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Showing posts from March, 2025

Posterior Cervical Rupture: A Case Study

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Posterior cervical rupture is a rare but serious gynecological condition characterized by a tear in the posterior wall of the cervix, potentially extending into extra-uterine spaces. This condition can lead to significant complications if not promptly diagnosed and managed. Case Study Overview Ultrasound video shows a 38-year-old female presenting with a one-year history of dysmenorrhea (painful menstruation). She underwent a tubectomy (tubal ligation) two years prior and reports experiencing vaginal bleeding episodes three to four times monthly. Potential Etiologies While posterior cervical rupture is uncommon, several factors could contribute to its development: 1. Surgical History: Previous gynecological surgeries , such as tubal ligation, might predispose patients to cervical or uterine complications. However, studies have shown that tubal sterilization generally does not have long-term effects on menstrual indices or pelvic pain . 2. Menstrual Irregularities Post-Tubal Ligatio...

Hepatic Pregnancy: A Rare Form of Ectopic Pregnancy

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A few days ago, a colleague shared a video of a real-time pregnancy developing in the liver, and I was in complete disbelief. This is an extremely rare form of ectopic pregnancy, with an estimated incidence of 1 in 8,000 births. While abdominal pregnancies are already uncommon, hepatic pregnancies—where the embryo implants in the liver—are even more exceptional. Recent Case in Namibia A recently reported case in Namibia has reignited discussions in the medical community about this rare phenomenon. The video evidence highlights the complexity of hepatic pregnancies and the significant challenges in their management. Understanding Hepatic Pregnancy Hepatic pregnancy falls under the broader category of abdominal pregnancies, which account for approximately 1.4% of all ectopic pregnancies. Most abdominal pregnancies implant in the pelvis, but in extremely rare cases, implantation occurs in the upper abdomen, particularly in the liver. Case Study from the Literature A documented case publi...