Prabha Sinha, Shabnum Sibtain, Hakmi Aoun
Meconium peritonitis is a rare condition in a fetus which occurs due to perforation of the bowel in the antenatal period. It has serious neonatal consequences resulting in death if the diagnosis is delayed soon after delivery. However, its detection is difficult as the presentation is very variable. A case of meconium peritonitis and pseudocyst detected in a fetus at 33 weeks and 2 days of gestation is discussed regarding its diagnosis and management…
Konstantinos Zacharis, Konstantinos Dafopoulos
Uterine leiomyomas, also known as uterine fibroids, are the most common benign tumors of the female genital tract and affect 60 to 80% of women at their reproductive age. Although elevated tumor markers may be measured in benign gynaecological diseases, the association of uterine fibroids with increased levels of serum cancer antigen 125 (CA125) has not been proven to date. In the present case report we present a rare case of a 21-year-old Caucasian woman attended to our outpatient department
Loutradis Dimitris
Maternal quality of life during the antenatal period is of crucial importance as pregnancy is one of the finest periods throughout the life of a woman. Antenatal testing and anticipation of the results may, however, be stressful for some women. Fetal cardiotocography is routinely performed during the third trimester of pregnancy in Greece, however, its results are not always unequivocal. It is believed that maternal anxiety may, partially, affect fetal heart rate and result in cardiotocographic alterations that can erroneously result in an unnecessary increase of cases of induced labor …
Posted in 2020 Volume 19 – Issue 3
Charalampos Voros, Kalliopi Pappa
Postpartum hemorrhage (PPH) is an obstetric emergency. It is one of the top causes of maternal mortality in both high and low income countries, although the absolute risk of death from PPH is much lower in high-income countries. Several risk factors predispose to the development of PPH including prolonged labor, precipitous labor, uterine distension. In 2017, the American College of Obstetricians and Gynecologists revised the definition of PPH to help guide its management. In the present mini-review we focus on specific medical and minimally invasive interventions, and surgical interventions at laparotomy…
Posted in 2020 Volume 19 – Issue 3
Elli Anagnostou, Agathi Theodoropoulou, Despina Mavrogianni, Athanasios Protopapas, Peter Drakakis, Dimitrios Loutradis
Estrogens and estrogen receptors (ERs) play an important role in the pathogenesis of endometriosis. The aim of this study was to investigate the presence of gene polymorphism RsaI in the gene of the estrogen receptor ERβ in the Greek female population, and its distribution in women suffering from endometriosis and in a control group. We included 67 consecutive infertile women of Caucasian origin who were operated laparoscopically in our Gynecological Endoscopy Unit for endometriosis, and 96 women participated as control group…
Posted in 2020 Volume 19 – Issue 3
Konstantinos D. Tambalis, Stamatis Mourtakos, Demosthenes D. Panagiotakos, Labros S. Sidossis
Background: To explore the potential relationship of several prenatal predictors with physical fitness (PF) components among children. Material and Methods: Α random sample of 5,125 dyads children (8 to 9 years old) and their mothers was evaluated. Mothers were asked to provide information contained in their medical booklets and pregnancy ultrasound records. With the use of a standardized questionnaire, telephone interviews were carried out for the collection of maternal factors in order to assess the potential association between several prenatal factors…
Posted in 2020 Volume 19 – Issue 3
Milona Gabriella, Pergialiotis Vasilios, Theodora Marianna, Loutradis Dimitrios, Daskalakis Georgios
Introduction: It is well known that music acts as an analgesic. Facilitates muscle relaxation, reduction of physical pain and mental tension. Purpose of this original investigation: study the effect of music on maternal anxiety during cardiotocography as well as its effect on embryonic cardiac function in relation to mother’s heart rate. Method and materials: The survey, conducted in external midwifery medical services of Alexandra’s Hospital, involved 80 pregnant women who met the criteria for participation. They were divided in two groups…
Posted in 2020 Volume 19 – Issue 3
Konstantinos Zacharis, Stavros Kravvaritis, Eleni Chrysafopoulou, Theodoros Charitos, Anastasia Fouka.
Imperforate hymen is an uncommon obstructive anomaly of the female reproductive tract for which early diagnosis is easy to miss. Untreated cases after menarche may cause cyclic lower abdominal pain and amenorrhea. Hymenotomy is considered proper management in order to avoid complications associated with late treatment. We report a case of an imperforate hymen in a 13-year-old adolescent girl presenting with tenesmus and acute lower abdominal pain. The patient was treated with hymenotomy and postoperative period was uneventful…
Posted in 2020 Volume 19 – Issue 3
Ioannis Thanopoulos, Kalliopi Pappa
Wilson’s disease is a rare inherited autosomal recessive disorder of copper metabolism causing toxic hepatic and neural accumulation. The gene that regulates the disease is located on chromosome 13 (13q14.3). The signs and symptoms of Wilson’s disease vary depending on the organs that are affected by the disease with almost all the patients showing evidence of progressive liver disease. Its severity varies and is strongly associated with the time of diagnosis. In the present case report we present a rare case presenting…
Posted in 2020 Volume 19 – Issue 3
Loutradis Dimitris
The invisible threat of COVID-19 has suddenly and dramatically changed medical practice in all areas, including assisted reproduction. Reproductive medicine societies recommend suspending new infertility treatment cycles during this period. Couples who had already started their efforts found themselves at an impasse. They had invested time and money in their treatment and were full of hope. However, now they are disappointed and worry about the impact of this forced – and indefinite – delay in the chances to conceive. But, when can they resume their efforts and who can guarantee their success? Doctors who are questioned are in a difficult position and need to balance the patient’s needs with tight recommendations.
Posted in 2020 Volume 19 – Issue 2
Theoni Kanellopoulou
Endometriosis is a chronic inflammatory disease of women of reproductive age that is defined by the presence of ectopic endometrium. The pathophysiology of the disease is poorly understood, however platelet activation play a crucial role in initiation of inflammation and fibrinogenesis, which in term further activate the coagulation cascade. The relationship between inflammation and coagulation motivated researchers to study whether patients are in a hypercoagulable state and if endometriosis represent an independent risk factor for venous thromboembolism or cardiovascular risk. This review article focuses on the role of coagulation, the risk of thrombosis and a possible beneficial effect of antithrombotic-treatment.
Posted in 2020 Volume 19 – Issue 2
O. Tsonis, Z. Barmpalia, F. Gkrozou, M. Paschopoulos, O. Papanikolaou
Introduction: Bovine Pericardium Graft (BPG) is a non-synthetic mesh, used in cases of anterior vaginal prolapse reconstructive operation in Urogynecology. Little is known about the efficacy of this mesh and more empirical studies need to clarify its potential benefits as well as, mesh-associated complications of this type. The role of the mesh, though needs, further assessment.
Posted in 2020 Volume 19 – Issue 2
Charilaos Ioannidis
Introduction: Poland syndrome is a rare congenital disorder. Its main characteristics are deficiency of the sternocostal portion of the pectoralis major muscle and symbrachydactyly. However, it encompasses a wide spectrum of other chest, breast and upper extremity anomalies. Patients and Methods: The author’s personal experience with a small series of patients with Poland syndrome is retrospectively reviewed.
Posted in 2020 Volume 19 – Issue 2
Ioannis Kokolakis, Fanis Makrigiannakis, Afroditi Ziogou, Antonios Makrigiannakis
Introduction: Uterine artery pseudoaneurysm is an uncommon cause of secondary postpartum hemorrhage that can be fatal. Material & Methods: We present a case of a 42-year-old woman who developed massive secondary postpartum hemorrhage 17 days after c-section and was diagnosed to have pseudoaneurysm from the left uterine artery on computed tomography scan. After blood transfusion she got hemodynamically stable and selective transcatheter arterial embolization was performed.
Posted in 2020 Volume 19 – Issue 2
Konstantinos Zacharis, Stavros Kravvaritis, Anastasia Papakonstantinou, Theodoros Charitos, Eleni Chrysafopoulou, Anastasia Fouka
The Dandy-Walker malformation is a rare congenital intracranial malformation that comprises of complete or partial agenesis of the cerebellar vermis, cystic dilatation of the 4th ventricle and an enlarged posterior fossa. Here we report a case of Dandy-Walker malformation detected incidentally during a routine fetal sonographic examination at 18 weeks of gestation. The couple decided termination of pregnancy, after adequate genetic counseling. Detailed postmortem examination revealed correlation between prenatal sonographic imaging and histopathological findings. This case report indicates the fact that fetal magnetic resonance imaging may not be necessary in diagnosis, especially when pregnancy termination is preferred.
Posted in 2020 Volume 19 – Issue 2