ADVANCES IN OBSTETRICS AND GYNECOLOGY
Online ISSN : 1347-6742
Print ISSN : 0370-8446
ISSN-L : 0370-8446
Volume 43, Issue 6
Displaying 1-3 of 3 articles from this issue
  • Yuzuru SATOH, Masakuni FUKUDA, Chuzou TANAKA, Testuaki TERAURA, Hiroo ...
    1991 Volume 43 Issue 6 Pages 591-597
    Published: 1991
    Released on J-STAGE: July 05, 2011
    JOURNAL FREE ACCESS
    We report two cases of intracerebral hemorrhage (ICH) in gravidity, which, although infrequent, is a fatal complication. Both patients were primipara. One showed evidence of small frontal hemorrhage twice, once at 19-weeks gestation and again just postpartum. A mature baby was delivered vaginally by vacuum delivery. The other woman suddenly developed a large parietal hemorrhage at 37 weeks gestation and could not undergo neurosurgery. As conservative treatment, emergency cesarean section was performed because FHR monitor showed fetal distress. In both cases, CT scan and arterioangiography of the hemorrhage revealed a focal lesion thus confirming a diagnosis of “rupture of arteriovenous malformation”. Intracranial vascular disease is exacerbated during pregnancy due to changes in hemodynamics, the hormonal system and coagulatory system. The cerebral bleeding is principally caused by rupture of AVM or aneurysm. Recent developments in obstetrical management and neurosurgery have remarkably improved the prognosis for ICH during pregnancy.
    Download PDF (6536K)
  • Yoichiro FUJIWARA, Masafumi ITO, Ryoji ITO, Yoshinori NAKATA, Hiroji O ...
    1991 Volume 43 Issue 6 Pages 598-603
    Published: 1991
    Released on J-STAGE: July 05, 2011
    JOURNAL FREE ACCESS
    Uterine cysts are ralatively rare and often incidentally detected during laparotomy or examination of the resected uterus. The preoperative diagnosis of these cysts is very difficult. Congenital uterine cysts are very rare, and few cases have been reported. We report a patient with a cyst in the uterine fundus that seemed to have originated in the müllerian dust.
    Download PDF (6596K)
  • Yumi PARK, Yoshiyuki IHARA, Takeshi HIRANO, Takashi NAKAHORI, Mitsuhir ...
    1991 Volume 43 Issue 6 Pages 604-609
    Published: 1991
    Released on J-STAGE: July 05, 2011
    JOURNAL FREE ACCESS
    We report findings in eight cases of omphalocele encountered at Kyoto University Hospital during the period from January 1983 to January 1991. The average maternal age was 26 years (range, 18-38years), 2 were nulliparous, and 6 women were multiparous. The gestational age at time of delivery averaged 37 weeks (range, 35-39 weeks). The average infant weight at birth was 2636g (range, 1934-3380g). There were 5 cesarean sections and 3 vaginal deliveries. Associated congenital anomalies were recognized in 4 cases. Six of the neonate are still alive, one has died, and one died in uterus. The two infants who died also had severe congenital anomalies. The poor prognosis for neonates with omphalocele appears to be related to the severity of associated congenital anomalies and chromosomal anomalies. On the other hand, neither whether the sac is ruptured nor the diameter of the defect is a useful prognostic indicator. Bowel-wall thikening with ruptured omphalocele requires careful attention.
    Download PDF (5460K)
feedback
Top