Open Access DOI:10.23937/2377-9004/1410164
Cangrelor in an Obstetric Patient Undergoing Cesarean Section on Dual Antiplatelet Therapy after Cerebral Stent Placement: A Case Report
Lauren Carlos, MD, Stephanie Paolini, MD, Christine Hawkes, MD, Janet FR Waters, MD, Ashutosh Jadhav, MD, PhD and Jonathan H Waters, MD
Article Type: Case Report | First Published: April 30, 2020
In this case, a 34-year-old woman G1P0 at 31 weeks gestation required intracranial stenting for an acute ischemic stroke. She was placed on aspirin and clopidogrel to prevent stent occlusion. The patient wished to undergo a cesarean delivery. Patients on dual antiplatelet therapy are at high risk of hemorrhage. Five days prior to the surgery, clopidogrel was replaced with cangrelor, a short-acting, reversible P2Y12 receptor inhibitor which was turned off at anesthesia induction. Surgery and the ...
Open Access DOI:10.23937/2377-9004/1410161
Mesenteric Venous Thrombosis Causing Acute Mesenteric Ischemia in the First Trimester of Pregnancy
Youssef M Zohdy and Ziad M Ahmed
Article Type: Case Report | First Published: April 03, 2020
Acute mesenteric ischemia is a rare complication of thromboembolic diseases in the mesenteric vessels, which was noted to occur due to the hypercoagulable circulation associated with pregnancy. Additionally, the early detection and treatment of such disease prevents further deterioration of the mother’s condition, thus ensuring a favorable outcome for both the mother and the fetus. This paper presents a case report of acute mesenteric ischemia in a 9 weeks pregnant female, which was diagnosed ...
Open Access DOI:10.23937/2377-9004/1410163
Urinary Retention in The Case of a Retroverted Uterus in Pregnancy
Camille A Clare, MD, MPH
Article Type: Case Report | First Published: April 08, 2020
Acute urinary retention in patients with retroverted uteri is a rare, obstetrical emergency, and requires immediate intervention. If not treated, it may lead to serious maternal and/or fetal complications. This manuscript describes the case of a 35-year-old female who presents with lower abdominal pain and urinary hesitancy. Physical examination noted a palpable urinary bladder, which was also distended on pelvic ultrasound. Obstetrical ultrasound noted a viable intrauterine pregnancy. The patie...
Open Access DOI:10.23937/2377-9004/1410162
Surgical Management of a Juvenile Cystic Adenomyoma: A Unique Presentation of Adenomyosis
Huda Afaneh, MD, Karen Moses, MD, Omari Young, MD and Mostafa Abuzeid, MD, FACOG, FRCOG
Article Type: Case Report | First Published: April 03, 2020
Endometriosis is characterized by the presence of endometrial glands and stroma in ectopic locations within the peritoneal cavity. More commonly, the lesions can be found on areas such as the cul-de-sac and other pelvic parietal surfaces. Endometrial glands and stroma infiltrating the myometrium characterizes Adenomyosis. Adenomyosis is usually characterized by diffuse foci of endometrial glands scattered throughout the myometrium. Meanwhile, a less common type of adenomyosis, in which the lesio...
