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

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":null,"pages":null},"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

Physiological pulmonary assessments in the management of bilateral diaphragmatic eventration 双侧膈疝脱出的生理肺评估

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Case Reports in Perinatal Medicine Pub Date : 2022-01-01 DOI: 10.1515/crpm-2021-0092

Fahad M. S. Arattu Thodika, E. Williams, T. Dassios, J. Adu, M. Nanjundappa, C. Harris, A. Greenough

{"title":"Physiological pulmonary assessments in the management of bilateral diaphragmatic eventration","authors":"Fahad M. S. Arattu Thodika, E. Williams, T. Dassios, J. Adu, M. Nanjundappa, C. Harris, A. Greenough","doi":"10.1515/crpm-2021-0092","DOIUrl":"https://doi.org/10.1515/crpm-2021-0092","url":null,"abstract":"Abstract Objectives To describe the importance of comprehensive assessment to determine the underlying diagnosis and the role of physiological pulmonary measurements in the management of congenital bilateral eventration of the diaphragm. Case presentation A female infant born at 34 weeks gestation required intubation and ventilation at birth. Chest radiographical imaging revealed bilateral density to the bases of both lung fields with raised hemi-diaphragms. Ultrasound imaging showed focal diaphragmatic eventration with bulging of the dome of the liver into the right and left hemithoraces. Assessment of the electrical activity of the diaphragm during a spontaneous breathing trial demonstrated a mean amplitude consistent with that of ventilated infants of the same gestational age with intact diaphragms. Hence she was extubated which was successful. Chest radiographic thoracic area measured post extubation was 1,654 mm2, equivalent to that of a term infant with severe congenital diaphragmatic hernia. As the electrical activity of the diaphragm was normal this suggests replacement of the diaphragmatic muscle tissue with fibrous bands was likely to be only partial, and hence why extubation was successful. She had other abnormalities presenting in the neonatal period including dermal melancytosis, central hypotonia, hyperinsulinism and poor feeding. The infant underwent extensive investigation which revealed a KMT2D gene mutation associated with Kabuki syndrome. Conclusions Physiological pulmonary measurements may add clinical management in bilateratal diaphragmatic eventration.","PeriodicalId":9617,"journal":{"name":"Case Reports in Perinatal Medicine","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86815298","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

Autoimmune polyglandular syndrome type 2 in pregnancy: a case report and review of the literature 妊娠期自身免疫性多腺综合征2型:1例报告及文献复习

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Case Reports in Perinatal Medicine Pub Date : 2022-01-01 DOI: 10.1515/crpm-2020-0058

David R. Bayless, Trevor Caldarera, H. Harirah

{"title":"Autoimmune polyglandular syndrome type 2 in pregnancy: a case report and review of the literature","authors":"David R. Bayless, Trevor Caldarera, H. Harirah","doi":"10.1515/crpm-2020-0058","DOIUrl":"https://doi.org/10.1515/crpm-2020-0058","url":null,"abstract":"Abstract Objectives Autoimmune polyglandular syndromes are uncommon heterogeneous conditions characterized by the association of two or more organ-specific endocrinopathies. Very few cases of these syndromes have been described during pregnancy. Here we report a case of autoimmune polyglandular syndrome type-2 presenting during pregnancy and complicated by preeclampsia with severe features. Case presentation The patient is a 35-year-old G7P0242 woman with a history of adrenal insufficiency, type 1 diabetes mellitus, and chronic lymphocytic thyroiditis. She was admitted to our institution at 34 weeks’ gestation for preterm contractions, nausea, and lower extremity edema for a few weeks prior to admission. At 35 weeks’ gestation, she developed preeclampsia with severe features requiring repeat cesarean section with good maternal and fetal outcomes. Recognizing the occurrence of this rare syndrome during pregnancy, adequate replacement of the deficient hormones, and close maternal and fetal surveillance are essential to achieving favorable outcomes. Conclusions To our knowledge, this is the first reported case of a pregnant woman with autoimmune polyglandular syndrome type-2 complicated by preeclampsia with severe features.","PeriodicalId":9617,"journal":{"name":"Case Reports in Perinatal Medicine","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86434497","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

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

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":null,"pages":null},"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

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

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":null,"pages":null},"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

Didelphys uterus: a successful induction of labor in a case of intrauterine fetal death near term 双子宫:一个成功引产的情况下，宫内胎儿死亡的近月

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Case Reports in Perinatal Medicine Pub Date : 2022-01-01 DOI: 10.1515/crpm-2021-0078

Algeri Paola, D’Oria Patrizia, Toto Valentina, Fenili Paola, Ermito Santina, Bonalumi Silvia, R. Denise, Ciammella Massimo

引用次数: 0

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