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Case Report 

Twin Pregnancy with a Complete Hydatidiform Mole and a Coexisting Normal Fetus

Fatnassi MR, Ghedas S, Marouen N and Mtibaa A

Abstract

Twins pregnancies associating both complete hydatidiform mole and normal pregnancies represent an exceptional obstetrical situation. It is a high risk gestation either for the mother or for the normal fetus. There are no specific clinical features. The ultrasonography examination, thanks to its recent evolution, is the key stone for an earlier diagnosis.

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Case Report 

Postoperative Surgicel Mimicking Pelvic Abscess Causing Mechanical Bowel Obstruction following Abdominal Hysterectomy

Mariam Mathew, Jai kumari, Asma Fauzi and Rashid Al Sukaiti

Abstract

Oxidized regenerated cellulose (Surgicel), a sterile knitted fabric that causes thrombus formation due to its physical properties, is frequently used for intraoperative hemostasis. Surgicel is bioabsorbable and can be left in the surgical bed. On postoperative CT scans, the appearance of the retained oxidized cellulose can often mimic an abscess leading to dilemma in management.

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Case Report 

Two Clinical Cases and Some General Aspects of Complete Androgen Insensitivity Syndrome

Delgado Sanchez E , Lopez Carrasco A, Sanchez Pastor M, Santisteban Padro J, Hernandez and Gutierrez A

Abstract

The complete androgen insensitivity syndrome, formerly called testicular feminization syndrome, is a rare genetic disease in which an individual with a male XY karyotype expresses a female phenotype.

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Short Review 

Obstetrics at Crossroads Regarding Interpretation of Fetal Heart Rate Decelerations - Scientific Principles and Lessons from Memetics

Shashikant L Sholapurkar

Abstract

The survival of cardiotocography (CTG) as a tool for intrapartum fetal monitoring seems threatened (somewhat unjustifiably and unwittingly) despite the absence of better alternatives. Fetal Heart Rate (FHR) decelerations are centre-stage (most important) in interpretation of CTG with maximum impact on 3-tier classification.

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Research Article 

Risk Comprehension at a Minority-Majority Urban Academic Institution

Noor Joudi, Kelly McCarter and Jose A Carugno

Abstract

There is a growing shift toward the promotion of shared decision making in clinical practice. Currently, medical risk is often communicated to patients in the form of percentages, although there is no evidence that this is the most effective method to deliver this information.

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LETTER 

Incidence of Pregnancy-Associated Hypertension and Preeclampsia in a Cohort of Kenyan Women

Megumi Itoh, Florence Were, Mary Owidhi, Julie Gutman, Meghna Desai and Simon Kariuki

Abstract

Pregnancy-associated hypertension (PAH) and preeclampsia are leading causes of maternal and perinatal morbidity and mortality, associated with future development of cardiovascular and metabolic diseases in the mother, as well as risks for the baby such as poor growth and prematurity.

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CASE REPORT 

Image of a Peri-Clitoral Abscess, Presenting with Minimal Swelling and Distortion

Michael H Dahan and Seang Lin Tan

Abstract

Periclitoral abscesses are rare with less than 20 reported in the medical literature. Images without severely distorted clitorii are lacking in the literature, which led to multiple misdiagnosis in this case.

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