Case Reports in Obstetrics and Gynecology最新文献_第5页

Heterotopic Pregnancy: Case Series and Review of Diagnosis and Management. 异位妊娠:病例系列及诊断与治疗综述。

Case Reports in Obstetrics and Gynecology Pub Date : 2023-05-05 eCollection Date: 2023-01-01 DOI: 10.1155/2023/2124191

Somaia Elsayed, Nadine Farah, Mary Anglim

{"title":"Heterotopic Pregnancy: Case Series and Review of Diagnosis and Management.","authors":"Somaia Elsayed, Nadine Farah, Mary Anglim","doi":"10.1155/2023/2124191","DOIUrl":"10.1155/2023/2124191","url":null,"abstract":"Introduction: Heterotopic pregnancy (HP) refers to the simultaneous presence of intrauterine pregnancy (IUP) and ectopic pregnancy, which is very rare but potentially life-threatening. The spontaneous incidence of HP in the general population is 1/30,000. With the widespread use of assisted reproductive technology (ART), the incidence rises to 1/1,000. Aims and Methods. This is a prospective case series looking at the cases of heterotopic pregnancies presenting to the early pregnancy unit (EPU) in a tertiary maternity hospital, from November 2015 to November 2016. The clinical presentation, ultrasound findings, and laparoscopy findings were all documented. The incidence of HP was calculated and compared with the quoted incidence in the literature. Outcomes. Five women with HP presented to the EPU over the course of a year. The first case describes a spontaneous HP with a previous salpingostomy. The second case describes an HP following ovulation induction. The third case describes a spontaneous HP with no known risk factors. The fourth and fifth cases describe heterotopic pregnancies following in vitro fertilisation with more than one embryo. All five cases of HP underwent laparoscopy and salpingectomy with uneventful recovery. The three women who had a viable IUP had no further complications in their pregnancies.Conclusion: Early and accurate diagnosis of HP can be challenging. An early transvaginal ultrasound plays an important role in making the diagnosis in women with risk factors and following ART. A high index of suspicion is required for timely diagnosis and appropriate intervention, especially in spontaneous HP.","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":"2023 ","pages":"2124191"},"PeriodicalIF":0.0,"publicationDate":"2023-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10181901/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9474929","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

Cervical Ripening Balloon in Combination with Methotrexate and Potassium Chloride for the Treatment of a 13-week Cervical Ectopic Pregnancy. 子宫颈成熟球囊联合甲氨蝶呤和氯化钾治疗13周子宫颈异位妊娠。

Case Reports in Obstetrics and Gynecology Pub Date : 2023-05-02 eCollection Date: 2023-01-01 DOI: 10.1155/2023/4725663

Alina Tvina, Emily Smith, Meredith Cruz

{"title":"Cervical Ripening Balloon in Combination with Methotrexate and Potassium Chloride for the Treatment of a 13-week Cervical Ectopic Pregnancy.","authors":"Alina Tvina, Emily Smith, Meredith Cruz","doi":"10.1155/2023/4725663","DOIUrl":"10.1155/2023/4725663","url":null,"abstract":"Background: Cervical pregnancy, an uncommon type of ectopic pregnancy, can lead to devastating consequences if not diagnosed and treated early. Despite this, there are no specific guidelines on how to treat such pregnancies especially in advanced gestational ages (GAs).Case: This is a 35-year-old patient who presented to our hospital at 13 weeks GA after failing systemic multidose methotrexate therapy for a cervical ectopic pregnancy. Given desire to preserve fertility, a minimally invasive conservative approach was taken involving potassium chloride (KCl) and methotrexate injections into the gestational sac, followed by immediate Cook intracervical double balloon placement under direct ultrasound visualization, with removal of the balloon after 72 hours, and ultimately resolution of the pregnancy 12 weeks after the removal.Conclusion: Advanced first trimester cervical ectopic pregnancy after failure of methotrexate therapy was managed successfully with minimally invasive KCl and methotrexate injections in combination with cervical ripening balloon.","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":"2023 ","pages":"4725663"},"PeriodicalIF":0.0,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10169242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9469868","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

Dysgerminoma Masquerading as Gestational Trophoblastic Neoplasia. 伪装成妊娠滋养细胞肿瘤的畸形精原细胞瘤

IF 0.6

Case Reports in Obstetrics and Gynecology Pub Date : 2023-02-08 eCollection Date: 2023-01-01 DOI: 10.1155/2023/1901858

Conner Blackwell, Shian McLeish, David Iglesias, Shannon D Armbruster

引用次数: 0

External Genitalia Myiasis in a 40-Year-Old Woman. 40岁女性外生殖器蝇蛆病一例。

Case Reports in Obstetrics and Gynecology Pub Date : 2023-01-01 DOI: 10.1155/2023/5579531

Ghazal Mansouri, Leila Allahqoli, Hamid Salehiniya, Ibrahim Alkatout

{"title":"External Genitalia Myiasis in a 40-Year-Old Woman.","authors":"Ghazal Mansouri, Leila Allahqoli, Hamid Salehiniya, Ibrahim Alkatout","doi":"10.1155/2023/5579531","DOIUrl":"https://doi.org/10.1155/2023/5579531","url":null,"abstract":"Human myiasis is an infestation produced by fly larvae invading the tissues. We present a case of a 40-year-old virgin woman with vulvar myiasis. She reported at the gynecology clinic with a bloody discharge, severe pain, and swelling of the genital area for six days. Her menstrual history revealed the use of folded clothes. She had no specific gynecological disease. At the examination of the external genitalia, a tender mass measuring 6 cm × 4 cm and an ulcer measuring 1 cm × 1 cm on the surface of the labia majora were found. The patient was hospitalized. Serology, blood, and urine tests were requested; all laboratory tests were normal. The patient was transferred to the operating room (OR) with the diagnosis of necrotizing fasciitis. In the OR, we performed a longitudinal incision on the mass and removed nearly 30 visible maggots. After washing with normal saline, the patient was transferred to the ward without wound suturing. Debridement of the necrotic vulvar mass along with daily washing was performed for 7 days. The wound was sutured on the seventh day at the OR. Antibiotic therapy was continued for 4 days, and the patient was discharged with normal laboratory tests on the eleventh day after admission. We believe that poor sanitary hygiene was the cause of vulvar myiasis in our patient. We conclude that appropriate measures must be taken to reduce the risk of human myiasis, especially in tropical rural regions.","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":"2023 ","pages":"5579531"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10432004/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10047795","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

Varying Phenotypes of Leydig Cell Hyperplasia of the Ovary: Two Case Reports. 卵巢间质细胞增生的不同表型:两例报告。

Case Reports in Obstetrics and Gynecology Pub Date : 2023-01-01 DOI: 10.1155/2023/7178201

Margaret Caulkins, Jason Ricciuti, Mohamed Desouki, Katherine LaVigne Mager

引用次数: 0

Recurrent Hydatidiform Moles: A Clinical Challenge-A Case Report and an Update on Management and Therapeutical Strategies. 复发性葡萄胎:一个临床挑战-一个病例报告和最新的管理和治疗策略。

Case Reports in Obstetrics and Gynecology Pub Date : 2023-01-01 DOI: 10.1155/2023/3752274

S Riccio, F Galanti, M Scudo, L Di Troia, M G Ferrillo, F Manzara, P Ianiri, F A Battaglia

{"title":"Recurrent Hydatidiform Moles: A Clinical Challenge-A Case Report and an Update on Management and Therapeutical Strategies.","authors":"S Riccio, F Galanti, M Scudo, L Di Troia, M G Ferrillo, F Manzara, P Ianiri, F A Battaglia","doi":"10.1155/2023/3752274","DOIUrl":"https://doi.org/10.1155/2023/3752274","url":null,"abstract":"Hydatidiform mole, complete or partial (CHM/PHM), is the most common type of gestational trophoblastic disease (GTD), which is characterized by excessive trophoblastic proliferation and abnormal embryonic development. Some patients present with sporadic or familiar recurrent hydatidiform moles (RHMs), which are characterized by two or more episodes of the disease. A healthy 36-year-old woman was admitted to the Obstetrics and Gynecology Unit of Santa Maria Goretti Hospital, Latina, because of RHMs at 6 weeks of amenorrhea, with an obstetrical anamnesis of RHMs. We performed uterine dilatation and curettage with suction evacuation. The histological examination confirmed the diagnosis of PHM. The clinical follow-up was conducted according to recent guidelines on the diagnosis and management of GTD. After the return to the baseline values of the beta-human chorionic gonadotropin hormone, a combined oral contraceptive therapy was proposed, and the patient was invited to undergo in vitro fertilization (IVF) techniques, specifically oocyte donation, to reduce the possibility of similar future cases of RHMs. Although some etiopathogenetic mechanisms involved in RHMs are still unknown, all patients of childbearing age who are affected by this syndrome should be properly treated and directed towards a correct clinical path as IVF, to have a successful and safe pregnancy.","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":"2023 ","pages":"3752274"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10299875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9739931","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

Radiofrequency Ablation and Intrauterine Transfusion in a Delayed Diagnosed Acardiac Twin Pregnancy. 延迟诊断心脏双胎妊娠的射频消融和宫内输血。

Case Reports in Obstetrics and Gynecology Pub Date : 2023-01-01 DOI: 10.1155/2023/3243820

Fatemeh Rahimi-Sharbaf, Mahboobeh Shirazi, Kamran Hessami, Maasoumeh Saleh, Fatemeh Golshahi, Sara Saeedi, Abolfazl Shirdel Abdolmaleki, Seyede Houra Mousavi Vahed, Behnaz Nouri, Behrokh Sahebdel

引用次数: 0

Postmenopausal Hyperandrogenism due to Ovarian Hyperthecosis. 卵巢囊肿引起的绝经后高雄激素症。

Case Reports in Obstetrics and Gynecology Pub Date : 2023-01-01 DOI: 10.1155/2023/2783464

Laryssa Santos Metzker, Luyanne Azevedo Cabral Ferreira, Julia Caroliny Nogueira Borges, Mariana Furieri Guzzo, Rodrigo Neves Ferreira, Lucas Luciano Rocha Silva, Rodrigo Monico Cavedo, Antonio Chambô Filho

{"title":"Postmenopausal Hyperandrogenism due to Ovarian Hyperthecosis.","authors":"Laryssa Santos Metzker, Luyanne Azevedo Cabral Ferreira, Julia Caroliny Nogueira Borges, Mariana Furieri Guzzo, Rodrigo Neves Ferreira, Lucas Luciano Rocha Silva, Rodrigo Monico Cavedo, Antonio Chambô Filho","doi":"10.1155/2023/2783464","DOIUrl":"https://doi.org/10.1155/2023/2783464","url":null,"abstract":"Ovarian hyperthecosis or ovarian stromal hyperplasia is a non-neoplastic functional disorder resulting from the presence of luteinized thecal cells within a hyperplastic ovarian stroma. The condition is more common in postmenopausal women than in those of reproductive age and leads to substantial clinical and laboratory alterations, principally androgenetic alopecia, progressive hirsutism, and elevated testosterone levels. Investigation should include clinical evaluation, laboratory tests, and imaging tests to differentiate between the principal diagnostic hypotheses. The gold standard for diagnosis is histopathology of the ovarian tissue. The present case report describes a woman being followed up as an outpatient at the Santa Casa de Misericórdia Hospital in Vitória, Brazil. The objective in publishing this case report is to add to available data on ovarian hyperthecosis, thus contributing towards improving timely diagnosis and treatment. Early diagnosis and treatment would ensure better quality of life for patients with this condition and better physical and mental health. Moreover, these data should be useful both for the medical community and for future research into this disease.","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":"2023 ","pages":"2783464"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9897934/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10663018","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

Secondary Erythrocytosis Associated with Uterine Myoma Is Rare but Should Be of Concern. 继发性红细胞增多症与子宫肌瘤是罕见的，但应引起关注。

Case Reports in Obstetrics and Gynecology Pub Date : 2023-01-01 DOI: 10.1155/2023/7520453

Ekasak Thiangphak, Ingporn Jiamset, Phawat Matemanosak, Athithan Rattanaburi

{"title":"Secondary Erythrocytosis Associated with Uterine Myoma Is Rare but Should Be of Concern.","authors":"Ekasak Thiangphak, Ingporn Jiamset, Phawat Matemanosak, Athithan Rattanaburi","doi":"10.1155/2023/7520453","DOIUrl":"https://doi.org/10.1155/2023/7520453","url":null,"abstract":"Myomatous erythrocytosis syndrome (MES) is a rare gynecological condition, defined by the presence of the clinical triad of erythrocytosis, uterine fibroids, and normalization of red blood cell counts after the surgical removal of uterine fibroids. Herein, we report the case of a woman, in the postmenopausal stage, with the clinical triad of MES. She had a history of erythrocytosis of unknown etiology and underwent phlebotomy for a year prior to visiting our hospital. Pre-operative hemoglobin (Hb) level, hematocrit (Hct) level, and red blood cell (RBC) count were 18.1 g/dL, 56.1%, and 6.52 million cells/μL, respectively. She underwent exploratory laparotomy, transabdominal hysterectomy, and bilateral salpingo-oophorectomy. The operative findings revealed a large uterine myoma, and the pathology result was compatible with uterine leiomyoma. All hematologic parameters returned to the normal range on post-operative day 1. Her hematologic parameters returned to normal values 4 weeks after surgery with a Hb level of 13.5 g/dL, Hct level of 41.2%, and RBC count of 4.92 million cells/μL. The exact pathophysiology of this condition remains unknown. However, surgical removal of uterine myoma is the mainstay of treatment. Despite the rarity of this condition, its diagnosis should be considered in patients presenting with erythrocytosis and uterine masses.","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":"2023 ","pages":"7520453"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10038736/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9192737","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

Cesarean Scar Pregnancy and Successful Ultrasound-Guided Removal after Uterine Artery Ligation. 剖宫产瘢痕妊娠与超声引导下子宫动脉结扎术后成功切除。

Case Reports in Obstetrics and Gynecology Pub Date : 2023-01-01 DOI: 10.1155/2023/6026206

Vito Leanza, Giosuè Giordano Incognito, Ferdinando Antonio Gulino, Attilio Tuscano, Monia Cimino, Marco Palumbo

{"title":"Cesarean Scar Pregnancy and Successful Ultrasound-Guided Removal after Uterine Artery Ligation.","authors":"Vito Leanza, Giosuè Giordano Incognito, Ferdinando Antonio Gulino, Attilio Tuscano, Monia Cimino, Marco Palumbo","doi":"10.1155/2023/6026206","DOIUrl":"https://doi.org/10.1155/2023/6026206","url":null,"abstract":"A correct management of cesarean scar pregnancy (CSP) is mandatory to avoid further complications. There is no consensus for the standard therapy and the most frequent methods used are not free from failures and sequelae. A 38-year-old woman was admitted referring amenorrhea lasting 9 weeks, pelvic pain, and vaginal bleeding. She had three previous cesarean sections. Transvaginal ultrasound showed a gestational sac of 16 mm in the cervico-isthmic site and inside the thickness of the uterine wall, and the dosage of beta-human chorionic gonadotropin was 12,770 mU/mL. A diagnosis of CSP was done, and an ultrasound-guided removal after uterine artery cervical branch ligation was performed. The follow-up was uneventful. Even if not yet codified in the literature, our therapeutic procedure should be considered in other similar cases in the future, as it potentially limits the possible iatrogenic problems and reduces intraoperative and postoperative bleeding to a minimum.","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":"2023 ","pages":"6026206"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10147527/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9393079","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: 5