BACKGROUND Anterior abdominal wall fibroid are uncommon and could be a cause of pain and discomfort. Very few cases have been reported in the literature but none in our region. CASE PRESENTATION We present an uncommon case of a 31 year old para 2+2 trader from the Itsekiri tribe of the Niger Delta region of Nigeria who presented with a one year history of a periumbilcal mass, had surgical rem...

Acute myocardial infarction (AMI) during pregnancy and puerperium is very rare. With a growing number of older women giving birth, AMI may become more common complication of pregnancy. We present a 42-year-old multipara with coagulation disorders in pregnancy who suffered from AMI in the peripartum period, documented by ECG, cardiac markers and echocardiography, with normal coronary arteries on...

of a case of super-fcetation :?In January last I was sent for to attend Mrs S., a multipara, who stated she was six months pregnant, and had miscarried at about that period on several occasions. On making an examination, I found a bag of wrater protruding, which, on being ruptured, was found to contain a foetus at about the third month. After waiting for some time, and no change taking place, I...

Introduction: Leiomyoma of the uterus is the most common tumor of the female reproductive tract. While most leiomyomas on histology are usual myomas, sometimes rare variants may be encountered. Case Report: We report a case of an atypical uterine leiomyoma in a 49-year-old multipara, who presented with continuous bleeding per vaginum of one month duration and discuss the pathophysiology, salien...

We report a case of severe intrauterine hemolysis caused by sole anti-E alloimmunization. A 36-year-old multipara woman presented with hydrops fetalis at 27 weeks of gestation. She had a history of previous neonatal death. In this pregnancy, she was found to have very high titer of anti-E antibody. Ultrasonography detected marked skin edema, cardiomegaly, hepatosplenomegaly, pleural effusion, a...

BACKGROUND Intrahepatic cholestasis of pregnancy is associated with an increased risk of fetal death. The mechanism of death is unknown. CASES The first case involved a young primipara with pruritus and a bile acid concentration of 79 mumol/dL. While undergoing fetal heart rate monitoring, the fetus had a prolonged deceleration resulting in intrauterine death. The second case involved a young...

In this issue of Circulation, Midei and colleagues1 from The Johns Hopkins University report a high incidence of myocarditis in women with postpartum congestive heart failure. Myocarditis was first convincingly documented to be a cause of peripartum cardiomyopathy in 1982 by Melvin et a12 at King's College Hospital in London through use of premortem transvenous endomyocardial biopsy. Since then...

BACKGROUND To investigate the relation between maternal thyroid function and the outcome of external cephalic version (ECV) in breech presentation. METHODS Prospective cohort study in 141 women (≥ 35 weeks gestation) with a singleton fetus in breech. Blood samples for assessing thyroid function were taken prior to ECV. Main outcome measure was the relation between maternal thyroid function an...

We investigated presence and levels of DDT in 163 breast milk samples from four South African villages where, in three of them, malaria is controlled with DDT-sprayed indoors. Mean ΣDDT levels in breast milk were 18, 11, and 9.5 mg/kg mf (milk fat) from the three DDT-sprayed villages, respectively, including the highest ΣDDT level ever reported for breast milk from South Africa (140 mg/kg mf). ...