Case Reports in Obstetrics and Gynecology最新文献

{"title":"Exploring Upper Limb Malformation Associated With Cornelia De Lange Syndrome: A Clinical Case Report.","authors":"Andrew Pratama Kurniawan, Gatot Abdurrazak, Aidrus Abdul Muthalib, Rachmat Dediat Kapnosa Hasani","doi":"10.1155/crog/9963522","DOIUrl":"10.1155/crog/9963522","url":null,"abstract":"<p><strong>Introduction: </strong>Upper extremity deformation may come in isolation, such as polydactyly, or be associated with a syndrome involving other body parts. Cornelia de Lange syndrome (CDLS) is a syndrome encompassing many abnormalities with some variation and a spectrum of severity. This case report presents a case of a baby with suspected CDLS.</p><p><strong>Case presentation: </strong>A 28-year-old woman, Gravida 3 Para 2, came to the polyclinic referred because of her small gestational age and a possibility of congenital abnormality. The ultrasound examination showed upper extremity malformation with hypoplasia of the left radius and ulna, right ulna, agenesis of the right ulna, intrauterine growth restriction, and polyhydramnios. An elective Caesarean section was performed at 37 weeks of gestational age due to two previous Caesarean sections. Baby girl was born at 1446 g, with a body length of 39 cm and an Apgar score of 6/8. The baby had some features of CDLS, such as thick eyebrows, a short nose, a concave nasal ridge, a long indistinct philtrum, and a distinct upper extremity malformation.</p><p><strong>Discussion: </strong>CDLS was characterized by prenatal growth retardation, microcephaly, craniofacial abnormalities, hand or foot malformation, and hirsutism in the face. Prenatally, CDLS has some distinctive features in ultrasound, such as fetal growth retardation, craniofacial abnormalities, and limb malformation. CDLS has a broad spectrum of clinical presentation; its prognosis may vary based on the abnormality and the symptoms caused.</p>","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":"2026 ","pages":"9963522"},"PeriodicalIF":0.8,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13424810/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148653170","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":"Vaginal Birth at 8 cm Because of Severe Cervical Oedema: A Case Report.","authors":"Pécheux Océane, Patet Emma, Crofts Victoria, McCarey Catherine, Pellegrinelli Jean-Marie, Daelemans Caroline","doi":"10.1155/crog/1085385","DOIUrl":"10.1155/crog/1085385","url":null,"abstract":"<p><strong>Introduction: </strong>Cervical oedema during labour is relatively common, but severe circumferential oedema persisting at advanced dilation is rare, particularly in multiparous women. In such cases, the swollen cervix may mimic an obstructive mass and raise concern for labour obstruction, cervical laceration or avulsion if pushing is initiated.</p><p><strong>Case presentation: </strong>We report the case of a 41-year-old Gravida 5, Para 4 woman who underwent induction of labour at 39 weeks' gestation for diet-controlled gestational diabetes. Labour progressed to 8 cm dilation, at which point a tense, circumferential, purple-hued cervical swelling developed. The clinical presentation raised concern for obstructed labour and potential cervical trauma, although maternal and fetal parameters remained reassuring. The main diagnostic challenge was to distinguish severe reactive cervical oedema from cervical prolapse, haematoma or other cervical pathology. After interdisciplinary discussion and detailed counselling, the patient chose to proceed with a cautious trial of pushing. This decision was based on multiparity, a deeply engaged fetal head, reassuring fetal status, the absence of clinical obstruction to descent and the immediate availability of senior obstetric support and emergency resources. She achieved spontaneous vaginal delivery of a healthy infant within two pushes, without instrumentation, cervical trauma, postpartum haemorrhage or neonatal complication. The cervix remained oedematous but intact. Partial resolution was observed by postpartum Day 3, and follow-up colposcopy at 2 months showed no suspicious cervical lesion. Written informed consent for publication was obtained from the patient.</p><p><strong>Discussion: </strong>This case illustrates that, in carefully selected multiparous women, severe reactive cervical oedema at advanced dilation may not necessarily preclude vaginal birth. However, this observation is hypothesis generating and should not be generalised to nulliparous women, cases with high fetal station, suspected obstruction, fetal compromise or limited access to emergency obstetric care.</p>","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":"2026 ","pages":"1085385"},"PeriodicalIF":0.8,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13403218/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148599089","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":"Postcaesarean Pseudoaneurysm of Uterine Artery Causing Secondary Postpartum Hemorrhage Managed With Embolization: A Case Report.","authors":"Shova Aryal, Sangit Adhikari, Kashish Kumari Sah, Asmita Ghimire, Poonam Koirala, Hima Rijal","doi":"10.1155/crog/4977602","DOIUrl":"10.1155/crog/4977602","url":null,"abstract":"<p><strong>Background and aims: </strong>Secondary postpartum hemorrhage (SPPH) is defined as the hemorrhage occurring beyond 24 h and within the puerperium (6 weeks). The incidence of SPPH is 0.21%. Pseudoaneurysm of the uterine artery is a rare cause of SPPH following the caesarean or vaginal delivery and is reported to be developed as a complication of vascular trauma during caesarian section or after uterine curettage and pelvic surgery. Prompt diagnosis and early management should be done to avoid the complications.</p><p><strong>Methods: </strong>An informed written consent was taken from a patient for writing the case. A brief literature review was done for writing the case.</p><p><strong>Results: </strong>In our case, the patient had recurrent vaginal bleeding following LSCS where she was managed conservatively along with multiple blood transfusions. The final diagnosis was made on the 48th day postpartum. This highlights the necessity of considering further investigation to rule out the rare causes of SPPH like pseudoaneurysm and also emphasizes the role of TAE in the management of such cases.</p><p><strong>Conclusion: </strong>Early diagnosis and management of SPPH is crucial to reduce complications in patients. Pseudoaneurysm should be ruled out, though rare in patients presenting with recurrent vaginal bleeding in the postpartum period. Pseudoaneurysm can be effectively managed with the TAE considering its advantages.</p>","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":"2026 ","pages":"4977602"},"PeriodicalIF":0.8,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13398147/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148583702","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 Large Mature Teratoma in a Postmenopausal Women.","authors":"Shumarova Svetlana, Karamisheva Vesela","doi":"10.1155/crog/6630801","DOIUrl":"10.1155/crog/6630801","url":null,"abstract":"<p><p>Mature cystic teratomas arise from three germ lines: ectoderm, mesoderm, and endoderm. They have a certain malignant potential, which is a diagnostic and therapeutic challenge. They occur very often in young women, but there are a significant number of postmenopausal cases where the risk of malignancy is greater. Symptoms may be nonspecific, but in the event of complications, an acute condition may develop, threatening the patient's life. Treatment depends on the risk of malignancy, age, and presence of complications. We present a case of a postmenopausal woman with a large mature teratoma of the left ovary involving elements from all three germ lines. A laparotomy and hysterectomy with bilateral salpingo-oophorectomy were performed, considering the patient's age and risk of malignancy. Given the risk of complications and malignancy in patients with mature teratoma, early detection, correct diagnosis, and therapeutic management are crucial for a higher chance of a successful outcome.</p>","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":"2026 ","pages":"6630801"},"PeriodicalIF":0.8,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13396870/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148583739","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":"Fertility Management After Tubal-Preserving Surgery for a Mature Cystic Teratoma of the Fallopian Tube.","authors":"Hiroaki Fujita, Aya Shiraiwa, Kana Hirayama, Minako Katano, Naoki Yoshikawa, Eri Nakano, Eri Obiya, Akane Takaya, Reiko Kitayama, Yoshihiro Nishijima, Yudai Tanaka","doi":"10.1155/crog/8827814","DOIUrl":"10.1155/crog/8827814","url":null,"abstract":"<p><p>Mature cystic teratoma of the fallopian tube is extremely rare, with no reports existing on infertility treatment following its surgical removal. We report a case of mature cystic teratoma identified within the right fallopian tube during laparoscopic surgery, with only the tumor resected while preserving the tube. Three-month postoperative hysterosalpingography showed preserved tubal patency, but contrast agent retention in the pelvic cavity was noted during the delayed phase, suggesting peritubal adhesions. Subsequent timed intercourse failed to result in pregnancy, leading to in vitro fertilization. Laparoscopy prior to embryo transfer confirmed hydrosalpinx, prompting right salpingectomy. Clinical pregnancy was achieved following frozen-thawed blastocyst transfer performed 2 months postoperatively. The pregnancy progressed well and resulted in delivery at term. Even when tubal preservation is chosen for mature cystic tubal teratoma, normal tubal function may not necessarily be maintained. Therefore, early postoperative hysterosalpingography and prompt laparoscopic evaluation with appropriate surgical intervention if abnormalities are detected are useful for improving subsequent infertility treatment outcomes.</p>","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":"2026 ","pages":"8827814"},"PeriodicalIF":0.8,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13389812/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148560823","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":"Conservative Management on Antenatally Found Congenital Cystic Adenomatoid Malformation: A 1-Year Follow-Up Case Report.","authors":"Bambang Abimanyu, Muhammad Robyanoor Ahyadi Radaam, Ruth Widhiati Raharjo Putri, Yosef Dwi Cahyadi Salan, Hermin Sabarudin, Adek Yeary Wardhani, Yakob Togar","doi":"10.1155/crog/2170565","DOIUrl":"10.1155/crog/2170565","url":null,"abstract":"<p><strong>Objective: </strong>We report a rare case of congenital cystic adenomatoid malformation (CCAM) diagnosed antenatally based on USG and postnatally based on babygram, CT scan, and chest x-ray. We follow up the baby up to 1 year of age.</p><p><strong>Method: </strong>This study is a retrospective case report describing the clinical presentation, diagnosis, and management of a single patient.</p><p><strong>Results: </strong>The patient is an outpatient clinic with a diagnosis of G2P1A0, gestational age 38-39 weeks with breech presentation, not in labor, and the fetus is suspected for CCAM. The patient was planned for termination with cesarean delivery. The patient was first diagnosed with CCAM based on antenatal USG examination: A cystic mass in the thorax region of the fetus measuring 1.5 cm was found. The baby was then born by CS in consideration of breech presentation. At birth, the baby had a good APGAR score of 7-8-9. The baby underwent a babygram at 2 days old, which showed a CPAM type III result; CT scan at 16 days old showed infected CPAM type I/CCAM. The baby has been observed for 1 year of life, and no signs of respiratory distress were found. The latest chest x-ray at 1 year of age showed left superior pulmonary cyst.</p><p><strong>Conclusion: </strong>CCAM can be diagnosed perinatally by ultrasound examination. Management of CCAM depends on the size of the lesion and whether significant respiratory distress is present in the newborn. In our case, the CCAM was established prenatally and postnatally; no signs of respiratory symptoms were found within 1 year of age.</p>","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":"2026 ","pages":"2170565"},"PeriodicalIF":0.8,"publicationDate":"2026-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13380031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148497287","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":"Ovary Preservation for Cervical Clear Cell Adenocarcinoma in an 8-Year-Old Girl: A Novel Approach.","authors":"Lin Wang, Weiguo Hu, Jinqiu Zhang, Angang Sun, Yu Chen, Huijian Li, Shaojie Zhao, Dengxin Zhang, Yue Wu, Qi Chen, Yanfang Gu, Min Zhao","doi":"10.1155/crog/6722243","DOIUrl":"10.1155/crog/6722243","url":null,"abstract":"<p><p>Cervical clear cell adenocarcinoma is a rare malignancy in adolescents and young girls. Since the prescription of diethylstilbestrol (DES) was banned in 1971, only 11 cases have been reported in girls under 10 years in the literature. However, treatment with ovary preservation has not been reported. Here, we report an 8-year-old prepubertal girl without a history of exposure to DES who was diagnosed with cervical clear cell adenocarcinoma. Hysterectomy and unilateral oophorectomy were performed. The remaining ovary was transposed to the left iliac fossa to preserve ovarian function for the future. Additionally, ovarian cortical tissue from the removed ovary was cryopreserved. Chemotherapy, including paclitaxel and carboplatin, was started after surgery for four cycles via an implantable venous access port. Additionally, genetic analysis did not identify any known gene mutations in the tumour tissue.</p>","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":"2026 ","pages":"6722243"},"PeriodicalIF":0.8,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13373695/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148469200","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":"Primary Abdominal Ectopic Pregnancy Involving the Spleen: A Case Study.","authors":"Massimiliano Fambrini, Elisa Farsi, Eleonora Nardi, Elena Nocentini, Flavia Sorbi, Francesca Castiglione","doi":"10.1155/crog/5344541","DOIUrl":"10.1155/crog/5344541","url":null,"abstract":"<p><strong>Introduction: </strong>Ectopic pregnancy, affecting 1%-2% of pregnancies, is a major cause of first-trimester maternal morbidity and mortality, most commonly occurring in the fallopian tubes. Abdominal ectopic pregnancy is rare (< 1%) but highly dangerous, with risk of hemorrhage, infection, and misdiagnosis. Splenic implantation is exceptionally rare. Diagnosis relies on ultrasound, MRI, and beta-hCG levels, though symptoms are often nonspecific. Risk factors include tubal disease, infections, prior surgery, and assisted reproduction. Early diagnosis is critical, as maternal and perinatal mortality are high. Management is usually surgical, with laparoscopy preferred in stable early cases and laparotomy in more advanced or complicated presentations.</p><p><strong>Case presentation: </strong>A 29-year-old gravida 2 para 1 at 5 + 4 weeks presented with mild vaginal bleeding and stable vital signs. Serum beta-hCG levels showed an abnormal rise followed by a plateau. Transvaginal ultrasound revealed no intrauterine pregnancy, suggesting a pregnancy of unknown location, with a suspicious right-sided adnexal finding. A second-level ultrasound identified a vascularized multilocular mass near the anterior uterine recess, raising concern for ectopic or abdominal pregnancy. Due to diagnostic uncertainty and plateauing beta-hCG, exploratory laparoscopy was performed. The pelvis appeared normal, but two vascularized formations were found on the prevesical peritoneum and excised. Postoperatively, beta-hCG levels declined significantly. Histological analysis confirmed first-trimester chorionic villi and trophoblast cells within splenic tissue, consistent with ectopic pregnancy implanted in splenosis. The patient recovered well and was discharged in stable condition with near-complete resolution of beta-hCG levels on follow-up.</p><p><strong>Discussion: </strong>Abdominal pregnancy is a rare, life-threatening ectopic pregnancy with a challenging diagnosis. In this case, inconclusive imaging and plateauing beta-hCG prompted laparoscopy, confirming prevesical implantation. Prior splenectomy may have contributed. Surgical removal led to resolution, highlighting the importance of systematic evaluation, clinical suspicion, and timely intervention in atypical ectopic pregnancies.</p>","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":"2026 ","pages":"5344541"},"PeriodicalIF":0.8,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13369295/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148454791","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":"Solitary Fibrous Tumor Generated From Uterine Corpus With Doege-Potter Syndrome in Primary Disease: A Rare Case of Recurrent Disease Without Hypoglycemia.","authors":"Lin-Jing Yuan, Ming Ni, Shi-Cong Yang, Dan Liao, Jun-Xiu Liu","doi":"10.1155/crog/1416178","DOIUrl":"10.1155/crog/1416178","url":null,"abstract":"<p><strong>Introduction: </strong>Solitary fibrous tumors (SFTs) generated from uterine corpus are extremely rare and hard to distinguish from myomas, but their prognoses are wildly different. Doege-Potter syndrome (DPS) is a form of nonislet cell tumor hypoglycemia (NITCH) caused by a SFT. Vigilance is required when a pelvic mass is found concurrent with NITCH.</p><p><strong>Case presentation: </strong>A 65-year-old female with huge pelvic masses generated from uterine corpus presented with mild symptoms of transient slow response, accompanied by memory loss once, and was found to have hypoglycemia. The pituitary glucocorticoid axis, pituitary sex hormone axis, and pituitary growth hormone axis functioned normally; insulin release was normal, but relatively low insulin levels indicated suppression of secretion. Abdominal total hysterectomy and bilateral salpingo-oophorectomy were performed, and pathology confirmed a benign SFT with DPS. Blood glucose levels after surgery are significantly elevated and more stable. This case fell into the intermediate-risk group, but the disease recurred. Cytoreduction surgery was performed 13 months after initial treatment without DPS.</p><p><strong>Discussion: </strong>Uterine corpus-generated SFTs are hard to distinguish preoperatively. However, complete tumor resection is a key prognostic factor because SFTs have a risk of long-term recurrence. DPS can be a differential diagnostic point, but there is no significant relation between tumor burden and recurrence.</p>","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":"2026 ","pages":"1416178"},"PeriodicalIF":0.8,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13365882/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148444462","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":"Prenatal Diagnosis of Keratitis-Ichthyosis-Deafness Syndrome With Dandy Walker Malformation: A Case Report.","authors":"Lucas Bourdil, Carolin Georgia Blume","doi":"10.1155/crog/5451804","DOIUrl":"10.1155/crog/5451804","url":null,"abstract":"<p><strong>Background: </strong>Keratitis-ichthyosis-deafness (KID) syndrome is a rare disorder characterized by progressive vascularizing keratitis, ichthyosiform erythrokeratoderma, and neurosensory hearing loss. It is caused by missense mutations in the GJB2 gene. Its known association with Dandy-Walker malformation (DWM), a developmental anomaly of the posterior cranial fossa, has only been described once antenatally.</p><p><strong>Case presentation: </strong>We report a case of a fetus with a DWM seen in neurosonography and fetal MRI. A whole exome sequencing revealed a heterozygous D50N mutation of the GJB2 gene, diagnosing KID syndrome. Postnatal findings demonstrated an erythrokeratoderma consistent with KID syndrome.</p><p><strong>Conclusion: </strong>This case supports a pathophysiologic link between D50N-GJB2 mutations and DWM. It also highlights the importance of genetic testing in cases of isolated DWM. Further research is required to elucidate the pathophysiological mechanisms underlying the association between KID syndrome and DWM.</p>","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":"2026 ","pages":"5451804"},"PeriodicalIF":0.8,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13353187/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148419032","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}