Case Reports in Women's Health最新文献

{"title":"Urolithiasis diagnosed with endovaginal ultrasound after vaginal prolapse repair surgery using mesh: A case report","authors":"Graziana Antoci,&nbsp;Ralf Tunn,&nbsp;Kathrin Beilecke","doi":"10.1016/j.crwh.2024.e00627","DOIUrl":"https://doi.org/10.1016/j.crwh.2024.e00627","url":null,"abstract":"<div><p>Pain after vaginal prolapse repair surgery with mesh is generally attributed to the mesh fixation, particularly to mesh erosion, dislocation or the development of hematoma. However, once all the causes have been excluded, the urinary system, bladder and ureters should be accurately examined by means of endovaginal ultrasound. This report concerns the case of a 72-year-old woman who had undergone mesh-supported prolapse surgery 3 months prior, with no other relevant diseases, who visited the emergency department complaining of dull, right-sided colic pain. The endovaginal ultrasound examination revealed a prevesical ureteral calculus on the right side with consequent dilatation of the proximal ureter. Computed tomography of the abdomen and pelvis confirmed the calculus in the distal right ureter and revealed a right renal lower pole calculus. The patient underwent treatment via an operative ureterorenoscopy with removal of stones and placement of a double-J-stent. Two months later, a second ureterorenoscopy was performed with double-J-stent removal and concomitant stone extraction. It appears that no similar cases have been reported in the literature. This is why, during the urogynecological postoperative follow-up, it is of paramount importance to examine the entire urogenital system with endovaginal ultrasound. This case report highlights how, through a simple, non-invasive, radiation-free examination, like ultrasound, most of the post-operative complications of vaginal prolapse repair surgery using mesh, including urolithiasis, can be excluded.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"42 ","pages":"Article e00627"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911224000481/pdfft?md5=bc3b90edd5183b13ca5b667c646ef3ce&pid=1-s2.0-S2214911224000481-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141290893","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}

{"title":"Severe fetal hemolytic disease due to anti-M alloimmunization: A case report and literature review","authors":"Fatemeh Golshahi ,&nbsp;Fatemeh Rahimi Sharbaf ,&nbsp;Mahboobeh Shirazi ,&nbsp;Behrokh Sahebdel ,&nbsp;Jafar Golshahi ,&nbsp;Simon Dadoun ,&nbsp;Soroush Aalipour ,&nbsp;Mohammad Haddadi","doi":"10.1016/j.crwh.2024.e00620","DOIUrl":"10.1016/j.crwh.2024.e00620","url":null,"abstract":"<div><p>Fetal hemolysis is caused by maternal antibodies that cross the placenta. Anti-M antibodies can rarely cause severe forms of alloimmunization in the fetus and newborn. We present a case of severe anti-M alloimmunization requiring a total of 8 intrauterine transfusions, in a patient with a prior poor obstetrical history. A 35-year-old Iranian pregnant woman with a prior obstetrical history of one abortion and two stillbirths was found to have had anti-M antibody titers 1:8 and accompanying elevated middle cerebral artery peak systolic velocity (MCA-PSV) of 1.9 MoM suggestive of severe fetal anemia at 17 weeks of gestation. Persistently elevated fetal MCA-PSV was noted despite intraperitoneal transfusion at 17, 19, and 22 weeks. Fetal blood sampling at 27 weeks confirmed severe fetal anemia (3 g/dL), which required additional intravascular and intraperitoneal blood transfusion. At 37 weeks, elective cesarean section was performed. Neonatal hemoglobin immediately after delivery was 10.1 g/dL. In addition to standard supportive care, the neonate required two additional transfusions and remained in the neonatal intensive care unit (NICU) for 23 days.</p><p>Anti-M antibodies are a rare cause of severe alloimmunization. We present a case in order to improve management.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"42 ","pages":"Article e00620"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911224000419/pdfft?md5=b994db6417134720cd20da425631447a&pid=1-s2.0-S2214911224000419-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141135108","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}

{"title":"Infectious diseases in pregnancy: A continuing struggle","authors":"Adrian L. Hernandez Lopez ,&nbsp;Michael J. Fassett","doi":"10.1016/j.crwh.2024.e00610","DOIUrl":"10.1016/j.crwh.2024.e00610","url":null,"abstract":"","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"42 ","pages":"Article e00610"},"PeriodicalIF":0.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911224000316/pdfft?md5=bef7255110dafcfba0700ca5ea722713&pid=1-s2.0-S2214911224000316-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140778402","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}

{"title":"Retroperitoneal lymphangioma in a pregnant patient: A case report and literature review","authors":"Isabela Sánchez Mayorca ,&nbsp;Mónica Viviana Ramírez Cifuentes ,&nbsp;Diana Marcela Hoyos Guerrero ,&nbsp;Roberto Gallo Roa ,&nbsp;Santiago Vieira Serna ,&nbsp;Rafael Leonardo Aragón Mendoza","doi":"10.1016/j.crwh.2024.e00623","DOIUrl":"https://doi.org/10.1016/j.crwh.2024.e00623","url":null,"abstract":"<div><p>This case report describes the management of a woman diagnosed with a retroperitoneal cystic tumor during pregnancy. The 29-year-old patient presented at 29 weeks of pregnancy with abdominal pain. A retroperitoneal tumor measuring 224 × 156 × 235 mm was identified on ultrasound and magnetic resonance imaging. The patient underwent cesarean section delivery of a healthy neonate at 37 weeks. Uncomplicated laparoscopic surgery was performed during the postpartum period, resulting in a histologic diagnosis of a retroperitoneal lymphangioma. A review of articles published between 2003 and 2023 on the diagnosis, management, and prognosis of gestational lymphangiomas was conducted using the PubMed, SCOPUS and SpringerLink databases. Ten articles, including case reports of lymphangiomas diagnosed during pregnancy, were identified. The most frequent location was the gastrointestinal tract, with no cases reported in the retroperitoneal area. A good perinatal outcome was reported in the majority of cases. Lymphangiomas are rare benign tumors that are even more uncommon during pregnancy. Watchful waiting can offer a good obstetric and perinatal prognosis.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"42 ","pages":"Article e00623"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911224000444/pdfft?md5=8f14c6dc3d59bfeeb7919a8e7ea9fa67&pid=1-s2.0-S2214911224000444-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141243678","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}

{"title":"Angiomyofibroblastoma of the vulva: A case report and review of the literature","authors":"Samia Sassi ,&nbsp;Chaimaa Nadim ,&nbsp;Rihane El Mohtarim ,&nbsp;Lamiae Rouas ,&nbsp;Mounia Yousfi ,&nbsp;Najat Lamalmi ,&nbsp;Fatima El. Hassouni","doi":"10.1016/j.crwh.2024.e00617","DOIUrl":"10.1016/j.crwh.2024.e00617","url":null,"abstract":"<div><p>Angiomyofibroblastoma (AMFB) represents a rare, benign mesenchymal tumor with a predilection for the vulvovaginal region. It is usually diagnosed in middle-aged women. Histopathology and immunohistochemical study remain the key to diagnosis. Like other benign mesenchymal vulval tumors, AMFB shows indolent behavior and rarely recurs after complete surgical excision. Herein, we present a case of vulvar AMFB in a 51-year-old woman to highlight the diagnostic difficulties when considering this rare entity.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"42 ","pages":"Article e00617"},"PeriodicalIF":0.0,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911224000389/pdfft?md5=9e86abd6440dbd9ac4aa0e78d29788aa&pid=1-s2.0-S2214911224000389-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141057164","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}

{"title":"Laparoscopic treatment of abdominal wall endometriosis: A case series","authors":"Jinbo Li ,&nbsp;Lingbing Qiu ,&nbsp;Xiao Li ,&nbsp;Taicheng Zhou ,&nbsp;Shuqin Chen","doi":"10.1016/j.crwh.2024.e00616","DOIUrl":"https://doi.org/10.1016/j.crwh.2024.e00616","url":null,"abstract":"<div><h3>Objective</h3><p>This report summarizes the characteristics of a series of 8 recent (2020−2022) patients with abdominal wall endometriosis (AWE) who underwent laparoscopic surgery. The feasibility and advantages of laparoscopy in the treatment of AWE are set out.</p></div><div><h3>Methods</h3><p>The clinical data of the 8 AWE patients were retrospectively analysed. Basic clinical characteristics, operation details and postoperative details were collected and analysed.</p></div><div><h3>Results</h3><p>Laparoscopic treatment was successful in all 8 cases. The mean operation time was 212.13 ± 48.16 min, the mean estimated blood loss was 25.00 ± 11.18 ml, and the mean postoperative hospital stay was 5.25 ± 1.39 days. 7 of the patients were found to have concomitant pelvic endometriosis, and 1 patient was found to have concealed inguinal hernias during surgery. Concomitant laparoscopic surgery for pelvic lesions was performed, including electrocautery or lesion resection of the pelvic endometriosis lesions in 7 patients, uterine fibroidectomy in 2 patients, high ligation of the hernia sac in 1 patient and endometrial biopsy under hysteroscopy in 1 patient. Endometrial-like tissue was confirmed by postoperative pathological examination of resected AWE lesions in all patients. There were no intraoperative or postoperative complications. The mean follow-up time was 18.75 ± 3.96 months, and no recurrence of AWE was found.</p></div><div><h3>Conclusion</h3><p>Laparoscopic surgery is a safe, effective and feasible treatment option for AWE patients and has the advantages of simultaneous diagnosis and treatment of other pelvic lesions.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"42 ","pages":"Article e00616"},"PeriodicalIF":0.0,"publicationDate":"2024-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911224000377/pdfft?md5=feba1b6bbd3094493b67ec704a7b47c7&pid=1-s2.0-S2214911224000377-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913900","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}

{"title":"A Sertoli-Leydig ovarian tumor presenting as ovarian torsion: A case report","authors":"Samia Tligui ,&nbsp;Hounaida Mahfoud ,&nbsp;Samia Sassi ,&nbsp;Hanane Inrhaoun ,&nbsp;Najat Lamalmi ,&nbsp;Fatima El Hassouni ,&nbsp;Samir Bargach","doi":"10.1016/j.crwh.2024.e00614","DOIUrl":"https://doi.org/10.1016/j.crwh.2024.e00614","url":null,"abstract":"<div><p>Torsion occurs as a complication in 10% of cases of ovarian tumors. It predominantly occurs in benign ones, while malignant tumors are less prone to torsion. Sertoli-Leydig cell tumors are highly unusual sex cord-stromal tumors of the ovary, accounting for less than 0.2% of all ovarian cancers.</p><p>A 39-year-old patient presented to the emergency department with a Sertoli-Leydig cell tumor diagnosed due to ovarian torsion. The clinical presentation was characterized by abdominal pain. Ultrasound indicated signs of torsion, and torsion of the right ovary was subsequently confirmed during laparotomy. A salpingo-oophorectomy was performed, and histological examination revealed a moderately differentiated Sertoli-Leydig cell tumor.</p><p>Sertoli-Leydig cell tumors often present with hormone-related or non-hormonal symptoms. Surgery plays a crucial role in both diagnosis and treatment. Postoperative treatment is not necessary for well-differentiated Sertoli-Leydig cell tumors in stage IA-IB. However, patients with grade 2–3 disease, advanced stage, or heterologous elements may consider adjuvant treatment.</p><p>As these tumors are rare, this case contributes to the documentation of Sertoli-Leydig cell tumors, with a case diagnosed due to ovarian torsion. The case highlights the importance of establishing international registries of Sertoli-Leydig cell tumor cases for standardized management.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"42 ","pages":"Article e00614"},"PeriodicalIF":0.0,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911224000353/pdfft?md5=4c1ea20acd9bf005f30c9b9787e39587&pid=1-s2.0-S2214911224000353-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140910071","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}

{"title":"Multidisciplinary care of fetal vein of Galen arteriovenous malformation diagnosed via Doppler ultrasound and magnetic resonance imaging: A case report","authors":"Afaf Tawfiq ,&nbsp;Zehour Alsabban ,&nbsp;Saeed Baradwan","doi":"10.1016/j.crwh.2024.e00615","DOIUrl":"https://doi.org/10.1016/j.crwh.2024.e00615","url":null,"abstract":"<div><p>Fetal vein of Galen malformation (VOGM) represents a rare congenital anomaly affecting the fetal cerebral vasculature. A 27-year-old Middle Eastern woman was referred due to intrauterine growth restriction (IUGR) and fetal cardiac anomalies identified at 35 weeks of gestation. The diagnosis of fetal VOGM with dilated neck vessels was established through a combination of color Doppler ultrasonography and magnetic resonance imaging. A multidisciplinary approach involving maternal-fetal medicine, neonatology, pediatric cardiology, and interventional radiology was implemented. Given the grave prognosis for the baby, the patient received comprehensive counseling. Subsequent monitoring revealed a non-reassuring fetal heart trace, prompting the decision to perform a cesarean section. The newborn, a girl, was admitted to the neonatal intensive care unit for further management but she died shortly thereafter, with heart failure and intracranial hemorrhage identified as the probable causes of death. In summary, the diagnosis and management of VOGMs demand specialized expertise and a collaborative, multidisciplinary approach to optimize patient care and outcomes.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"42 ","pages":"Article e00615"},"PeriodicalIF":0.0,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911224000365/pdfft?md5=9694092c882800dd7a1100c1f812863e&pid=1-s2.0-S2214911224000365-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140910072","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}

{"title":"Anti-NMDA encephalitis secondary to an ovarian teratoma presenting as altered mental status in a 32-year-old woman: A case report","authors":"Grace Jarmoc ,&nbsp;Candace Smith ,&nbsp;Emma Finnerty ,&nbsp;Nyia L. Noel ,&nbsp;Ariel Marks","doi":"10.1016/j.crwh.2024.e00612","DOIUrl":"https://doi.org/10.1016/j.crwh.2024.e00612","url":null,"abstract":"<div><p>NMDA-R encephalitis is an autoimmune encephalitis that is known to be associated with ovarian teratomas. Eighty to 100 % of patients initially present with neuropsychiatric symptoms. Early recognition and intervention are critical to management and prognosis. This case demonstrates non-specific presenting symptoms of NMDA-R encephalitis.</p><p>A 32-year-old woman presented to the emergency room with headache, nausea, vomiting, and photophobia. She was discharged with probable aseptic meningitis. Eight days later, she represented with delusional thought content, perseverative speech, and bizarre behavior. Cerebrospinal fluid studies showed elevated protein and mild pleocytosis. A computed tomography scan with contrast showed a 35-mm complex cystic lesion in the right adnexa, which was resected. Confirmatory pathology showed a mature cystic teratoma. Paraneoplastic panel later resulted positive for NMDA-R encephalitis. The patient was treated with methylprednisolone, IVIG, plasmapheresis, and rituximab. The clinical course was complicated by a hypersensitivity reaction to rituximab, non-convulsive status epilepticus requiring intubation, dysphagia requiring a PEG placement, a rectal ulcer causing acute blood loss anemia requiring multiple blood transfusions, bilateral hearing loss, and a left lung pneumothorax. The patient's mood, cognition, and motor function were favorably improving 19 months after diagnosis.</p><p>This case illustrates presenting signs of NMDA-R encephalitis in a young woman as headache and altered mental status followed by psychosis and epilepsy. Treatment should involve a multidisciplinary team and be individualized and escalated in patients with worsening clinical status refractory to first-line therapy. Further research is warranted to understand the optimal treatment strategy for this disease.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"42 ","pages":"Article e00612"},"PeriodicalIF":0.0,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S221491122400033X/pdfft?md5=9aed022a1b3ef5d493a0e71f715981b9&pid=1-s2.0-S221491122400033X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140823937","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}

{"title":"Management of a large splenic hydatid cyst in pregnancy: A case report","authors":"Adeleena Mazid ,&nbsp;Johannes De Kock","doi":"10.1016/j.crwh.2024.e00611","DOIUrl":"10.1016/j.crwh.2024.e00611","url":null,"abstract":"<div><p>Splenic hydatid cysts are caused by the <em>Echinococcus</em> species and rarely occur in pregnancy. This case report describes the management of a 29-year-old pregnant woman with a large (11 × 8.7 × 10.5 cm) splenic hydatid cyst. The cyst had been identified before she became pregnant by her general practitioner with imaging investigations undertaken for her persistent left upper abdominal pain. The patient also had laboratory investigations which were positive for echinococcosis species.</p><p>Hydatid splenic cysts are very rare and even more so in pregnancy. Risk of splenic cyst rupture exists, and rupture has significant risk of maternal and perinatal morbidity and mortality. Among the few case reports in the literature there is no clear consensus on conservative or surgical management during pregnancy and no clear guidelines for intrapartum care or delivery. The case report reviews the literature on splenic hydatid cyst disease in pregnancy and explores the management and outcome of this patient through her fourth pregnancy, which resulted in an uncomplicated vaginal birth.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"42 ","pages":"Article e00611"},"PeriodicalIF":0.0,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911224000328/pdfft?md5=4a3a20e75d9bc3eb3d32433c8b9be1fd&pid=1-s2.0-S2214911224000328-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140788526","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}