tailieunhanh - Báo cáo y học: "Cyclopia with shoulder dystocia leading to an obstetric catastrophe: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Cyclopia with shoulder dystocia leading to an obstetric catastrophe: a case report. | Koregol et al. Journal of Medical Case Reports 2010 4 160 http content 4 1 160 jA CASE REPORTS CASE REPORT Open Access Cyclopia with shoulder dystocia leading to an obstetric catastrophe a case report Mahesh C Koregol 1 Mrutyunjaya B Bellad2 Baburao R Nilgar2 Mrityunjay C Metgud2 and Geeta Durdi2 Abstract Introduction Cyclopia is a rare fetal malformation characterized by a single palpebral fissure and a proboscis associated with severe brain malformations. Approximately in 100 000 births including stillbirths are identified as cyclopean. The prevalence is about one in 11 000 to 20 000 in live births and one in 250 during embryogenesis. Case presentation A 30-year-old Indian woman of Asian origin sixth gravida was referred to the labor room of our hospital. There were no ultrasound examinations performed during this pregnancy as our patient had not received regular antenatal care. We found out that the head of her baby was already outside the vulva but the remaining parts of the baby were not yet delivered. Further examination was carried out and a diagnosis of shoulder dystocia with intrauterine fetal demise was made. A stillborn baby boy of kg was delivered using McRoberts maneuver. The baby was suspected of having features of cyclopia and this was later confirmed by autopsy and anatomic correlation. The mother had a cervical tear which extended into the lower segment of her uterus thus leading to the rupture of her uterus. There was a massive broad ligament hematoma on the left side of her uterus. A total abdominal hysterectomy was carried out. Conclusion Prenatal diagnosis by ultrasound examination might help in detecting cyclopia and preventing complications associated with this condition. However in developing countries where women do not receive regular antenatal care and do not undergo prenatal diagnosis such cases will go undetected. In our case report the occurrence of shoulder dystocia could be .

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