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Purpose: To investigate the effectiveness of general, whole-body, physical exercise interventions compared to usual care for individuals with chronic neck pain.Materials and methods: Systematic rev...

Background: This case involved a 35‐year‐old G6P0 with multiple uterine fibroids detected at 12 weeks gestation. Fibroid growth was monitored throughout pregnancy, and intrauterine growth restriction (< 5th centile) was detected at 20 weeks. Fetal demise occurred at 22+ weeks gestation at which time the largest of fibroids measured 150 × 100 × 118 mm and labour was induced. Materials and methods: Serial ultrasounds following delivery showed features of reduced vascularity and separation of the fibroid from the myometrium, consistent with spontaneous degeneration. Our patient re‐presented with severe pain and went on to expel the fibroid spontaneously 41 days post induction of labour. Histopathology confirmed fibroid degeneration. Conclusion: This case demonstrates spontaneous fibroid degeneration and expulsion without embolisation. This may have resulted from the hormonal and mechanical effects of induction of labour. This case also demonstrated the effects of large intrauterine fibroids on fetal growth and increased risk of fetal demise, highlighting the importance of closer monitoring of fetal growth in such pregnancies.

This case demonstrates the ability to diagnose a significant duodenal atresia coexisting with an oesophageal atresia with associated tracheo‐oesophageal fistula within the first trimester, however the mechanisms underlying the sonographic features remain uncertain.