The patient had complete placenta previa and a giant placental tumor, and had a history of repair for cor triatriatum (CorT) 19 years previously. After anesthetic induction with remifentanil, thiamylal, and rocuronium, tachyarrhythmia occurred following multifocal ventricular premature contraction. Treatment with lidocaine was not effective. However, tachyarrhythmia converted naturally after de...

Information about a real patient is presented in stages (boldface type) to an expert clinician (Dr Nandita S. Scott), who responds to the information, sharing her reasoning with the reader (regular type). A discussion by the authors follows. A 35-year-old woman, G2P1, with a history of Hashimoto's thyroiditis, vitiligo, and gestational diabetes mellitus presented in the 30th week of pregnancy w...

Symptomatic subdural haematoma (SDH) in term infants typically occur following traumatic vaginal delivery. Emergency Caesarean Section (EmC/S) carried out after failed attempts at vaginal delivery may also be complicated by symptomatic SDH but spontaneous symptomatic SDH complicating Elective Caesarean Section (ElC/S) is a rarity. We describe a case of massive SDH in a term baby delivered by El...

A female newborn, a product of consanguineous marriage born by caesarian section delivery with a birth weight of 3.75 kg, was admitted to our hospital with abdominal distension. Antenatal ultrasound showed congenital heart disease and a pelvic mass. On examination, she had lower abdominal mass emanating from the pelvis. There was polydactly and syndactly of the right hand and polydactly of the ...

The case of a woman with sickle cell trait who sustained a cardiac arrest and died during a Caesarian section under general anaesthesia is reported. Because the common causes of intraoperative hypoxia and shock were ruled out in this case, we believe that death was due to severe concealed aorto-caval compression. After delivery, the release of a large volume of hypoxaemic, acidotic blood with s...

UNLABELLED An infant, showing peripheral cyanosis, was born after lower abdominal peripheral caesarian section of the pregnant women having TORCH positive test with the infection of Toxoplasma gondiiand Cytomegalovirus. She had three abortions prior to this pregnancy. Doppler echocardiography of the baby showed profound intracardiac defects. After birth, echocardiography was carried out for dia...

One of the most useful applications of epidural analgesia is in the old dogs. When combined with effective sedation, epidural analgesia is definitely safer than general anaesthesia in old patients. Epidural analgesia can be routinely considered in all ages of dogs in select cases of caesarian section, hysterectomy, painful manipulation of the hind limbs and rectal, vaginal or perineal surgery (...