Case Reports in Obstetrics and Gynecology最新文献_第8页

Oocyte Retrieval in Asymptomatic Patients Positive for SARS-CoV-2. SARS-CoV-2阳性无症状患者的卵母细胞回收。

Case Reports in Obstetrics and Gynecology Pub Date : 2022-08-12 eCollection Date: 2022-01-01 DOI: 10.1155/2022/3107747

Allison Akers, Erika P New, Shayne Plosker, Celso P Silva, Rachel Sprague, Anthony N Imudia

{"title":"Oocyte Retrieval in Asymptomatic Patients Positive for SARS-CoV-2.","authors":"Allison Akers, Erika P New, Shayne Plosker, Celso P Silva, Rachel Sprague, Anthony N Imudia","doi":"10.1155/2022/3107747","DOIUrl":"https://doi.org/10.1155/2022/3107747","url":null,"abstract":"Objective: To report two cases of oocyte retrieval performed in asymptomatic SARS-CoV-2-positive patients.Design: Case report. Setting. Outpatient private practice infertility center. Patients. A 28-year-old woman at risk for OHSS who took her trigger injection prior to testing positive for SARS-CoV-2 and a 19-year-old oncofertility patient who tested positive prior to retrieval due to a family exposure. Both patients were asymptomatic. Main Outcome Measures. Cycle outcomes, patient safety, and staff safety.Results: Both patients underwent successful oocyte retrieval procedures without developing symptoms or complications from COVID-19. No staff members that cared for these patients developed symptoms of COVID-19.Conclusion: Worsening fertility outcomes and potential for psychological and financial burdens to the patient must be balanced with risk of perioperative complications in patients testing positive for SARS-CoV-2. As we continue to provide fertility care in a world with COVID-19, appropriate risk mitigation strategies should be implemented to minimize exposure to SARS-CoV-2.","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":" ","pages":"3107747"},"PeriodicalIF":0.0,"publicationDate":"2022-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9391171/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40414158","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

Case Report of a Triplet Pregnancy with Complete Hydatidiform Mole and Coexisting Twins. 三胞胎妊娠伴完全葡萄胎和双胞胎一例报告。

Case Reports in Obstetrics and Gynecology Pub Date : 2022-08-04 eCollection Date: 2022-01-01 DOI: 10.1155/2022/2865342

Marjorie H Thompson, Nathaniel R Miller, Shelby L Haugan, Michael C Gordon

引用次数: 0

Retroperitoneal Hydropic Leiomyoma Mimicking an Ovarian Cyst. 模拟卵巢囊肿的腹膜后积水性平滑肌瘤。

Case Reports in Obstetrics and Gynecology Pub Date : 2022-08-04 eCollection Date: 2022-01-01 DOI: 10.1155/2022/2012376

Pei-Hsuan Lai, Dah-Ching Ding

引用次数: 0

A Case of Ruptured Decidualized Ovarian Endometrioma: Usefulness of Serial MRI for Determining Adequate Management. 1例破裂的去个体化卵巢子宫内膜瘤:序列MRI对确定适当治疗的有用性。

Case Reports in Obstetrics and Gynecology Pub Date : 2022-07-31 eCollection Date: 2022-01-01 DOI: 10.1155/2022/3234784

Saki Yamamoto, Tomohiro Kikuchi, Hiroyuki Fujii, Yuko Otake, Mitsuru Matsuki, Risa Narumi, Masashi Endo, Hiroyuki Fujiwara, Harushi Mori

{"title":"A Case of Ruptured Decidualized Ovarian Endometrioma: Usefulness of Serial MRI for Determining Adequate Management.","authors":"Saki Yamamoto, Tomohiro Kikuchi, Hiroyuki Fujii, Yuko Otake, Mitsuru Matsuki, Risa Narumi, Masashi Endo, Hiroyuki Fujiwara, Harushi Mori","doi":"10.1155/2022/3234784","DOIUrl":"https://doi.org/10.1155/2022/3234784","url":null,"abstract":"Decidualization can originate in ovarian endometrioma by elevated serum progesterone levels during pregnancy, which mimics malignancy on ultrasonography. Moreover, decidualized ovarian endometrioma may rupture and cause acute abdominal pain during pregnancy. Magnetic resonance imaging (MRI) is reportedly useful in differentiating decidualized ovarian endometriomas from malignancies. However, to our knowledge, serial MRI of decidualized ovarian endometrioma before and after rupture has not been reported. Herein, we report the case of a 39-year-old woman with a ruptured decidualized ovarian endometrioma in which serial MRI was useful for adequate management. She had a history of right ovarian endometrioma. Transvaginal ultrasonography at 20 weeks of gestation showed the known right ovarian endometrioma with mural nodules that were not evident before pregnancy. MRI for further evaluation showed ovarian endometrioma with mural nodules with signals similar to those of the placenta. Based on the MRI findings, we diagnosed a decidualized ovarian endometrioma. At 27 weeks of gestation, she complained of sudden abdominal pain, for which MRI was performed. MRI showed disappearance of the ovarian endometrioma and bloody ascites, based on which we diagnosed a ruptured ovarian endometrioma. The abdominal pain subsided immediately, and a conservative observational treatment approach was taken. At 37 weeks of gestation, right ovarian cystectomy was performed simultaneously with an elective cesarean section, which revealed a ruptured decidualized ovarian endometrioma. Our findings demonstrate that the accurate diagnosis of a ruptured decidualized ovarian endometrioma on serial MRI can contribute to its management.","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":" ","pages":"3234784"},"PeriodicalIF":0.0,"publicationDate":"2022-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9357808/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40704173","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

Spontaneous Heterotopic Pregnancy: Diagnosis and Management. 自发性异位妊娠:诊断与处理。

Case Reports in Obstetrics and Gynecology Pub Date : 2022-07-26 eCollection Date: 2022-01-01 DOI: 10.1155/2022/2994808

Katie P Nguyen, Marlekah Hudspeth, Honey Milestone

引用次数: 0

Rhabdomyosarcoma-Induced Uterine Inversion. 横纹肌肉瘤所致子宫内翻。

Case Reports in Obstetrics and Gynecology Pub Date : 2022-07-23 eCollection Date: 2022-01-01 DOI: 10.1155/2022/1361803

Kin Li, Gavin Davis, Colleen Wittenberg, Alireza Abidi

引用次数: 1

Delayed Interval Delivery in Preterm Premature Rupture of Membranes in Dichorionic Triamniotic Triplets: Ethical Considerations for Maternal Health Case Report. 双绒毛膜三羊膜三胞胎的胎膜早破:对孕产妇健康的伦理考虑

Case Reports in Obstetrics and Gynecology Pub Date : 2022-07-21 eCollection Date: 2022-01-01 DOI: 10.1155/2022/4766523

Ali Hosiani, James Brown, Indika T Alahakoon

{"title":"Delayed Interval Delivery in Preterm Premature Rupture of Membranes in Dichorionic Triamniotic Triplets: Ethical Considerations for Maternal Health Case Report.","authors":"Ali Hosiani, James Brown, Indika T Alahakoon","doi":"10.1155/2022/4766523","DOIUrl":"https://doi.org/10.1155/2022/4766523","url":null,"abstract":"Background: Although there are numerous studies on delayed interval delivery in twins, this study is one of few reporting on preterm premature rupture of membranes in triplets and even fewer on dichorionic triamniotic triplet twins. The case presented here highlights the important interplay between informed consent and patient autonomy. Case Presentation. A 37-year-old woman gravida 1, para 0 with a dichorionic triamniotic triplet pregnancy experienced preterm premature rupture of membranes of the singleton triplet at 15 weeks and six days of gestation. Delayed interval delivery was offered to the parents, who chose to continue the pregnancy while acknowledging the risks for maternal and foetal health. The patient was treated with prophylactic intravenous antibiotics and discharged on oral antibiotics after an eight-day admission. Two days after being discharged, she was readmitted with clinical signs of chorioamnionitis. Within six hours, the preterm premature rupture of membranes singleton was delivered. Three days later, she again presented to the hospital with preterm premature rupture of membranes of one of the dichorionic twins. After discussion with the maternal foetal medicine team, the parents chose to terminate the pregnancy. Delayed interval delivery was not successful in this patient, and it is unclear at which gestational age it is too early to offer expectant management.Conclusions: The case affirmed the very poor foetal survival rate when the first delivery occurs at under 20 weeks' gestation. A standardised management of delayed interval delivery should be established to assist with consistent parental counselling.","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":" ","pages":"4766523"},"PeriodicalIF":0.0,"publicationDate":"2022-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9334119/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40658127","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

A Paraurethral Aggressive (Deep) Angiomyxoma. 尿道旁侵袭性(深部)血管粘液瘤。

Case Reports in Obstetrics and Gynecology Pub Date : 2022-07-20 eCollection Date: 2022-01-01 DOI: 10.1155/2022/5604460

Daniel York, Smera Saikumar, Pavan Patel, Christian Edwards, Geossette Garcia, Hyder Naqvi

引用次数: 2

Pregnancy Outcome and Postnatal Chromosome Analysis of the Cord Blood and Chorionic Villi in Two Cases after Intrauterine Transfer of Mosaic Aneuploid Blastocysts. 2例嵌合非整倍体囊胚宫内移植后脐带血和绒毛膜绒毛的妊娠结局及产后染色体分析。

Case Reports in Obstetrics and Gynecology Pub Date : 2022-07-19 eCollection Date: 2022-01-01 DOI: 10.1155/2022/1763948

Yuki Ito, Taizan Kamide, Kosuke Taniguchi, Taisuke Sato, Michihiro Yamamura, Akiko Konishi, Ken Takahashi, Hiroshi Kishi, Kenichiro Hata, Osamu Samura, Aikou Okamoto

{"title":"Pregnancy Outcome and Postnatal Chromosome Analysis of the Cord Blood and Chorionic Villi in Two Cases after Intrauterine Transfer of Mosaic Aneuploid Blastocysts.","authors":"Yuki Ito, Taizan Kamide, Kosuke Taniguchi, Taisuke Sato, Michihiro Yamamura, Akiko Konishi, Ken Takahashi, Hiroshi Kishi, Kenichiro Hata, Osamu Samura, Aikou Okamoto","doi":"10.1155/2022/1763948","DOIUrl":"https://doi.org/10.1155/2022/1763948","url":null,"abstract":"The long-term prognosis and genetic mechanism of pregnancy after intrauterine mosaic aneuploid blastocyst transfer remain unknown. We report the case of two babies after the aforementioned procedure and chromosomal analysis of their cord blood and chorionic villi. Case Report 1. A 41-year-old primipara, with two previous spontaneous abortions, was pregnant after intrauterine transfer of a blastocyst carrying 40% mosaicism of long-arm monosomy of chromosome 5. The amniocentesis results were 46,XX. A cesarean section was performed at 39 weeks. The female infant was 3,315 g at birth. Case Report 2. A 44-year-old primipara, with two spontaneous abortions, was pregnant after intrauterine transfer of a blastocyst carrying 40% mosaicism of long-arm monosomy of chromosome 9 and monosomy of chromosome 14. After genetic counselling, she decided not to undergo amniocentesis. No abnormalities were found by ultrasound. A cesarean section was performed at 38 weeks. The male infant was 3,340 g at birth. Chromosome analyses of postnatal cord blood and chorionic villi were performed using SNP arrays. The cord blood and chorionic villi showed no chromosomal structural abnormalities or mosaicism. For both, no disorders were observed at 10 months of age. We experienced the birth of babies after intrauterine transfer of mosaic aneuploid blastocysts.","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":" ","pages":"1763948"},"PeriodicalIF":0.0,"publicationDate":"2022-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9325602/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40660244","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

Uterine Rupture in Pregnancy following Two Abdominal Myomectomies and IVF. 两次腹部子宫肌瘤切除术和体外受精后的妊娠子宫破裂。

Case Reports in Obstetrics and Gynecology Pub Date : 2022-07-14 eCollection Date: 2022-01-01 DOI: 10.1155/2022/6788992

Marco D'Asta, Ferdinando Antonio Gulino, Carla Ettore, Valentina Dilisi, Elisa Pappalardo, Giuseppe Ettore

{"title":"Uterine Rupture in Pregnancy following Two Abdominal Myomectomies and IVF.","authors":"Marco D'Asta, Ferdinando Antonio Gulino, Carla Ettore, Valentina Dilisi, Elisa Pappalardo, Giuseppe Ettore","doi":"10.1155/2022/6788992","DOIUrl":"https://doi.org/10.1155/2022/6788992","url":null,"abstract":"Objective: Uterine rupture (UR) during pregnancy is an obstetric emergency that could determine poor maternal and neonatal outcomes. There are many factors that could increase the risk of UR, such as a previous myomectomy. The aim of this study is to evaluate the role of a previous myomectomy in a spontaneous UR in pregnancy.Methods: A 33-year-old primigravida comes to our obstetric emergency room for pelvic pain at 29 weeks of gestation. In her medical history, there were two previous surgical operations of abdominal myomectomy, one in 2015 and one in January 2021 (6 months before conception). After 34 minutes, a pubo-subumbilical longitudinal laparotomy was performed for pathological decelerations in the cardiotocography. In the peritoneal cavity, there was 500 mL of blood serum liquid. The right arm and shoulder of the fetus were extending out of the uterus across a breach of 5 cm near the right tubal corner. A corporal incision was performed, and a healthy baby was born and moved to neonatal intensive unit care.Results: A UR can occur at any stage of pregnancy, mostly during the third trimester of pregnancy. Risk factors that increase the incidence of a uterine rupture after myomectomy include a short period (i.e., <12 months) between the myomectomy and conception, the opening of the endometrial cavity, and large myomas (with a maximum diameter above 4 cm). Uterine rupture during pregnancy after abdominal myomectomy seems to be less frequent than after a laparoscopic one.Conclusion: Uterine rupture is an obstetric emergency; it is mandatory to consider this eventuality in pregnancy, particularly in the third trimester, if there was a previous laparoscopic myomectomy in the anamnesis of the patient.","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":" ","pages":"6788992"},"PeriodicalIF":0.0,"publicationDate":"2022-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9303165/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40551360","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: 3