Case Reports in Women's Health最新文献

The role of magnetic resonance imaging in fertility-sparing surgical management of abdominal pregnancy: A case report 磁共振成像在保留生育能力的腹部妊娠手术治疗中的作用：1例报告

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Case Reports in Women's Health Pub Date : 2025-07-11 DOI: 10.1016/j.crwh.2025.e00732

Kathleen Lundeberg , Conner Blackwell

引用次数: 0

The unfortunate twin: A case report of intrapartum diagnosis of heterotopic pregnancy 不幸的双胞胎：异位妊娠产时诊断1例

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Case Reports in Women's Health Pub Date : 2025-07-04 DOI: 10.1016/j.crwh.2025.e00729

Mesfin Ayalew Tsegaye, Meles Tazeb Teloye

引用次数: 0

Laparoscopic treatment of an ovarian teratoma with perforation of the small bowel: A case report 腹腔镜治疗卵巢畸胎瘤伴小肠穿孔1例报告

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Case Reports in Women's Health Pub Date : 2025-07-02 DOI: 10.1016/j.crwh.2025.e00728

Naho Tokunaga, Sotaro Hayashi, Eriko Iito, Tomohito Kobiyama, Koki Yagi, Mao Sekimata, Naoki Abe, Sachino Kira, Hajime Takeuchi, Lifa Lee, Satoshi Nishiyama, Maki Goto, Hiroshi Tsujioka

{"title":"Laparoscopic treatment of an ovarian teratoma with perforation of the small bowel: A case report","authors":"Naho Tokunaga, Sotaro Hayashi, Eriko Iito, Tomohito Kobiyama, Koki Yagi, Mao Sekimata, Naoki Abe, Sachino Kira, Hajime Takeuchi, Lifa Lee, Satoshi Nishiyama, Maki Goto, Hiroshi Tsujioka","doi":"10.1016/j.crwh.2025.e00728","DOIUrl":"10.1016/j.crwh.2025.e00728","url":null,"abstract":"<div><div>Fistula formation is a rare complication of ovarian mature cystic teratoma. This article reports a case of an ovarian mature cystic teratoma associated with fistula formation to the small bowel. A 30-year-old woman, gravida 0, presented with a 1-week history of vague lower abdominal pain and fever. Computed tomography revealed a right ovarian tumor with suspected rupture. Magnetic resonance imaging suggested a mature cystic teratoma and a possible right fallopian tube abscess. Empirical intravenous antibiotic therapy led to clinical improvement; however, the patient subsequently reported bloody stool. During laparoscopic surgery, dense adhesions were found between the right ovarian tumor and the small bowel. Dissection revealed a fistula connecting the ovarian mass to the bowel. A segmental small bowel resection and right ovarian cystectomy were performed. Histopathological analysis confirmed an ovarian mature cystic teratoma with associated intestinal inflammation, but no malignancy. This case highlights the rare but serious complication of fistula formation in ovarian mature cystic teratomas. In patients presenting with gastrointestinal symptoms, especially hematochezia, clinicians should consider the possibility of fistulization and involve gastrointestinal surgery teams as appropriate.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"47 ","pages":"Article e00728"},"PeriodicalIF":0.7,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144570708","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

The challenges of managing vulval squamous cell cancer in women with Fanconi anaemia: A case report and literature review 范可尼贫血女性外阴鳞状细胞癌治疗的挑战：1例报告和文献复习

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Case Reports in Women's Health Pub Date : 2025-06-27 DOI: 10.1016/j.crwh.2025.e00727

Chester Chiah , Lucy Grant , Jason Yap , Fong Lien Kwong

引用次数: 0

Navigating vaginal delivery in a patient with severe uterine prolapse: A case report 导航阴道分娩患者严重子宫脱垂：1例报告

IF 0.7

Case Reports in Women's Health Pub Date : 2025-06-17 DOI: 10.1016/j.crwh.2025.e00726

Sarah Sebastian, Nicole Jenkins, Stephanie Pistilli

{"title":"Navigating vaginal delivery in a patient with severe uterine prolapse: A case report","authors":"Sarah Sebastian, Nicole Jenkins, Stephanie Pistilli","doi":"10.1016/j.crwh.2025.e00726","DOIUrl":"10.1016/j.crwh.2025.e00726","url":null,"abstract":"<div><div>Pelvic organ prolapse (POP) during pregnancy is rare, with few cases to guide clinical management. Vaginal delivery is possible; however, it is associated with increased risk of antepartum and intrapartum complications. This report discusses a case of intrapartum severe uterine prolapse in pregnancy and management techniques which resulted in a successful vaginal delivery.</div><div>A 43-year-old grand multiparous woman (para 9) presented at 40 weeks in labor with stage III uterine prolapse. She had been diagnosed during her antepartum course, but declined a pessary and opted instead for expectant management. Her labor course was complicated by obstructed labor until she underwent manual reduction of her prolapse, subsequent bedrest, and oxytocin augmentation, leading to vaginal delivery of a term neonate. Her third stage was complicated by uterine atony, managed with bimanual massage and uterotonics.</div><div>This case illustrates that vaginal delivery is feasible in pregnancies complicated by severe uterine prolapse when pelvic anatomy is appropriately restored. Restoration may facilitate labor progression and reduce the risk of obstructed labor. However, the risk of intrapartum complications remains high. Awareness of these potential complications is critical as impaired uterine contractility from uterine prolapse may limit effective labor mechanics in all stages of labor.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"47 ","pages":"Article e00726"},"PeriodicalIF":0.7,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144365406","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

Femoral vein ligation for groin recurrence in a woman with vulval squamous cell carcinoma: A case report 股静脉结扎术治疗女性外阴鳞状细胞癌腹股沟复发1例

IF 0.7

Case Reports in Women's Health Pub Date : 2025-06-04 DOI: 10.1016/j.crwh.2025.e00723

Fong Lien Kwong , Mark Davies , Jason K.W. Yap

引用次数: 0

Spontaneous haemoperitoneum in pregnancy complicated by a pulmonary embolus: a case report 妊娠并发肺栓塞的自发性腹膜出血1例

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Case Reports in Women's Health Pub Date : 2025-06-03 DOI: 10.1016/j.crwh.2025.e00722

Matisse Uluilelata , Judy Ormandy

{"title":"Spontaneous haemoperitoneum in pregnancy complicated by a pulmonary embolus: a case report","authors":"Matisse Uluilelata , Judy Ormandy","doi":"10.1016/j.crwh.2025.e00722","DOIUrl":"10.1016/j.crwh.2025.e00722","url":null,"abstract":"<div><div>Spontaneous haemoperitoneum in pregnancy is defined as a sudden non-traumatic intra-abdominal haemorrhage in pregnancy or the postpartum period. With an incidence of 1/25000, it has been associated with endometriosis and assisted reproductive technology, and with significant perinatal morbidity and mortality. This report describes a postpartum case of spontaneous haemoperitoneum in pregnancy complicated by pulmonary embolism. The patient, who had a history of endometriosis, underwent a ventouse birth following term induction of labour. Six hours later she developed abdominal pain and bilateral pain in the shoulder tips, associated with a drop in haemoglobin. A computerised tomography scan of the abdomen demonstrated a haemoperitoneum with no actively bleeding vessels. She was managed conservatively with blood transfusion, tranexamic acid, and analgesia. Anticoagulation was withheld due to concerns over bleeding risk. On day 4 postpartum, she developed chest pain and was diagnosed with a pulmonary embolus. Most previously reported cases occurred antenatally and required an emergent laparotomy for fetal concerns. As this case occurred postnatally, fetal well-being did not need to be considered, and non-surgical management was successfully employed. This case also highlights difficulties with decisions regarding anticoagulation in patients at high risk of both bleeding and venous thromboembolism.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"47 ","pages":"Article e00722"},"PeriodicalIF":0.7,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144241167","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

Supporting women's reproductive health at work 支持妇女在工作场所的生殖健康

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Case Reports in Women's Health Pub Date : 2025-06-01 DOI: 10.1016/j.crwh.2025.e00699

Ruth Abrams

引用次数: 0

Spontaneous broad ligament rupture following uncomplicated vaginal delivery: A case report 无并发症阴道分娩后自发性阔韧带断裂1例

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Case Reports in Women's Health Pub Date : 2025-06-01 DOI: 10.1016/j.crwh.2025.e00718

Martina Beretta, Philippe Demoustier, Gabriel Charaf

引用次数: 0

A case report with pathological insights into cotyledonoid dissecting leiomyoma: Essential for differentiating this rare benign tumor from cancer 子叶鞘夹层平滑肌瘤1例病理分析：鉴别这种罕见良性肿瘤与恶性肿瘤的必要条件

IF 0.7

Case Reports in Women's Health Pub Date : 2025-06-01 DOI: 10.1016/j.crwh.2025.e00719

Masoud Edalati , Karam Khouri , Ahmed Lazim , Shuanzeng Wei , Anjali Seth , Daniela Proca

{"title":"A case report with pathological insights into cotyledonoid dissecting leiomyoma: Essential for differentiating this rare benign tumor from cancer","authors":"Masoud Edalati , Karam Khouri , Ahmed Lazim , Shuanzeng Wei , Anjali Seth , Daniela Proca","doi":"10.1016/j.crwh.2025.e00719","DOIUrl":"10.1016/j.crwh.2025.e00719","url":null,"abstract":"<div><div>Cotyledonoid dissecting leiomyoma (CDL), also known as Sternberg tumor, is a rare uterine leiomyoma variant with distinct imaging, gross, and microscopic features that deviate from classic leiomyomas. Despite its benign nature, CDL frequently mimics malignancy on radiologic and clinical evaluations, posing a diagnostic challenge. Understanding its unique characteristics is crucial for correct diagnosis to prevent unnecessary aggressive treatment. This report concerns the case of a 52-year-old postmenopausal woman with abnormal bleeding and an enlarged uterus. Ultrasound revealed a 4.3 × 3.5 × 3.5 cm complex echogenic mass of undetermined etiology in the right adnexa. MRI demonstrated a heterogeneously enhancing, irregular mass between the right ovary and uterine fundus. Given her postmenopausal status, a total hysterectomy with bilateral salpingo-oophorectomy was performed. Gross examination revealed a red, spongy, nodular, and cystic tumor containing gelatinous material. The mass involved the right lateral uterine wall, extending toward the fundus and round ligament, but remained distinct from the ovary and fallopian tube. Microscopically, interlacing smooth muscle fascicles whorled around prominent thick-walled vessels, confirming the diagnosis of CDL—a rare, benign uterine leiomyoma with a unique gross and microscopic appearance. Recognizing CDL is critical for both clinicians and pathologists to avoid misdiagnosing it as malignancy. Increased awareness can prevent unnecessary radical treatment, ensuring appropriate patient management while avoiding potential overtreatment and associated complications.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"46 ","pages":"Article e00719"},"PeriodicalIF":0.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144184997","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