Obstetrics and gynecology
-
Obstetrics and gynecology · Feb 2008
Case ReportsLate postpartum hemorrhage due to von Willebrand disease managed with uterine artery embolization.
Von Willebrand disease is the most common inherited bleeding disorder caused by quantitative or qualitative defects of von Willebrand factor, which may lead to postpartum bleeding problems. In such patients, resistant postpartum hemorrhage may be treated effectively by using transcatheter arterial embolization. ⋯ Selective transcatheter uterine artery embolization may be used to control life-threatening pelvic hemorrhage unresponsive to traditional local measures. Such an intervention may also be used successfully in patients with bleeding disorders as the last chance of uterine preservation.
-
Cranial nerve palsy after dural puncture is an uncommon complication. The sixth cranial nerve is the most commonly affected because of its long intracranial course. We report a case of acute comitant esotropia that occurred after unintentional dural puncture. ⋯ Puncture of the dura should be considered when acute strabismus is diagnosed shortly after epidural anesthesia.
-
To estimate the effect of chorionicity on the risk of stillbirth in twins. ⋯ II.