Insulinoma complicating pregnancy presenting with hypoglycemic coma after delivery: a case report and review of the literature
Article Abstract:
It is not known how frequently insulinomas occur. Insulinoma is a tumor, usually benign, and is one of the most important causes of hypoglycemia, abnormally low amounts of sugar (glucose) in the blood. A 24-year-old woman, who had been pregnant several times before, went into a coma after delivery because of hypoglycemia. Certain counterregulatory hormones may have stopped the appearance of symptoms during pregnancy, making the condition difficult to diagnose and isolate from other diseases, especially during the last month of pregnancy or during the first few months after delivery (peripartum period). A low blood sugar level during pregnancy has been linked with a slow-down of uterine growth, and the condition has caused the death of the infant at or near birth. In this case, the mother may not have had hypoglycemia during pregnancy, since the infant was of better than average body weight. Although it is rare, insulinoma complicating pregnancy should be included in the tests for the causes of hypoglycemia after delivery.
Publication Name: Obstetrics and Gynecology
Subject: Health
ISSN: 0029-7844
Year: 1989
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Epidural analgesia in the management of symptomatic symphysis pubis diastasis
Article Abstract:
Dislocation of the symphysis pubis, the joint formed by the union of the pubic bones and a thick mass of cartilage, can cause disabling pain during and after pregnancy. For the first time, the pain associated with this disorder was successfully relieved by use of epidural analgesia, a regional pain killer injected into the space surrounding the outer layer of the spine (epidural space). The epidural analgesia allowed a pregnant woman, who had been bedridden or confined to a chair for ten weeks, to return almost immediately to a normally active life during the remainder of the pregnancy. In severe cases of the disorder, it is recommended that an anesthesiologist be consulted as soon as possible.
Publication Name: Obstetrics and Gynecology
Subject: Health
ISSN: 0029-7844
Year: 1989
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Fibromuscular dysplasia of the carotid arteries complicating pregnancy
Article Abstract:
Fibromuscular dysplasia, the abnormal development of fibrous and muscular tissue, affects the carotid arteries, the main arteries supplying blood to the head and neck. If the blood flow through these arteries is partially blocked, neurological problems may occur, and organs, such as the liver or kidney, may not function properly. Pregnant women with the disease may experience episodes of decreased blood supply (ischemic attacks). General treatment of the disease in pregnant women is discussed, as well as the use of contraceptives by patients with carotid artery fibromuscular dysplasia.
Publication Name: Obstetrics and Gynecology
Subject: Health
ISSN: 0029-7844
Year: 1989
User Contributions:
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