Hepatic Venous outflow obstruction can rarely but significantly occur following the ‘piggy back’ technique of vena caval reconstruction. There are various mechanisms that cause hepatic venous outflow obstruction. A ‘ball valve’ type of obstruction requires the liver to be elevated. This can be achieved by placing various devices under the liver. We present our experience of using the ‘Bakri tub...

Heterotopic pregnancy refers to the presence of simultaneous pregnancies in two different implantation sites, generally one intra-uterine pregnancy and one extra-uterine pregnancy (usually tubal). This is a rare case of a heterotopic pregnancy involving concurrent intra-uterine pregnancy and caesarean section scar pregnancy (CSEP). CSEPs are at a high risk of bleeding and uterine rupture, carry...

Introduction In 2021 the number of PUS in working area Calang Health Center is 3,037 people with 1,984 active family planning participants (65.52%) and 517 MKJP users, namely IUDs (25.97%). This shows that work area, are still relatively low considering very high. method a combination (mixed methods research) Accidental Sampling technique 95 samples on quantitative 9 informants qualitative . Qu...

Destruction of the endometrium due to trauma to the basal layer of endometrium may cause intra uterine adhesions, known as Asherman's syndrome (AS). There are various types of imaging method for diagnosis of the intra uterine adhesion such as hysterosalpingography, sonohysterography, ultrasonography, and hysteroscopy which is considered as the gold standard approach. Hysterosalpingogram may sug...

BACKGROUND Intra-uterine pregnancy coexisting with cervical pregnancy (heterotopic pregnancy) is a rare condition and its management is challenging because of the massive bleeding associated with cervical pregnancy. Uterine artery embolization followed by hysteroscopic removal of cervical and intra-uterine products of conception can theoretically prevent massive bleeding and provide a direct vi...