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Paratubal Cystectomy in a Pregnant Woman Using the Single-Incision Laparoscopic Surgery (SILS) Technique. 使用单切口腹腔镜手术(SILS)技术的孕妇输卵管旁膀胱切除术。
Case Reports in Obstetrics and Gynecology Pub Date : 2022-07-14 eCollection Date: 2022-01-01 DOI: 10.1155/2022/2802767
Luke William Nelson, Elliot MacKenzie
{"title":"Paratubal Cystectomy in a Pregnant Woman Using the Single-Incision Laparoscopic Surgery (SILS) Technique.","authors":"Luke William Nelson,&nbsp;Elliot MacKenzie","doi":"10.1155/2022/2802767","DOIUrl":"https://doi.org/10.1155/2022/2802767","url":null,"abstract":"<p><strong>Introduction: </strong>The proliferation of prenatal ultrasound has enhanced the detection of adnexal masses during pregnancy. The presentation necessitates a clear approach to investigation and treatment that balances both maternal and fetal risk. Laparoscopy is a safe approach to surgical management in the pregnant patient, and SILS may contribute to minimising perioperative complications. <i>Case Presentation</i>. We present the case of a 21-year-old female in her second trimester of pregnancy presenting with a large 20 cm right adnexal cyst. We proceeded with laparoscopic cystectomy via the SILS technique. There were no intraoperative complications, and she recovered well postoperatively.</p><p><strong>Conclusion: </strong>Laparoscopic resection of adnexal lesions is safe during pregnancy and should be favoured over the open approach. SILS minimises incision sites and has potential for reduction in perioperative morbidity.</p>","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":" ","pages":"2802767"},"PeriodicalIF":0.0,"publicationDate":"2022-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9303160/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40551361","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
An Unusual Case of a Large Extraovarian Endometrioma in an Adolescent. 青少年大卵巢外子宫内膜异位瘤1例。
Case Reports in Obstetrics and Gynecology Pub Date : 2022-07-08 eCollection Date: 2022-01-01 DOI: 10.1155/2022/1675353
Wei-Guo Nicholas Loh, Nira Borok, Lyndal Anderson, Tanushree Rao
{"title":"An Unusual Case of a Large Extraovarian Endometrioma in an Adolescent.","authors":"Wei-Guo Nicholas Loh,&nbsp;Nira Borok,&nbsp;Lyndal Anderson,&nbsp;Tanushree Rao","doi":"10.1155/2022/1675353","DOIUrl":"https://doi.org/10.1155/2022/1675353","url":null,"abstract":"<p><p>Endometriosis in adolescents is often underrecognized and is a contributing factor to significant delays in its diagnosis and management. Extraovarian endometrioma is uncommon, especially in the adolescent age range. We report on a rare case of a large extraovarian endometrioma involving the terminal ileum in an adolescent who presented with abdominal pain and a pelvic mass and its subsequent surgical management. It emphasizes the importance of having a broad differential diagnosis and considers endometriosis in any adolescent with pelvic pain and mass, especially in an atypical context. Increased awareness, education, and research on endometriosis in this young population are essential in order to overcome existing challenges in the early diagnosis and optimal management of this chronic gynaecological condition and avoid morbidity associated with advanced disease.</p>","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":" ","pages":"1675353"},"PeriodicalIF":0.0,"publicationDate":"2022-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9286997/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40599355","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
Herpes Virus Pseudotumor in a Patient with HIV Immunosuppression. HIV免疫抑制患者的疱疹病毒假瘤。
Case Reports in Obstetrics and Gynecology Pub Date : 2022-07-07 eCollection Date: 2022-01-01 DOI: 10.1155/2022/3109331
Daniel York, Pavan Patel, Smera Saikumar
{"title":"Herpes Virus Pseudotumor in a Patient with HIV Immunosuppression.","authors":"Daniel York,&nbsp;Pavan Patel,&nbsp;Smera Saikumar","doi":"10.1155/2022/3109331","DOIUrl":"https://doi.org/10.1155/2022/3109331","url":null,"abstract":"<p><strong>Background: </strong>In rare cases, HSV infections can present as pseudotumors that are often mistaken as malignancies in patients with an uncontrolled HIV infection. Herpes simplex virus type 2 (HSV-2) infection rates range from 60% to 90% in individuals coinfected with HIV. <i>Case Presentation</i>. A 48-year-old patient presented with a large fungating mass near her right inferior vulva with a hardness of surrounding tissues. The mass was 4 cm × 3 cm in size and was excised in the operating room. The pathology was negative for malignancy; however, it showed lymphoplasmacytic proliferation with immunostaining positive for HSV virus.</p><p><strong>Conclusion: </strong>Atypical HSV pseudotumors should be considered in the differential diagnosis for an immunosuppressed patient who presents with a genital mass lesion.</p>","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":" ","pages":"3109331"},"PeriodicalIF":0.0,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9283043/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40601789","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
Ovarian Clear Cell Carcinoma with Functioning Stroma and Associated Endometrial Intraepithelial Neoplasia. 卵巢透明细胞癌伴功能性间质及相关子宫内膜上皮内瘤变。
Case Reports in Obstetrics and Gynecology Pub Date : 2022-07-06 eCollection Date: 2022-01-01 DOI: 10.1155/2022/5538390
Fabian Desimpel, Jean-Christophe Noël, Laurine Verset, Nicolas Sirtaine, Frédéric Buxant
{"title":"Ovarian Clear Cell Carcinoma with Functioning Stroma and Associated Endometrial Intraepithelial Neoplasia.","authors":"Fabian Desimpel,&nbsp;Jean-Christophe Noël,&nbsp;Laurine Verset,&nbsp;Nicolas Sirtaine,&nbsp;Frédéric Buxant","doi":"10.1155/2022/5538390","DOIUrl":"https://doi.org/10.1155/2022/5538390","url":null,"abstract":"<p><p>We report the case of a 79-year-old woman with a large pelvic mass and postmenopausal bleeding, associated with hyperestrogenism. A pelvic MRI shows the presence of a large mass of 12.6 cm originating from the right ovary without signs of metastasis. A total abdominal hysterectomy with unilateral salpingooophorectomy was performed, knowing the patient underwent a left salpingooophorectomy decades ago. The pathological findings showed an ovarian clear cell carcinoma (pT1A) with associated endometrial intraepithelial neoplasia. There is convincing evidence that the production of estrogen is located in the activated ovarian stroma. This supports the view that functioning stroma of ovarian cancer can lead to hyperestrogenism and eventually endometrial cancer.</p>","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":" ","pages":"5538390"},"PeriodicalIF":0.0,"publicationDate":"2022-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9279104/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40599356","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
Partial Molar Pregnancy Presenting as a Tubal Ectopic Pregnancy. 部分臼齿妊娠表现为输卵管异位妊娠。
Case Reports in Obstetrics and Gynecology Pub Date : 2022-07-05 eCollection Date: 2022-01-01 DOI: 10.1155/2022/7414190
Mariam Ayyash, Monica Kole, Quoc Le, Yulei Shen, Monique Swain
{"title":"Partial Molar Pregnancy Presenting as a Tubal Ectopic Pregnancy.","authors":"Mariam Ayyash,&nbsp;Monica Kole,&nbsp;Quoc Le,&nbsp;Yulei Shen,&nbsp;Monique Swain","doi":"10.1155/2022/7414190","DOIUrl":"https://doi.org/10.1155/2022/7414190","url":null,"abstract":"<p><strong>Background: </strong>Tubal molar pregnancy is extremely rare, with no more than 200 cases reported in the literature. The incidence is approximated at 1.5 per 1,000,000 pregnancies.</p><p><strong>Case: </strong>We report the case of a 22-year-old woman with an overall initial stable clinical presentation who was noted to have a ruptured ectopic pregnancy. She was surgically treated, and pathology revealed partial hydatidiform molar ectopic pregnancy. At the time of surgical intervention, the treating physicians had not considered molar ectopic pregnancy within the differential diagnosis, since this is a very rare presentation. Once the pathology was discovered, the patient was contacted to be scheduled for close follow-up and counseling to reduce progression to choriocarcinomas.</p><p><strong>Conclusion: </strong>This case report highlights the importance of sending, reviewing, and following up on pathologic specimens for all patients undergoing surgical intervention for presumed ectopic pregnancy and ensuring that appropriate follow-up is in place for those patients.</p>","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":" ","pages":"7414190"},"PeriodicalIF":0.0,"publicationDate":"2022-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9277201/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40601790","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
Clear Cell Carcinoma Arising from Ovarian and Thoracic Endometriosis: A Case Report and Review of Literature. 卵巢及胸部子宫内膜异位症所致透明细胞癌1例报告及文献复习。
Case Reports in Obstetrics and Gynecology Pub Date : 2022-06-29 eCollection Date: 2022-01-01 DOI: 10.1155/2022/7624305
Samantha Mendoza Stanteen, Taemee Pak, Hao Chen, Matthew Carlson, Jessica Lee
{"title":"Clear Cell Carcinoma Arising from Ovarian and Thoracic Endometriosis: A Case Report and Review of Literature.","authors":"Samantha Mendoza Stanteen,&nbsp;Taemee Pak,&nbsp;Hao Chen,&nbsp;Matthew Carlson,&nbsp;Jessica Lee","doi":"10.1155/2022/7624305","DOIUrl":"https://doi.org/10.1155/2022/7624305","url":null,"abstract":"<p><p>We report a case of stage IVB ovarian clear cell carcinoma in a 35-year-old female with a long-standing history of biopsy-proven pelvic and thoracic endometriosis. At the time of her ovarian cancer diagnosis, her tumors were found to be isolated to the sites of her previously known endometriotic lesions, suggesting that malignant transformation of her endometriosis to ovarian cancer had occurred. She underwent primary tumor debulking, then received six cycles of intravenous carboplatin and paclitaxel, and is now free of disease. We have conducted a literature review of ovarian cancers arising from endometriosis as well as a summary of the molecular basis on the relationship between endometriosis and malignant ovarian carcinoma.</p>","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":" ","pages":"7624305"},"PeriodicalIF":0.0,"publicationDate":"2022-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9259338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40491378","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
Pituitary Apoplexy and Subdural Hematoma after Caesarean Section. 剖宫产术后垂体卒中及硬膜下血肿。
Case Reports in Obstetrics and Gynecology Pub Date : 2022-06-23 eCollection Date: 2022-01-01 DOI: 10.1155/2022/3097949
Van Trung Hoang, The Huan Hoang, Thanh Tam Thi Nguyen, Vichit Chansomphou, Duc Thanh Hoang
{"title":"Pituitary Apoplexy and Subdural Hematoma after Caesarean Section.","authors":"Van Trung Hoang,&nbsp;The Huan Hoang,&nbsp;Thanh Tam Thi Nguyen,&nbsp;Vichit Chansomphou,&nbsp;Duc Thanh Hoang","doi":"10.1155/2022/3097949","DOIUrl":"https://doi.org/10.1155/2022/3097949","url":null,"abstract":"<p><p>Pituitary apoplexy can occur postpartum, and subdural hematoma following epidural anesthesia is a rare complication. Cooccurrence of these two complications is extremely rare and has not been previously reported in the literature. In this article, we present a case of pituitary apoplexy along with intracranial subdural hematoma happening two days after spinal anesthesia for cesarean section. The patient presented with peripheral facial nerve paralysis accompanied by headache, eye pain, and blurred vision and was diagnosed by imaging modalities. The patient made a good recovery with conservative treatment without serious health events.</p>","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":" ","pages":"3097949"},"PeriodicalIF":0.0,"publicationDate":"2022-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9246620/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40559408","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
Conservative Management of Cesarean Scar Pregnancy: A Case Report and Literature Review. 剖宫产瘢痕妊娠的保守治疗:1例报告及文献复习。
Case Reports in Obstetrics and Gynecology Pub Date : 2022-06-22 eCollection Date: 2022-01-01 DOI: 10.1155/2022/1793943
Manuel Sánchez-Prieto, María Jesús Puy, Núria Barbany, Betlem Graupera, Maria Angela Pascual, Pere Barri-Soldevila
{"title":"Conservative Management of Cesarean Scar Pregnancy: A Case Report and Literature Review.","authors":"Manuel Sánchez-Prieto,&nbsp;María Jesús Puy,&nbsp;Núria Barbany,&nbsp;Betlem Graupera,&nbsp;Maria Angela Pascual,&nbsp;Pere Barri-Soldevila","doi":"10.1155/2022/1793943","DOIUrl":"https://doi.org/10.1155/2022/1793943","url":null,"abstract":"<p><p>Cesarean scar pregnancy (CSP) is a rare form of ectopic pregnancy located in the lower uterine segment. The current increase in the percentage of cesarean sections is accompanied by significant growth in the incidence of CSP, while advances in ultrasound diagnostic techniques have led to a greater number of CSP diagnoses. A misdiagnosed CSP, or one that is diagnosed too late, is life-threatening to the pregnant patient and predisposes her to complications such as uterine bleeding or rupture, which often require hysterectomy and thus result in the irreversible loss of fertility. We present the case of a 50-year-old woman with a history of undiagnosed CSP after multiple consultations for intermittent bleeding and hemorrhage. She was diagnosed by ultrasound and the diagnosis was confirmed by hysteroscopy. She underwent conservative medical treatment that was successful.</p>","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":" ","pages":"1793943"},"PeriodicalIF":0.0,"publicationDate":"2022-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9242790/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40559407","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
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
{"title":"Meckel's Diverticulum: The “Great Mimic” but Often a Forgotten Cause of Acute Abdomen during Pregnancy","authors":"Beatriz Féria, M. Trindade, M. J. Palma, J. Figueiredo, F. Passos","doi":"10.1155/2022/2383075","DOIUrl":"https://doi.org/10.1155/2022/2383075","url":null,"abstract":"Meckel's diverticulitis is an extremely rare event during pregnancy. Its diagnosis is often difficult and can result in higher maternal and fetal morbimortality. We describe a case of a 40-year-old healthy pregnant woman at 33 weeks of gestation who presented with abdominal pain and tender abdomen, leukocytosis, and elevated PCR. The imagiological exams were not conclusive. After an urgent caesarean section due to worsening of clinical status and nonreassuring fetal well-being, a laparotomy revealed a distended, necrotic, and perforated Meckel's diverticulum.","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75180226","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: 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
{"title":"Association of Beta-Thalassaemia and Hypogonadotropic Hypogonadism","authors":"A. Vidal, C. Dhakal","doi":"10.1155/2022/4655249","DOIUrl":"https://doi.org/10.1155/2022/4655249","url":null,"abstract":"Thalassaemic syndromes are among the most common haemoglobinopathies and are associated with high morbidity and mortality. Because of the various treatments, a secondary endocrinopathy due to iron overload—haemosiderosis—can occur, causing hypopituitarism leading to hypogonadotropic hypogonadism (HH) and infertility. We present a case of secondary amenorrhoea in a patient with beta-thalassaemia and a history of multiple therapies in her adolescence, such as multiple transfusions, chemotherapy, and allogeneic bone marrow transplantation, who presented with HH and premature ovarian insufficiency.","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":"86 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76218457","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: 2
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