The Experts below are selected from a list of 132 Experts worldwide ranked by ideXlab platform

David J Hetzel - One of the best experts on this subject based on the ideXlab platform.

  • uterine incarceration during the third trimester a rare Complication of Pregnancy
    Mayo Clinic proceedings, 1991
    Co-Authors: Jo T Van Winter, Paul L Ogburn, David J Hetzel
    Abstract:

    Uterine incarceration that manifests during the third trimester or at term is a serious and rare Complication of Pregnancy. The pregnant patient may complain of low-abdominal pain, low-back pain, urinary retention, and constipation, or the patient may by asymptomatic until labor begins. The diagnosis is difficult, and physical findings can be misleading. Ultrasonography and magnetic resonance imaging can be helpful if the anteriorly displaced cervix is clearly depicted. If incarceration of the retroverted uterus persists until term, a cesarean section is necessary. Recurrent uterine incarceration has been reported; therefore, the patient should be monitored closely during subsequent pregnancies. Herein we describe three cases of uterine incarceration during the third trimester and review the literature with respect to incidence, differential diagnosis, management, and Complications of this condition.

Stuart D Shelton - One of the best experts on this subject based on the ideXlab platform.

  • permanent blindness as a Complication of Pregnancy induced hypertension
    Obstetrics & Gynecology, 2002
    Co-Authors: Cher P Moseman, Stuart D Shelton
    Abstract:

    Abstract BACKGROUND: Visual disturbances are common symptoms of preeclampsia, but blindness remains a rare phenomenon. CASE: A 21-year-old secundagravida was admitted at 35 4 7 weeks’ gestation with a diagnosis of preeclampsia. She labored on her second hospital day and underwent a cesarean delivery for nonreassuring fetal status. On postoperative day 1, she reported blurring of her vision that progressed rapidly to complete vision loss. Ophthalmological examination revealed ischemic retinal changes bilaterally; radiographic examination showed lesions in the lateral geniculate bodies, consistent with infarcts, as the possible etiologies of her blindness. Five months later, the patient has not regained her sight and remains legally blind. CONCLUSION: Complete amaurosis is a rare Complication of Pregnancy demanding immediate ophthalmological and neurological evaluation as well as radiographic studies of the brain.

Jo T Van Winter - One of the best experts on this subject based on the ideXlab platform.

  • uterine incarceration during the third trimester a rare Complication of Pregnancy
    Mayo Clinic proceedings, 1991
    Co-Authors: Jo T Van Winter, Paul L Ogburn, David J Hetzel
    Abstract:

    Uterine incarceration that manifests during the third trimester or at term is a serious and rare Complication of Pregnancy. The pregnant patient may complain of low-abdominal pain, low-back pain, urinary retention, and constipation, or the patient may by asymptomatic until labor begins. The diagnosis is difficult, and physical findings can be misleading. Ultrasonography and magnetic resonance imaging can be helpful if the anteriorly displaced cervix is clearly depicted. If incarceration of the retroverted uterus persists until term, a cesarean section is necessary. Recurrent uterine incarceration has been reported; therefore, the patient should be monitored closely during subsequent pregnancies. Herein we describe three cases of uterine incarceration during the third trimester and review the literature with respect to incidence, differential diagnosis, management, and Complications of this condition.

Guillaume Jondeau - One of the best experts on this subject based on the ideXlab platform.

  • maternal Complication of Pregnancy in marfan syndrome
    International Journal of Cardiology, 2009
    Co-Authors: Laure Pacini, Frank Digne, Ariane Boumendil, Christine Muti, Delphine Detaint, Catherine Boileau, Guillaume Jondeau
    Abstract:

    Abstract Objectives Evaluate the risk of aortic Complications (aortic dissection or prophylactic aortic surgical replacement) associated with Pregnancy in Marfan syndrome in the absence of specific care. Background Data are scarce on aortic Complications during Pregnancy in Marfan syndrome. Methods Retrospective study on a large population (415 patients) followed up in our multidisciplinary out-patient clinic devoted to Marfan syndrome. Women over 18 years of age were divided into 2 groups: 85 had been pregnant (MFSP+) giving birth to 136 children through 160 pregnancies; 68 had not been pregnant (MFSP−). The occurrence of aortic Complication was compared between the 2 groups using a piecewise discrete-time model. Results In MFSP+, 7 aortic Complications occurred during 160 pregnancies (4.4%) and 17 aortic Complications occurred during 1870 years of follow-up out of Pregnancy. In MFSP−, 14 aortic Complications occurred over 940 years of follow-up. Pregnancy was associated with a 5 fold increase in risk of aortic Complication, which did not translate into increased risk during life, suggesting that Pregnancy may act as a revealer in women prone to aortic Complication. Conclusions Pregnancy is associated with a transient increased risk of aortic Complication in the absence of specific care.

Linda C Giudice - One of the best experts on this subject based on the ideXlab platform.

  • medical management of interstitial ectopic Pregnancy a case report and literature review
    Human Reproduction, 1998
    Co-Authors: J D Fisch, B H Ortiz, S Tazuke, Usha Chitkara, Linda C Giudice
    Abstract:

    Recent reports describe successful treatment of interstitial ectopic pregnancies using methotrexate. While the number of reported cases is increasing, no consensus exists regarding the management of this Complication of Pregnancy. We present the successful use of combined systemic and direct intrasac injection of methotrexate for an interstitial Pregnancy with the highest yet reported initial β-human chorionic gonadotrophin concentration (102 000 mIU/ml). We also describe the use of Doppler ultrasound for monitoring treatment progression. Through a review of the current literature, we propose to facilitate management decisions and increase outcome success by summarizing previously reported treatment regimens and by describing enhanced parameters for patient selection and monitoring.