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Nalla SD, Kurakula S, Nallur Siddaraju M. A Rare Case of Pregnancy After Surgical Treatment for Stage III Hidradenitis Suppurativa. Cureus 2023; 15:e45370. [PMID: 37849568 PMCID: PMC10577607 DOI: 10.7759/cureus.45370] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/16/2023] [Indexed: 10/19/2023] Open
Abstract
Hidradenitis suppurativa is a chronic inflammatory skin condition primarily affecting areas with apocrine glands. It commonly manifests as painful nodules, abscesses, and sinus tracts, significantly impacting the patient's well-being. In this report, we discuss a case of a 32-year-old pregnant woman with Hurley stage III hidradenitis suppurativa who had undergone surgical reconstruction of the vulva before conception. The patient underwent a cesarian section and received topical treatment for her lesions near the genitalia. The importance of early identification, a collaborative approach involving multiple specialists, and individualized treatment strategies for managing this debilitating condition during pregnancy are emphasized in this case study.
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Affiliation(s)
- Sanjana D Nalla
- Medical School, Lake Erie College of Osteopathic Medicine, Erie, USA
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Kurakula S, Muralidharan V, N N, Kompella AR, K B GB. Incidental Finding of a Broad Ligament Hematoma During Tubal Ligation Surgery: A Case Report and Literature Review. Cureus 2023; 15:e40120. [PMID: 37425572 PMCID: PMC10329410 DOI: 10.7759/cureus.40120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/08/2023] [Indexed: 07/11/2023] Open
Abstract
A silent rupture of an unscarred uterus is a rare phenomenon. Accidental diagnosis of silent rupture during sterilization procedure in a previous vaginal delivery is rarely reported. We present a case of uterine rupture in an unscarred uterus in a 40-year-old gravida 10 para 9 with intrauterine fetal demise terminated with prostaglandin E2. She was asymptomatic and hemodynamically stable. Hemoperitoneum was observed during a tubal ligation procedure performed on the third day after the abortion. A right-sided broad ligament hematoma was noticed, and surgical treatment was initiated when the patient's condition clinically deteriorated during the operation. Our article aims to raise obstetricians' awareness of an important causative factor of hemoperitoneum found during postpartum tubal ligation surgery.
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Affiliation(s)
- Sowjanya Kurakula
- Obstetrics and Gynecology, Mamta Institute of Medical Sciences, Khammam, IND
- Obstetrics and Gynecology, Sekgoma Memorial Hospital, Serowe, BWA
- Obstetrics and Gynecology, Nyangabgwe Referral Hospital, Francistown, BWA
- Obstetrics and Gynecology, Gandhi Medical College, Musheerabad, IND
| | | | - Navya N
- Obstetrics and Gynecology, Rainbow Children's Hospital and Birthright, Bengaluru, IND
| | | | - Gayathri B K B
- Obstetrics and Gynecology, Gayathri Bhargav Hospital, Vijayawada, IND
- Obstetrics and Gynecology, Dr. Pinnamaneni Siddhartha Institute of Medical Sciences & Research Foundation, Vijayawada, IND
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Kurakula S, Nallur Siddaraju M, Kumarswamy V, Raza QUA, Kompella AR. Non-Obstetric Traumatic Vulvar Hematoma Managed in a Low-Resource Setting: A Case Report of a Rare Condition. Cureus 2023; 15:e40369. [PMID: 37456375 PMCID: PMC10340129 DOI: 10.7759/cureus.40369] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/13/2023] [Indexed: 07/18/2023] Open
Abstract
Most cases of vulvar hematomas are caused by either genital tract injury during childbirth or trauma. Although uncommon, instances of spontaneous vulvar hematomas occurring without trauma or unusual sexual practices have been reported. In this report, we present the case of a 24-year-old woman who experienced an injury after a fall, resulting in a rapidly enlarging vulvar hematoma. Due to the worsening pain and swelling, surgical intervention was undertaken for her management.
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Affiliation(s)
- Sowjanya Kurakula
- Obstetrics and Gynecology, Mamta Institute of Medical Sciences, Khammam, IND
- Obstetrics and Gynecology, Sekgoma Memorial Hospital, Serowe, BWA
- Obstetrics and Gynecology, Nyangabgwe Referral Hospital, Francistown, BWA
- Obstetrics and Gynecology, Gandhi Medical College, Musheerabad, IND
| | | | - Varalakshmi Kumarswamy
- Obstetrics and Gynecology, RajaRajeshwari Medical College, Bangalore, IND
- Obstetrics and Gynecology, M.S Ramaiah Medical College, Bangalore, IND
- Obstetrics and Gynecology, RNT Medical Hospital, Udaipur, IND
| | - Qurat Ul Ain Raza
- Internal Medicine, RAK Medical & Health Sciences University, Ras al Khaimah, ARE
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Nallur Siddaraju M, Samynathan A, Kurakula S, Kharge P, Nalla SD. An Eight-Year-Old Child With Sneddon Syndrome: A Rare Case Report. Cureus 2023; 15:e40054. [PMID: 37425554 PMCID: PMC10325693 DOI: 10.7759/cureus.40054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/06/2023] [Indexed: 07/11/2023] Open
Abstract
We present a rare case of slow-progressing neurocutaneous vasculopathy described as Sneddon syndrome. A child presented with global developmental delay, congenital livedo racemosa, unilateral vision loss, and a past history of focal neurological deficit. Our main objective is to make physicians aware of this nature of presentation in children.
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Affiliation(s)
| | - Archana Samynathan
- Dermatology, Bangalore Medical College and Research Institute, Bangalore, IND
- Dermatology, George Washington University, Virginia, USA
| | - Sowjanya Kurakula
- Obstetrics and Gynecology, Mamta Institute of Medical Sciences, Khammam, IND
- Obstetrics and Gynecology, Sekgoma Memorial Hospital, Serowe, BWA
- Obstetrics and Gynecology, Nyangabgwe Referral Hospital, Francistown, BWA
- Obstetrics and Gynecology, Gandhi Medical College, Secunderabad, IND
| | | | - Sanjana D Nalla
- School of Medicine, Lake Erie College of Osteopathic Medicine, Erie, USA
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Irfan M, Kurakula S, Singh H, Singh K. Non-traumatic Chronic Subdural Hematoma With Myelodysplastic Syndrome: A Case Report. Cureus 2023; 15:e36110. [PMID: 37065279 PMCID: PMC10098406 DOI: 10.7759/cureus.36110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/13/2023] [Indexed: 03/18/2023] Open
Abstract
Spontaneous chronic subdural hematoma is a rare condition that appears in association with myelodysplastic syndrome. A 25-year-old male with a known case of myelodysplastic syndrome presented to the emergency department with a headache and loss of consciousness. Considering ongoing chemotherapy, burr hole trephination of the chronic subdural hematoma was performed, and he was discharged following a successful procedure. To the best of our knowledge, this is the first report of myelodysplastic syndrome with spontaneous chronic subdural hematoma.
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Kurakula S, Muralidharan V, Chengappa Appaneravanda L, N N, K B G. Rupture of Bilateral Theca Lutein Cysts During Pregnancy: A Case Report. Cureus 2022; 14:e29758. [PMID: 36196283 PMCID: PMC9525056 DOI: 10.7759/cureus.29758] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/29/2022] [Indexed: 11/22/2022] Open
Abstract
Hyperreactio luteinalis is a rare condition characterized by the presence of bilateral theca lutein cysts, which occur rarely in a singleton normal pregnancy. Bilateral multicystic ovarian enlargement occurs due to elevated beta-human chorionic gonadotropin. We present a rare case of a 23-year-old primigravida in her tenth week of gestation, presenting with an acute abdomen, with increasing abdominal girth, diagnosed with a rupture of theca lutein cyst, and posted for laparotomy. Theca lutein cyst doesn’t affect the course of pregnancy and has a spontaneous regression after delivery. Our case is different due to the occurrence of cysts in a singleton pregnancy and the rupture of these cysts during pregnancy. Unless complicated by torsion, rupture, or hemorrhage, most theca lutein cysts are managed conservatively.
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Tanna R, Dugarte HJN, Kurakula S, Muralidharan V, Das A, Kanigalpula SPR, Mendez IE, Afaq M, Bassi R, Shah K, Saddiq Z. Review of Impact of COVID-19 on Maternal, Neonatal Outcomes, and Placental Changes. Cureus 2022; 14:e28631. [PMID: 36106265 PMCID: PMC9450993 DOI: 10.7759/cureus.28631] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/31/2022] [Indexed: 12/02/2022] Open
Abstract
Coronavirus disease (COVID-19), caused by SARS-CoV-2, is a disease that has caused a global impact. COVID-19 is transmitted through airborne droplets, respiratory secretions, and direct contact. The pandemic has affected individuals of different ages, and studying the impact of COVID-19 on maternal and newborn outcomes is critical. In this review, we highlight the impact of COVID-19 infection in pregnancy and its repercussion in the maternal-fetal binomial. Physiological changes that occur during pregnancy have significant effects on the immune system, cardiopulmonary system, and coagulation, and these changes can result in an altered response to COVID-19 infection. The symptoms, risk factors, and maternal health consequences of COVID-19 were discussed. In addition, the impact of newborns born to mothers with COVID-19 was reviewed. Finally, placental changes and vertical transmission of COVID-19 during pregnancy were also discussed in this review.
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Pakkirmasthan A, Kurakula S. Nasopharyngeal cancers: A retrospective comparative analysis of radiotherapy alone versus chemo-radiation (Benghazi experience). Indian J Cancer 2016; 52:391-5. [PMID: 26905148 DOI: 10.4103/0019-509x.176718] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
INTRODUCTION Cancer of Nasopharynx is an important disease in Maghreb region. 75 patients (4.3%) of cancer nasopharynx between the years 1995 to 2000 were referred to our centre in Benghazi out of total 1757 patients. This study was done to analyze the clinical presentations and to study response to the treatment practiced. MATERIALS AND METHODS 59 patients were available with full records excluding the recurrent and metastatic presentation. 37 were males with 22 females (1.7:1), (31/59) 52% patients were from 25-49 years, (17/59) 28.8% were from 50-60 years. 44/59 (74%) patients presented with Lymphadenopathy either unilateral or bilateral. 46/59 (78%) of patients were in clinical stage II or III. 44/59 (74%) of patients were of undifferentiated histology. RESULTS The pattern of clinical response and trend of follow up those that received neoadjuvant chemotherapy and radiotherapy and radiotherapy alone are discussed. DISCUSSION In our analysis, we also found that the patients who had received chemotherapy by and large had a less trend to towards developing metastatic disease and local recurrence and faired better. CONCLUSION We are now following the protocol of Neoadjuvant chemotherapy followed by chemo-radiotherapy and followed by chemotherapy and results will mature in the years to come.
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Affiliation(s)
| | - S Kurakula
- Department of Gynecology, Specialist, Sekgoma Memorial Hospital, Serowe, Botswana, Africa
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