Obstetrics and Gynaecology Cases - ReviewsISSN: 2377-9004


 Open Access DOI:10.23937/2377-9004/1410153

Refractory Hyperemesis Gravidarum in a Patient with Type 1 Diabetes Treated with Laparoscopically Assisted Feeding Jejunostomy Tube Placement

Melissa Chu Lam, MD, Briana Baxter, MD, Farrah Naz Hussain, MD, Kristina Martimucci Feldman, MD and Barak Rosenn, MD

Article Type: Case Report | First Published: November 04, 2019

Severe Hyperemesis gravidarum (HG) is a debilitating condition that affects less than 1% of pregnant women. Management of HG is further complicated in women with type 1 diabetes due to oscillations between hypo and hyperglycemia, often exacerbated by the presence of gastroparesis. We report a 25-year-old G1P0 with longstanding uncontrolled type 1 diabetes mellitus (HbA1C 10.5%), who presented to our service multiple times with hyperemesis and ketosis. On each of these admissions, she was diagnos...

 Open Access DOI:10.23937/2377-9004/1410152

Robotic Radiosurgery to a Patient with Locally Advanced Cervical Cancer and Uterus Didelphys - A Case Report and Review of Literature

Janis Morgenthaler, Christhardt Kohler and Simone Marnitz

Article Type: Case Report | First Published: October 05, 2019

Consolidation brachytherapy is a critical treatment component for locally advanced cervical cancer. The use of alternatives (linac based stereotactic radiosurgery (SRS) or external beam (EBRT) boosts) on linacs compromise oncologic results in cervical cancer patients. Our patient, a 32-year old woman with a 5 cm FIGO IIB cervical cancer, had a uterus Didelphys and was therefore not suitable for intracervical brachytherapy. Instead, she received a brachytherapy emulating robotic radiosurgery boos...

Volume 6
Issue 5