2020 Volume 19 – Issue 4

Second wave of COVID-19 outbreak

Loutradis Dimitris

The outbreak of the second coronavirus wave resulted in significantly increased number of hospitalizations and accompanying morbidity and mortality outcomes in Greece. Gynecologists face the challenge of juxtaposing the pros and cons of exposing pregnant women to the hospital environment and the potential COVID-19 positive patients. Antenatal screening is rendered challenging in public hospitals and the downside of Greece`s fast response to the first wave of the coronavirus outbreak…

The impact of proactive strategies on pregnancy healthcare during the COVID-19 epidemic.

George Daskalakis, Marianna Theodora, Sofia Koura, Dimitrios Loutradis, Vasilios Pergialiotis

 

 

The emergence of the COVID-19 pandemic caused disruption of daily activities in almost every aspect of life1. Epidemiological reflexes were criticized by many as inadequate as the World Health Organization characterized COVID-19 as a pandemic two months after the initial reports of a cluster of cases of pneumonia in Wuhan2. In a national level governmental reflexes across the world varied significantly and countries that acted proactively effectively kept the prevalence of the disease in acceptable levels …

Diagnosis and management of Ogilvie’s Syndrome post Caesarean Section.

Leah Hawkins, Sunny Ajayi

 

 

A 36-year-old woman presented to maternity unit two days post caesarean section (CS) with abdominal distension, pain and constipation. She was found to be septic on admission. Imaging demonstrated dilated bowel loops without an identifiable site of obstruction highlighting Ogilvie’s syndrome (OS) as the cause of her symptoms. Hospital acquired pneumonia (HAP) was identified as the source of infection with accompanying right sided lower lobe collapse. She was reviewed by multiple specialties to aid management …

A case of meconium peritonitis due to bowel perforation diagnosed at anomaly scan at 20 weeks.

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…

High levels of ca125 in a patient with large uterine fibroid.

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