Peripartum cardiomyopathy (PPCM) is a rare form of heart failure with a reported Incidence of 1 per3000 to 1 per 4000 live births and a fatality rate of 20 -50%.Onset is usually between the last month of pregnancy and up to 5 months postpartum in previously healthy women. Although viral autoimmune and idiopathic factors may be contributory, its etiology remains unknown. PPCM is usually presents with signs and symptoms of congestive heart failure. Early diagnosis is important and effective treatment reduces mortality rates and increases the chance of complete recovery of ventricular systolic function.

ABSTRACT:Renal cell carcinoma is uncommon during the reproductive phase of a woman. Diagnosis of renal cell carcinoma during pregnancy is usually delayed because it is asymptomatic in most cases and a complete ultrasound of abdomen is not a part of routine obstetric evaluation. Although radical nephrectomy is the definitive treatment of choice in renal cell carcinoma, the exact timing of surgery is controversial. Management of renal cell carcinoma during pregnancy requires multidisciplinary approach. We report a case of a second gravida presenting with a renal mass during the first trimester with a blighted ovum.

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