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Case Report 

Dextroposition of the Heart Reflected Mosaic Fetal Trisomy 18

Mohamed A Satti, Frederico G Rocha, Erin Beaver and Jeffrey M Dicke
Abstract

Anatomy scan of a 22 year old prima gravida at 19w4d showed a viable IUP with unilateral choroid plexus cyst and dextroposition of the heart without any other observed structural malformation. Amniocentesis revealed a normal male pattern for chromosomes 13, 18, 21, X and Y by fluorescence in situ hybridization (FISH). However, chromosomal microarray analysis (CMA) for circulating fetal DNA in maternal blood was consistent with mosaic Trisomy 18. The karyotype of cultured dividing cells confirmed 47, XY, +18/46, XY mosaicism.

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Case Report 

Successful Treatment of A Primary Cervical Diffuse Large B-Cell Lymphoma with Rituximab-CHOP Immunochemotherapy

Diaz-De La Noval B, Hernandez A, Zapardiel I, De-Santiago J and Diestro Tejeda
Abstract

We describe a 46-year-old healthy woman with primary extranodal Non-Hodgkin's diffuse large B-cell lymphoma of the uterine cervix Ann Arbor stage IIEA IPI 1. She presented an acute renal failure and severe ureterohydronephrosis successfully treated with 6 courses of chemotherapy based on Rituximab plus Cyclophosphamide, Doxorubicin, Vincristine and Prednisone (R-CHOP) with no major side effects.

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Letter to Editor 

Cutaneous Horn of the Breast: A Rare Clinical Feature

Cedric Nadeau, David Desseauve and Emilie Laban
Abstract

A benign cutaneous horn was evocated as its base was thin but the diagnostic of a pre invasive intraepithelial dysplasia or squamous cell carcinoma of the skin had to be eliminated by histological examination. It looked like a solid elongated keratinized tumor connected to the skin by a thin bridge of pink/red regular skin (Figure 1 and Figure 2). No evidence of pre invasive skin lesion was found around. The patient had an excision of the lesion and its base under local anesthesia.

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Research Article 

The Confusion of Mothers with Gestational Diabetes Mellitus due to the Multidimensionality of Healthcare and Therapeutic Care: A Serious Threat to Mother and Fetus's Health

Fatemeh Ghaffari, Zahra Rahnavard, Mahvash Salsali and Soroor Parvizi
Abstract

Gestational diabetes mellitus (GDM) is a challenge of the 21st century. The management of the diseases confronts numerous issues which lead to undesirable results of care consequences. The aim of this study is to explain factors involved in the confusion of mothers with GDM due to the multidimensionality of healthcare and therapeutic care. The present study was carried out in 2014 with a qualitative method. Purposive sampling was employed to select 17 pregnant women with GDM who had referred to health centers affiliated with Tehran University of Medical Sciences.

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Case Report 

Amniotic Fluid Embolism: Combined Treatment with Surgery and Extracorporeal Membrane Oxygenation Support - A Case Report

Arnon Wiznitzer, Rinat Gabbay-Benziv, Eran Altman, Dan Aravot and Philippe Biderman
Abstract

A 42-year-old gravida 1, 40-weeks' gestation, presented with rupture of membranes in labor. Her history and prenatal care were unremarkable except for obesity. On physical examination, blood pressure was 156/91 mmHg with no other signs of pre-eclamsia. Due to non-progression at active labor, cesarean section was performed with extended "top-up" epidural and delivery of a healthy boy. Immediately after removal of the placenta, the patient reported chest pain, and became unresponsive. ECG (electrocardiography) demonstrated asystole.

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Case Report 

An Idiopathic Case of Recurrent Spontaneous Ovarian Hyper Stimulation Syndrome

Alessandra Ainsworth, Zaraq Khan and Jani Jensen
Abstract

We report a case of recurrent spontaneous ovarian hyperstimulation syndrome (OHSS). The patient presented at 8 weeks gestation. Due to severity of symptoms, the patient required both inpatient and outpatient management. Her symptoms resolved at 11 weeks gestation and the pregnancy was carried to term. Recurrent spontaneous OHSS is a rare and potentially morbid event. While most cases will eventually resolve, patients require careful diagnosis, surveillance, and supportive care.

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Case Report 

Urinary Incontinence as a Presenting Symptom of Bladder Cancer

Elena Vilar Gonzalez, Marta Perez de la Fuente, Enrique Gonzalez Diaz
Abstract

Urinary incontinence is a very common complaint among women. We should think of potentially serious aetiologies when there is no response to empiric treatments, especially in postmenopausal women. We report a case of a 69 year old woman, referred to our pelvic floor unit with urinary incontinence and nocturia. After failing with anticholinergic treatment, a transvaginal ultrasound scanning shows an irregular solid lesion of 6 mm, which was diagnosed by further urological investigation as a transitional cell carcinoma.

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Case Report 

Postpartum Low Back Pain: It is not always What You Think

Melissa Corso, Diane Grondin and Carol Ann Weis
Abstract

Postpartum back pain is common, with up to 75% of women experiencing back pain immediately following birth. This pain can be moderately to severely debilitating to the new mom, affecting activities of daily living such as caring for her new born, sleep patterns, and otherhousehold activities. However, all low back pain is not created equal and we document a case study with an unusual cause of postpartum back pain.

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