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Biomedical subjects

U I Esen

Publications and source records attributed to U I Esen.

10 recordsLinked to original sources

Volvulus of the right colon in pregnancy.

Intestinal obstruction in pregnancy is rare, volvulus being the commonest precipitating factor. It is a difficult diagnosis to make, because its symptoms mimic various pregnancy symptoms, but it commonly occurs in the third trimester or puerperium. A high index of suspicion is needed, and investigations for intestinal obstruction should be performed, especially when abdominal pain and vomiting persist. Careful evaluation of the abdominal cavity is also essential where a caesarean section is performed, particularly if there are unusual findings.

Adult↗

Obstetric hysterectomy in Ile-Ife, Nigeria.

Thirty-two cases of emergency obstetric hysterectomy performed in a Nigerian Teaching Hospital were reviewed. The incidence was 1 in 575 births. Associated maternal mortality was 12.5%, morbidity was 62.5% and fetal loss was 78.1%. These rates are related to the indications which were spontaneous uterine rupture in 62.5% of the cases. The majority (68.7%) of the patients had poor antenatal care. Good antenatal care and delivery supervision would reduce the need for this operation.

Adult↗

Fatal maternal tetanus following premature rupture of membranes and retained dead fetus.

A fatal case of tetanus arising from premature rupture of membranes in a retained dead fetus is presented. The condition followed the vaginal insertion of some herbs by a local herbalist. The case illustrates the danger of anaerobic infection in the presence of intrauterine fetal death particularly when it is complicated by premature rupture of membranes. Undue vaginal manipulation as happened in this case is an additional hazard and should be avoided.

Adult↗

Placental chorioangioma: a case report and literature review.

We report on a large asymptomatic placental chorioangioma, identified as an area of reduced echogenicity on ultrasound at 36 weeks' gestation. Despite the large size, it was not associated with the usual maternal or fetal complications expected with a chorioangioma of that size, possibly because of thrombosis and tumour degeneration.

Adult↗

Pyruvate kinase deficiency: an unusual cause of puerperal jaundice.

We present one of the rarer causes of pregnancy-associated jaundice in the immediate puerperium. A 30-year-old multipara with pyruvate kinase deficiency became jaundiced within a few hours of delivery, following an uneventful pregnancy and labour at term. She responded to conservative management, the jaundice clearing and the altered liver function showing a steady return to normal. Pyruvate kinase deficiency may cause pregnancy-associated jaundice. A thorough investigation is still necessary to exclude other causes of jaundice in pregnancy and the puerperium.

Adult↗