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Papers by Auxeelia Packia Devi

Research paper thumbnail of Wernicke’s encephalopathy in pregnancy

International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2022

Wernicke's encephalopathy (WE) is a reversible neurological emergency which is a rare but kno... more Wernicke's encephalopathy (WE) is a reversible neurological emergency which is a rare but known complication of hyperemesis gravidarum due to thiamine deficiency. Prolonged vomiting in pregnancy results in thiamine depletion. Most frequently Wernicke's encephalopathy is found among persons suffering from excessive drinking. Unusually it can also be seen in women presenting with hyperemesis gravidarum with pre-existing malnutrition, as avitaminosis can result from the acute malnutrition associated with prolonged pregnancy-related hyperemesis. The early recognition of its clinical signs and symptoms is essential to establish the suspected diagnosis and can be confirmed by MRI. Most patients present with the triad of ocular signs, ataxia, and confusion. It can be associated with life-threatening complication like central pontine myelinolysis. Here we stress upon the importance of early diagnosis and prompt treatment of WE. The aim of this report is to present cases of Wernicke&...

Research paper thumbnail of A rare case of obstructed hemivagina and ipsilateral renal agenesis syndrome presented with haematocolpos and haematometra

International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2022

Obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome is a syndrome characterised... more Obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome is a syndrome characterised by obstructed hemivagina, ipsilateral renal agenesis and uterine didelphys. It is a rare congenital anomaly results from defective fusion of the Müllerian ducts during development of the female reproductive system. It is also known as Herlyn-Werner-Wunderlich syndrome. Aim of the study was to project a rare case of developmental anomaly of Mullerian system. OHVIRA syndrome is rare anomaly. The most common presentation of this syndrome is a mass secondary to hematocolpos, pain, and dysmenorrhea. Incidence rate is 0.1-3%. Other symptoms are swelling of the abdomen, nausea and vomiting due to pelvic pain, and fertility may also be affected. Diagnosed by magnetic resonance imaging (MRI) and ultrasound. This case was managed by diagnostic laparoscopy with resection of vertical vaginal septum. Other treatment option is vaginoscopic incision of the oblique vaginal septum. High level of clinica...

Research paper thumbnail of Wernicke’s encephalopathy in pregnancy

International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2022

Wernicke's encephalopathy (WE) is a reversible neurological emergency which is a rare but kno... more Wernicke's encephalopathy (WE) is a reversible neurological emergency which is a rare but known complication of hyperemesis gravidarum due to thiamine deficiency. Prolonged vomiting in pregnancy results in thiamine depletion. Most frequently Wernicke's encephalopathy is found among persons suffering from excessive drinking. Unusually it can also be seen in women presenting with hyperemesis gravidarum with pre-existing malnutrition, as avitaminosis can result from the acute malnutrition associated with prolonged pregnancy-related hyperemesis. The early recognition of its clinical signs and symptoms is essential to establish the suspected diagnosis and can be confirmed by MRI. Most patients present with the triad of ocular signs, ataxia, and confusion. It can be associated with life-threatening complication like central pontine myelinolysis. Here we stress upon the importance of early diagnosis and prompt treatment of WE. The aim of this report is to present cases of Wernicke&...

Research paper thumbnail of A rare case of obstructed hemivagina and ipsilateral renal agenesis syndrome presented with haematocolpos and haematometra

International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2022

Obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome is a syndrome characterised... more Obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome is a syndrome characterised by obstructed hemivagina, ipsilateral renal agenesis and uterine didelphys. It is a rare congenital anomaly results from defective fusion of the Müllerian ducts during development of the female reproductive system. It is also known as Herlyn-Werner-Wunderlich syndrome. Aim of the study was to project a rare case of developmental anomaly of Mullerian system. OHVIRA syndrome is rare anomaly. The most common presentation of this syndrome is a mass secondary to hematocolpos, pain, and dysmenorrhea. Incidence rate is 0.1-3%. Other symptoms are swelling of the abdomen, nausea and vomiting due to pelvic pain, and fertility may also be affected. Diagnosed by magnetic resonance imaging (MRI) and ultrasound. This case was managed by diagnostic laparoscopy with resection of vertical vaginal septum. Other treatment option is vaginoscopic incision of the oblique vaginal septum. High level of clinica...

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