Case Reports in Perinatal Medicine最新文献_第5页

Chagasic heart failure in a pregnant woman in a non-endemic area: case report and long-term follow-up 非流行地区孕妇恰加斯型心力衰竭:病例报告和长期随访

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Case Reports in Perinatal Medicine Pub Date : 2022-01-01 DOI: 10.1515/crpm-2021-0074

Teresa Gastañaga-Holguera, V. González-González, P. Merino-Amador

{"title":"Chagasic heart failure in a pregnant woman in a non-endemic area: case report and long-term follow-up","authors":"Teresa Gastañaga-Holguera, V. González-González, P. Merino-Amador","doi":"10.1515/crpm-2021-0074","DOIUrl":"https://doi.org/10.1515/crpm-2021-0074","url":null,"abstract":"Abstract Objectives Chagas disease (CD) is caused by infection with the protozoan Trypanosoma cruzi, a parasite that nests in various tissues, causing irreversible cardiac damage in 30% of patients with chronic disease and neurological or digestive lesions in 10%. CD is now found in areas receiving migrant populations where no vector-borne transmission occurs. Chagasic cardiomyopathy (CC) is the most serious complication of the chronic phase of CD and the major cause of morbidity and mortality among patients with CD. Case presentation Bolivian woman at 38 weeks of gestation was admitted at the emergency room with the diagnosis of congestive heart failure. Cesarean section was performed and maternal hypotension and uterine atony occurred. Dilated myocardiopathy with severe left ventricle dysfunction was diagnosed. The patient referred positive serology for T. cruzi and polymerase chain reaction (PCR) was positive so benznidazole therapy was started. She was discharged due to progressive improvement with cardiological treatment and implantable cardioverter defibrillator was placed 5 years later for the prevention of sudden cardiac death. Conclusions The diagnosis of CC in non-endemic areas requires a high index of suspicion and it is based on serology. Antiparasitic drugs are almost 100% effective in infected newborn babies and highly effective in the treatment of patients in the acute stage of the disease. However, the efficacy of both drugs decreases the longer a person has been infected. Treatment of CC that causes chronic heart failure is similar to that in non-Chagasic etiology.","PeriodicalId":9617,"journal":{"name":"Case Reports in Perinatal Medicine","volume":"106 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91333896","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

Extreme fetal macrosomia at 42 gestational weeks: a case report and literature review 42孕周极端巨大儿1例报告并文献复习

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Case Reports in Perinatal Medicine Pub Date : 2022-01-01 DOI: 10.1515/crpm-2021-0042

J. Kummer, Yvonne Callister, Anja Jebens, Valentin Mihajlov, Luisa-Maria Pech, L. Hellmeyer

{"title":"Extreme fetal macrosomia at 42 gestational weeks: a case report and literature review","authors":"J. Kummer, Yvonne Callister, Anja Jebens, Valentin Mihajlov, Luisa-Maria Pech, L. Hellmeyer","doi":"10.1515/crpm-2021-0042","DOIUrl":"https://doi.org/10.1515/crpm-2021-0042","url":null,"abstract":"Abstract Objectives Fetal macrosomia is a term to describe excessive fetal birth weight. Fetal macrosomia is strongly associated with adverse obstetrical outcome. Case presentation We report a rare case of excessive neonatal weight in a medically unsupervised pregnancy and give a literature review on this significant subject. A 38 year-old woman (Gravida 8 Para 7) presented herself at 42 2/7 weeks of gestation at the labor ward. The pregnancy had not been supervised medically. Labor induction was initiated. Due to failure to progress and suspicion of a disproportion of the fetal head and maternal pelvis an urgent caesarean section was performed. A morbidly macrosomic male infant was delivered (birth weight: 6,760 g [>99. percentile], length: 60 cm [>99. percentile]). Conclusions The morbidity for infants and women increases with a birth weight exceeding 4,500 g. Gestational diabetes mellitus, a high pre-pregnancy body mass index and excessive gestational weight gain have been independently associated as risk factors. The increase in pregnancies complicated by maternal obesity and gestational diabetes emphasizes the necessity of evidence-based clinical interventions to prevent or reduce these diseases. If prenatal care is not frequented by mothers-to-be there are no options open for obstetricians to detect fetal macrosomia and to intervene.","PeriodicalId":9617,"journal":{"name":"Case Reports in Perinatal Medicine","volume":"99 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90985341","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

Utilization of point-of-care ultrasound and rotational thromboelastometry (ROTEM) in the diagnosis and management of amniotic fluid embolism presenting as post-partum hemorrhage and cardiac arrest 利用即时超声和旋转血栓弹性测量(ROTEM)诊断和管理羊水栓塞表现为产后出血和心脏骤停

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Case Reports in Perinatal Medicine Pub Date : 2022-01-01 DOI: 10.1515/crpm-2022-0009

Angela N. Phillips, L. Kirkland, W. Wagner, Roman Melamed, David M. Tierney

{"title":"Utilization of point-of-care ultrasound and rotational thromboelastometry (ROTEM) in the diagnosis and management of amniotic fluid embolism presenting as post-partum hemorrhage and cardiac arrest","authors":"Angela N. Phillips, L. Kirkland, W. Wagner, Roman Melamed, David M. Tierney","doi":"10.1515/crpm-2022-0009","DOIUrl":"https://doi.org/10.1515/crpm-2022-0009","url":null,"abstract":"Abstract Objectives To describe the integration of point-of-care ultrasound (POCUS) and rotational thromboelastometry (ROTEM) in the diagnosis and management of cardiac arrest secondary to amniotic fluid embolism (AFE). Case presentation A 29-year-old female presented for induction of labor at 39 weeks. Labor was complicated by hemorrhage and subsequent sinus tachycardia pulseless electrical activity (PEA) arrest. Intra-arrest POCUS demonstrated right ventricular dilation and hypokinesis adding to a presumed hemorrhagic arrest etiology. Venoarterial extracorporeal membrane oxygenation (VA-ECMO) was initiated at the bedside following the POCUS findings. ROTEM further clarified the etiology of hemorrhage as disseminated intravascular coagulation (DIC), and in combination with the POCUS findings led to a final diagnosis of amniotic fluid embolism with DIC. The patient was maintained on VA-ECMO without heparin in the setting of DIC. She had a complicated hospital course but was discharged home with her healthy child and no residual physical or neurologic deficits. Conclusions In the absence of more specific testing modalities the utilization of rapidly available POCUS in conjunction with ROTEM can impact clinical decision making of cardiovascular resuscitation in patients during labor and delivery by narrowing the differential between pulmonary embolism and AFE.","PeriodicalId":9617,"journal":{"name":"Case Reports in Perinatal Medicine","volume":"32 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83162030","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

A new sonographic marker in the diagnosis of prenatal bilateral renal agenesis, segmental anterior deviation of the aorta 产前双侧肾发育不全、主动脉节段性前偏的超声诊断新指标

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Case Reports in Perinatal Medicine Pub Date : 2022-01-01 DOI: 10.1515/crpm-2022-0001

Halis Özdemir, Belma G Özdemir, Songül Yerlikaya Kavak, Şule Şık

引用次数: 0

An unusual case of the congenital mesenchymal hamartoma of the neck associated with the midline cervical cleft in neonate 新生儿颈中线裂合并颈部先天性间质错构瘤的罕见病例

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Case Reports in Perinatal Medicine Pub Date : 2022-01-01 DOI: 10.1515/crpm-2021-0094

Ida Nađ, Dorotea Šijak, S. A. Jurica, A. Jakovčević

{"title":"An unusual case of the congenital mesenchymal hamartoma of the neck associated with the midline cervical cleft in neonate","authors":"Ida Nađ, Dorotea Šijak, S. A. Jurica, A. Jakovčević","doi":"10.1515/crpm-2021-0094","DOIUrl":"https://doi.org/10.1515/crpm-2021-0094","url":null,"abstract":"Abstract Objectives Hamartomas are non-neoplastic developmental anomalies, mostly congenital, characterized by uncontrolled, disorganized proliferation of local endogenous tissue, which can normally be found at the site of origin and are very often mesodermally derived. It is well known that hamartoma can be associated with congenital midline cervical cleft and therefore cause a variety of symptoms. In general, they are benign and indolent, but they can be the cause of complex morbidity if they are localized within specific regions, such as the head and neck, which represent highly sensitive and vulnerable areas. Case presentation The reported case is unusual because of the presence of a congenital mesenchymal hamartoma along with the median cervical cleft, in a 1-day-old neonate, without the presence of any respiratory symptoms or associated congenital features. Although extremely rare, hamartomas should be included in the differential diagnosis of congenital neck masses, with emphasis on diagnostic approach, to avoid overly aggressive treatment and possible complications, such as infection, further mass growth, malignant transformation and compression of the adjacent neck structures. Conclusions Appropriate and timely treatment of the hamartoma of the neck in neonates, with further follow-up is necessary to avoid an overly aggressive treatment and to distinguish benign from malignant lesions, which is necessary for successful curative outcome.","PeriodicalId":9617,"journal":{"name":"Case Reports in Perinatal Medicine","volume":"113 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76807650","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

Expectant management of placenta accreta after a mid-trimester pregnancy loss: a case report and a short review 妊娠中期流产后胎盘增生的准管理:一例报告和简短回顾

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Case Reports in Perinatal Medicine Pub Date : 2022-01-01 DOI: 10.1515/crpm-2021-0008

Diletta Fumagalli, T. Bignardi, A. Vanzulli, P. Corbella, M. Meroni, M. L. Interdonato

引用次数: 1

Hemothorax after fetal pleural effusion-thoracoamniotic shunting procedure due to transient myeloproliferative disorder 胎儿胸腔积液-胸羊膜分流术后因短暂性骨髓增殖性疾病引起的血胸

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Case Reports in Perinatal Medicine Pub Date : 2022-01-01 DOI: 10.1515/crpm-2021-0032

Y. Iwahata, H. Iwahata, J. Hasegawa, C. Homma, Y. Nishimura, H. Kondo, N. Suzuki

引用次数: 0

Massive fetomaternal hemorrhage: a case series and review of literature 大量胎儿出血:一个病例系列和文献回顾

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Case Reports in Perinatal Medicine Pub Date : 2022-01-01 DOI: 10.1515/crpm-2021-0079

Carolina Smet, L. Queiró, Edmundo Santos, A. Reis, C. Costa

引用次数: 0

Coarctation of the aorta and persistent left superior vena cava: HDlive Flow features at 14 weeks of gestation 主动脉缩窄和持续性左上腔静脉:妊娠14周HDlive血流特征

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Case Reports in Perinatal Medicine Pub Date : 2022-01-01 DOI: 10.1515/crpm-2021-0066

Toshiyuki Hata, Aya Koyanagi, Riko Takayoshi, T. Miyake, Yuichiro Nakai, K. Tani, Kei Hayata, H. Masuyama

{"title":"Coarctation of the aorta and persistent left superior vena cava: HDlive Flow features at 14 weeks of gestation","authors":"Toshiyuki Hata, Aya Koyanagi, Riko Takayoshi, T. Miyake, Yuichiro Nakai, K. Tani, Kei Hayata, H. Masuyama","doi":"10.1515/crpm-2021-0066","DOIUrl":"https://doi.org/10.1515/crpm-2021-0066","url":null,"abstract":"Abstract Objectives A significant discrepancy between a large ductus arteriosus and a smaller aorta at their connection is key to diagnose coarctation of the aorta (CoA) at 14–16 weeks of gestation. CoA was associated with persistent left superior vena cava (PLSVC) in 21.3% of fetuses. HDlive Flow findings for CoA or PLSVC were obtained only in the third trimester of pregnancy. To the best of our knowledge, there has been no report on the prenatal findings of CoA and PLSVC using HDlive Flow with spatiotemporal image correlation (STIC) before 20 weeks of gestation. Case presentation We present the trans-abdominal HDlive Flow features of CoA and PLSVC at 14 weeks of gestation. With a three-vessel trachea view on multiplanar view using color Doppler with STIC, PLSVC on the left side of the pulmonary artery was noted, and a narrowing aortic isthmus was suspected. A narrowing isthmus was also suspected with an aortic arch view. HDlive Flow clearly showed the spatial relationships among the right superior vena cava, aorta with narrowing isthmus, pulmonary artery, and PLSVC. A preductal ‘shelf’ was also suspected. No other fetal anomaly was noted. Neonatal echocardiography after delivery confirmed CoA and PLSVC. Conclusions To the best of our knowledge, this is the first report on HDlive Flow features of fetal CoA and PLSVC using STIC early in the second trimester of pregnancy.","PeriodicalId":9617,"journal":{"name":"Case Reports in Perinatal Medicine","volume":"105 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80709344","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: 2

Postpartum sepsis-like illness and rash associated with Hansen’s disease 产后败血症样疾病和汉森氏病相关皮疹

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Case Reports in Perinatal Medicine Pub Date : 2022-01-01 DOI: 10.1515/crpm-2021-0046

Jinai Bharucha, Lynne Saito-Tom

引用次数: 0