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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
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Lamine Gueye
Gynecology and Obstetrics Department, Thiès Regional Hospital Center,1 Avenue Malick SY Extended, Thiès,
Senegal
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Article ID: 101477Z01LG2024
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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
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Author Contributions
Lamine Gueye - Conception of the work, Design of the work, Acquisition of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Ousmane Thiam - Conception of the work, Design of the work, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Mariétou Thiam - Conception of the work, Design of the work, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Omar Gassama - Conception of the work, Design of the work, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Papa Abdoulaye Ba - Conception of the work, Design of the work, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Mamadou Lamine Cissé - Conception of the work, Design of the work, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guarantor 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.
