Case Reports in Women's Health最新文献

Uterine lymphangioleiomyomatosis in a premenopausal woman with tuberous sclerosis: A case report 患有结节性硬化症的绝经前妇女的子宫淋巴管瘤病：病例报告

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Case Reports in Women's Health Pub Date : 2024-09-12 DOI: 10.1016/j.crwh.2024.e00650

{"title":"Uterine lymphangioleiomyomatosis in a premenopausal woman with tuberous sclerosis: A case report","authors":"","doi":"10.1016/j.crwh.2024.e00650","DOIUrl":"10.1016/j.crwh.2024.e00650","url":null,"abstract":"<div><p>Lymphangioleiomyomatosis is a rare disease characterized by abnormal smooth muscle cell growth. It primarily occurs in the lungs but can also rarely occur in other organs, in which case it is classified as extrapulmonary lymphangioleiomyomatosis. It often accompanies tuberous sclerosis complex. This report concerns a case of uterine lymphangioleiomyomatosis with spontaneous uterine rupture in a young woman with tuberous sclerosis complex. A 27-year-old nulligravida patient presented to the emergency room with vaginal bleeding. She had a history of clinical diagnosis of tuberous sclerosis complex and pulmonary lymphangioleiomyomatosis. Initially, abdominopelvic computed tomography and magnetic resonance imaging suggested a hemorrhagic necrosis and rupture of degenerated uterine myoma. She underwent emergency exploratory laparotomy. The right side of her normal-sized uterus were ruptured without any specific mass. Active bleeding and hematoma from the ruptured uterus and partially ruptured right ovary were noted. The procedure included total hysterectomy and right salpingo-oophorectomy. Pathological analysis confirmed lymphangioleiomyomatosis in the uterine serosa and myometrium. Lymphangioleiomyomatosis mainly occurs in women of reproductive age and worsens with estrogen. Early diagnosis and careful follow-up are necessary due to the risk of worsening gynecological symptoms or even uterine rupture during pregnancy. This case enhances our understanding of extrapulmonary lymphangioleiomyomatosis and highlights the importance of comprehensive evaluation in complex clinical scenarios.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911224000717/pdfft?md5=bbc3a8fa7a9064618c85eaecccb07dee&pid=1-s2.0-S2214911224000717-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142233009","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

Macroplastique® for stress urinary incontinence lights up as a PET-avid urethral lesion: A case report 用于治疗压力性尿失禁的 Macroplastique® 显示出 PET-avid 尿道病变：病例报告

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Case Reports in Women's Health Pub Date : 2024-09-05 DOI: 10.1016/j.crwh.2024.e00649

引用次数: 0

Balancing health and safety: Cardiovascular medications during pregnancy and lactation 平衡健康与安全：孕期和哺乳期的心血管药物治疗

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Case Reports in Women's Health Pub Date : 2024-09-04 DOI: 10.1016/j.crwh.2024.e00648

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Successful pregnancy in a woman with Herlyn-Werner-Wunderlich syndrome: A case report and literature review 一名患有 Herlyn-Werner-Wunderlich 综合征的妇女成功怀孕：病例报告和文献综述

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Case Reports in Women's Health Pub Date : 2024-08-23 DOI: 10.1016/j.crwh.2024.e00647

引用次数: 0

Retroperitoneal cystic lymphangioma coexisting with a uterine fibroid in a 42-year-old woman: A case report 一名 42 岁女性腹膜后囊性淋巴管瘤与子宫肌瘤并存：病例报告

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Case Reports in Women's Health Pub Date : 2024-08-23 DOI: 10.1016/j.crwh.2024.e00646

引用次数: 0

Peritonitis caused by Mycoplasma hominis after laparoscopic total hysterectomy: A case report 腹腔镜全子宫切除术后由人型支原体引起的腹膜炎：病例报告

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Case Reports in Women's Health Pub Date : 2024-08-22 DOI: 10.1016/j.crwh.2024.e00645

{"title":"Peritonitis caused by Mycoplasma hominis after laparoscopic total hysterectomy: A case report","authors":"","doi":"10.1016/j.crwh.2024.e00645","DOIUrl":"10.1016/j.crwh.2024.e00645","url":null,"abstract":"<div><p>Infections after obstetric and gynecologic surgery are commonly caused by enterobacteria, commensal vaginal bacteria, or indigenous skin bacteria (primarily <em>Staphylococcus aureus</em> and <em>Streptococcus</em>). <em>Mycoplasma hominis</em> (<em>M. hominis</em>) rarely causes postoperative infection in the field of obstetrics and gynecology and its treatment is generally delayed. This report describes a case report of peritonitis caused by <em>M. hominis</em> after laparoscopic total hysterectomy. A 44-year-old patient (gravida 1, para 1) presented with heavy menstrual bleeding and severe anemia. She was diagnosed as having multiple uterine fibroids and bilateral endometriomas and underwent laparoscopic surgery. She subsequently developed postoperative peritonitis due to <em>M. hominis.</em> This microorganism was identified in the postoperative cultures of the vaginal discharge and the transvaginal drainage fluid by matrix-assisted laser desorption/ionization time-of-flight mass spectrometry. The patient was treated successfully with the appropriate antimicrobial agents. It is important to consider <em>M. hominis</em> infection when gynecological postoperative infection persists despite treatment with beta-lactam antibiotics, and no causative organisms are identified by Gram staining.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911224000663/pdfft?md5=01bf3f89d5a88248aefd8d18ba15195a&pid=1-s2.0-S2214911224000663-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142044417","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

Clinical and molecular evaluation of insulin autoimmune syndrome in a woman with Graves' disease who subsequently became pregnant: A case report 对一名患有巴塞杜氏病并随后怀孕的妇女的胰岛素自身免疫综合征进行临床和分子评估：病例报告

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Case Reports in Women's Health Pub Date : 2024-08-10 DOI: 10.1016/j.crwh.2024.e00644

{"title":"Clinical and molecular evaluation of insulin autoimmune syndrome in a woman with Graves' disease who subsequently became pregnant: A case report","authors":"","doi":"10.1016/j.crwh.2024.e00644","DOIUrl":"10.1016/j.crwh.2024.e00644","url":null,"abstract":"<div><p>Insulin autoimmune syndrome or Hirata's disease is a rare condition characterized by hypoglycemia associated with endogenous autoimmune hyperinsulinism. This report concerns the case of a 28-year-old Latin American woman with Graves' disease who developed insulin autoimmune syndrome and then subsequently became pregnant. She displayed symptoms related to severe hypoglycemia due to hyperinsulinemia, elevated C-peptide, and anti-insulin antibodies. Prior to pregnancy she was treated with corticosteroids and had ablative treatment with iodine-131. During follow-up of both conditions, the patient became pregnant, and clinically and biochemically hyperthyroid, for which total thyroidectomy was performed during the second trimester of pregnancy. Anti-insulin antibodies, blood glucose, and C-peptide remained normal throughout pregnancy. At 40 weeks of gestation she gave birth to a healthy female newborn with normal blood glucose values. Molecular genetic analysis determined the following genotypes: HLA-DRB1*<em>03:01 / HLA-DRB1*</em>04:01 in the mother; and HLA-DRB1*<em>04:01 / HLA-DRB1</em>*08:02 in the daughter. Because some HLA-DRB1*04 alleles are associated with susceptibility to insulin autoimmune syndrome induced by environmental factors, the patient was advised regarding the future use of drugs with a sulfhydryl group and possible triggering factors for insulin autoimmune syndrome. At 6-month follow-up the daughter presented normal growth and development, as well as normal plasma glucose values, and this remained the case at five-year follow-up.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911224000651/pdfft?md5=b7539b07cc048c2557d9043ceec5779a&pid=1-s2.0-S2214911224000651-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141978315","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

Synchronous primary endometrial adenocarcinoma and primary squamous cell carcinoma of the cervix: A case report and literature review 同步原发性子宫内膜腺癌和原发性宫颈鳞状细胞癌：病例报告和文献综述

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Case Reports in Women's Health Pub Date : 2024-07-29 DOI: 10.1016/j.crwh.2024.e00642

{"title":"Synchronous primary endometrial adenocarcinoma and primary squamous cell carcinoma of the cervix: A case report and literature review","authors":"","doi":"10.1016/j.crwh.2024.e00642","DOIUrl":"10.1016/j.crwh.2024.e00642","url":null,"abstract":"<div><p>The synchronous occurrence of primary endometrioid endometrial adenocarcinoma and primary squamous cell carcinoma of the cervix is exceedingly rare. Ovarian and endometrial cancers represent the most frequently observed forms of synchronous gynaecological malignancies. In contrast, in less than 1 % of cases, endometrial cancer coexists with primary cervical cancer. Considering the unique characteristics of each primary malignancy, the management of synchronous tumours of the female genital tract poses significant challenges and requires a multidisciplinary, tailored approach to treatment.</p><p>This report concerns the case of a 63-year-old woman who underwent radical hysterectomy, bilateral salpingo-oophorectomy and bilateral pelvic lymph node dissection following a histological diagnosis of a poorly differentiated squamous cell carcinoma on cervical biopsy. Histological assessment of the surgical specimen also confirmed a primary grade I endometrioid endometrial adenocarcinoma confined to the endometrium and grade 3 squamous cell cancer of the cervix. The patient was successfully treated with adjuvant vaginal brachytherapy after primary surgery.</p><p>Synchronous endometrial adenocarcinoma and squamous cell carcinoma of the cervix is rare and associated with a poor prognosis. Fewer than ten cases could be found in the medical literature. This report raises awareness and adds to the study of an unusual synchronous cancer of the female genital tract and contributes evidence to advance the development of standardized treatment protocols.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911224000638/pdfft?md5=23bee0a0e7ea13d4e721b0bb62dcb767&pid=1-s2.0-S2214911224000638-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141952064","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

Relevance of microbiological cultures of cord blood and placental swabs in the rapid diagnosis of preterm newborn infection due to Listeria monocytogenes: A case report 脐带血和胎盘拭子微生物培养在快速诊断早产新生儿李斯特菌感染中的相关性：病例报告

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Case Reports in Women's Health Pub Date : 2024-07-25 DOI: 10.1016/j.crwh.2024.e00638

{"title":"Relevance of microbiological cultures of cord blood and placental swabs in the rapid diagnosis of preterm newborn infection due to Listeria monocytogenes: A case report","authors":"","doi":"10.1016/j.crwh.2024.e00638","DOIUrl":"10.1016/j.crwh.2024.e00638","url":null,"abstract":"<div><p><em>Listeria monocytogenes</em> (<em>Lm</em>) is a Gram-positive bacterium causing listeriosis, a rare but severe foodborne infection, particularly impactful during pregnancy. Maternal-fetal transmission can lead to adverse fetal outcomes, yet symptoms in mothers may be nonspecific, delaying intervention. Despite the severity, the mechanisms of vertical transmission remain unclear. This report describes a case of rapid <em>Lm</em> diagnosis in a preterm newborn using cord blood and placental swabs. A 31-week pregnant woman presented with abdominal pain, diarrhea, and reduced fetal movements after consuming raw sushi. Laboratory findings indicated infection, and she vaginally delivered a live infant with placental and fetal abscesses. Cultures confirmed <em>Lm</em>, with swift diagnosis aided by molecular syndromic testing. The neonate received appropriate antibiotics and was asymptomatic by the end of treatment. This case underscores the need for the rapid diagnosis of maternal-fetal listeriosis, as it poses significant risks during pregnancy, including preterm birth and neonatal complications. Current diagnostic methods often delay treatment. This report emphasizes the use of innovative molecular techniques for early diagnosis, which is crucial in managing neonatal infections, especially in preterm newborns.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911224000596/pdfft?md5=dd00460c4987894a15d851b28ffa6caf&pid=1-s2.0-S2214911224000596-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141847387","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

Pre-eclampsia and branch retinal artery occlusion in a 29-year-old primigravida with type 1 diabetes: A case report 一名患有 1 型糖尿病的 29 岁初产妇的子痫前期和视网膜分支动脉闭塞：病例报告

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Case Reports in Women's Health Pub Date : 2024-07-25 DOI: 10.1016/j.crwh.2024.e00643

{"title":"Pre-eclampsia and branch retinal artery occlusion in a 29-year-old primigravida with type 1 diabetes: A case report","authors":"","doi":"10.1016/j.crwh.2024.e00643","DOIUrl":"10.1016/j.crwh.2024.e00643","url":null,"abstract":"<div><p>Branch retinal artery occlusion is a rare cause of sudden vision loss. New-onset visual disturbances are considered a severe feature of preeclampsia and an indication for delivery regardless of gestational age. This report describes the management of a primigravida at 31 weeks of gestation, with multiple comorbidities, who presented with preeclampsia and a new dark spot in her vision. After extensive workup, her branch retinal artery occlusion was not attributable to her preexisting comorbidities nor an undiagnosed thrombophilia. Multidisciplinary collaboration and close observation enabled delay of delivery until 34 weeks of gestation without detriment and substantially mitigated the risks of preterm birth. Her visual defect was stable and permanent. This seems to be the first case in the literature to describe branch retinal artery occlusion diagnosed simultaneously with preeclampsia in the third trimester. Branch retinal artery occlusion may not be a severe feature of preeclampsia requiring delivery.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S221491122400064X/pdfft?md5=5f9a14e419ce4c9397639cb06354fe38&pid=1-s2.0-S221491122400064X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141848360","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