Browsing by Author "Bulusu, Ratna"

Now showing 1 - 4 of 4
  • No Thumbnail Available
    Item
    Asymptomatic secondary abdominal pregnancy diagnosed 12 years after tubectomy
    (Medip Academy, 2023-11) Bulusu, Ratna; Biradar, Kalavathi D.; V., Vijayalakshmi
    Abdominal pregnancy is a rare obstetric complication with high maternal mortality. Advanced abdominal pregnancy is rare and accounts for 1 in 25,000 pregnancies. 32 years� lady, P2L2, last child birth and interval tubectomy by modified Pomeroy抯 method 12 years ago, reported with Amenorrhoea of two months with vague lower abdominal pain since 2 days. Ultrasonography (USG) abdomen and pelvis showed an extrauterine viable pregnancy of 20+ weeks POG with no hemoperitoneum. she travelled 4 hours by road to her hometown, for second opinion and was referred back to our institution. A laparotomy was done; hemoperitoneum of 1.5 litres was noted. The sac with the live foetus inside with placental implantation seen on entire left fallopian tube except the fimbrial end and a small portion of omentum was noted. Left salpingectomy with excision of the sac with the foetus along with partial omentectomy was performed. Patient received two units of PRBC postoperatively.
  • No Thumbnail Available
    Item
    Case series of scar endometriosis at three different scar locations
    (Medip Academy, 2023-09) Bulusu, Ratna; Reddy, Swathi Aswath
    Endometriosis is a common clinical condition which often present to the gynaecologist with a typical history of cyclical abdominal pain, discharge and swelling. It can be present in pelvic and extra pelvic sites. Here we present a series of different case of endometriosis at three different scars.
  • No Thumbnail Available
    Item
    Case series of scar endometriosis at three different scar locations
    (Medip Academy, 2023-09) Bulusu, Ratna; Reddy, Swathi Aswath
    Endometriosis is a common clinical condition which often present to the gynaecologist with a typical history of cyclical abdominal pain, discharge and swelling. It can be present in pelvic and extra pelvic sites. Here we present a series of different case of endometriosis at three different scars.
  • No Thumbnail Available
    Item
    Microperforated hymen with pregnancy presenting at term: an accidental diagnosis
    (Medip Academy, 2023-12) Bulusu, Ratna; Reddy, Swati A.; Lakshmi, Vijaya
    Anatomic variations of the patent hymen exist, the most common configuration having a central orifice. Difficulty in inserting a tampon or the inability to achieve vaginal intercourse in an adolescent is the typical presenting symptom of incomplete hymenal obstruction. Here, a case is reported wherein the patient presented with normal pregnancy at term with an apparently intact hymen. Later in labour, a microperforate hymen (MH) was noted. An emergency lower segment caesarean section along with hymenectomy was performed.