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

Renal Tumors in Pregnancy: A Case Report Focusing on the Timing of the Surgery and Patient Positioning 妊娠期肾肿瘤:一个病例报告，重点是手术时机和患者体位

Case Reports in Obstetrics and Gynecology Pub Date : 2022-02-26 DOI: 10.1155/2022/1143478

H. Ghorbani, Mahdi Mottaghi, Salman Soltani

引用次数: 2

Aplastic Anemia Treated with Eltrombopag during Pregnancy 妊娠期伊曲巴格治疗再生障碍性贫血

Case Reports in Obstetrics and Gynecology Pub Date : 2022-02-25 DOI: 10.1155/2022/5889427

Yuri Suminaga, Yoshitsugu Chigusa, T. Kondo, H. Okamoto, Y. Kawamura, Mana Taki, Masaki Mandai, Haruta Mogami

{"title":"Aplastic Anemia Treated with Eltrombopag during Pregnancy","authors":"Yuri Suminaga, Yoshitsugu Chigusa, T. Kondo, H. Okamoto, Y. Kawamura, Mana Taki, Masaki Mandai, Haruta Mogami","doi":"10.1155/2022/5889427","DOIUrl":"https://doi.org/10.1155/2022/5889427","url":null,"abstract":"Aplastic anemia is a rare blood disorder characterized by pancytopenia and hypocellular bone marrow. In patients with aplastic anemia, pancytopenia sometimes worsens during pregnancy, and relapse of aplastic anemia in pregnancy is common. Nevertheless, only supportive care with blood products is the mainstay of treatment of aplastic anemia in pregnancy. Thus, the obstetric management and treatment of aplastic anemia in pregnancy is extremely challenging. We herein report the first case of a pregnant woman complicated with aplastic anemia who was successfully treated with eltrombopag, a thrombopoietin receptor agonist. A 27-year-old primigravida woman who had a history of aplastic anemia refractory to immunosuppressive therapy and was treated with eltrombopag became pregnant. Eltrombopag treatment was continued after weighing the benefits and potential risks. Throughout pregnancy, the woman's pancytopenia did not progress, and she delivered a 2336 g baby vaginally at 38 weeks of gestation. Her postpartum outcome was uneventful, and the neonate did not develop thrombocytosis. Since the efficacy and safety of eltrombopag in pregnancy has not yet been established, its routine use should be avoided. However, if limited to refractory cases and with adequate maternal and fetal monitoring, including neonatal blood examinations, the use of eltrombopag for patients with aplastic anemia during pregnancy may be acceptable and result in favorable maternal and fetal outcomes.","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":"64 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73758511","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

Ovarian Torsion: Presentation and Management in a Pediatric Patient 卵巢扭转:儿科患者的表现和治疗

Case Reports in Obstetrics and Gynecology Pub Date : 2022-02-22 DOI: 10.1155/2022/9419963

Katie P Nguyen, William L. Valentino, Duy Bui, Honey Milestone

引用次数: 1

Paracolpium Leiomyoma Misdiagnosed as Endometriosis: Case Report and Surgical Technique of a Laparoscopic Approach. 鞍旁平滑肌瘤误诊为子宫内膜异位症:1例报告及腹腔镜手术技术。

Case Reports in Obstetrics and Gynecology Pub Date : 2022-01-01 DOI: 10.1155/2022/7931391

Nilton de Nadai Filho, Claudio Peixoto Crispi Junior, Marlon de Freitas Fonseca

引用次数: 0

Zinc Deficiency-Associated Dysgeusia Preventing the Improvement of Severe Hyperemesis Gravidarum. 缺锌相关的厌食症预防重度妊娠剧吐的改善。

Case Reports in Obstetrics and Gynecology Pub Date : 2022-01-01 DOI: 10.1155/2022/7486501

Shohei Tanabe, Sachiyo Sugino, Kotaro Ichida, Kiyoshi Niiya, Syuji Morishima

引用次数: 0

Mixed Intervillositis in SARS-CoV-2 Infection Associated with Fetal Death: A Case Report. 与胎儿死亡相关的SARS-CoV-2感染混合性绒毛间炎1例报告

Case Reports in Obstetrics and Gynecology Pub Date : 2022-01-01 DOI: 10.1155/2022/5404952

Boban Gjakov, Darja Kopač, Mateja Vukmanič Pohar, Miha Lučovnik

引用次数: 0

A Case of Uterine Lymphangioleiomyomatosis Complicated by Tuberous Sclerosis Complex. 子宫淋巴管平滑肌瘤病合并结节性硬化症1例。

Case Reports in Obstetrics and Gynecology Pub Date : 2022-01-01 DOI: 10.1155/2022/2893975

Kaori Yamada, Yukio Yamanishi, Junichi Aratake, Nanayo Sasagasako, Yoshihide Inayama, Rei Gou, Atsuko Kawamura, Megumi Yamanishi, Kenzo Kosaka

{"title":"A Case of Uterine Lymphangioleiomyomatosis Complicated by Tuberous Sclerosis Complex.","authors":"Kaori Yamada, Yukio Yamanishi, Junichi Aratake, Nanayo Sasagasako, Yoshihide Inayama, Rei Gou, Atsuko Kawamura, Megumi Yamanishi, Kenzo Kosaka","doi":"10.1155/2022/2893975","DOIUrl":"https://doi.org/10.1155/2022/2893975","url":null,"abstract":"Lymphangioleiomyomatosis (LAM) is one of the presentations of perivascular epithelioid cell neoplasm that is frequently complicated by tuberous sclerosis complex (TSC). Here, we report an uncommon case of uterine LAM treated with everolimus, which is a mechanistic target of rapamycin (mTOR) inhibitor. A 42-year-old female patient (gravida 0) with a history of TSC presented with abdominal pain. Pelvic magnetic resonance imaging showed multiple masses in the uterine myometrium, suggesting tumors that may contain internal hemorrhagic components. The lesions were suspected as the root cause of her symptoms. After everolimus was administered for a previously diagnosed renal angiolipoma, her uterine tumors temporarily decreased in size. Subsequently, laparoscopic hysterectomy and bilateral salpingectomy were performed since she could not tolerate everolimus for a long period due to the medication's side effects. Furthermore, the patient was diagnosed with LAM through histopathological examination after surgical resection. Therefore, it is advisable to suspect and investigate uterine LAM when a patient with a history of TSC presents with irregular genital bleeding or abdominal pain. Moreover, mTOR inhibitors may be a treatment option, in addition to surgery, in cases of uterine LAM exacerbation.","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":"2022 ","pages":"2893975"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9767712/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10428285","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

Advanced Ovarian Pregnancy: A Case Report of Misdiagnosis and Surgical Outcomes. 晚期卵巢妊娠1例误诊及手术结果分析。

Case Reports in Obstetrics and Gynecology Pub Date : 2022-01-01 DOI: 10.1155/2022/8856078

Noppamart Whangteeranon, Pang Pinyochotiwong

引用次数: 0

A Successful Pregnancy in a Hemihysterectomized Patient-A Case Report. 半子宫切除术患者成功妊娠1例报告。

Case Reports in Obstetrics and Gynecology Pub Date : 2022-01-01 DOI: 10.1155/2022/4627241

Sofia Jovina Domingues, Luísa Pinto

{"title":"A Successful Pregnancy in a Hemihysterectomized Patient-A Case Report.","authors":"Sofia Jovina Domingues, Luísa Pinto","doi":"10.1155/2022/4627241","DOIUrl":"https://doi.org/10.1155/2022/4627241","url":null,"abstract":"Introduction: Didelphys uterus, two separate uterine horns or a double uterus with two separate cervices, is one of several congenital uterine anomalies (CUA), accounting for 5% of CUA. CUA could be associated with dysmenorrhea, pelvic pain, and decreased fertility. During pregnancy, it has been associated with higher risk of miscarriage, preterm birth, malpresentation, and fetal growth restriction. There still is insufficient evidence on the efficacy and safety of surgical interventions in CUA, including hemihysterectomy, in what improvement of reproductive performance is concerned.Objective: The aim of the present case report is to review the literature and complement information on pregnancy outcomes after hemihysterectomy, contributing to a better counseling of women planning a pregnancy under these circumstances. Case Presentation. This paper case reports a successful pregnancy in a woman previously submitted to a hemihysterectomy and removal of a vaginal septum by hysteroscopy, due to a symptomatic didelphys uterus. An ipsilateral renal agenesis was also present. A cesarean was performed at 38 weeks' gestation and a healthy baby was born. Discussion. This paper reports an exceptional clinical situation, with only 9 cases described in the last 6 decades. As in previously reported cases, a cesarean was performed at term, resulting in a live childbirth. In these cases, a higher live birth rate and a lower incidence of preterm deliveries was found, comparing with uterine didelphys pregnancies.Conclusion: Understanding both the exact nature of a uterine anomaly before a surgical treatment and the prognosis for a future pregnancy after the intervention are of paramount importance for precise counseling of future parents.","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":"2022 ","pages":"4627241"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9763001/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10420046","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 Case of Primary Signet-Ring Cell Cervical Carcinoma Treated with Chemoradiation, Brachytherapy, and Adjuvant Hysterectomy. 放化疗、近距离放疗及辅助子宫切除术治疗原发性印戒细胞宫颈癌1例。

Case Reports in Obstetrics and Gynecology Pub Date : 2021-12-27 eCollection Date: 2021-01-01 DOI: 10.1155/2021/5544015

Nicole Salmen, Dominic LaBella, Kenneth Strumpf, Wiley Douglas Bunn, Paul Aridgides

{"title":"A Case of Primary Signet-Ring Cell Cervical Carcinoma Treated with Chemoradiation, Brachytherapy, and Adjuvant Hysterectomy.","authors":"Nicole Salmen, Dominic LaBella, Kenneth Strumpf, Wiley Douglas Bunn, Paul Aridgides","doi":"10.1155/2021/5544015","DOIUrl":"https://doi.org/10.1155/2021/5544015","url":null,"abstract":"Primary signet-ring cell carcinoma of the uterine cervix is a rare subtype of cervical mucinous adenocarcinoma. Approximately 20 cases of primary signet-ring cell carcinoma of the cervix have been reported. Pathologic examination shows that adenocarcinomas with mucin accumulation in intracytoplasmic vacuoles displacing the nucleus indicate signet-ring cell carcinoma. A thorough metastatic workup is needed both for staging and to rule out gastrointestinal tract origin. Due to the rarity of the disease, both the true incidence and optimal management are unknown. Herein, the authors present a case of stage 1B3 primary signet-ring cell cervical carcinoma treated with combined chemotherapy and radiation (including external beam radiation and brachytherapy), followed by resection for residual disease. This case is consistent with limited reports where all surviving patients received surgery as well as 1 surviving patient with bulky disease required with chemoradiation and adjuvant hysterectomy.","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":"2021 ","pages":"5544015"},"PeriodicalIF":0.0,"publicationDate":"2021-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8723868/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39788035","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