Acute pancreatitis and preeclampsia-eclampsia: A case report

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Citations from the literature /International

Journal of Gynecology & Obstetrics 58 (1997) 345-355

SULTS: During the study period we identified 250 cases of shoulder dystocia among 44,072, vaginal deliveries, for an incidence of 0.57%. Of these, 236 cases (94%) fulfilled entry criteria. The McRoberts’ position alone successfully alleviated the shoulder dystocia in 98 cases (42%). In the group of cases where the McRoberts’ maneuver was the sole maneuver used, there were significantly lower mean birth weights (p = 0.0081, shorter durations of the active phase of labor (p = 0.0091, and shorter second stages (p < 0.0001). In the group of cases that required additional maneuvers to relieve the shoulder dystocia, there was a trend toward an increased incidence of postpartum hemorrhage and brachial plexus injury (p = 0.07). CONCLUSIONS: These data suggest that the McRoberts’ maneuver is associated with a significant degree of success in relieving shoulder dystocia and may be associated with decreased morbidity compared with other maneuvers. On the basis of these findings, we recommend the McRoberts’ maneuver as the initial technique for disimpaction of the anterior shoulder. Atopic dermatitis and biih factors: Historical follow up by record linkage Braae Olesen A.; Ringer Ellingsen A.; Olesen H.; Juul S.; The&up-Pedersen K. DNK BR MED J 1997 314/7086 (1003-1008) OBJECTIVE: To study if factors at birth are associated with later development of atopic dermatitis. DESIGN: Historical follow up by record linkage from Danish medical birth register. Children were followed up for 5.5 to 8.5 years. Second historical follow up study comprising questionnaire to mothers of singleborn children 6.5 to 9.5 years after birth. Setting: Private dermatology clinics and dermatology and paediatric departments in the municipality of Aarhus, Denmark. SUBJECTS: 7862 singletons born in hospital between 1 January 1984 and 31 December 1986 to mothers living in the municipality of Aarhus. Questionnaires sent to 985 mothers. MAIN OUTCOME MEASURES: Gestational age, birth weight, parity, and age of mother at the time of birth. Atopy in children diagnosed by specialists in dermatology and physicians. Family size; diagnosis of atopic dermatitis, allergic rhinitis, and asthma; family predisposition; and mothers’ smoking habits during pregnancy determined from questionnaires. RESULTS: Of 7862 children, 403 were diagnosed as having atopic dermatitis by a specialist; the cumulative incidence at age 7 was 5.6%. High gestational age and low parity were associated with an increased risk of atopic dermatitis. Among 985 children atopic dermatitis had been diagnosed by any physician in 184; the cumulative incidence at age 7 was 18.7%. High birth weight, high gestational age, and family history of atopy were associated with increased risk of atopic dermatitis. CONCLUSION: In both studies the incidence of atopic dermatitis was associated with high gestational age and in one with high birth weight also. The causes for these associations are at present unknown but may indicate that even during gestation factors associated with atopic dermatitis influence maturation.

CASE REPORTS

OF GENERAL

MEASURES

Septic shock in pregnancy associated with legionella pneume nia: Case report Tewari K.; Wold S.M.; Asrat T. USA AM J OBSTET GYNECOL 1997 176/3 (706-707) We report the iirst case of legionella infection in pregnancy complicated by sepsis and hemodynamic compromise. Legionnaires’ disease is rarely found in pregnancy, possibly because subacute infections may often be overlooked and empiric therapy of pneumonia in pregnancy may be curative without definitive etiologic diagnosis. Acute pancreatitis and pree-clampsia-eclampsia: A case report Badja N.; Troche G.; Zazxo J.-F.; Benhamou D. AM J OBSTET GYNECOL 1997 176/3 (707-709) A case of preeclampsia-eclampsia leading to acute edematous pancreathis is reported, probably related to microvascular abnormalities and splanchnic &hernia. Recovery was uneventful. Successful treatment of acute myocardial infarction during pregnancy with tissue plasminogen activator Schumacher B.; Belfort M.A.; Card R.J. z J OBSTET GYNECOL 1997 176/3 (716-719) A 30-year-old woman had an acute inferior wall myocardial infarction at 21 weeks’ gestation and was successfully treated with intravenous tissue plasminogen activator. This case demonstrates that good perinatal outcome is possible after thrombolytic therapy for acute myocardial infarction complicating the second trimester of pregnancy. English title Methotrexate pneumonitis after systemictreatment for ectopic pregnancy Horrigan T.J.; Farming J.; Marcotte M.P. USA AM J OBSTET GYNECOL 1997 176/3 (714-715) Pneumonitis is an infrequent complication of methotrexate therapy. Described is a case of pneumonitis after treatment of an ectopic pregnancy. A 20-year-old white woman, gravida 3, para 0, ectopic pregnancy 2, was treated for her third ectopic pregnancy with 88 mg (50 mg/msup 2) of intramuscular methotrexate. Four days later acute dyspnea, tachypnea, fever, patchy infiltrates on chest x-ray films, and a POinf 2 of 30 mm Hg developed. Respiratory distress resolved over 48 h. Pneumonitis should be suspected in any patient treated with methotrexate who has unexplained dyspnea. Successful pregnancy in a neurologically impaired woman with Wilson’s disease Berghella V.; Steele D.; Spector T.; Cambi F.; Johnson A. USA AM J OBSTET GYNECOL 1997 176/3 (712-714) Patients with treated Wilson’s disease and no residual impair-