Sacculation and retroversion of the gravid uterus in the third trimester.
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Biomedical subjects
Publications and source records attributed to A J Teare.
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A case of primary hepatic pregnancy in which the presenting features were suggestive of ruptured ectopic pregnancy is described. The bleeding area on the liver was oversewn and the patient recovered uneventfully. Primary hepatic pregnancy is briefly discussed.
Amoebic liver abscess is a rare complication of pregnancy. Two patients are described, one of whom was diagnosed at laparotomy at 28 weeks gestation, after which the pregnancy progressed normally to term. Diagnostic features and the importance of early treatment with metronidazole and aspiration or laparotomy are discussed.
Dietary surveys estimated the caffeine intake of pregnant women in London to average 1.4 mmol (270 mg) with a range of 0 to 6.0 mmol (0-1160 mg)/day. The average plasma caffeine was 6.5 (SD 2.8-14.8), plasma theophylline 2.9 (SD 1.3-6.7), plasma theobromine 2.1 (SD 0.9-4.9) mumol/l. The results of the dietary surveys showed a fair correlation (r = 0.59; p less than 0.01) with plasma caffeine levels, but the surveys are best regarded as a basis for counseling rather than an accurate estimate of intake.
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A patient is reported who experienced epileptic seizures during two successive pregnancies and who was free of seizures after delivery. The occurrence of epileptic seizures during pregnancy is discussed, and the possible causes are briefly reviewed.
Fifteen patients who had sustained trauma in the last trimester of pregnancy were studied at the Baragwanath Hospital, Johannesburg. The presentation, management and outcome of the pregnancies are briefly discussed, and the relevant literature is reviewed.
A retrospective study was undertaken in which the histopathology reports on 1,000 specimens of endometrial curettings were reviewed in order to assess the value of pathological examination of the endometrium. In this series the reports were of use in only one-half of the specimens submitted. A seemingly high proportion of specimens was unsuitable for histological assessment. The main factors contributing to the pathologist's inability to provide a useful report appear to be inadequacy of the specimen and a lack of information regarding the clinical and menstrual history. Alternative methods of endometrial sampling are also briefly reviewed.