Intraabdominal Cyst: A Case Study

During a pregnancy, many expecting mothers will travel to the doctor to have a check up with how the pregnancy is doing. Many mothers will get done a special procedure that is called an ultrasound. An ultrasound is a procedure that uses high-frequency sound waves to scan a woman’s abdomen and pelvic cavity, creating a picture (sonogram) of the baby and the placenta.(2-1) Ultrasounds may be performed at any point during a pregnancy, and the results are seen immediately on a monitor during the procedure.(2-2) The ultrasound doesn’t hurt the mother or the fetus. There are many situations where ultrasounds can be used. Some doctors will use an ultrasound to look at someone’s abdomen, especially if there is stomach pains and nausea present. One

Keia is a 31yo, G2 P0100, who is currently 9 weeks 6 days as dated by a 6-week scan that was off from her LMP. She has a history of an IUFD at 29 weeks. She reports that she had decreased fetal movement prior to coming in and there being no fetal heart tones on examination, but other than that there were no other significant precipitating events. She did have an increased risk for Down syndrome at 1:140 but per the old reports all of her analytes were within normal limits. At the time of delivery, the baby did appear to be appropriate weight and there were no obvious causes at the time of delivery. She reports that she had chromosomes performed after and the chromosomes were negative. She also thinks she had a full autopsy that was unremarkable. She did have a work-up for clotting disorders due to the history of loss and according to the chart everything is relatively within normal limits except for MTHFR which was heterozygous for C677T and A1298C. I did not see beta-2 glycoprotein or antithrombin III. Because of the relatively normal work-up she is on a baby aspirin and Metanx. She is here today to discuss her history and plans for this pregnancy.

This particular case study involves a 29 year old obstetric patient who presented to the labor and delivery unit at 33 weeks gestation with complaints of abdominal pain for the past three days that had become more severe and absence of fetal movement noted since the previous evening. Her obstetric history revealed she has one living child and has had one previous miscarriage at ten weeks

One of the most important determinant of fetal viability is the pulmonary system development and maturity. The prenatal awareness of any abnormalities or anomalies going to ensure better management of the pregnancy, also giving the opportunity for the medical team and parents to prepare for the delivery and postnatal treatment. Congenital malformations of the fetal thorax are common which can involve many organs. Early detection and accurate diagnosis of fetal pathology are possible by using ultrasound and MRI imaging.

A 26-year-old otherwise healthy woman comes to the emergency department complaining of nausea and pelvic discomfort for the past 3 days. The pelvic discomfort worsens with sexual activity. She describes the discomfort as a pressure in her lower abdomen. She has one male sexual partner, and they use condoms occasionally. The patient has not had a menstrual period for the past 2 months. The patient has had a female partner in the past. Her most recent sexual encounter was 2 nights ago. She has never had any sexually transmitted disease and received her human papillomavirus vaccine at 19. She denies fever, nausea, vomiting, headache, diarrhea or constipation. Vital signs include heart rate 80 beats/min, blood pressure 116/72 mmHg, respiratory

Krystal is a 36yo, G5 P4004, who is currently 20 weeks 6 days. She was seen 2 days ago in our office as a work-in for suspected brain abnormality. At that time, there was questionable dilation of the third-ventricle and fourth-ventricle and possible absent cavum septum pellucidum with dilated ventricles. Also of note, the head measurements were slightly behind dates as well.

A 24 year old female at 27 weeks gestation presented to our institution with abdominal pain and concern for preterm labor. The patient had undergone a laparoscopic cholecystectomy for chronic cholecystitis ten days prior at another institution, which is where she presented for a prenatal visit. In the transfer record, patient had multiple recent admissions due to emesis, attributed to hyperemesis gravidum and cholecystitis. On admission to our institution, she complained of uncomfortable cramping abdominal pain with concern for preterm labor. She was febrile, with a leukocytosis of 26.3. The obstetric service performed a negative amniocentesis for what they suspected to be chorioamnionitis. Ten hours after admission, her pain failed to improve, she was placed on piperacillin/tazobactam. MRI was obtained and demonstrated a

Her final vaginal exam was at ten centimeters dilated and one hundred percent effaced. The patient’s support system during labor and delivery was her boyfriend, the father of her child. After her induction via artificial rupture of membranes, she had a intrauterine pressure catheter placed and was prescribed Pitocin at 22milli-units/min.

Brittany is a 22yo, G5 P3013, who is currently 32 weeks 5 days. She is followed in the High Risk Obstetrical Clinic secondary to a history of Subutex use. Notably, she has had appropriate growth but at her last scan 4 weeks ago the amniotic fluid was low-normal at 8.2 cm. She is attempting to wean her Subutex and is doing quite well. She has had some decreased fetal movement recently, although she is able to obtain movement counts. She also complained of some possible leaking. She has not had any large gushes but has noticed that she needs to wear a pad throughout the day due to potential leaking.

On ultrasound there is a live fetus in cephalic presentation. Fetal biometry is consistent with dates. A limited survey was unremarkable. Fluid and Doppler’s are overall reassuring and BPP is 8/8.

By dates, she is 11 6/7 weeks and the crown-rump length measurement is concordant. The nuchal translucency measurement fell within the normal range. The nasal bone was identified, and there was normal ductus flow. No abnormalities were seen within the

Ultrasound of the baby in utero may appear normal, but clues may be indicated if intraabdominal cysts are found. The first physical examination of the baby after birth usually identifies IA. Even if IA is missed at the first physical examination, it is soon discovered within the first 24 hours due to the baby having abdominal distention or failing to pass meconium. These findings call for a more thorough examination to be

With regards to the abdomen/pelvis findings, Najwa was aware of an ovarian cyst that she has had follow-up with Dr Yacoub. She was unaware of the fibroid, but does not have any significant bleeding issues. I have asked her to follow-up these issues with Dr Yacoub. With regards to the thyroid enlargement, I have added some thyroid function tests to you blood slip and we will touch following this to discuss further imaging.

Over a period of 4 years, 10 patients (6 men and 4 women) with abdominal complications of VP shunt catheter were managed. Their ages at operation were ranged from 10 months to 17 years (table 1). All patients were investigated, diagnosed and managed laporoscopically. The median operative time of the laparoscopic procedure varied according to the diagnosis. It was 120 minutes in abdominal pseudocysts, 45 minutes in recurrent congenital inguinal hernias, 100 minutes in adhesive intestinal obstruction and 35 minutes in subcutaneous cyst. All patients were completed laparascopically except one patient with large amalgamated abdominal pseudocyst; it was converted to laparotomy with complete excision of the cyst and removal of the catheter