Publications by authors named "Antonio Ivan Miletic"
Mirror syndrome (Ballantyne syndrome) is a rare condition characterized by maternal edema, which often affects the lungs. It mirrors the image of fetal and placental edema; therefore, it is also called triple edema. We present the case of a 37-year-old secundigravida, referred to our clinic at 26 weeks of a pregnancy complicated by fetal dilatative restrictive cardiomyopathy and hydrops, placentomegaly, new-onset dyspnea, and maternal calf edema.
View Article and Find Full Text PDFOsteopathic techniques and manual rotation of the fetal head successfully resolve mechanical dystocia.
Eur J Obstet Gynecol Reprod Biol
March 2024
Article Synopsis
- Pure uterine lipomas are very rare benign tumors that can resemble more common uterine fibroids (leiomyomas) in imaging studies.
- The case discusses a 68-year-old woman who had surgery for a suspected fibroid but was found to have a pure uterine lipoma, confirmed through histological examination.
- The authors emphasize that surgical treatment is appropriate for symptomatic patients, as uterine lipomas can clinically mimic fibroids.
Mature cystic ovarian teratoma (dermoid cyst) is the most common germ cell tumor. Malignant tissue alteration in mature cystic teratoma is extremely rare, and malignant proliferation of thyroid tissue has been documented in only a few cases. This article presents a case of incidentally detected papillary microcarcinoma (PTMC) within a mature cystic ovarian teratoma.
View Article and Find Full Text PDFPhysiological changes in pregnancy as part of biohumoral and morphological changes (hyperemia, edema, hypersecretion) influence the possible problems in obstetric anesthesia. These changes by themselves, and particularly aggravated by acute or chronic gestational or non-gestational comorbidity, increase the risk of aspiration of gastric contents, failed intubation, esophageal intubation, inadequate ventilation, and respiratory failure. The types of premedication, anesthesia and techniques of anesthesia are evident from medical historiography.
View Article and Find Full Text PDFYolk sac tumors are highly malignant and commonly affect the ovaries, with a median age of occurrence of 23 years. We describe the case of an ovarian yolk sac tumor in a 12-year-old premenarchal girl suffering from Hashimoto's thyroiditis and chronic spontaneous urticaria, which presented as a rapidly growing solid cystic formation in the hypogastrium with an extreme increase in alpha fetoprotein (52,778 mg/ml). After ultrasound and MRI imaging, fertility-sparing staging surgery was performed, and the diagnosis of an ovarian yolk sac tumor with positive malignant cells in ascites was confirmed.
View Article and Find Full Text PDFObstetrics injuries during shoulder dystocia in a tertiary perinatal center.
Eur J Obstet Gynecol Reprod Biol
November 2022
Article Synopsis
- This study examines the management and outcomes of fetal shoulder dystocia at a university perinatal center, analyzing a 15-year period of singleton vaginal deliveries.
- Out of 45,687 deliveries, shoulder dystocia occurred in 254 cases (0.7%), with various management techniques yielding high rates of successful resolution and minimal severe injuries.
- Results indicated that immediate identification and specific maneuvers effectively reduced the risk of serious birth injuries, with low occurrences of permanent brachial plexus damage among newborns.