Spontaneous rupture of the oesophagus may occur either transmurally or intramurally. The symptoms, signs, clinical course, treatment and prognosis differ in the two types. Transmural rupture is generally regarded as a serious condition, usually requiring operative treatment and having a high morbidity and mortality. Intramural rupture is a much more benign condition, is treated non-operatively ...

Rupture of the spleen in infectious mononucleosis is a rare but potentially fatal complication. Once injured, the "pathologic" spleen may have limited reparative capabilities. In this situation, operative management seems to be the safer therapeutic approach.

Ehlers Danlos syndrome (EDS) is an inherited connective tissue disease due to impaired collagen metabolism. Joint hypermobility and skin hyper extensibility are the major findings. Six types of EDS are recognized. Type I or Gravis type is characterized by skin hyperextensibility, joint hypermobility, skin splitting autosoml dominancy inheritance, preterm premature rupture of membrane (PPROM) an...

Habel, A. H., Sandor, G. S., Conn, N. K., and McCrae, W. M. (1972). Archives of Disease in Childhood, 47, 401. Premature rupture of membranes and effects of prophylactic antibiotics. A series of 100 infants born after prolonged rupture of membranes was studied to evaluate the risk of infection to the infant due to this circumstance alone, and to assess the effect of prophylactic antibiotics in ...

INTRODUCTION Preterm premature rupture of membranes (PPROM) complicates 1-5 % of all pregnancies and is the major contributory factor for perinatal morbidity and mortality. Micronutrient deficiency (vitamin C) is associated with increased risk of PPROM. This study was conducted to establish the association between maternal plasma vitamin C concentration in women with PPROM and women without PPR...

It is clear that there is no unequivocal indication for the use of antenatal corticosteroids in the preterm gestation with PROM. Extrapolating the effects seen in gestations with intact membranes, however, there are potential benefits in reduction of neonatal respiratory disease and intracranial hemorrhage at the expense of increased risks of maternal postpartum infection. Because the lifetime ...

We report the administration of spinal anaesthesia for cesarean delivery in a parturient with vascular Ehlers-Danlos syndrome. Parturients who genetically inherit this disorder are at risk for significant morbidity and mortality. Risks during pregnancy include premature labor, uterine prolapse, and uterine rupture. Additionally, such laboring parturients are at increased risk of hemodynamic vol...

The accuracy rates of 3 diagnostic methods, namely pH determination, fern test and nile blue sulphate (NBS) staining, in the evaluation of women with prolonged premature rupture of fetal membranes (PRM), were investigated in a prospective study. Two hundred and sixty-two women, divided into control and test groups, were examined. A total of 1725 tests were performed. The results indicate that t...

Fig. l In accordance with the technique of infection prophylaxis during labor which we developed two years ago (1), we now use this new method modified accordingly also in cases of premature rupture of the membranes (2). All patients in our prenatal care unit are advised to come to the hospital directly after the membranes have ruptured. Immedi^ ately after admission a thin cathether is fixed o...