Volume 3  Issue 2

Volume 3  Issue 2

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Case Report

Transient Biliary Sludge in A Woman of 11 Weeks Gestation with Hyperemesis Gravidarum

Chang Sheng Yin1* MD, Yin-Shiuan Bai1 R N, M.Phil

Nausea and vomiting during pregnancy is common, but hyperemesis gravidarum (HG) is a rare, occurring in approximately 0.1% of pregnancies. HG presents with severe and persistent nausea and vomiting, which can lead to dehydration, starvation ketosis and liver dysfunction, and predisposition the patient to biliary sludge/gallstone formation. We report the case of a 37-year-old G2P1 woman, who presented with HG and transient biliary sludge at 11 week gestation.

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Case Report

Expectant Management of Monochorionic Gestations Complicated by Fetal Anomaly of One Twin: Case Report and Review of LiteratureDaniel Roshan*1, Tali Sarig-Meth1, Ira Jaffe1, Ashwin Jadhav1, John Migotsky1

The prenatal course of anomalous monochorionic, diamniotic (MC/DA)gestation requires intricate management.
Literature on this topic is limited to management of normal monochorionic gestation and does not translate to management of anomalous monochorionic pregnancies. The only choice for selective reduction is cord ligation with the risk of losing the entire pregnancy. It is essential that we come up with some guidelines for MC/DA pregnancies as far as expectant management and proper timing of the delivery to prevent loss or damage of the normal twin. We report a case of a single anomalous MC/DA and its management dilemmas.

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