One hundred and eighty-two women undergoing dilatation and curettage were allocated randomly to receive premedication comprising temazepam, papaveretum-hyoscine or placebo. The temazepam recipients reported significantly fewer episodes of postoperative nausea. Movement was blamed by 66% of patients who identified a cause for nausea. These patients had higher scores on a motion sickness suscepti...

A 25-year-old lady presented with acute respiratory distress syndrome following dilatation and curettage. Due to non-responding fever she was investigated further. High resolution computed tomography showed ‘random nodules’ with consolidation suggestive of miliary tuberculosis with acute respiratory distress syndrome, which was confirmed later on trans bronchial lung biopsy. She responded to an...

The value of transvaginal B-mode ultrasonography combined with color velocity imaging and pulsed Doppler to detect retained trophoblastic tissue was evaluated prospectively in a series of 40 patients with postpartum (n = 15) or postabortion (n = 25) bleeding. Color velocity imaging was used to identify color-coded blood flow signals within myometrium and/or endometrium. Flow was subjectively qu...

Dilatation and curettage (D&C) is one of the most frequently performed procedures for first trimester surgical abortion, also nonobstetric D&C can be performed for both diagnostic and therapeutic indications. The mortality and morbidity of D&C are very low, and perforation of uterus is rare. But curettage of a large, soft postpartum uterus can be a formidable undertaking because the risk of per...

More than 30 years ago Dr. Henry K. Beecher advocated gastric emptying on all war casualties prior to the administration of anesthesia. The primary reason was to avoid aspiration of gastric contents, but a secondary one was the interference with circulation that seemed to occur with gastric distention.1 Since World War II there have been reports in the literature of acute gastric dilatation fol...

Placenta percreta is the most severe form of abnormal placental attachment. It is a variant of placenta accreta in which chorionic villi penetrate the entire thickness of the myometrium through the uterine serosa and may involve the adjacent structures. Literature review shows very few cases encountered during the first trimester of pregnancy. A-20-year-old woman with previous one cesarean sect...