1+ hour, 20+ min ago  (278+ words) Introduction: Postoperative pain following Chiari malformation decompression is frequently severe and may contribute to substantial postoperative healthcare utilization. Although multimodal analgesic strategies are increasingly utilized across surgical specialties, postoperative pain management practices following Chiari decompression remain variable and poorly characterized....

1+ day, 10+ hour ago  (257+ words) Acute fatty liver of pregnancy (AFLP) is a rare but potentially life-threatening complication of late gestation that often presents with nonspecific features and significant overlap with other obstetric conditions, posing a diagnostic challenge. We report a case of a 28-year-old…...

2+ day, 22+ hour ago  (384+ words) Background: Peripartum cardiomyopathy (PPCM) is a major cause of maternal heart failure. Hospital readmission remains a common and serious complication. Maternal obesity is increasingly prevalent, but its association with readmission in PPCM has not been well defined. Materials and methods:…...

3+ day, 5+ hour ago  (265+ words) Uterine arteriovenous malformations (AVMs) and markedly enhanced myometrial vascularity are uncommon but potentially life-threatening causes of abnormal uterine bleeding, particularly after pregnancy-related events or uterine instrumentation. Their recognition is clinically important because repeat blind uterine evacuation may worsen hemorrhage when…...

5+ day, 8+ hour ago  (218+ words) Ectopic pregnancy, a rare entity, represents a significant cause of maternal morbidity and mortality in the first trimester, with the fallopian tube being the most common implantation site. While intrauterine devices (IUDs) are highly effective contraceptives that reduce overall pregnancy…...

5+ day, 23+ hour ago  (167+ words) Thiamine (vitamin B1) deficiency is a preventable complication of prolonged hyperemesis gravidarum, and the resulting malnutrition may lead to disabling peripheral neuropathy. We report the case of a 25-year-old primigravida who presented at 20 weeks of gestation with rapidly progressive distal weakness…...

6+ day, 2+ hour ago  (203+ words) Bloody nipple discharge during pregnancy is a rare clinical finding that often causes significant anxiety for both the patient and the clinician. Bloody nipple discharge usually raises suspicion of malignancy or intraductal papilloma. However, it can occur as a benign,…...

5+ day, 23+ hour ago  (246+ words) Adenylosuccinate lyase deficiency (ADSLD) is an ultra-rare autosomal recessive disorder of purine metabolism. The most severe neonatal phenotype presents with profound encephalopathy from birth, hypotonia, respiratory insufficiency, and early seizures. A preterm infant was delivered at 34+0 weeks with antenatal progressive…...

1+ week, 13+ hour ago  (132+ words) Placenta accreta spectrum (PAS) disorders are associated with significant maternal morbidity, often requiring hysterectomy. Conservative management remains controversial but may be considered in selected cases. We report a case of isthmic placenta accreta in a 32-year-old multiparous woman with a…...

6+ day, 22+ hour ago  (272+ words) Introduction The impact of COVID-19 vaccination on menstrual cycle regularity has raised public health concerns, particularly regarding vaccine hesitancy. Studies report mixed findings, ranging from minor, transient changes to more significant menstrual alterations, highlighting the need for post-vaccination monitoring. This…...