{"title":"Spontaneous conception in a 40-year-old woman after allogeneic stem cell transplant with active graft-versus-host disease: A case report","authors":"Lauren Barrison , Selena Park , Alan Decherney","doi":"10.1016/j.crwh.2024.e00636","DOIUrl":"10.1016/j.crwh.2024.e00636","url":null,"abstract":"<div><p>This article presents a case of spontaneous conception and live birth in a 40-year-old woman who had undergone gonadotoxic chemotherapy and allogenic stem cell transplant for relapsed acute myelogenous leukemia complicated by treatment-refractory graft-versus-host disease. The patient's follicle stimulating hormone level was 44.4 mIU/mL at age 38 and then decreased to 4.1 mIU/mL at age 41, suggesting ovarian recovery. Her graft-versus-host disease subjectively improved during pregnancy. She ultimately delivered a healthy neonate. This case demonstrates the potential for ovarian recovery after stem allogenic cell transplant in a patient of advanced reproductive age and provides insight into the limited knowledge about graft-versus-host disease in pregnancy. As survival after stem cell transplant continues to improve, understanding the downstream consequences of the treatment, including for fertility and pregnancy, is of growing importance.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"43 ","pages":"Article e00636"},"PeriodicalIF":0.7,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911224000572/pdfft?md5=52ddfad11e645a12b519405c99fb579c&pid=1-s2.0-S2214911224000572-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141623641","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}
Christine Herforth , Laura Stevens , Philippe E. Zimmern
{"title":"Corona mortis injury during anterior vaginal wall suspension: A case report","authors":"Christine Herforth , Laura Stevens , Philippe E. Zimmern","doi":"10.1016/j.crwh.2024.e00632","DOIUrl":"https://doi.org/10.1016/j.crwh.2024.e00632","url":null,"abstract":"<div><p>The corona mortis is a variant vascular anastomosis that crosses behind the superior pubic ramus connecting the external and internal iliac vessels. Its location with respect to key landmarks in the retropubic space varies. This case demonstrates a life-threatening hemorrhage following an anterior vaginal wall suspension due to needle passer injury of the corona mortis successfully managed with endovascular embolization. Surgeons operating in the retropubic space need to be cognizant of this vascular variant and potential for significant bleeding when injured. Prompt vascular control either endovascularly or with open exploration is critical in preventing patient mortality.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"43 ","pages":"Article e00632"},"PeriodicalIF":0.7,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911224000535/pdfft?md5=7c4e972c483befe2d56081a206280f49&pid=1-s2.0-S2214911224000535-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141541900","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":"Osteoporosis in pregnancy and lactation: Time to raise awareness","authors":"","doi":"10.1016/j.crwh.2024.e00625","DOIUrl":"10.1016/j.crwh.2024.e00625","url":null,"abstract":"","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"43 ","pages":"Article e00625"},"PeriodicalIF":0.7,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911224000468/pdfft?md5=2fcc657034ffc8bcfedab4fd9c656c1f&pid=1-s2.0-S2214911224000468-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141406601","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":"Complex caesarean delivery","authors":"Helena C. Bartels , Donal J. Brennan","doi":"10.1016/j.crwh.2024.e00613","DOIUrl":"10.1016/j.crwh.2024.e00613","url":null,"abstract":"","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"42 ","pages":"Article e00613"},"PeriodicalIF":0.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911224000341/pdfft?md5=453016a63485d445e9ac96571d8c9150&pid=1-s2.0-S2214911224000341-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141044551","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}
Themistoklis Mikos, Nikolaos Roussos, Iakovos Theodoulidis, Grigoris F. Grimbizis
{"title":"Expanding the limits of vaginal surgery: Transvaginal vesicolithotomy for an incarcerated procidentia: A case report and literature review","authors":"Themistoklis Mikos, Nikolaos Roussos, Iakovos Theodoulidis, Grigoris F. Grimbizis","doi":"10.1016/j.crwh.2024.e00624","DOIUrl":"https://doi.org/10.1016/j.crwh.2024.e00624","url":null,"abstract":"<div><p>Bladder stones are rare in women. This report presents the case of a woman with a massive bladder stone and incarcerated procidentia. The 75-year-old woman presented to the outpatient clinic with procidentia and recurrent urinary tract infections. Preoperative imaging led to the diagnosis of cystolithiasis. After multidisciplinary counseling the patient underwent a vaginal hysterectomy with bilateral oophorectomy and transvaginal vesicolithotomy. A bladder biopsy was performed to rule out any malignancy. After three days, the patient was discharged with a Foley catheter; 15 days later, the bladder catheter was removed. She had an uncomplicated postoperative course. The presence of cystolithiasis and pelvic organ prolapse remains a challenge both in diagnosis and in treatment. The literature lacks solid evidence on the optimal management of these cases. Although there are no recommendations or consensus for their treatment, it seems that the one-step vaginal approach is preferable to the abdominal route.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"42 ","pages":"Article e00624"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911224000456/pdfft?md5=186bce1dc4a701fd50dbd2985dd3d61c&pid=1-s2.0-S2214911224000456-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141243679","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}
Fida Asali , Lubna Batayneh , Aseel Albtoush , Salem Abu Mahfouz , Ismaiel Abu Mahfouz
{"title":"Omental mature cystic teratoma mimicking a mesenteric cyst: A case report","authors":"Fida Asali , Lubna Batayneh , Aseel Albtoush , Salem Abu Mahfouz , Ismaiel Abu Mahfouz","doi":"10.1016/j.crwh.2024.e00619","DOIUrl":"10.1016/j.crwh.2024.e00619","url":null,"abstract":"<div><p>Mature cystic teratomas (MCTs) arise from totipotent cells. While the ovaries are the most common sites, extragonadal teratomas are very rare. This case report describes the clinical details of a 20-year-old woman who was found to have a large pelvi-abdominal mass on clinical and imaging studies and elevated levels of CA-125. Because of the uncertainties of the origin of the mass, a multidisciplinary team suggested exploratory laparotomy with a mesenteric cyst as a differential diagnosis. Laparotomy showed both ovaries to be normal and revealed a large omental MCT, which was excised. Histopathology confirmed the diagnosis.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"42 ","pages":"Article e00619"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911224000407/pdfft?md5=280a0786cd94ba0f2c7420105c0259bf&pid=1-s2.0-S2214911224000407-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141140623","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":"Large uterine arteriovenous malformation successfully treated with combined endovascular treatment and supracervical hysterectomy: A case report","authors":"Fumika Hamaguchi , Yasuyuki Onishi , Yusuke Sagae , Koji Yamanoi , Hironori Shimizu , Masaki Mandai","doi":"10.1016/j.crwh.2024.e00630","DOIUrl":"10.1016/j.crwh.2024.e00630","url":null,"abstract":"<div><p>Uterine arteriovenous malformations (AVMs) are rare conditions that cause life-threatening bleeding. Endovascular treatment or total hysterectomy is performed to safely treat most AVMs. This case report describes a 54-year-old female patient with a large uterine AVM, uterine bleeding, and cardiac overload that was difficult to manage but successfully treated. Total hysterectomy poses a high risk of hemorrhage due to significant uterine and internal iliac vein dilation; thus, embolization of feeding arteries was performed with N-butyl cyanoacrylate. However, a postembolization computed tomography scan detected paradoxical embolization of the liver, kidneys, and spleen. Therefore, supracervical hysterectomy was performed with preoperative coil embolization and intraoperative balloon occlusion of the feeding arteries. In this case, supracervical, not total, hysterectomy needed to be performed as the shunts were determined to be in the uterine corpus.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"42 ","pages":"Article e00630"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911224000511/pdfft?md5=1ea0ebc14938bd58cb3c775df38aa41f&pid=1-s2.0-S2214911224000511-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141406834","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 postmenopausal woman with pelvic inflammatory disease misdiagnosed as an ovarian tumor: A case report","authors":"Remans Ellen , Caeymaex Cathy , Wuyts Kathleen","doi":"10.1016/j.crwh.2024.e00618","DOIUrl":"10.1016/j.crwh.2024.e00618","url":null,"abstract":"<div><p>A tubo-ovarian abscess is a potential life-threatening condition. In postmenopausal women, it is rarely seen and it has fewer typical symptoms, making it difficult to diagnose.</p><p>This report concerns a postmenopausal patient who was admitted with general health decline, weight loss and ascites. At first, a malignancy of the right ovary was suspected because of the sonographic and laboratory findings. On diagnostic laparoscopy, the diagnosis of pelvic inflammatory disease was made, most likely caused by a Mirena intrauterine device that had been in place for 20 years.</p><p>In a postmenopausal woman a tubo-ovarian abscess should be included in differential diagnoses especially if she has an intrauterine device. Conservative treatment with antibiotics is preferred. If surgery is required, diagnostic laparoscopy is advised.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"42 ","pages":"Article e00618"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911224000390/pdfft?md5=dd120f7e24e11d328743881f5226e1a2&pid=1-s2.0-S2214911224000390-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141142224","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}
Matthew J. Van Ligten , Talia Sobel , Sara Shihab , Andrej Urumov , Cameron R. Adler , Wayne A. Martini Jr
{"title":"Obstruction from endometriosis causing hydronephrosis and complex renal pelvis rupture: A case report","authors":"Matthew J. Van Ligten , Talia Sobel , Sara Shihab , Andrej Urumov , Cameron R. Adler , Wayne A. Martini Jr","doi":"10.1016/j.crwh.2024.e00622","DOIUrl":"https://doi.org/10.1016/j.crwh.2024.e00622","url":null,"abstract":"<div><p>Endometriosis presents a diagnostic conundrum due to its diverse clinical manifestations, ranging from asymptomatic to acute obstructive uropathy. This is a case of a 30-year-old woman with a history of endometriosis and rapidly progressing left flank pain culminating in rupture of the renal pelvis in her left kidney. Initial investigations revealed left-sided hydronephrosis without evidence of nephrolithiasis. Subsequent imaging showed active extravasation indicative of urinary obstruction attributable to endometriosis. Placement of a left nephrostomy tube alleviated her symptoms, and follow-up imaging revealed a distal ureteral stricture. A stent was subsequently placed, which resolved the obstruction and obviated the need for extensive surgical intervention. In this case, the patient's history of endometriosis prompted consideration of its role in urinary obstruction, despite the absence of typical symptoms, and underscores the importance of considering endometriosis as a potential cause of acute urinary obstruction, particularly in patients with a history of the disease. Physicians in the emergency department should maintain a high index of suspicion for endometriosis-related complications to facilitate timely intervention and prevent adverse outcomes. Awareness of the variable presentations of endometriosis is paramount for ensuring comprehensive patient care and optimal outcomes.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"42 ","pages":"Article e00622"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911224000432/pdfft?md5=5472e3bdf116dac3cf1228dcc5a84d2e&pid=1-s2.0-S2214911224000432-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141243677","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}