Case Reports in Obstetrics and Gynecology最新文献_第6页

Bilateral Ovarian Serous Borderline Tumor with Non-Invasive Endometrial Implants. 双侧卵巢浆液性交界性肿瘤伴无创子宫内膜植入物。

Case Reports in Obstetrics and Gynecology Pub Date : 2023-01-01 DOI: 10.1155/2023/4845887

Melissa Bou Malham, Jordy Mehawej, Andreas Filippaios, Christina Kushnir, Paulette Mhawech-Fauceglia

{"title":"Bilateral Ovarian Serous Borderline Tumor with Non-Invasive Endometrial Implants.","authors":"Melissa Bou Malham, Jordy Mehawej, Andreas Filippaios, Christina Kushnir, Paulette Mhawech-Fauceglia","doi":"10.1155/2023/4845887","DOIUrl":"https://doi.org/10.1155/2023/4845887","url":null,"abstract":"Herein, we are presenting a case of a 33-year-old woman who presented to the emergency department complaining of persistent lower abdominal pain of one-day duration. Physical examination revealed abdominal tenderness with right lower quadrant rebound tenderness. Computed tomography abdomen/pelvis showed a 6 cm possible necrotic mass of the left ovary with moderate amount of complex ascites. A laparoscopic left oophorectomy with bilateral salpingectomy, right ovarian biopsy, and appendectomy were performed without complications. The cut surface of the left ovary showed a 9.7 cm × 8 cm × 4 cm ovarian mass, and the cut surface revealed multiple gray-tan friable papillary excrescence. Microscopic evaluation showed findings consistent with left and right ovarian serous borderline tumor (SBT). Subsequently, a tumor staging was conducted with total laparoscopic hysterectomy, pelvic and periaortic lymph node dissection, and omentectomy. The endometrium sections showed several small foci of SBT within the endometrial stroma, consistent with non-invasive implants of the endometrium. The omentum and lymph nodes were all negative for malignancy. SBTs associated with endometrial implants are very rare with only one case reported in the literature. Their existence can cause diagnostic challenges, and they should be acknowledged for early diagnosis and to plan for patient's treatment and outcome.","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":"2023 ","pages":"4845887"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10270762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9665798","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

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

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

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, Elizabeth Elfstrand, Michael R Mooney, Donald D Wothe","doi":"10.1155/2022/9658708","DOIUrl":"https://doi.org/10.1155/2022/9658708","url":null,"abstract":"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.","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

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

引用次数: 0

Atypical Eclampsia in a Pregnant Woman Infected by COVID-19 COVID-19感染孕妇的非典型子痫

Case Reports in Obstetrics and Gynecology Pub Date : 2022-04-27 DOI: 10.1155/2022/9952355

M. A. Odeh, Yousef S. Abuzneid, Omar Badareen, Khaled Masarweh

引用次数: 2

A Case of Markedly Elevated Isolated Alkaline Phosphatase in the Third Trimester of Pregnancy 妊娠晚期分离性碱性磷酸酶显著升高1例

Case Reports in Obstetrics and Gynecology Pub Date : 2022-04-27 DOI: 10.1155/2022/1611304

Courtney T Connolly, Olivia Grubman, Zainab Al-ibraheemi, Tatyana Kushner

{"title":"A Case of Markedly Elevated Isolated Alkaline Phosphatase in the Third Trimester of Pregnancy","authors":"Courtney T Connolly, Olivia Grubman, Zainab Al-ibraheemi, Tatyana Kushner","doi":"10.1155/2022/1611304","DOIUrl":"https://doi.org/10.1155/2022/1611304","url":null,"abstract":"Background Alkaline phosphatase (ALP) is an enzyme produced by the liver, small intestine, bone, and kidneys as well as the placenta during pregnancy. ALP levels may increase up to twice the normal limit during pregnancy secondary to placental release and fetal bone growth. Rare case reports of extremely elevated levels of ALP during pregnancy have demonstrated possible association with adverse pregnancy outcomes. Case The patient is a 36-year-old G2P1001 who was found to have extremely elevated ALP levels during pregnancy after presenting with bilateral lower leg swelling and rash after receiving the Pfizer COVID-19 vaccine. She subsequently developed intrahepatic cholestasis of pregnancy and preeclampsia. ALP peaked at 2,601 U/L immediately prior to delivery at 36 weeks 1 day. She was followed postpartum, and her ALP levels had nearly normalized by 15 weeks postpartum. Conclusion Our case demonstrates a rare report of an extremely elevated level of ALP in the setting of multiple adverse pregnancy outcomes, including preterm delivery, preeclampsia without severe features, and intrahepatic cholestasis of pregnancy.","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88062125","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

Challenging Obstetrical Management in Generalized Peritonitis during Pregnancy 妊娠期广泛性腹膜炎的产科管理挑战

Case Reports in Obstetrics and Gynecology Pub Date : 2022-04-21 DOI: 10.1155/2022/1249676

S. Oliveira, A. Sousa, N. N. Martins

{"title":"Challenging Obstetrical Management in Generalized Peritonitis during Pregnancy","authors":"S. Oliveira, A. Sousa, N. N. Martins","doi":"10.1155/2022/1249676","DOIUrl":"https://doi.org/10.1155/2022/1249676","url":null,"abstract":"Acute abdomen in pregnancy represents a diagnostic and therapeutic challenge, despite the current advances in modern medicine, since the typical symptoms and altered laboratory parameters mimic normal pregnancy. Acute appendicitis is the most common nonobstetric surgical emergency during pregnancy, with an incidence of 1 per 500-2000 pregnancies. Delayed diagnosis and reluctance to operate on a pregnant woman predispose to adverse maternal and fetal outcomes. The elective termination of pregnancy or interventions to prolong it in the presence of appendicitis is controversial. We present a case of a 38-year-old Caucasian woman, G2P0, admitted to the Obstetric Emergency Department at 13 4/7 weeks of gestation with a primary complaint of severe nausea and vomiting associated with progressive diffuse abdominal pain which had started 7 days before. After the difficulty of inherent differential diagnosis, she was diagnosed with generalized peritonitis due to acute perforated appendicitis. Prompt exploratory laparotomy with appendectomy and drainage of multiple abscesses were performed. Conservative obstetrical management was assumed, with subsequent periodic monitoring of the fetal focus. Due to abdominal compartment syndrome, the abdomen was left open for 4 days. After 7 days in the intensive care unit, recovery was favorable, pregnancy remained uneventful, and a healthy full-term baby was born 27 weeks later. This case represents a successful example of how the cooperation of the obstetrics and general surgery teams and the decision of conservative obstetrical management in the surgical environment contributed to optimizing maternal health, achieving the best obstetrical outcome.","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73134580","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