Peripartum vision loss, an uncommon, often reversible complication of pregnancy usually occurs in the setting of pre-eclampsia or eclampsia. The HELLP syndrome is characterized by hypertension, elevated liver enzymes and low platelets. This is a rare case of unilateral exudative retinal detachment associated with the Partial HELLP syndrome that occurred after delivery in a 23-year-old Indian woman. The retinal detachment subsequently reattached with good visual improvement under conservative treatment. This case highlights the importance of early intervention by the ophthalmologist when pregnant women complain about visual symptoms.
A 51-year-old man with type 2 diabetes mellitus presents with episodic pain in the right hypochondrium for 1 month. On physical examination, the abdomen was nontender, and no lump was palpable. The laboratory investigations were normal except for elevated fasting blood sugar (212 mg/dL).Contrast-enhanced computed tomography (CT) showed a resectable mass of size 3 3 2.5 cm at the duodenal ampulla. The CT also showed an ovoid retrovesical mass, which measured 4 3 4 cm. The mass consisted of a calcified central core and a thicker outer crust with a lamellated appearance (Figure 1). A small focus of calcification was also seen along the anterior wall of the distal descending colon (Figure 2). Given the above findings, a provisional diagnosis of the peritoneal loose body (PLB) was made.
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