Changes in Micronutrient Intake and Status, Diet Quality and Glucose Tolerance from Preconception to the Second Trimester of Pregnancy.

Data on changes in dietary intake and related blood parameters throughout pregnancy are scarce; moreover, few studies have examined their association with glucose homeostasis. Therefore, we monitored intake of folate, vitamin B6, vitamin B12, vitamin D and iron, their status markers, and diet quality from preconception to the second trimester of pregnancy, and we examined whether these dietary factors were associated with glucose homeostasis during pregnancy. We included 105 women aged 18⁻40 years with a desire to get pregnancy or who were already <24 weeks pregnant.

Supplement Use and Dietary Sources of Folate, Vitamin D, and -3 Fatty Acids during Preconception: The GLIMP2 Study.

An adequate nutritional status during the preconception period is important, particularly for folate, vitamin D, and -3 fatty acids (i.e., EPA+DHA).

[A pregnant woman with increasing constipation].

A 29-year-old gravida 2 para 1 presented with symptoms of increasing constipation in the first trimester of pregnancy. Shortly before this pregnancy, she was suspected of a retroperitoneal cyst. In the analysis of the increased constipation combined with this recent medical history, MRI was performed, which showed an anterior sacral meningocele.

Use of risk of malignancy index to indicate frozen section analysis in the surgical care of women with ovarian tumors.

Objective: To evaluate the importance of the risk of malignancy index (RMI) in the decision to perform frozen section analysis among women with ovarian tumors.

Methods: A retrospective study was conducted in 11 centers in the Netherlands. Women who underwent surgical treatment of an ovarian mass with unknown histology between January 2005 and September 2009 were included.

Cecal volvulus caused by a large uterine leiomyoma.

Introduction: Cecal volvulus is a relatively uncommon encountered clinical condition.

Presentation Of Case: A 48-year-old patient known with a large uterine leiomyoma, presented with progressive abdominal pain since one week. An abdominal computed tomography scan revealed a very large leiomyoma of the uterus, severely distended loops of the small bowel with a caliber change and a suggested 'whirl sign' of the mesenteric vessels.