 |
Case Report
Embryotomy for head last retention: A case report from Thiès, Senegal
1 Gynecology and Obstetrics Department, Thiès Regional Hospital Center (CHRT), Thiès, Senegal
2 Health Sciences Training and Research Unit of Thiès, Iba Der THIAM University of Thiès, Senegal
3 Gynecology and Obstetrics Department, Saint-Louis Regional Hospital Center, Health Sciences Training and Research Unit of Gaston Berger University of Saint-Louis, Senegal
4 Gynecology and Obstetrics Department, Nabil Choucair Hospital in Dakar, Faculty of Medicine, Cheikh Anta Diop University of Dakar, Senegal
Address correspondence to:
Lamine Gueye
Gynecology and Obstetrics Department, Thiès Regional Hospital Center,1 Avenue Malick SY Extended, Thiès,
Senegal
Message to Corresponding Author
Article ID: 101477Z01LG2024
Access full text article on other devices
Access PDF of article on other devices
How to cite this article
Gueye L, Thiam O, Thiam M, Gassama O, Ba PA, Cissé ML. Embryotomy for head last retention: A case report from Thiès, Senegal. Int J Case Rep Images 2024;15(2):85–88.ABSTRACT
Introduction: Hydrocephalus is a pathology of heterogeneous nature and complex pathogenesis. It corresponds to an active distension of the ventricular system. Faced with hydrocephalus with retained head in a dead child, embryotomy by craniotomy is indicated.
Case Report: We report a case of intrapartum fetal death with head-last retention due to hydrocephalus treated with craniotomy performed at the regional hospital of Thiès (CHRT). This was a 21-year-old primigravida patient seen for premature delivery in a pregnancy of 33 weeks 5 days. The ultrasound concluded that the pregnancy had stopped at 33 weeks 5 days with major hydrocephalus. A craniotomy followed by gradual evacuation of the cerebrospinal fluid allowed easy delivery of a fresh stillborn weighing 1950 grams. The afterbirth was simple.
Conclusion: Embryotomy by craniotomy constitutes a good option to complete delivery by natural means in the face of head retention due to hydrocephalus with intrapartum death. It is therefore necessary to master this simple and less morbid technique than a cesarean section in such a situation.
Keywords: Craniotomy, Hydrocephalus, Intrapartum fetal death
SUPPORTING INFORMATION
Author Contributions
Lamine Gueye - Substantial contributions to conception and design, Acquisition of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Ousmane Thiam - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Mariétou Thiam - Substantial contributions to conception and design, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Omar Gassama - Substantial contributions to conception and design, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Papa Abdoulaye Ba - Substantial contributions to conception and design, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Mamadou Lamine Cissé - Substantial contributions to conception and design, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2024 Lamine Gueye et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
