Displaying publications 21 - 40 of 2383 in total

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  1. Sinha RK
    Med J Malaya, 1970 Dec;25(2):108-12.
    PMID: 4251130
    Matched MeSH terms: Pregnancy; Pregnancy, Abdominal/pathology*; Pregnancy, Ectopic/diagnosis
  2. Wu D, Hii LY, Shaw SWS
    Taiwan J Obstet Gynecol, 2019 Sep;58(5):684-687.
    PMID: 31542093 DOI: 10.1016/j.tjog.2019.07.018
    OBJECTIVE: We report a rare case of heterotopic pregnancy and high-order pregnancy occurring simultaneously following the use of the assisted reproductive technique (ART).

    CASE REPORT: A 29-year-old woman, Gravida 2 Para 1, became pregnant after receiving intrauterine insemination (IUI). She came to our emergency room due to diffuse low abdominal pain at seven weeks of gestational age. Transabdominal sonography (TAS) revealed a quadruplet intrauterine pregnancy with an enlarged left adnexa and intrapelvic fluid accumulation. Simultaneous occurrence of high-order pregnancy and left tubal pregnancy with internal hemorrhage was suspected. The patient received an emergent laparoscopic resection of the affected Fallopian tube and recovered well for the remaining hospitalization course. Afterwards, she received fetal reduction procedure and eventually gave birth to twin babies.

    CONCLUSION: Gynecologist should increase the awareness of heterotopic pregnancy in patients receiving ART. On the other hand, reproductive endocrinologist should reduce the risk of high-order pregnancy without compromising pregnancy rate.

    Matched MeSH terms: Pregnancy; Pregnancy, Tubal/etiology*; Pregnancy, Tubal/surgery; Pregnancy Reduction, Multifetal; Pregnancy, Quadruplet*; Pregnancy, Heterotopic/etiology*; Pregnancy, Heterotopic/surgery
  3. Seak CJ, Goh ZNL, Wong AC, Seak JC, Seak CK
    Medicine (Baltimore), 2019 Sep;98(38):e17229.
    PMID: 31567985 DOI: 10.1097/MD.0000000000017229
    RATIONALE: Abdominal pain in pregnancy represents a demanding diagnostic challenge in the emergency department (ED) due to the extensive list of differential diagnoses to be considered, coupled with the possibility of each disease having nonclassical, atypical signs and symptoms, resultant from the patient's pregnant state. Additionally, emergency physicians (EPs) face limitations on investigative imaging modalities because of the need to minimize fetal radiation exposure. EPs have to tackle this diagnostic challenge while performing a balancing act to maximize both maternal and fetal outcomes in a time-sensitive manner, becauser any delays in decision-making at the ED may threaten the safety of mother and child. Two common causes of abdominal pain in pregnancy presenting to the ED are acute appendicitis and ectopic pregnancy. The latter is almost always diagnosed by 10 weeks of gestation. Here, we report an extremely rare case of unilateral live spontaneous twin tubal ectopic pregnancy presenting past 12 weeks of gestation, diagnosed after magnetic resonance imaging (MRI) of the abdomen.

    PATIENT CONCERNS: A 37-year-old gravida 2 para 1 at 12 weeks and 6 days of gestation presented to our ED with a 2-day history of right iliac fossa pain, not associated with vaginal bleeding, fever, diarrhea, and vomiting. On examination, she was tachycardic (pulse rate 124 beats/min) and hypertensive (blood pressure 142/88 mm Hg). There was marked tenderness and guarding at the lower abdomen.

    DIAGNOSES: Blood investigations were unremarkable, while abdominal ultrasonography found a live twin gestation with foetal heartbeats of 185 and 180 beats/min. MRI of the abdomen revealed an empty uterine cavity; 2 amniotic sacs and fetuses of diameter 10 cm, and a single placenta were noted in the right uterine adnexa. The patient was diagnosed with right live monochorionic diamniotic twin tubal pregnancy.

    INTERVENTION: Our patient underwent emergency laparoscopic right salpingectomy.

    OUTCOMES: The operation was successful and her postoperative care remained uneventful up to discharge.

    LESSONS: Ectopic pregnancy cannot be ruled out based on prior normal antenatal examinations and gestational age of >10 weeks. EPs should not hesitate to order MRI scans for further evaluation if ultrasonography and laboratory findings are equivocal.

    Matched MeSH terms: Pregnancy; Pregnancy, Tubal/diagnosis*; Pregnancy, Tubal/surgery; Pregnancy, Twin*
  4. Baskaran A
    Med J Malaysia, 1997 Sep;52(3):291-2.
    PMID: 10968100
    Conjoined twins in a triplet pregnancy is an extremely rare occurrence. We present here, a 27-year-old multigravida with gestational diabetes and a conjoined twins in a triplet pregnancy.
    Matched MeSH terms: Pregnancy; Pregnancy, Multiple*
  5. Sambhi JS
    Med J Malaya, 1967 Jun;21(4):344-51.
    PMID: 4230502
    Matched MeSH terms: Pregnancy; Pregnancy, Ectopic/epidemiology*
  6. LLEWELLYN-JONES D
    Med J Malaya, 1958 Sep;13(1):59-61.
    PMID: 13589370
    Matched MeSH terms: Pregnancy; Pregnancy, Multiple/statistics & numerical data*
  7. F Abdulwahab D, Ismail H, Nusee Z
    Malays J Med Sci, 2014 Jul;21(4):61-5.
    PMID: 25977625 MyJurnal
    Uterine rupture is a rare life-threatening complication. It mainly occurs in the third trimester of pregnancy and is rarely seen during the first or second trimesters. Our centre experienced three important cases of uterine rupture.
    Matched MeSH terms: Pregnancy; Pregnancy Trimester, Second; Pregnancy Trimester, Third
  8. Nor Azlin MI, Abd Rahman R, Abdul Karim AK, Sulaiman AS, Mahdy ZA
    J Obstet Gynaecol, 2013 Aug;33(6):631-2.
    PMID: 23919870 DOI: 10.3109/01443615.2013.807781
    Matched MeSH terms: Pregnancy; Pregnancy Complications*; Pregnancy Outcome
  9. Sonkusare S
    Med J Malaysia, 2008 Aug;63(3):272-6; quiz 277.
    PMID: 19248711 MyJurnal
    Vomiting in pregnancy is a very common phenomenon, though not well understood. The extreme form, hyperemesis gravidarum can lead to severe complications. Articles published in the last decade in this field were searched and studied. Various aetiological factors were identified, the recent ones being the association of Helicobacter. pylori with hyperemesis, as well as the presence of cell free fetal DNA. The management of the condition involves symptomatic treatment along with antiemetic, pyridoxine and thiamine. Important role of alternative therapies like ginger and P6 acupoint stimulation in the treatment of hyperemesis has been identified.
    Matched MeSH terms: Pregnancy
  10. Kamarul T, Loh WYC
    Med J Malaysia, 2005 Jul;60 Suppl C:114-6.
    PMID: 16381296
    Hip dislocation in pregnancy is an uncommon injury. We report a case of traumatic hip dislocation in the third trimester of pregnancy to highlight potential problems associated with its treatment. The rationale for choosing the preferred treatment options is discussed.
    Matched MeSH terms: Pregnancy; Pregnancy Complications/surgery*; Pregnancy Trimester, Third
  11. Wong KK, Goh KL
    Eur J Obstet Gynecol Reprod Biol, 1992 Jul 03;45(2):149-51.
    PMID: 1499849
    A 34-year-old multigravid woman with symptomatic primary biliary cirrhosis (PBC) of the liver had a successful pregnancy. A healthy baby was born prematurely at 36 weeks of gestation. Six months prior to the conception of this pregnancy, stage III PBC had been diagnosed. Portal hypertension and liver cirrhosis had not developed. It is uncommon for pregnancy to occur in the presence of PBC. In the case presented, the outcome of pregnancy was good and the liver function had not been significantly affected by the pregnancy.
    Matched MeSH terms: Pregnancy; Pregnancy Complications*; Pregnancy Outcome
  12. Galloway DJ
    Matched MeSH terms: Pregnancy
  13. Robertson M
    Matched MeSH terms: Pregnancy
  14. Pallister RA
    Matched MeSH terms: Pregnancy
  15. Nalliah S
    Family Practitioner, 1985;8:80-1.
    Matched MeSH terms: Pregnancy
  16. Mohamad F, Yahya AS, Abdul Rashid A, Devaraj NK, Abdul Manap AH
    Malays Fam Physician, 2021 Mar 25;16(1):121-123.
    PMID: 33948151 DOI: 10.51866/cr1117
    Ectopic pregnancy is an extra-uterine pregnancy and is a potentially life-threatening condition that can lead to death from intra-peritoneal hemorrhage. This case reports a rare occurrence of ruptured tubal pregnancy in which the patient presented early with abdominal pain and a negative urine pregnancy test but subsequently presented again with evidence of intra-peritoneal hemorrhage. A negative urine pregnancy test is often used to rule out pregnancy, but it is not 100% sensitive. Complete assessment is critical in this important diagnosis in order to plan for the appropriate emergency management.
    Matched MeSH terms: Pregnancy; Pregnancy Tests; Pregnancy, Ectopic; Pregnancy, Tubal
  17. Thambu J
    Med J Malaya, 1966 Sep;21(1):49-52.
    PMID: 4224878
    Matched MeSH terms: Pregnancy*; Pregnancy, Prolonged*
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