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Case Reports in Obstetrics and Gynecology最新文献

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Partial Molar Pregnancy Presenting as a Tubal Ectopic Pregnancy. 部分臼齿妊娠表现为输卵管异位妊娠。
Case Reports in Obstetrics and Gynecology Pub Date : 2022-07-05 eCollection Date: 2022-01-01 DOI: 10.1155/2022/7414190
Mariam Ayyash, Monica Kole, Quoc Le, Yulei Shen, Monique Swain
{"title":"Partial Molar Pregnancy Presenting as a Tubal Ectopic Pregnancy.","authors":"Mariam Ayyash,&nbsp;Monica Kole,&nbsp;Quoc Le,&nbsp;Yulei Shen,&nbsp;Monique Swain","doi":"10.1155/2022/7414190","DOIUrl":"https://doi.org/10.1155/2022/7414190","url":null,"abstract":"<p><strong>Background: </strong>Tubal molar pregnancy is extremely rare, with no more than 200 cases reported in the literature. The incidence is approximated at 1.5 per 1,000,000 pregnancies.</p><p><strong>Case: </strong>We report the case of a 22-year-old woman with an overall initial stable clinical presentation who was noted to have a ruptured ectopic pregnancy. She was surgically treated, and pathology revealed partial hydatidiform molar ectopic pregnancy. At the time of surgical intervention, the treating physicians had not considered molar ectopic pregnancy within the differential diagnosis, since this is a very rare presentation. Once the pathology was discovered, the patient was contacted to be scheduled for close follow-up and counseling to reduce progression to choriocarcinomas.</p><p><strong>Conclusion: </strong>This case report highlights the importance of sending, reviewing, and following up on pathologic specimens for all patients undergoing surgical intervention for presumed ectopic pregnancy and ensuring that appropriate follow-up is in place for those patients.</p>","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":" ","pages":"7414190"},"PeriodicalIF":0.0,"publicationDate":"2022-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9277201/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40601790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clear Cell Carcinoma Arising from Ovarian and Thoracic Endometriosis: A Case Report and Review of Literature. 卵巢及胸部子宫内膜异位症所致透明细胞癌1例报告及文献复习。
Case Reports in Obstetrics and Gynecology Pub Date : 2022-06-29 eCollection Date: 2022-01-01 DOI: 10.1155/2022/7624305
Samantha Mendoza Stanteen, Taemee Pak, Hao Chen, Matthew Carlson, Jessica Lee
{"title":"Clear Cell Carcinoma Arising from Ovarian and Thoracic Endometriosis: A Case Report and Review of Literature.","authors":"Samantha Mendoza Stanteen,&nbsp;Taemee Pak,&nbsp;Hao Chen,&nbsp;Matthew Carlson,&nbsp;Jessica Lee","doi":"10.1155/2022/7624305","DOIUrl":"https://doi.org/10.1155/2022/7624305","url":null,"abstract":"<p><p>We report a case of stage IVB ovarian clear cell carcinoma in a 35-year-old female with a long-standing history of biopsy-proven pelvic and thoracic endometriosis. At the time of her ovarian cancer diagnosis, her tumors were found to be isolated to the sites of her previously known endometriotic lesions, suggesting that malignant transformation of her endometriosis to ovarian cancer had occurred. She underwent primary tumor debulking, then received six cycles of intravenous carboplatin and paclitaxel, and is now free of disease. We have conducted a literature review of ovarian cancers arising from endometriosis as well as a summary of the molecular basis on the relationship between endometriosis and malignant ovarian carcinoma.</p>","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":" ","pages":"7624305"},"PeriodicalIF":0.0,"publicationDate":"2022-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9259338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40491378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Pituitary Apoplexy and Subdural Hematoma after Caesarean Section. 剖宫产术后垂体卒中及硬膜下血肿。
Case Reports in Obstetrics and Gynecology Pub Date : 2022-06-23 eCollection Date: 2022-01-01 DOI: 10.1155/2022/3097949
Van Trung Hoang, The Huan Hoang, Thanh Tam Thi Nguyen, Vichit Chansomphou, Duc Thanh Hoang
{"title":"Pituitary Apoplexy and Subdural Hematoma after Caesarean Section.","authors":"Van Trung Hoang,&nbsp;The Huan Hoang,&nbsp;Thanh Tam Thi Nguyen,&nbsp;Vichit Chansomphou,&nbsp;Duc Thanh Hoang","doi":"10.1155/2022/3097949","DOIUrl":"https://doi.org/10.1155/2022/3097949","url":null,"abstract":"<p><p>Pituitary apoplexy can occur postpartum, and subdural hematoma following epidural anesthesia is a rare complication. Cooccurrence of these two complications is extremely rare and has not been previously reported in the literature. In this article, we present a case of pituitary apoplexy along with intracranial subdural hematoma happening two days after spinal anesthesia for cesarean section. The patient presented with peripheral facial nerve paralysis accompanied by headache, eye pain, and blurred vision and was diagnosed by imaging modalities. The patient made a good recovery with conservative treatment without serious health events.</p>","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":" ","pages":"3097949"},"PeriodicalIF":0.0,"publicationDate":"2022-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9246620/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40559408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Conservative Management of Cesarean Scar Pregnancy: A Case Report and Literature Review. 剖宫产瘢痕妊娠的保守治疗:1例报告及文献复习。
Case Reports in Obstetrics and Gynecology Pub Date : 2022-06-22 eCollection Date: 2022-01-01 DOI: 10.1155/2022/1793943
Manuel Sánchez-Prieto, María Jesús Puy, Núria Barbany, Betlem Graupera, Maria Angela Pascual, Pere Barri-Soldevila
{"title":"Conservative Management of Cesarean Scar Pregnancy: A Case Report and Literature Review.","authors":"Manuel Sánchez-Prieto,&nbsp;María Jesús Puy,&nbsp;Núria Barbany,&nbsp;Betlem Graupera,&nbsp;Maria Angela Pascual,&nbsp;Pere Barri-Soldevila","doi":"10.1155/2022/1793943","DOIUrl":"https://doi.org/10.1155/2022/1793943","url":null,"abstract":"<p><p>Cesarean scar pregnancy (CSP) is a rare form of ectopic pregnancy located in the lower uterine segment. The current increase in the percentage of cesarean sections is accompanied by significant growth in the incidence of CSP, while advances in ultrasound diagnostic techniques have led to a greater number of CSP diagnoses. A misdiagnosed CSP, or one that is diagnosed too late, is life-threatening to the pregnant patient and predisposes her to complications such as uterine bleeding or rupture, which often require hysterectomy and thus result in the irreversible loss of fertility. We present the case of a 50-year-old woman with a history of undiagnosed CSP after multiple consultations for intermittent bleeding and hemorrhage. She was diagnosed by ultrasound and the diagnosis was confirmed by hysteroscopy. She underwent conservative medical treatment that was successful.</p>","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":" ","pages":"1793943"},"PeriodicalIF":0.0,"publicationDate":"2022-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9242790/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40559407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Meckel's Diverticulum: The “Great Mimic” but Often a Forgotten Cause of Acute Abdomen during Pregnancy 梅克尔憩室:“伟大的模仿者”，但经常被遗忘的原因急性腹部在怀孕期间
Case Reports in Obstetrics and Gynecology Pub Date : 2022-06-07 DOI: 10.1155/2022/2383075
Beatriz Féria, M. Trindade, M. J. Palma, J. Figueiredo, F. Passos
{"title":"Meckel's Diverticulum: The “Great Mimic” but Often a Forgotten Cause of Acute Abdomen during Pregnancy","authors":"Beatriz Féria, M. Trindade, M. J. Palma, J. Figueiredo, F. Passos","doi":"10.1155/2022/2383075","DOIUrl":"https://doi.org/10.1155/2022/2383075","url":null,"abstract":"Meckel's diverticulitis is an extremely rare event during pregnancy. Its diagnosis is often difficult and can result in higher maternal and fetal morbimortality. We describe a case of a 40-year-old healthy pregnant woman at 33 weeks of gestation who presented with abdominal pain and tender abdomen, leukocytosis, and elevated PCR. The imagiological exams were not conclusive. After an urgent caesarean section due to worsening of clinical status and nonreassuring fetal well-being, a laparotomy revealed a distended, necrotic, and perforated Meckel's diverticulum.","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75180226","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}
引用次数: 2
Association of Beta-Thalassaemia and Hypogonadotropic Hypogonadism 地中海贫血与促性腺功能减退症的关系
Case Reports in Obstetrics and Gynecology Pub Date : 2022-05-19 DOI: 10.1155/2022/4655249
A. Vidal, C. Dhakal
{"title":"Association of Beta-Thalassaemia and Hypogonadotropic Hypogonadism","authors":"A. Vidal, C. Dhakal","doi":"10.1155/2022/4655249","DOIUrl":"https://doi.org/10.1155/2022/4655249","url":null,"abstract":"Thalassaemic syndromes are among the most common haemoglobinopathies and are associated with high morbidity and mortality. Because of the various treatments, a secondary endocrinopathy due to iron overload—haemosiderosis—can occur, causing hypopituitarism leading to hypogonadotropic hypogonadism (HH) and infertility. We present a case of secondary amenorrhoea in a patient with beta-thalassaemia and a history of multiple therapies in her adolescence, such as multiple transfusions, chemotherapy, and allogeneic bone marrow transplantation, who presented with HH and premature ovarian insufficiency.","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":"86 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76218457","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}
引用次数: 2
Rotational Thromboelastometry-Guided Venoarterial Extracorporeal Membrane Oxygenation in the Treatment of Amniotic Fluid Embolism. 旋转血栓弹力仪引导静脉动脉体外膜肺氧合治疗羊水栓塞。
Case Reports in Obstetrics and Gynecology Pub Date : 2022-05-18 eCollection Date: 2022-01-01 DOI: 10.1155/2022/9658708
Jillian K Wothe, Elizabeth Elfstrand, Michael R Mooney, Donald D Wothe
{"title":"Rotational Thromboelastometry-Guided Venoarterial Extracorporeal Membrane Oxygenation in the Treatment of Amniotic Fluid Embolism.","authors":"Jillian K Wothe,&nbsp;Elizabeth Elfstrand,&nbsp;Michael R Mooney,&nbsp;Donald D Wothe","doi":"10.1155/2022/9658708","DOIUrl":"https://doi.org/10.1155/2022/9658708","url":null,"abstract":"<p><p>Amniotic fluid embolism (AFE) is a rare and often fatal complication of pregnancy that occurs during the puerperium. The low incidence of AFE has resulted in few large studies, which makes evidence-based management of AFE challenging. The use of extracorporeal membrane oxygenation (ECMO) has been reported but is limited by availability and challenges managing anticoagulation. In this report, we detail the case of a 29-year-old female who suffered from an AFE leading to cardiac arrest and disseminated intravascular coagulopathy. She was treated with protocolized A-OK (adenosine, ondansetron, and ketorolac), emergency c-section, cardiopulmonary resuscitation, massive blood transfusion, and rotational thromboelastometry-guided ECMO, allowing her to forgo initial anticoagulation. After a prolonged rehabilitation with initial poor neurological status, she made a complete recovery. In this report, we describe the protocols that contributed to her recovery and detail management of complicated AFE for other clinicians.</p>","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":"2022 ","pages":"9658708"},"PeriodicalIF":0.0,"publicationDate":"2022-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9132692/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71421013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
A Case of Preeclampsia with Uterine Necrosis after Uterine Artery Embolization for Postpartum Hemorrhage 子宫动脉栓塞治疗产后出血后子痫前期合并子宫坏死1例
Case Reports in Obstetrics and Gynecology Pub Date : 2022-05-17 DOI: 10.1155/2022/2859766
Midori Yoshikawa, T. Seyama, T. Iriyama, S. Sayama, T. Fujii, Masatake Toshimitsu, Moto Nakaya, R. Kurokawa, Eisuke Shibata, T. Watadani, K. Kumasawa, T. Nagamatsu, K. Koga, Y. Osuga
{"title":"A Case of Preeclampsia with Uterine Necrosis after Uterine Artery Embolization for Postpartum Hemorrhage","authors":"Midori Yoshikawa, T. Seyama, T. Iriyama, S. Sayama, T. Fujii, Masatake Toshimitsu, Moto Nakaya, R. Kurokawa, Eisuke Shibata, T. Watadani, K. Kumasawa, T. Nagamatsu, K. Koga, Y. Osuga","doi":"10.1155/2022/2859766","DOIUrl":"https://doi.org/10.1155/2022/2859766","url":null,"abstract":"Uterine necrosis is a rare complication in uterine artery embolization (UAE) for postpartum hemorrhage (PPH). Preeclampsia (PE) is a condition characterized with systemic endothelial damage and intravascular volume depletion. Whether a patient with PE is at high risk for uterine necrosis after UAE for PPH has been unknown. A 30-year-old primipara woman was diagnosed with PE based on hypertension and proteinuria during delivery. UAE was performed for PPH after forceps delivery. After UAE, the patient presented with pleural effusion and massive ascites as well as persistent fever unresponsive to antibiotics. Ultrasonography and contrast-enhanced magnetic resonance imaging (MRI) led to the diagnosis of uterine necrosis, for which we performed total laparoscopic hysterectomy. It should be kept in mind that patients with PE associated with massive ascites may be at high risk for uterine necrosis after UAE due to decreased uterine perfusion. Therefore, it is important to pay attention to persistent symptoms such as fever and abdominal pain after UAE to diagnose uterine necrosis.","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":"63 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89210396","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}
引用次数: 1
More than an Incidentaloma: The Nonreportable NIPT 不只是偶发瘤:不可报告的NIPT
Case Reports in Obstetrics and Gynecology Pub Date : 2022-04-30 DOI: 10.1155/2022/2496057
Allison M Jay, Brian Mason, D. Lebovic, P. Chuba
{"title":"More than an Incidentaloma: The Nonreportable NIPT","authors":"Allison M Jay, Brian Mason, D. Lebovic, P. Chuba","doi":"10.1155/2022/2496057","DOIUrl":"https://doi.org/10.1155/2022/2496057","url":null,"abstract":"Noninvasive prenatal testing (NIPT), which utilizes a maternal blood sample to detect fetal gender and screen for fetal aneuploidy (abnormal chromosomes), is widely used in obstetrics to screen for Trisomies 21, 18, and 13. Per the literature, approximately 0.3% of pregnant woman's results are nonreportable. Reasons include low fetal fraction, insufficient DNA, vanishing twin, twin pregnancy, clonal mosaicism, and maternal neoplasia. Here, we describe a 25-year-old G2P1 pregnant woman who had two nonreportable NIPT results and subsequently was diagnosed with lymphoma. We discuss the importance of clinical exam in correlation with the results to offer comprehensive evaluation of the patient with a nonreportable finding, given malignancy occurs in 1/1000 pregnant women. This report overviews proposed management guidelines for pregnant women with a nonreportable result and helps to address discomfort the treating physician may feel in discussing this result with their patient.","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74156410","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}
引用次数: 0
Appearances Are Deceptive: Two Case Reports in Teenagers on the Conservative Laparoscopic Surgery for Adnexal Torsion with Apparent Infarction 外表具有欺骗性:两例青少年保守腹腔镜手术治疗伴有明显梗死的附件扭转
Case Reports in Obstetrics and Gynecology Pub Date : 2022-04-27 DOI: 10.1155/2022/1798599
A. Jayawardane, M. Patabendige, C. Gunathilaka
{"title":"Appearances Are Deceptive: Two Case Reports in Teenagers on the Conservative Laparoscopic Surgery for Adnexal Torsion with Apparent Infarction","authors":"A. Jayawardane, M. Patabendige, C. Gunathilaka","doi":"10.1155/2022/1798599","DOIUrl":"https://doi.org/10.1155/2022/1798599","url":null,"abstract":"Introduction. Torsion of the ovary, tube, or both is estimated to be responsible for 2-7% of all gynaecological emergencies. Oophorectomy is commonly performed for adnexal torsion with a possible negative impact on fertility in women of reproductive age. Case Presentations. We report two cases of teenage girls presented with adnexal torsion describing their laparoscopy features. Detorsion without additional surgical intervention could save their ovaries. Discussion. Detorsion is a more conservative surgical approach that should be considered in all younger women with ovarian torsion.","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81766486","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}
引用次数: 0
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