the uterine rupture during pregnancy is a catastrophic condition resulting in both maternal and perinatal morbidity and mortality. it occurs in nearly 1% of patients with previous cesarean sections. however, uterine rupture at the site of previous iatrogenic perforation which is spontaneously healed or repaired is less reported. we present a 29-year-old woman, gravida 3 para 1, at 20 weeks of g...

On-fault earthquake magnitude distributions are calculated for northern Caribbean faults using estimates of fault slip and regional seismicity parameters. Integer programming, a combinatorial optimization method, is used to determine the optimal spatial arrangement earthquakes sampled from truncated Gutenberg-Richter distribution that minimizes global misfit in rates on complex system. Slip the...

BACKGROUND AND PURPOSE Atherosclerotic plaque vulnerability is accompanied by changes in the molecular and cellular function in the plaque shoulder, including a decrease in vascular smooth muscle cell proliferation. We aimed to determine whether the expression of 3 miRNAs that regulate vascular smooth muscle cell proliferation (miR-145, miR-221, and miR-222) is altered with plaque rupture, sugg...

Uterine rupture often occurs in the third trimester of pregnancy or during labor. Its occurrence in early pregnancy and in the absence of any predisposing factors is very rare. Untimely diagnosis and a low index of suspicion could be life-threatening. Here we report the case of a 29-year-old woman with a history of two previous cesarean sections. An ultrasound report revealed a dead fetus in th...

left ventricular free wall rupture is responsible for up to 10% of in-hospital deaths following myocardial infarction. it is mainly associated with posterolateral myocardial infarction, and its antemortem diagnosis is rarely made. one of the medical complications of myocardial infarction is the rupture of the free wall, which occurs more frequently in the anterolateral wall in hypertensives, wo...

introduction sialolithiasis is the most common disease of salivary glands. sialography is particularly important for the assessment of the outflow tract and in diagnosing obstructive salivary gland lesions including calculi. case presentation we report on a 38-year-old female with sialolithiasis whom had wharton’s duct perforation, complicating the sialography. she was treated conservatively wi...

various complications of hydatid cyst have been recognized to date. we have encountered one such complication-rupture of hydatid cyst to the duodenum­ leading to upper gastrointestinal bleeding in a 40 year old male, who referred with severe right upper quadrant (ruq) pain and gastrointestinal bleeding of a few hours' duration. laparotomy revealed a cyst (7 x 15 cm) in the left lobe of the...

Adrenal gland pseudocysts are not common conditions, and most of them are nonfunctional and asymptomatic. However, large pseudocysts may causes abdominal discomfort and have compressive effects on adjacent organs. They may rupture spontaneously or after trauma, and lead to retroperitoneal hemorrhage and surgical emergency. Herein, we report a case of 21-year-old female who presented with acute ...

Abdominal aortic aneurysm (AAA) rupture can occur in different ways, such as closed rupture into the retroperitoneum, open rupture into the peritoneal cavity, rupture into surrounding hollow structures, and chronic contained or sealed rupture. Here, we report an unusual case of spontaneous rupture of AAA into a renal cyst that presented with hematuria, abdominal pain and shock, and which was di...