{"title":"Autonomous Ovarian Cysts in a Girl: A Rare Case of Precocious Puberty","authors":"F. Bianchi","doi":"10.47363/jgrrr/2022(4)146","DOIUrl":"https://doi.org/10.47363/jgrrr/2022(4)146","url":null,"abstract":"Precocious puberty (PP) is defined by development of secondary sexual characteristics before eight years old in girls. Autonomous ovarian follicular cysts in prepubertal girls are rare but the most common cause of gonadotropin-independent PP. Current management is debated. We report a case of PP due to an autonomous ovarian cyst in a 3-year-old girl with a month history of vaginal bleeding and breast development; the patient underwent surgical intervention. There is no consensus as to the superiority of surgical versus pharmaceutical management in the autonomous ovarian cysts in prepubertal girls. Surgical management should be deferred as long as possible to permit a spontaneous resolution of cysts. If a surgical intervention is made, conservation of normal ovarian tissue is mandatory","PeriodicalId":261631,"journal":{"name":"Journal of Gynecology Research Reviews & Reports","volume":"103 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132452164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Interstitial Viable Ectopic Pregnancy Managed with Systemic Methotrexate","authors":"Ibrahim Hegazy","doi":"10.47363/jgrrr/2022(4)148","DOIUrl":"https://doi.org/10.47363/jgrrr/2022(4)148","url":null,"abstract":"A 29-year-old woman, 6weeks and 3 days pregnant as assessed by her last menstrual period, presented to our emergency department with vaginal bleeding and pelvic pain for 4 days. She was a gravida 3 para 0 with a history of ectopic on her first pregnancy in the left tube managed by salpingostomy, her second pregnancy was unfortunately a miscarriage at 7 wks managed by medical management and ERPC. At the time of diagnosis, she had a left interstitial ectopic pregnancy with serum B human chorionic gonadotropin (β-HCG) was 20094 mIU / mL. The ectopic pregnancy was managed by intramuscular methotrexate.","PeriodicalId":261631,"journal":{"name":"Journal of Gynecology Research Reviews & Reports","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116792626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}