Spontaneous rupture of the uterine artery is a rare cause of hemoperitoneum during pregnancy. This is a life-threatening condition associated with maternal and fetal mortality. We describe a case of spontaneous rupture of the left uterine artery in a 32-year-old healthy pregnant woman with an uneventful pregnancy.

Horner's syndrome is a condition that results from sympathetic nervous system dysfunction. Labor epidural analgesia is known to be a rare cause of Horner's Syndrome. However, in the obstetric population, the incidence of Horner's Syndrome is higher than in the rest of the population as it is a consequence of high cephalad spread of local anesthetic (LA) probably enhanced by the anatmophysiologic changes of pregnancy. We present a case of unilateral Horner's syndrome as a complication of epidural analgesia with accompanying upper limb paresthesia and motor weakness, a rarely encountered symptom.

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Acute pulmonary edema in pregnancy affects 0.08% of pregnant women 1 . The most frequent causes are cardiac pathology (26%), the use of tocolytics, excess fluid and preeclampsia. Other causes are severe infection and embolic events.Systemic lupus erythematosus (SLE) can cause valvular involvement and myocarditis with clinical significance in 10% of patients and may progress to dilated cardiomyopathy and acute heart failure (AHF).The echocardiogram allows to distinguish between noncardiac causes and differentiate the cardiac ones in valvular, systolic or diastolic dysfunction, facilitating the etiological diagnosis and therapeutic optimization.

Patients with multiple comorbidities proposed for outpatient surgery (OS) may benefit from a regional technique. However, there are no studies comparing and evaluating the effectiveness of different anesthetic techniques in OS. The aim of this study is to compare the effectiveness of different anesthetic techniques in outpatient transobturator tape surgery (TOT).