Case Reports in Perinatal Medicine最新文献_第2页

A case of preeclampsia with severe features following septic shock and drug-induced acute kidney injury. 感染性休克及药物性急性肾损伤后有严重特征的先兆子痫1例

IF 0.1

Case Reports in Perinatal Medicine Pub Date : 2023-03-27 eCollection Date: 2023-01-01 DOI: 10.1515/crpm-2021-0093

Emily M Boyd, Michelle T Nguyen, Brian Gordon, Richard H Lee

{"title":"A case of preeclampsia with severe features following septic shock and drug-induced acute kidney injury.","authors":"Emily M Boyd, Michelle T Nguyen, Brian Gordon, Richard H Lee","doi":"10.1515/crpm-2021-0093","DOIUrl":"10.1515/crpm-2021-0093","url":null,"abstract":"Objectives: This article outlines a process for differentiating preeclampsia from other potential causes of end-organ damage in a critically ill patient.Case presentation: A patient in her early 30s, G2P1001 with intrauterine pregnancy at 12 weeks' gestation was admitted seven months after delivering her first child due to new-onset psychosis and starvation ketosis. She was started on lithium for postpartum psychosis at 20 weeks' gestation. She subsequently developed respiratory failure at 26 weeks' gestation due to aspiration pneumonia in the setting of lithium toxicity, requiring admission to the intensive care unit (ICU) and intubation. She received antibiotics and vasopressors for suspected septic shock in addition to dialysis for lithium-induced acute kidney injury. One week after ICU admission, her sepsis resolved, her serum creatinine levels returned to normal, and her respiratory status improved. However, after vasopressors were discontinued, she suddenly developed persistently elevated blood pressures with proteinuria and elevated liver function tests (LFT's). Due to concern for preeclampsia with severe features and rapidly increasing LFT's, the patient underwent cesarean delivery at 27 weeks' gestation.Conclusions: In a critically ill patient with multiple comorbidities, it can be difficult to diagnose preeclampsia using the standard criteria. It is important to exclude other potential etiologies, as a misdiagnosis can have potentially devastating consequences.","PeriodicalId":9617,"journal":{"name":"Case Reports in Perinatal Medicine","volume":"3 1","pages":"20210093"},"PeriodicalIF":0.1,"publicationDate":"2023-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11616537/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87265318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Fetus-in-fetu: mimicking teratoma on antenatal ultrasound. 胎中胎:胎儿超声模拟畸胎瘤

IF 0.1

Case Reports in Perinatal Medicine Pub Date : 2023-03-10 eCollection Date: 2023-01-01 DOI: 10.1515/crpm-2022-0024

Ines Mazhoud, Wissal Skhiri, Chiraz Hafsa, Amel Maghrebi, Amine Ksiaa, Mohamed Maatouk, Amina Ben Salem

引用次数: 0

Prenatal hydrometrocolpos as an unusual finding in Fraser syndrome. Case report. 产前水性结肠是弗雷泽综合征中一种不寻常的发现。病例报告

IF 0.1

Case Reports in Perinatal Medicine Pub Date : 2023-03-10 eCollection Date: 2023-01-01 DOI: 10.1515/crpm-2022-0038

Isabella Dávila Neri, Adriana Patricia Farias Vela, Rafael Leonardo Aragón Mendoza, Roberto Gallo Roa, Giovanni Carlo Russo Vizcaino

引用次数: 0

An unexpected case of neonatal compartment syndrome associated with congenital anomalies of kidney and urinary tract. 一个意外的病例新生儿室综合征与先天性异常的肾脏和泌尿道

IF 0.1

Case Reports in Perinatal Medicine Pub Date : 2023-03-07 eCollection Date: 2023-01-01 DOI: 10.1515/crpm-2022-0020

Laura M Seske, Melissa Mastroianni, Keith T Aziz, Laura W Lewallen

{"title":"An unexpected case of neonatal compartment syndrome associated with congenital anomalies of kidney and urinary tract.","authors":"Laura M Seske, Melissa Mastroianni, Keith T Aziz, Laura W Lewallen","doi":"10.1515/crpm-2022-0020","DOIUrl":"10.1515/crpm-2022-0020","url":null,"abstract":"Objectives: Neonatal compartment syndrome (NCS) occurs when increased pressure within the fasciocutaneous compartment decreases capillary perfusion, causing irreversible tissue damage from ischemia. NCS is a rare condition that requires prompt diagnosis and treatment. Diagnosing NCS is highly dependent on the examination, which can be difficult in newborns. Prompt recognition provides the best chance for good outcomes.Case presentation: We present a case of NCS diagnosed and treated based on physical examination findings. Fetal ultrasonography showed bladder distension, bilateral hydroceles, urethra dilation, and abdominal urinary ascites concerning for lower urinary tract obstruction and possible bladder rupture. At 1 h after birth, examination of the infant's left upper extremity showed no spontaneous movement, the hand and forearm appeared dusky, and the hand had a large blister with desquamation. No pulse distal to the antecubital fossa was detected via Doppler ultrasonography. The infant was diagnosed with NCS and underwent urgent fasciotomy. The clinical appearance and perfusion of the left upper extremity gradually improved. At four months of age, the wounds were healed and the patient had full passive range of motion of the left upper extremity. Recovery of active motion is ongoing.Conclusions: The presence of blistering and desquamation should provoke suspicion for NCS. Once NCS is diagnosed, prompt intervention is necessary to reduce the risk of poor functional outcomes. This case highlights the need for increased awareness of the risk developing compartment syndrome in utero as part of the rare sequalae in infants with congenital anomalies of kidney and urinary tract.","PeriodicalId":9617,"journal":{"name":"Case Reports in Perinatal Medicine","volume":"1 1","pages":"20220020"},"PeriodicalIF":0.1,"publicationDate":"2023-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11616542/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78647297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Antenatal and histological diagnostics of cystic sacrococcygeal teratoma. Clinical case and literature review. 囊性骶尾畸胎瘤的产前和组织学诊断。临床病例及文献复习

IF 0.1

Case Reports in Perinatal Medicine Pub Date : 2023-01-11 eCollection Date: 2023-01-01 DOI: 10.1515/crpm-2022-0025

Egle Savukyne, Saule Krzconaviciute, Marija Vaitkeviciute, Egle Machtejeviene, Ieva Rubaviciute

{"title":"Antenatal and histological diagnostics of cystic sacrococcygeal teratoma. Clinical case and literature review.","authors":"Egle Savukyne, Saule Krzconaviciute, Marija Vaitkeviciute, Egle Machtejeviene, Ieva Rubaviciute","doi":"10.1515/crpm-2022-0025","DOIUrl":"10.1515/crpm-2022-0025","url":null,"abstract":"Objectives: The congenital embryonic tumor known as sacrococcygeal teratoma (SCT) affects 1 in 35.000-40.000 newborns and is more prevalent in female fetuses and neonates. A total of 25-50% of SCTs are diagnosed by an ultrasound (US) examination during the second trimester of pregnancy. Planning the manner of delivery, determining the risk of negative outcomes, and choosing treatment options depend on the results of antenatal differential diagnosis.Case presentation: This is a unique case of a 29-year-old second gravida, suspected of having a fetal sacrococcygeal dysplasia differentiable between Type 2 SCT and terminal myelocystocele. An MRI revealed no typical SCT changes, as a matter of course, the diagnosis of myelocystocele could not have been excluded. The results of the genetic examination allowed to exclude the chromosomal pathology. Punctuation of the external component of the formation and a cytological examination were suggested. Nevertheless, the patient and her partner refused further studies and insisted on the termination of pregnancy. Medical abortion was induced and histological findings confirmed fetal morphology to be mature SCT.Conclusions: Cystic sacrococcygeal teratoma is an unusual malformation of fetal development. In the antenatal period SCT is diagnosed based upon an ultrasound evaluation, an MRI, and a multidisciplinary assessment of clinical experts. Differential diagnosis based upon clinical imaging during the gestational period is elaborate. The final medical diagnosis needs to be verified by a histological evaluation of pathological tissue. An antenatal medical diagnosis of fetal dysplasia is considerable for the further prognosis of fetal and newborn development.","PeriodicalId":9617,"journal":{"name":"Case Reports in Perinatal Medicine","volume":"24 1","pages":"20220025"},"PeriodicalIF":0.1,"publicationDate":"2023-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11616544/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78176358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Antenatal ultrasound diagnosis of huge fetal hydrometrocolpos secondary to imperforate hymen and successful postnatal treatment: a case report 继发于处女膜闭锁的巨大胎儿子宫积水的产前超声诊断及产后成功治疗1例

Case Reports in Perinatal Medicine Pub Date : 2023-01-01 DOI: 10.1515/crpm-2023-0019

Mequanint Melesse Bicha, Zelalem Ayichew Workneh

{"title":"Antenatal ultrasound diagnosis of huge fetal hydrometrocolpos secondary to imperforate hymen and successful postnatal treatment: a case report","authors":"Mequanint Melesse Bicha, Zelalem Ayichew Workneh","doi":"10.1515/crpm-2023-0019","DOIUrl":"https://doi.org/10.1515/crpm-2023-0019","url":null,"abstract":"Abstract Objectives Hydrometrocolpos is a pelvic cystic mass representing the distension of the vagina and uterus due to obstructive congenital anomalies of the female causing accumulation of fluid secretions in the vagina and endometrial cavity. Prenatal diagnosis is uncommon and usually noticed during the adolescent period for failure to see menses with cyclic abdominal pain, abdominal mass, and local compressive symptoms. Late diagnosis after delivery of newborns with this condition results in poor outcomes from local compressive symptoms. Case presentation Here, we present a case diagnosed with congenital hydrometrocolpos at 39 weeks of gestation during routine third-trimester ultrasound scanning. The newborn was delivered vaginally and huge hydrometrocolpos secondary to imperforate hymen was diagnosed postnatally, and a hymenectomy was done and the newborn was discharged and improved from the hospital. Conclusions Although congenital hydrometrocolpos occurs rarely, it is also better to suspect prenatally in a female fetus with a cystic pelvic mass. Antenatal ultrasound diagnosis of this condition will help to make decisions early and to prevent further complications which might occur both intrauterine and after birth.","PeriodicalId":9617,"journal":{"name":"Case Reports in Perinatal Medicine","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135261276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

DIC-like syndrome in a post-pre-eclampsia birth in a premature infant in a peri-COVID scenario 围covid情况下早产婴儿子痫前期出生后的dic样综合征

Case Reports in Perinatal Medicine Pub Date : 2023-01-01 DOI: 10.1515/crpm-2023-0016

Taha F. Hassan, Ryan D. Morgan, Akshay Raghuram, Benedicto C. Baronia

{"title":"DIC-like syndrome in a post-pre-eclampsia birth in a premature infant in a peri-COVID scenario","authors":"Taha F. Hassan, Ryan D. Morgan, Akshay Raghuram, Benedicto C. Baronia","doi":"10.1515/crpm-2023-0016","DOIUrl":"https://doi.org/10.1515/crpm-2023-0016","url":null,"abstract":"Abstract Objectives This article outlines an unusual presentation of a premature infant born from a pre-eclamptic mother born with a presentation resembling a disseminated intravascular coagulation syndrome. Case presentation Pregnancy-induced hypertension, also known as pre-eclampsia, and premature birth pose significant risks to neonates, making the fetus more susceptible to immunodeficiencies and coagulopathies. This article highlights a premature infant born to a pre-eclamptic mother with multiple complications. Our case involved jaundice, neonatal meningitis, thrombocytopenia, leukopenia, neutropenia, hemorrhage, apnea, gastrointestinal defects, and periventricular leukomalacia. Often these complications are seen immediately after birth; these symptoms may present after a certain amount of time lapses if the neonates if afflicted with malignancy or a viral, fungal, or bacterial infection. Here we describe the case of a premature neonate born to a preeclamptic mother that experienced these complications one day after her birth. Conclusions This is the first known case of an infant experiencing a “DIC-like” syndrome without any diagnosis of a primary hematological malignancy or infection after a certain amount of time had lapsed since her birth. As complications in premature infants as well as those from pre-eclamptic mothers are common, this case report highlights a successful model of care. We also explore the effect of a peri-COVID setting on the presentation of this patient, as similar cases have occurred post-COVID-19.","PeriodicalId":9617,"journal":{"name":"Case Reports in Perinatal Medicine","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135159550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hemorrhagic adenovirus cystitis in a newborn. 新生儿出血性腺病毒膀胱炎

IF 0.1

Case Reports in Perinatal Medicine Pub Date : 2022-12-30 eCollection Date: 2023-01-01 DOI: 10.1515/crpm-2022-0018

Susana M D Alexandre, Carolina O C C Matos, Fabiana C F Fortunato, Ana R M C Sandes

{"title":"Hemorrhagic adenovirus cystitis in a newborn.","authors":"Susana M D Alexandre, Carolina O C C Matos, Fabiana C F Fortunato, Ana R M C Sandes","doi":"10.1515/crpm-2022-0018","DOIUrl":"10.1515/crpm-2022-0018","url":null,"abstract":"Objectives: Gross hematuria is rare in the neonate and requires prompt etiology evaluation and intervention. This article aims to draw attention to adenovirus as a cause of hematuria in newborns.Case presentation: We present the case of a newborn admitted to the neonatal unit after birth with respiratory distress. Empiric treatment with ampicillin and gentamicin was initiated. He presented a favorable clinical and laboratory course with decreasing inflammatory parameters. On day 7 gross hematuria was detected and the urinalysis revealed red blood cells, trace of proteins and leukocytes. Cefotaxime was added after urine and blood cultures. Doppler ultrasound showed bladder sediment with no signs of renal venous thrombosis and the cultures were negative. There was a progressive improvement of gross hematuria with resolution on day 16. Urine adenovirus PCR was positive and the diagnosis of adenovirus hemorrhagic cystitis was made.Conclusions: Adenovirus should be considered as a potential etiology if clinical symptoms and urinalysis are suggestive of infection, but the urine culture is negative and ensuring that all other possible causes of hematuria are ruled of. As far as the authors know, this is the first case report of a newborn with adenovirus hemorrhagic cystitis.","PeriodicalId":9617,"journal":{"name":"Case Reports in Perinatal Medicine","volume":"12 1","pages":"20220018"},"PeriodicalIF":0.1,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11616533/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85644500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Donohue syndrome in an Egyptian infant: a case report. 埃及婴儿Donohue综合征1例报告

IF 0.1

Case Reports in Perinatal Medicine Pub Date : 2022-12-28 eCollection Date: 2023-01-01 DOI: 10.1515/crpm-2021-0087

Kotb Abbass Metwalley, Hekma Saad Farghaly, Lamiaa Mahmood Maxi

{"title":"Donohue syndrome in an Egyptian infant: a case report.","authors":"Kotb Abbass Metwalley, Hekma Saad Farghaly, Lamiaa Mahmood Maxi","doi":"10.1515/crpm-2021-0087","DOIUrl":"10.1515/crpm-2021-0087","url":null,"abstract":"Objectives: We aim to report a case of Donohue syndrome (DS) which is a rare genetically encoded, autosomal inherited recessive disorder linked with severe insulin-resistant diabetes.Case presentation: We hereby report a case of a 4 month -old girl infant with DS. The patient exhibited dysmorphic facial features, severe growth retardation, fasting hypoglycemia, postprandial hyperglycemia, and hyperinsulinemia which are the hallmarks of DS. The diagnosis of DS was confirmed by genetic analysis. The patient was treated with high-dose insulin and frequent nasogastric formula milk feeding to achieve reasonable glycemic control.Conclusions: We reported a typical case of DS in a 4-month-old female infant characterized by peculiar dysmorphic features and failure to thrive. She also fulfilled the biochemical criteria of fasting hypoglycemia, postprandial hyperglycemia, and severe hyperinsulinemia. The diagnosis was confirmed by a molecular genetic study. Our patient achieved reasonable glycemic control after treatment with high-dose insulin.","PeriodicalId":9617,"journal":{"name":"Case Reports in Perinatal Medicine","volume":"165 1","pages":"20210087"},"PeriodicalIF":0.1,"publicationDate":"2022-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11616539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86250738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A case of intra-vaginal intrauterine testicular torsion. 阴道内宫内睾丸扭转1例

IF 0.1

Case Reports in Perinatal Medicine Pub Date : 2022-12-20 eCollection Date: 2023-01-01 DOI: 10.1515/crpm-2022-0013

Murad Habib, Muhammad Bin Amjad, Mansoor Ahmed

{"title":"A case of intra-vaginal intrauterine testicular torsion.","authors":"Murad Habib, Muhammad Bin Amjad, Mansoor Ahmed","doi":"10.1515/crpm-2022-0013","DOIUrl":"10.1515/crpm-2022-0013","url":null,"abstract":"Objectives: Intrauterine testicular torsion is extremely rare and the exact cause remains largely unknown. It is the result of an ischemic insult intrauterine, which presents as either extra-vaginal or intravaginal testicular torsion. Urgent surgical exploration and fixating the contralateral testis is key in the management of this condition.Case presentation: We present here the case of a two-day old neonate with in-born right scrotal swelling admitted at Children's hospital. The patient was born at term via cesarean section at a private hospital. Upon arrival in the emergency department, he was well hydrated, pink at room temperature with good perfusion. Upon examination, the right testis was found to be enlarged, tense, non-tender visibly reddish with overlying skin excoriation. Trans-illumination was negative in right but positive in the contralateral testis. Both hernial orifices were normal. Doppler ultrasound of the inguinoscrotal area found the right testis to be enlarged (15.6*9.4 mm) and showed heterogeneous hypoechoic texture with prominent rete testis and no flow on color doppler analysis. An urgent scrotal exploration was undertaken. Intra-operatively there was frank necrotic right testis with intravaginal torsion of the testis and minimal hydrocele. A right orchidectomy and contralateral orchidopexy were performed.Conclusions: Intrauterine testicular torsion should be treated as a surgical emergency. We advocate early recognition of intrauterine testicular torsion, alongside surgical exploration and simultaneous contralateral orchidopexy.","PeriodicalId":9617,"journal":{"name":"Case Reports in Perinatal Medicine","volume":"73 1","pages":"20220013"},"PeriodicalIF":0.1,"publicationDate":"2022-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11616535/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83722110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0