunohistochemistry reported epithelioid leiomyosarcoma

Comparative study of interval versus postpartum Cu-T insertion in a central referral hospital of North East India

Background: Aim of current study was to compare interval and postpartum Cu-T (380A) insertion in terms of safety and immediate outcome.Methods: This was a retrospective cohort study where retrospective analysis of prospectively collected data in the department of OBG, SMIMS, Gangtok, from April 2011 to April 2012 were taken for evaluation. 164 women who were inserted Cu-T after delivery and in the interval period were studied. 80 were inserted Cu-T at post-partum period (36 after vaginal delivery and 44 intra caesarean) while 84 were inserted at interval period. Follow up was done at 6 weeks and 3 months. Outcome was measured by tail visibility at 6 weeks and 3 months, spontaneous expulsion rate, removal rate and perception of insertion using visual analog scale (0-5).Results: Tail visibility at 6 weeks and 3 months was less in post-partum than that of interval insertion. Spontaneous expulsion rate was nil in post-partum while 5/84 (5.95%) in interval insertion. Perception of insertion for doctor and client was easiest in intra Caesarean (0) while difficult in interval (4). Removal rate was 1/80(1 %) in post-partum and 9/84 (10.7%) in interval.Conclusions: Study suggested that post-partum insertion is more effective than interval Cu-T insertion with low expulsion rate and complications compared to interval insertion.

Epithelioid leiomyosarcoma: a rare uterine cancer

A uterine epithelioid leiomyosarcoma is a rare malignant tumour that arises from the smooth muscle lining the walls of the uterus. The exact cause of leiomyosarcoma, including uterine leiomyosarcoma accounting for 5 to 10% is unknown. Leiomyosarcoma is the most common subtype of uterine sarcoma, accounts for 1-2% of uterine malignancies. Malignancy should be suspected in menopausal women with tumour growth who are not on hormonal replacement therapy. A 64-year-old female had attained menopause 16 year back and developed postmenopausal bleeding since 2 months, with palpable mass, of 16 weeks size. Ultrasonography showed whorled mass lesions, endometrium and myometrium could not be seen separately. Uterus with both ovaries removed. Intra-operative findings showed 16 weeks uterine mass with size 15×10.5×10cm and weight 1kg with intramural fibroid. Necrotic and haemorrhagic areas with degenerative changes seen on cut section suggestive of malignancy. Histopathology and immunohistochemistry reported epithelioid leiomyosarcoma

Successful maternal and fetal outcome in patients with Takayasu arteritis: two case reports of Type I and Type IV in stage 2

Takayasu's arteritis, is a rare, chronic, idiopathic, inflammatory disease of the large arteries, primarily involves the aorta, its main branches as well as the coronary and pulmonary arteries. It is mostly seen among women with child bearing age group (80%). During pregnancy, the increased intravascular volume impair circulation and exacerbate aortic regurgitation, hypertension, and congestive heart failure. Hypertension is one of the serious complication that can develop, leading to intrauterine growth restriction, maternal heart failure, and fetal haemorrhage and during postpartum period