[Endometriosis of the appendix presenting like acute appendicitis--a case report].

Introduction: In general, pain in the lower right abdomen is the most frequent reason for hospital surgical admissions, acute appendicitis representing the most common cause of operation for acute abdomen. Timely appendectomy remains the only treatment in the early stages of inflammation and is usually uncomplicated, requiring only a short hospital stay. A differential diagnostic analysis necessitates a search for other, particularly long-term symptoms that might be driven to the background in cases of acute exacerbation.

Agreement on intrapartum cardiotocogram recordings between expert obstetricians.

Rationale, Aims And Objectives: To evaluate obstetricians' inter- and intra-observer agreement on intrapartum cardiotocogram (CTG) recordings and to examine obstetricians' evaluations with respect to umbilical artery pH and base deficit.

Methods: Nine experienced obstetricians annotated 634 intrapartum CTG recordings. The evaluation of each recording was divided into four steps: evaluation of two 30-minute windows in the first stage of labour, evaluation of one window in the second stage of labour and labour outcome prediction.

[Gitelman syndrome in pregnancy--a severe hypokalemia with favorable perinatal prognosis].

Gitelman syndrom is a rare congenital tubulopathy characterized by hypokalemia, hypomagnesemia, metabolic alkalosis and hypocalciuria. We report a case of a 32-year-old patient admitted for asymptomatic hypokalemia and hypomagnesemia in the 30th week of gestation. A diagnosis of Gitelman syndrom was made and intravenous administration of potassium chloride in high doses combined with spironolactone was started.

[Meconium and postnatal neurologic handicaps].

Objective: A review of meconium pathophysiology and its contribution to the incidence of postnatal neurological handicap.

Design: Reviewed article.

Setting: Department of Gynaecology and Obstetrics, Charles University and Faculty Hospital Plzen, Czech Republic.

[Meconium and its significance].

Objective: A review of meconium patophysiology and its contribution to the incidence of perinatal infection.

Design: Review article.

Setting: Department of Gynaecology and Obstetrics, Charles University and Faculty Hospital Plzen, Czech Republic.