Hemoperitoneum may occur in various emergent conditions. In the trauma setting, evidence of intraperitoneal blood depicted at computed tomography (CT) should lead the radiologist to conduct a careful search of images for the injured visceral organ (the liver or spleen). Specific CT signs, such as a sentinel clot or extravasation of intravascular contrast material, may indicate the source of ble...

Uterine rupture is one of the most feared obstetric complications affecting the pregnant woman and fetus. Most of the cases have various risk factors and mainly occur during the second or third trimester. However, spontaneous uterine rupture during the first trimester is extremely rare. We experienced a case of spontaneous uterine rupture in a 36-yr-old multiparous woman without definite risk f...

The text book definition of ectopic pregnancy referring to implantation of fertilized ovum outside the uterine cavity is not strictly true because implantation in the cervical canal, cornua and ectopic implanted on caesarean section scar are also considered as ectopic pregnancy. (Fig1) The importance of ectopic pregnancy in the twenty first century has increased with the increasing incidence de...

• Vol 8 • March 2006 Postpartum Liver Rupture and HELLP Syndrome Hepatic rupture with hemoperitoneum is a rare but devastating complication of pregnancy, mostly associated with the synd drome of severe gestational hypertension hemolysis, elevated liver enzyme levels, and low platelet count, known as the HELLP syndrome. We describe a young woman with HELLP syndrome and hepatic subcapsular ruptur...

Endometriosis is a painful disorder characterized by endometrial tissue outside the uterine cavity. It usually affects the pelvis, but in rare cases it might extend to other parts of the body. The report is based on a case of a 39-year-old woman, who presented symptoms of acute appendicitis and diagnosis confirmed with ultrasonography and a computed tomography scan procedures. Laparoscopic appe...

A negative urine pregnancy test in the emergency department traditionally excludes the diagnosis of pregnancy. We report a rare case of ruptured ectopic pregnancy in a patient with a negative urine pregnancy test but with a serum beta-human chorionic gonadotropin (β-hCG) of 10 mIU/mL. The patient developed hemoperitoneum and required laparoscopy by Obstetrics and Gynecology (OB/Gyn). This case ...

BACKGROUND Endometriosis, which occurs in approximately 10% of women of reproductive age, is defined as the presence of endometrial tissue outside the uterus. Women with endometriosis are more likely to have difficulty conceiving and tend to receive infertility treatment, including assisted reproductive technology (ART) therapy. There has not yet been a prospective cohort study examining the ef...

BACKGROUND Endometriosis is a chronic disease that responds to systemic pseudo-pregnancy therapy. However, side effects limit their long-term use, and recurrence often occurs after cessation of medication. Reducing side effects whereas improving therapeutic efficacy of pseudo-pregnancy therapy seems contradictory, but appealing. In order to address this dilemma, the efficacy and side effects of...

BACKGROUND Acute appendicitis with appendicial endometriosis is a very infrequently encountered condition during pregnancy. Decidualization is the hypertrophy of endometrial stromal cells by the effect of progesterone. Similarly, in pregnancy, ectopic stromal endometrial cells in endometriosis can also be transformed by the same mechanism and ectopic decidua (deciduosis) may occur. CASE Here ...

Abstract Background Unprovoked spontaneous uterine rupture in a primigravid unscarred uterus is rare but serious obstetric complication. Our case highlights prelabour primiparous patient with an anterior placenta praevia and transverse lie at 32 weeks. Case presentation The presented severe continuous abdominal pain abnormal Cardiotocograph antenatally. An emergency Caesarean section done suspi...