Factor VII deficiency is a genetic disorder of coagulation and inherited as autosomal recessive. Although inherited disorders of coagulation are rare, Factor VII deficiency is the most common among them. Recurrent spontaneous abortions and plasental abruptions have been reported in the pregnant women with Factor VII deficiency. Due to ease of laboratory diagnosis, the clearity of the management and the treatment protocols, Factor VII deficiency should be kept in mind in patients with bleeding diathesis. In this report, we described a pregnant patient at her 29 th weeks of gestation presenting with complaint of vaginal bleeding, thereafter performance of an emergency cesarean section due to placental abruption. The management and the treatment of these patients were discussed.
Differential diagnosis of FOCs should always include genitourinary tract disorders, gastrointestinal tract disorders and other intra-abdominal cystic structures.
NIHF can lead to high perinatal morbidity and mortality, yet its etiopathology remains poorly understood. Early diagnosis of NIHF gives parents an opportunity to make an informed choice about the possible complications of a pregnancy.
Since tuboovarian abscess is almost always a complication of pelvic inflammatory disease, it is rarely observed in virgins. A 30-year-old virgin patient presented with pelvic pain, fever, and vaginal spotting for the previous three weeks. Her abdominopelvic computed tomography scan revealed bilateral multiseptated cystic masses with prominent air-fluid levels suggesting tuboovarian abscesses. The sigmoid colon was lying between two tuboovarian masses, and its borders could not be distinguished from the ovaries. The patient was presumed to have bilateral tuboovarian abscesses which developed as a complication of the sigmoid diverticulitis. She was administered intravenous antibiotic therapy followed by percutaneous drainage under ultrasonographic guidance. She was discharged on the twenty second day with prominent clinical and radiological improvement. Diverticulitis may be a reason for development of tuboovarian abscess in a virgin patient. Early recognition of the condition with percutaneous drainage in addition to antibiotic therapy helps to have an uncomplicated recovery.
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