Case Reports in Obstetrics and Gynecology最新文献

{"title":"Successful Late Emergency Cerclage for Painless Cervical Dilation in Triplet Gestation.","authors":"Zagdon Keidar Shir, Spiegel Efrat, Silberstein Tali","doi":"10.1155/crog/4323993","DOIUrl":"10.1155/crog/4323993","url":null,"abstract":"<p><strong>Introduction: </strong>The efficacy of emergency cerclage placement in triplet pregnancies remains controversial. This case describes a favorable outcome following such an intervention in prolonging gestation and improving neonatal outcomes in high-risk multiple gestations complicated by cervical insufficiency.</p><p><strong>Case presentation: </strong>We report a bichorionic triamniotic (BCTA) triplet pregnancy in a primigravida admitted at 21 + 5 weeks gestation with asymptomatic cervical dilation and bulging membranes. After thorough counseling regarding risks and benefits, an emergency McDonald cerclage was placed at 22 + 4 weeks. The pregnancy was prolonged until 29 + 3 weeks, when the patient underwent cesarean delivery of three healthy neonates following preterm premature rupture of membranes and suspected chorioamnionitis. Informed consent was obtained from the patient for publication.</p><p><strong>Discussion: </strong>Despite the inherent risks, emergency cerclage may be considered in highly selected triplet pregnancies with cervical insufficiency. This case underscores the importance of individualized decision-making and may contribute to the existing literature and generate hypotheses for future research.</p>","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":"2026 ","pages":"4323993"},"PeriodicalIF":0.8,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13494658/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148788718","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}

{"title":"Congenital Pulmonary Airway Malformation Type 1 With KRAS Mutation: A Case Report and Literature Review.","authors":"Eleonora Nardi, Chiara De Blasi, Chiara Bartolini, Francesca Gensini, Lucia Pasquini, Francesca Castiglione","doi":"10.1155/crog/4960286","DOIUrl":"10.1155/crog/4960286","url":null,"abstract":"<p><p>Congenital pulmonary airway malformation (CPAM) is a rare developmental anomaly of the fetal lung characterized by abnormal branching morphogenesis, resulting in cystic and/or solid masses within the pulmonary parenchyma. These cysts can range in size and symptoms: from small and asymptomatic to large and clinically evident. CPAM is typically identified during prenatal ultrasonography as an abnormal lung mass, predominantly involving a single pulmonary lobe. We herein describe a case of a fetus diagnosed with CPAMs type 1 harboring a <i>KRAS</i> pathogenic variant.</p>","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":"2026 ","pages":"4960286"},"PeriodicalIF":0.8,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13490705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148788721","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}

{"title":"Cervical Myofibroblastoma: Expanding the Differential for Cervical Masses.","authors":"Alexandra Hamilton, Judy Hayek, Phyllis Lawani, Margaux J Kanis","doi":"10.1155/crog/3220815","DOIUrl":"10.1155/crog/3220815","url":null,"abstract":"<p><p>Lower genital tract myofibroblastoma is a gynecologic rarity, with most of the published literature consisting of case reports. Differential diagnoses for lower genital tract soft tissue masses include cervical leiomyomas, nabothian cysts, and other rare tumors such as angiomyofibroblastoma. The pathogenesis is unclear; however, research aims to identify an association with hormones or infections. We report the case of a 32-year-old female who was found to have cervical myofibroblastoma after excision of a large cervical lesion. Based on an extensive literature review, this case will be the sixth reported case of cervical myofibroblastoma since 2017.</p>","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":"2026 ","pages":"3220815"},"PeriodicalIF":0.8,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13474321/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148757728","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}

{"title":"Case Report of an Aggressive Angiomyxoma Presenting as Pelvic Organ Prolapse.","authors":"Joris Ramstein, Charlotte Ter Haar, Noelani Guaderrama, Audai Alrwashdeh, Jennifer Lee","doi":"10.1155/crog/6017372","DOIUrl":"10.1155/crog/6017372","url":null,"abstract":"<p><p>Aggressive angiomyxoma (AAM) is a rare, slow-growing, locally infiltrative mesenchymal tumor of the pelvis and perineum, most often affecting women. Its nonspecific presentation and tendency to mimic more common vaginal or periurethral masses frequently delay diagnosis. Early recognition is critical to guide appropriate surgical planning, optimize resection, and reduce recurrence risk. In this case, a 61-year-old woman with prior vaginal hysterectomy presented with symptoms of pelvic organ prolapse, urinary incontinence, and occasional bleeding. Examination revealed a 10 × 3-cm protruding anterior vaginal wall mass with a spongy texture. MRI demonstrated a well-defined tubular lesion in the left distal vaginal wall extending towards the vulva. Intraoperative evaluation, including cystourethroscopy, diagnostic laparoscopy, and general surgery consultation, ruled out bowel involvement. The mass was excised via vaginal approach with preservation of surrounding structures. Histopathology confirmed AAM. Margins could not be assessed due to specimen disruption. At 6-week follow-up, the patient was asymptomatic with well-healed incisions, and ongoing surveillance with gynecologic oncology was arranged. This case highlights the importance of including AAM in the differential diagnosis of anterior vaginal wall masses. Multidisciplinary collaboration and advanced imaging are essential for accurate diagnosis and surgical planning. Given the tumor's locally infiltrative nature and high recurrence rate, long-term follow-up is warranted. Awareness of this rare pathology can aid timely recognition and improve patient outcomes.</p>","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":"2026 ","pages":"6017372"},"PeriodicalIF":0.8,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13475007/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148758098","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}

{"title":"Fluoroscopy-Guided Localization and Retrieval of a Migrated Extrapelvic Intrauterine Device: A Case Report.","authors":"Mohammad Haekal, Caroline Gladys Puspita, Tiara Sirinding Mangiwa, Mazkuroh Urfah, Gde Suardana","doi":"10.1155/crog/2546849","DOIUrl":"10.1155/crog/2546849","url":null,"abstract":"<p><strong>Background: </strong>Intrauterine devices (IUDs) are widely used as a highly effective method of contraception. Although rare, uterine perforation is a serious complication, occurring in approximately 1 per 1000 insertions. This case underscores the value of laparoscopy in enabling accurate diagnosis and immediate removal of an occult extrauterine IUD migration. In addition, fluoroscopy guidance improves localization accuracy, facilitates precise retrieval, and may help prevent laparotomy.</p><p><strong>Case presentation: </strong>This case presents a 25-year-old woman presented with progressive abdominal pain 1 year after IUD insertion. Physical examination revealed no involuntary guarding and the IUD strings were not visible. Transvaginal ultrasonography showed no evidence of a myometrial defect. An abdominal x-ray with uterine marker demonstrated extrapelvic migration of the IUD. The patient subsequently underwent fluoroscopy-assisted laparoscopic retrieval. Intraoperative findings revealed a uterine scar and dense adhesions between the IUD and the omentum.</p><p><strong>Conclusion: </strong>Early clinical suspicion and a structured imaging approach are essential for the diagnosis of extrauterine IUD migration. When pelvic ultrasonography is inconclusive, abdominal radiography with uterine markers can improve localization. Fluoroscopic guidance improves intraoperative localization and facilitates safe minimally invasive retrieval of extrapelvic IUD migration while minimizing surgical morbidity.</p>","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":"2026 ","pages":"2546849"},"PeriodicalIF":0.8,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13464115/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148720625","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}

{"title":"Successful Transabdominal Cerclage for Recurrent Second-Trimester Loss in a Low-Resource Environment: A Case Report.","authors":"Rex Mawuli Kwadjo Djokoto, Edward Anabila Agana, Kingsley Afreh Nduroh, Johnny Arthur-Komeh, Opei Adarkwa, Wilfred Kwamina Sam-Awortwi, Kwabena Addow Opare-Addo, Andrew Panyin Vormawor, Anthony Amanfo Ofori","doi":"10.1155/crog/5373643","DOIUrl":"10.1155/crog/5373643","url":null,"abstract":"<p><p>Cervical insufficiency is a significant cause of recurrent midtrimester pregnancy loss. Although transabdominal cerclage (TAC) is an established option for selected patients with severe cervical insufficiency, its application and outcomes remain undocumented in West African clinical settings. This case report documents the first use of TAC in Ghana. Three Ghanaian women, aged 32-33, with severe cervical insufficiency and a cumulative history of eight prior midtrimester losses and multiple failed transvaginal cerclages, underwent open TAC using 5-mm Mersilene tape between 12 and 13 weeks of gestation at Oak Specialist Hospital in Kumasi, Ghana. All three reported pregnancies resulted in live births, yielding five neonates. Deliveries occurred at 38 weeks 4 days (singleton), 35 weeks 2 days (singleton) and 30 weeks 1 day (triplet gestation complicated by preeclampsia and peripartum cardiomyopathy). No major intraoperative or postoperative complications directly attributable to the surgery were observed. This case report demonstrates that TAC is a feasible intervention for severe cervical insufficiency in a Ghanaian specialist hospital setting. The preliminary outcomes are encouraging, but larger studies are needed to establish efficacy and generalizability across the West African region.</p>","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":"2026 ","pages":"5373643"},"PeriodicalIF":0.8,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13463235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148721297","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}

{"title":"Takotsubo Syndrome After Emergency Cesarean Delivery in Twin Pregnancy: A Rare Cause of Acute Postpartum Heart Failure.","authors":"Kenana Ljuca, Miha Lučovnik, Marta Cvijić, Jana Ambrožič","doi":"10.1155/crog/3203364","DOIUrl":"10.1155/crog/3203364","url":null,"abstract":"<p><strong>Background: </strong>Takotsubo syndrome (TTS) is considered rare in premenopausal women and presents as a transient, nonischemic acute heart failure with relatively fast, spontaneous recovery of myocardial function. It is typically characterized by apical ballooning, or less commonly, akinesia of the midsegments of the left ventricle, commonly triggered by acute emotional stress and therefore also known as \"broken-heart syndrome\" and \"stress-induced cardiomyopathy.\"</p><p><strong>Case: </strong>In this article, we present a case of a 26-year-old female patient pregnant with dichorionic-diamniotic twins, who developed TTS peripartum following emergency cesarean section due to premature membrane rupture at 33 weeks of gestation. On the first postoperative day, she suddenly developed dyspnea with desaturation to 80% oxygen on pulse oximetry. She became hypotensive and tachycardic. An electrocardiogram revealed T-wave inversion in aVL and ST-segment changes in leads V4-V6. An assay of cardiac enzymes was elevated. In order to exclude acute myocardial infarction and pulmonary thromboembolism, CT angiography of the lungs and coronary arteries was performed. Transthoracic echocardiography revealed akinesia of the midsegments of the left ventricle and a moderately reduced ejection fraction. After the introduction of cardioprotective therapy with bisoprolol 1.25 mg, her ECG normalized. She was normotensive, normocardic, and oxygen saturation on pulse oximetry was within the normal range.The echocardiogram on the 11th postpartum/postoperative day revealed partial spontaneous regression of segmental motion disorders and improvement of left ventricular ejection fraction. On the day of discharge, the patient was eupnoic with normal oxygen saturation without supplemental oxygen. She was normotensive and normocardic. The uterus was appropriately contracted, lochia normal, and the wound was healing normally. She was breastfeeding. She was prescribed with bisoprolol 1.25 mg once daily until follow-up heart ultrasound 6 months after the discharge.</p><p><strong>Conclusions: </strong>In a state that suggests cardiac emergency, TTS should be considered among other differential diagnoses, such as myocardial infarction, acute myocarditis, pulmonary embolism, and peripartal cardiomyopathy. It is very important to differentiate TTS from peripartal cardiomyopathy because of the differences in management and prognosis. The clinical awareness and holistic approach to differential diagnosis are crucial for management of acute heart failure after cesarean section.</p>","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":"2026 ","pages":"3203364"},"PeriodicalIF":0.8,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13462670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148721060","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}

{"title":"A Subserosal Fibroid With Myxoid Degeneration: A Challenging Pelvic Mass.","authors":"Bassem Skaff, Christopher Massaad, Kariman Ghazal","doi":"10.1155/crog/3469082","DOIUrl":"10.1155/crog/3469082","url":null,"abstract":"<p><strong>Background: </strong>Leiomyomas are common gynecological masses. However, atypical variants, such as those with myxoid degeneration, can mimic malignancies. This, in turn, might result in diagnostic challenges.</p><p><strong>Case presentation: </strong>A 29-year-old female presented with chronic pelvic pain and backache. Imaging revealed a 10-cm adnexal mass with features suspicious of endometrioma or malignancy. Laparoscopic resection was performed. Histopathology confirmed a leiomyoma with myxoid degeneration.</p><p><strong>Discussion: </strong>Myxoid degeneration, a rare type of leiomyoma degeneration, can alter typical findings on imaging. It can also lead to uncertainties when it comes to diagnosis. This case highlights the importance of correlating imaging with histopathology to avoid unnecessary or radical surgeries.</p><p><strong>Conclusion: </strong>Atypical leiomyomas should be considered in the differential diagnosis of pelvic masses, despite their rarity. Accurate diagnosis and management can prevent overtreatment. It also ensures optimal patient outcomes.</p>","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":"2026 ","pages":"3469082"},"PeriodicalIF":0.8,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13462662/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148719866","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}

{"title":"Müllerian Cyst of the Clitoral Hood: A Rare Vulvar Cystic Lesion-A Case Report.","authors":"Sefty Mariany Samosir, Dyana Safitri Velies, Patricia Prasetiyo Diana","doi":"10.1155/crog/8005576","DOIUrl":"10.1155/crog/8005576","url":null,"abstract":"<p><strong>Introduction: </strong>Müllerian cysts are benign embryologic lesions arising from remnants of the paramesonephric (Müllerian) ducts. They are commonly found in the vagina or cervix, whereas vulvar involvement is rare. Occurrence in the clitoral hood is exceptionally uncommon, and diagnostic differentiation from other vulvar cystic lesions is challenging.</p><p><strong>Case presentation: </strong>A 43-year-old woman (P1A1) presented with a slowly enlarging mass in the clitoral hood over 13 years, which become mildly tender in the week prior to presentation. Physical examination showed a well-defined cystic mass (6 × 2 × 2 cm) without inflammation. Complete surgical excision was performed with preservation of clitoral neurovascular structures. Histopathology revealed a cyst lined by ciliated cuboidal to columnar epithelium, consistent with a Müllerian cyst. No malignancy was identified. Additional immunohistopathology studies were not performed due to the classic histomorphology. The patient recovered with no sensory disturbance or recurrence at the 2-week and 1-month follow-up visits.</p><p><strong>Discussion: </strong>Müllerian cysts of the clitoral hood are rare and may mimic other vulvar cystic lesions. Definitive diagnosis relies on histopathological identification of ciliated Müllerian-type epithelium. The prolonged indolent growth observed in this case supports the benign nature of the lesion, whereas the anatomical proximity to clitoral neurovascular structures highlights the importance of meticulous surgical excision to preserve sensory and sexual function.</p><p><strong>Conclusion: </strong>A Müllerian cyst of the clitoral hood is uncommon. Histopathological evaluation is essential for definitive diagnosis. Comprehensive surgical excision with careful neurovascular preservation yields excellent outcomes.</p>","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":"2026 ","pages":"8005576"},"PeriodicalIF":0.8,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13439517/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148677195","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}

{"title":"Association of Autoimmune Hyperthyroidism and Endometriosis, With an Endometrioma Rupture as a Complication: A Case Report and Review of the Literature.","authors":"Sabahat Raees, Eric Bidinger, Casey Collier, Ligaya Marasigan","doi":"10.1155/crog/4611384","DOIUrl":"10.1155/crog/4611384","url":null,"abstract":"<p><p>This case report examines the association between autoimmune thyroid disease, more commonly known as Graves' disease, and endometriosis with a focus on the complication of an endometrioma rupture. The interplay between these two conditions is of clinical interest as increased levels of estrogen are caused by immune system dysregulation. Research has depicted a positive correlation between the concentration of thyroid hormones and the size of endometriomas and/or adhesions caused by endometriosis. We report a case of an endometrioma rupture in a 31-year-old woman with a history of autoimmune hyperthyroidism who presented with acute abdominal pain. We are aimed at enhancing the timeliness of diagnosis and treatment by raising awareness among healthcare providers about the importance of considering endometrioma rupture in the differential diagnosis for women of childbearing age who have a history of autoimmune hyperthyroidism or endometriosis.</p>","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":"2026 ","pages":"4611384"},"PeriodicalIF":0.8,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13439222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148677144","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}