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Hydrouretonephrosis caused by uterine prolapse after gellhorn pessary displacement
we report a case of acute renal failure and urosepsis due to bilateral ureteral obstruction in a patient with a displaced pessary. The patient was a 77-year-old woman with ischemic heart disease and stroke induced hemiplegia. Her procidentia was successfully treated for many years with a 3.25 ″ Gellhorn pessary indicated for impossibility to retain a ring [1]. Previous ultrasound of kidneys did not demonstrate any hydronephrosis. A few days after the last outpatient visit for pessary change she was referred to the emergency room with fever and voiding difficulties.
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - December 10, 2020 Category: OBGYN Authors: Marta Barba, Luca Locatelli, Stefania Palmieri, Alice Cola, Stefano Manodoro, Matteo Frigerio Tags: Short communication Source Type: research

Multi-compartment MRI as a promising tool for measurement of placental perfusion and oxygenation in early onset Fetal Growth Restriction.
Abstract Placental insufficiency, the main cause of Fetal Growth Restriction (FGR), is associated with adverse outcomes for both the mother and infant in the short term, but also with negative longer-term effects (such as heart disease, diabetes and stroke). Doppler Ultrasound is the main means of assessing placental function in clinical practice, but does not necessarily allow a precise distinction between placental insufficiency with secondary FGR, and normal placental function with a constitutionally small fetus. PMID: 32772422 [PubMed - as supplied by publisher]
Source: BJOG : An International Journal of Obstetrics and Gynaecology - August 7, 2020 Category: OBGYN Authors: Jacquier M, Salomon LJ Tags: BJOG Source Type: research