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Magnetic resonance imaging and computerized tomography of a gravid leopard tortoise (Geochelone pardalis pardalis) with metabolic bone disease.

Secondary nutritional metabolic bone disease was diagnosed in a gravid leopard tortoise (Geochelone pardalis pardalis). Diagnosis was based upon history, physical examination, hematology, plasma biochemistry, and radiography. Despite induced oviposition and treatment of metabolic bone disease for 8 wk, the tortoise's condition deteriorated. Repeat radiographs demonstrated gaseous intestinal distention. Oral administration of metoclopramide and mineral oil failed to stimulate defecation. Persistence of the ileus pattern prompted utilization of magnetic resonance imaging (MRI) and computerized tomography (CT). MRI demonstrated brightly enhanced loops of mineral oil-filled small bowel and preovulatory follicles. CT demonstrated dystrophic calcification of the left hepatic lobe and preovulatory follicles and the typical reticular pattern of chelonian lung. The interstitial septa were caused by pulmonary vasculature or bands of smooth muscle.

Animals↗

Conservative obstetric management of a gunshot wound to the second-trimester gravid uterus. A case report.

BACKGROUND: Gunshot wounds to the abdomen during pregnancy are becoming increasingly common. When the gravid uterus is injured but repairable and the fetus is either previable or dead, conservative management is an option, even if laparotomy is required for management of other injuries. CASE: A pregnant woman sustained a gunshot wound to the abdomen during the second trimester of pregnancy. The bullet injured the rectum and traversed the uterine cavity, with resultant rupture of membranes and direct, fatal injury to the fetus. Laparotomy was required for treatment of the maternal injuries; however, the pregnancy was managed conservatively. Spontaneous miscarriage occurred late on the second postoperative day. CONCLUSION: Conservative obstetric management is indicated in most such cases in which the fetus is previable or dead, although the clinician undertaking such management should be aware of the risks and possible complications.

Adolescent↗

[Spontaneous and complete uterine rupture on a scarred gravid uterus].

Uterine rupture is a complication occurring mostly during labour. Spontaneous rupture on gravid uterus is rare. We report the 1st case observed on a scarred uterus in 32 week gestation in Gyn/Obs clinique at Dakar University Hospital. Favorable factors found were: segmento-corporeal scar time, poor technical repair. Then, we pose the problems of follow up of these pregnancy involving scarred uterus and discuss the interest of evaluating prognosis of the quality of the uterine scar.

Adult↗

[Ultrasound diagnoses and cardiotocography in case of full-time carried intraligamentous gravidity (author's transl)].

Description of the course of disease concerning an intraligamentous pregnancy carried to full term, but diagnosed only during operation. Subsequent evaluation of the ultrasonic and cardiotocologic graphs. Constantly rectilinear pressure curves without uterine activities are interpreted as characteristic tocographic criteria of an advanced ectopic gravidity.

Adnexa Uteri↗

Gestational diabetes mellitus in women of single gravidity in Tianjin City, China.

OBJECTIVE: The aim of this study was to investigate the prevalence of gestational diabetes mellitus (GDM) and risk factors for the development of GDM in pregnant women in Tianjin, China, where the prevalence of GDM is still unknown. STUDY DESIGN AND METHODS: A total of 9,471 pregnant women living in the six urban districts of Tianjin, China, took part in the initial screening between December 1998 and December 1999. The screening test consisted of a 50-g 1-h glucose test. Women with a reading > or =7.8 mmol/l at the initial screening were invited to undergo a 75-g 2-h oral glucose tolerance test (OGTT). GDM was confirmed using the World Health Organization's diagnostic criteria. RESULTS: At the initial screening test, 888 women had a glucose reading of > or =7.8 mmol/l. A total of 701 (79%) women took a subsequent OGTT. Of these, 174 women were confirmed to have GDM (154 with impaired glucose tolerance [IGT] and 20 with diabetes). The prevalence of GDM was 2.31% (2.03% for IGT and 0.28% for diabetes), adjusting for serum glucose levels at the initial screening test. Independent predictors for GDM were maternal age, stature, prepregnancy BMI, weight gain in pregnancy before screening, diabetes in first-degree relatives, and habitual cigarette smoking during pregnancy. Women who smoked or had a short stature are more likely to develop GDM than their counterparts. CONCLUSIONS: The prevalence of GDM in pregnant women in the city of Tianjin, China, was 2.31%. Short stature and smoking in pregnancy were additional risk factors for GDM.

Adult↗