Publications by authors named "Pooja Paudyal"

Introduction And Importance: Various metabolic and physiologic changes that occur during pregnancy can sometimes lead to severe hypertriglyceridemia during pregnancy. The resultant hypertriglyceridemia may lead to acute pancreatitis in pregnancy, which even being rare poses significant health risks to both the child and the mother.

Presentation Of Case: A 26-year-old female, G4P1L1A2 at 36 weeks and 3 days of gestation, presented with an acute onset of abdominal pain in the epigastric region and multiple episodes of vomiting.

View Article and Find Full Text PDF

Background: Visceral pain occurred during cesarean delivery during spinal anesthesia can be decreased with a higher dose of bupivacaine. However, larger doses of bupivacaine increases the risk of high sensory block. We hypothesized that addition of fentanyl to bupivacaine intrathecally could intensifies the sensory block and improves the quality of intraoperative analgesia.

View Article and Find Full Text PDF

Introduction: The early and late pregnancy both can be hazardous for mother and child. The study aims to explore the maternal age group among Nepalese women who delivered in Tribhuvan University Teaching Hospital and its effects on perinatal outcomes.

Methods: An observational cross-section study was carried out from February to September, 2023 with the records of maternity cases at a tertiary care hospital after receiving ethical approval from the Institutional Review Committee [Reference number: 130(6-11) E2-2 079/080].

View Article and Find Full Text PDF

Introduction: Rupture of the corpus luteum, though generally self-limiting in women with normal coagulation, could lead to life-threatening bleeding in patients with prosthetic valves on anticoagulant therapy and described in only a few case reports in the literature. The aim of this study was to find out the prevalence of ruptured corpus luteum among women undergoing laparotomy for hemoperitoneum in a tertiary care centre.

Methods: This descriptive cross-sectional study was conducted among women undergoing laparotomy for hemoperitoneum in a tertiary centre from 7 April 2017 to 31 March 2021 after obtaining ethical approval from the Institutional Review Committee [Reference number: 328(6-11-E)2/73/74].

View Article and Find Full Text PDF

Introduction: Rupture of the corpus luteum, though generally self-limiting in women with normal coagulation, could lead to life-threatening bleeding in patients with prosthetic valves on anticoagulant therapy and described in only a few case reports in the literature. The aim of this study was to find out the prevalence of ruptured corpus luteum among women undergoing laparotomy for hemoperitoneum in a tertiary care centre.

Methods: This descriptive cross-sectional study was conducted among women undergoing laparotomy for hemoperitoneum in a tertiary centre from 7 April 2017 to 31 March 2021 after obtaining ethical approval from the Institutional Review Committee [Reference number: 328(6-11-E)2/73/74].

View Article and Find Full Text PDF

Introduction: Anaemia is one of the common health problems of pregnant women and children in developing countries. Anaemia in pregnancy is related to poor foetal and maternal outcomes contributing to significant morbidity and mortality. Anaemia is a treatable and preventable condition.

View Article and Find Full Text PDF

Introduction And Importance: Pregnant women under warfarin for mechanical heart valves can pose a variety of challenges which requires fine tuning of various anticoagulants throughout the pregnancy and in the postpartum period as hemorrhage can lead to maternal and fetal morbidity and mortality.

Case Presentation: A 36-year-old woman gravida two, para one at 35 weeks 5 days gestation, with hypothyroidism with mitral valve replacement and tricuspid valve repair due to rheumatic heart disease underwent emergency lower section cesarean section for fetal bradycardia. B-lynch suturing was eventually done to control atonic postpartum hemorrhage.

View Article and Find Full Text PDF

Pure Sertoli cell tumors are an uncommon variant of rare ovarian Sertoli-Leydig cell tumors. Due to nonspecific clinical and imaging features, diagnosis is often made after histopathological examination. The prognosis is excellent as most are detected in the early stages and surgical resection is often curative in most cases.

View Article and Find Full Text PDF

Introduction: Coronavirus Disease 2019 pandemic is raging across the world and has affected pregnant women as well. There is limited information regarding COVID-19 in pregnant women. The study aimed to find the prevalence of COVID-19 among all pregnant women who delivered during the study period in a tertiary care center.

View Article and Find Full Text PDF
Article Synopsis
  • Sertoli-Leydig cell tumors are rare ovarian tumors, making up less than 0.5% of ovarian neoplasms, and they often lead to symptoms of increased testosterone and virilization.
  • This case study details a 21-year-old woman with a Sertoli-Leydig cell tumor, previously diagnosed with polycystic ovarian syndrome and congenital adrenal hyperplasia, who presented with a significant abdominal mass and high testosterone levels.
  • The patient underwent a fertility-sparing surgery (unilateral salpingo-oophorectomy) followed by chemotherapy, resulting in resolution of her hyperandrogenism and normalization of testosterone levels post-surgery.
View Article and Find Full Text PDF

Cyclopia with a proboscis, a rare congenital anomaly, and a severe form of holoprosencephaly occur as a result of incomplete separation of prosencephalon into two halves of hemispheres during organogenesis. A prenatal anomaly scan can help in the early detection of the condition and timely termination of the pregnancy.

View Article and Find Full Text PDF

The Bombay blood group is a rare blood type with an incidence of around one in a million. There is no known reported case of an obstetric patient with the Bombay blood group from Nepal. People with this rare blood group can receive blood only from those with the same blood type.

View Article and Find Full Text PDF