Baby’s Feet Outside Mom’s Uterus: Amazing Image Shows Rare Rupture
Just looking at this image might give the impression that this woman’s baby literally kicked its feet right out of her uterus. But moms-to-be with kicky babies can rest easy — the MRI image showcases an extremely rare condition that was not caused by a baby’s kick.
The 33-year-old woman had developed a 1 inch (2.5 centimeters) tear in the wall of her uterus, and through the tear, part of the amniotic sac measuring 7.5 by 4.7 by 3.5 inches (19 by 12 by 9 cm) popped out, according to a brief report of her case. The amniotic sac is the fluid-filled membrane found in the uterus that contains the growing and developing fetus.
But the woman had no symptoms that any of this was going on. She didn’t learn of her condition until she came in for a routine ultrasound when she was 22-weeks pregnant, according to the report, published today (Dec. 21) in The New England Journal of Medicine.
Dr. Pierre-Emmanuel Bouet, an OB/GYN at the Angers University Hospital in France and the lead author of the report, said he had never seen a case like this before. [Here’s a Giant List of the Strangest Medical Cases We’ve Covered]
Indeed, the condition is “extremely rare,” Bouet told Live Science. There have only been 26 cases reported in the literature, he added.
This was the woman’s sixth pregnancy, the doctors wrote in the report. In all of her five previous pregnancies, the woman delivered the babies via Caesarean section (C-section), they wrote.
In fact, it was the woman’s five previous C-sections that increased her risk for a uterine tear, Bouet said. It seems that her C-sections had weakened the wall of the uterus, he said. The tear didn’t occur at the exact location of the earlier C-sections, but close by, he added.
The area of the uterus that had scarred after the C-sections was strong, but the regions around this scar were fragile, Bouet said. The forces and pressures on the uterus that occur during pregnancy ultimately led to the tear, he said.
Upon discovering the woman’s uterine tear and protruding amniotic sac, the doctors informed the woman and her husband of the potential risks, which included additional uterine tearing, preterm birth and a serious pregnancy complication called placenta accreta, in which the placenta doesn’t detach from the uterine wall after birth.
It was also possible for the amniotic sac to rupture, Bouet said. If this occurred, the doctors would make sure that the fetus still had a heartbeat, and if so, would perform an emergency C-section, Bouet said. The doctors would also have to consider the age of the fetus: if it was too early in the pregnancy, the odds of survival would be lower, he said.
The woman and her husband decided to continue the pregnancy with close monitoring, according to the report. Bouet said that the woman was not put on bed rest during this time, and that she could do some moderate walking.
By 30 weeks, the tear in the woman’s uterus grown by 2 inches (5 cm) and the portion of the amniotic sac outside the uterus had grown in size, the doctors wrote in the report. At that point, not only did this part of the amniotic sac contain the fetus’s legs, but also the abdomen, they wrote.
The doctors and the woman decided to deliver the baby via C-section. The baby boy was healthy, and weighed in at 3 lbs. (1.385 kilograms), according to the report. After delivery, the doctors repaired the woman’s uterus, and she returned home from the hospital after five days.
The doctors last checked in with mother and baby six months after he was born, and noted that they were doing well.
Originally published on Live Science.
Woman’s Scalp Was Torn from Her Head in Horrifying Accident
Editor’s Note: This story contains some graphic images.
In an awful accident, a woman in Japan had her entire scalp pulled off her head, according to a new report of the woman’s case.
The accident occurred when the 64-year-old woman’s long hair got caught in a spinning machine, tearing her scalp away from her skull. The machine tore a line around the woman’s skull, level with the top of her nose. The top thirds of both of her ears were part of the scalp portion that was ripped away, as was her entire right eyebrow and half of her left eyebrow.
When the woman came to the hospital, she was clearly conscious, and her scalp was in a plastic bag surrounded with ice, said lead author Dr. Jun Karibe, a plastic surgeon at Yamanashi University Hospital in Japan, who treated the woman. At the hospital, the doctors removed the hair from the scalp and rinsed it with a saline, or salt water, solution, Karibe said. Then, the scalp was sterilized before the reattachment surgery began. [27 Oddest Case Reports]
Four hours after the injury took place, plastic surgeons had successfully reattached her scalp to her head, according to the report, which was published yesterday (Oct. 24) in the journal BMJ Case Reports.
The type of injury, which doctors refer to as “scalp avulsion,” is extremely rare in Japan, according to the case report. Indeed, it was the first time that a “whole scalp avulsion” was reported in the country, Karibe told Live Science.
Though gruesome, scalp alvusion injuries are not life-threatening in most cases, Karibe said.
Repairing the injury involves, in part, reattaching blood vessels and nervesin the scalp to the head. The doctors were able to successfully reattach four large main blood vessels, two on the right side of the head and two on the left. However, after the operation, the doctors found that blood flowed only through the vessels on the right side of the head — but that these vessels were able to adequately supply blood to the entire scalp. The doctors were unable to reattach any of the woman’s nerves.
Two weeks after the operation, the woman developed a lesion, 3 by 4 centimeters (1.2 by 1.6 inches) near her left eye where her skin tissue was dying. The skin in this area was removed, and the doctors performed a skin graft, transferring healthy skin to the area from a different part of her body.
By two months after the initial operation, signs pointed to the woman making a good recovery: “Exuberant hair growth was evident,” the doctors wrote, though they added that there was less hair growth on the left side of her head, perhaps due to trouble with the blood vessels on that side.
A year after the injury, the woman’s hair had grown “sufficiently.” In addition, she was able to open and close both of her eyelids and move her right eyebrow. And though the doctors weren’t able to attach the woman’s nerves, she regained sensation in the front and on both sides of her head, and was able to contract her forehead muscle — these improvements suggest that the nerves recovered on their own, according to the report.
“We were surprised to see the result of [the] operation,” Karibe said. “My colleagues, including me, didn’t expect this amazing recovery.”
The woman was also pleased. She told the doctors she was “very satisfied with the aesthetic result,” and noted that she had “no problems in [her] daily life activities,” according to the report.
This story was updated to include quotes from the case report author.
Originally published on Live Science.
Here’s What Could Happen If You Don’t Properly Remove Mascara
A woman in Australia who had a habit of not washing off her mascara developed serious eye problems that could have taken her vision, according to a new report.
The 50-year-old woman went to the eye doctor after experiencing the uncomfortable feeling that something was in her eyes, according to the report, published in the May issue of the journal Ophthalmology. The woman admitted that she’d heavily used mascara for more than 25 years, and wasn’t good about taking her makeup off.
“I had fallen into a bad habit of wearing a lot of makeup and not washing it off,” the woman, Theresa Lynch, told the Daily Mail.
When the doctor examined the underside of the woman’s eyelids, she found found darkly pigmented lumps under the conjunctiva, which is the transparent membrane that lines the eyelid and white part of the eye. Some of the lumps had even broken through the surface of the conjunctiva, the report said. Her eye problems were associated with conjunctivitis (inflammation of the conjunctiva) and damage to the cornea.
“[The lumps] were embedded so deep that particles were building up on top of each other… I was so uncomfortable. My eyelids were swollen and heavy because I left it [untreated] for so long,” Lynch said. [‘Eye’ Can’t Look: 9 Eyeball Injuries That Will Make You Squirm]
Lynch’s doctor, Dr. Dana Robaei, an ophthalmic surgeon and clinical senior lecturer at the University of Sydney School of Medicine, told the Daily Mail that the dark lumps were caused by the buildup of bits of mascara under Lynch’s eyelids. There was a risk Lynch’s eyes could have become infected, which, in rare cases, can lead to blindness, Robaei said.
“You must be meticulous” about removing mascara, Robaei added.
Lynch underwent a 90-minute procedure to have the lumps removed, but she still has permenant scarring on her eyelids, according to the Daily Mail.
Original article on Live Science.
4,000-Year-Old Jar Contains Italy’s Oldest Olive Oil
An egg-shaped ceramic jar covered with ceramic “rope” once held a prize delicacy: the oldest olive oil on record in Italy, a new study finds.
Researchers made the discovery after analyzing residue of the so-called liquid gold on the beautiful jar and two other vessels uncovered at Castelluccio, an archaeological site in Sicily.
“It had the signature of Sicilian tableware dated to the end of the third and beginning of the second millennium B.C., [during the] Early Bronze Age,” Davide Tanasi, an assistant professor of history at the University of South Florida, said in a statement. “We wanted to learn how it was used, so we conducted chemical analysis on organic residues found inside.”
The finding shows that the ancient people of Italy made and used olive oil at the end of the third millennium B.C., a good 700 years earlier than experts previously thought, the researchers said. [Photos: Ancient Pottery Once Held Olive Oil]
Archaeologists have known about the ceramic jar for a while; archaeologist Giuseppe Voza found it while directing excavations in Castelluccio, an ancient site dating back to the Bronze Age, in the 1990s. During the dig, archaeologists identified a site on a rocky ridge with 12 huts. The jar came from one of those huts, the researchers said.
However, the ancient jar was shattered. So conservators from the Paolo Orsi Regional Archaeological Museum of Syracuse, in Italy, restored and reassembled 400 ceramic fragments, reconstructing the egg-shaped, 3.5-foot-tall (1 meter) olive oil container, which an ancient artisan had decorated with rope bands and three vertical handles on each side.
As luck would have it, archaeologists at the site also found two fragmented basins with internal dividers, suggesting that these vessels were used to hold multiple substances. They also found a large terra-cotta cooking plate.
In the new study, the researchers tested the three ceramic containers and found that all three vessels had organic residue containing oleic and linoleic acids, which are signatures of olive oil.
“The results obtained with the three samples from Castelluccio become the first chemical evidence of the oldest olive oil in Italian prehistory, pushing back the hands of the clock for the systematic olive oil production by at least 700 years,” Tanasi said.
Besides this new finding, the only known ancient storage jars with chemical signatures of olive oil in Italy were from the cities of Cosenza and Lecce, in southern Italy, that are thought to date to the Copper Age, during the 12th and 11th centuries B.C.
However, the Italian olive oil discoveries aren’t the oldest in the books. An analysis of 8,000-year-old clay pots from what is now Israel also revealed the signatures of olive oil, Live Science previously reported. That finding supports research suggesting that olive trees were domesticated about 6,000 to 8,000 years ago.
Meanwhile, the oldest Italian wine on record dates to nearly 6,000 years ago and was also found at an archaeological site in Sicily, Live Science preciously reported.
The new study was published online May 7 in the journal Analytical Methods.
Original article on Live Science.