Case Reports in Women's Health最新文献_第2页

Severe multivessel coronary heart disease in a young woman with familial hypercholesterolemia and congenital heart disease: A case report 一名患有家族性高胆固醇血症和先天性心脏病的年轻女性患上了严重的多支血管冠状动脉心脏病：病例报告

IF 0.7

Case Reports in Women's Health Pub Date : 2024-07-23 DOI: 10.1016/j.crwh.2024.e00641

{"title":"Severe multivessel coronary heart disease in a young woman with familial hypercholesterolemia and congenital heart disease: A case report","authors":"","doi":"10.1016/j.crwh.2024.e00641","DOIUrl":"10.1016/j.crwh.2024.e00641","url":null,"abstract":"<div><p>The prevalence of premature atherosclerotic cardiovascular disease (ASCVD) ranges from 7% to 30%, but the incidence in young patients is increasing. Traditional risk factors, such as hypertension, hyperlipidemia, obesity, and diabetes, have an increasing prevalence in young patients and especially in young women. A 32-year-old woman presented with dyspnea and exertional chest pain. She had a history of familial hypercholesterolemia and unidentified aortic valve disease status after a pulmonary autograft at the age of 20. Due to insurance changes with the onset of the COVID-19 pandemic, she lost access to specialty care. She was not on any cholesterol-lowering agents prior to admission. An electrocardiogram demonstrated no ST changes with elevated high-sensitivity troponin-I concerning for non-ST elevation myocardial infarction. Laboratory data also revealed elevated LDL-C greater than 400. Due to concern for multivessel disease and complex anatomy, she underwent coronary computerized tomography angiography, which verified her multivessel coronary artery disease. An echocardiogram demonstrated a preserved ejection fraction and moderate aortic regurgitation. Her coronary artery bypass graft was deferred due to possible future valvular surgery. She underwent percutaneous coronary intervention with drug-eluting stents to left circumflex and left anterior descending arteries. Familial hypercholesterolemia is a prevalent but under-recognized and under-treated risk factor for premature ASCVD, which can be adequately identified through improved risk assessment and managed with aggressive combination anti-hyperlipidemia therapy.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911224000626/pdfft?md5=5a69bbc63a562ac15936dd6e6eb17556&pid=1-s2.0-S2214911224000626-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141841817","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

Ewing sarcoma of the uterus: A case report 子宫尤文肉瘤：病例报告

IF 0.7

Case Reports in Women's Health Pub Date : 2024-07-23 DOI: 10.1016/j.crwh.2024.e00640

{"title":"Ewing sarcoma of the uterus: A case report","authors":"","doi":"10.1016/j.crwh.2024.e00640","DOIUrl":"10.1016/j.crwh.2024.e00640","url":null,"abstract":"<div><p>A case is described of Ewing sarcoma of the uterus, an atypical presentation of an already rare cancer.</p><p>A 55-year-old woman presented with abdominal pain, abnormal uterine bleeding and a uterine mass that measured 11 × 10 × 14.5 cm and demonstrated heterogeneous enhancement with possible areas of central necrosis, concerning for sarcoma. She had a complete surgical resection with total abdominal hysterectomy, bilateral salpingo-oophorectomy, omentectomy, bilateral pelvic lymph node dissection, and excision of mesenteric tumor implants. Her final pathology showed primary Ewing sarcoma-primitive neuroectodermal tumor of the uterus with metastatic spread to the peritoneal cavity. She finished 14 cycles of vincristine-doxyrubicin-cyclophosphamide–ifosfamide, etoposide chemotherapy with no evidence of recurrent metastatic disease at 6-month follow-up.</p><p>Ewing sarcoma is a rare cancer, predominantly seen in adolescents, that typically are of the bone, although in rare instances it can arise from soft tissue; even rarer are presentations in the female genital tract. Even with typical presentations of Ewing sarcoma of the bone, metastatic disease has an overall poor prognosis. The scarcity of cases of metastatic Ewing sarcoma–peripheral neuroendocrine tumors of the uterus makes the condition especially difficult to study. This report describes a case of Ewing sarcoma of the uterus treated by complete surgical resection and aggressive multimodal chemotherapy.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911224000614/pdfft?md5=03c8ef9cc292ce76540c022ba3ca18a6&pid=1-s2.0-S2214911224000614-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141849316","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 lymphangioma resected during abdominal hysterectomy: A case report 腹部子宫切除术中切除的卵巢淋巴管瘤：病例报告

IF 0.7

Case Reports in Women's Health Pub Date : 2024-07-22 DOI: 10.1016/j.crwh.2024.e00639

{"title":"Ovarian lymphangioma resected during abdominal hysterectomy: A case report","authors":"","doi":"10.1016/j.crwh.2024.e00639","DOIUrl":"10.1016/j.crwh.2024.e00639","url":null,"abstract":"<div><p>Ovarian lymphangioma, a rare pathologic finding, is an ovarian mass characterized by lymphatic tissue lined with endothelial cells. It is normally asymptomatic and may be found incidentally during abdominal surgery for other pathologies.</p><p>This report describes a case of a 49-year-old woman presenting to her primary care physician for three months of abdominal bloating and irregular menses. Magnetic resonance imaging revealed a 31 × 23 × 20 cm uterine mass suspected to be the cause of her symptoms. Total abdominal hysterectomy and bilateral salpingectomy were performed. During surgery, the right ovary was flattened and densely adhered to the body of the uterus, necessitating right oophorectomy. Pathology of the right ovary revealed flattened endothelial cells lining cystic spaces, consistent with the diagnosis of ovarian lymphangioma. Taken together, this case and the literature suggest that ovarian lymphangioma should be considered in the differential of ovarian masses, and their management shared more widely to help encourage the development of standard practice guidelines. There are no clear guidelines for when, and how often, to monitor these lesions after resection. In this case, the patient was seen at two-week and six-week follow-up visits with no new symptoms. Given that some case reports describe malignant transformation, patients should be followed this closely in the post-surgical period, and the best cadence for follow-up should be determined to improve outcomes.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911224000602/pdfft?md5=6467fd668bf402e293ba09c973f37050&pid=1-s2.0-S2214911224000602-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141852215","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

Laparoscopic bilateral salpingo-oophorectomy for recurrent ovarian endometriotic cysts in a woman taking adjuvant tamoxifen for breast cancer: A case report 腹腔镜双侧输卵管切除术治疗因乳腺癌服用他莫昔芬辅助治疗的妇女复发性卵巢子宫内膜异位囊肿：病例报告

IF 0.7

Case Reports in Women's Health Pub Date : 2024-07-18 DOI: 10.1016/j.crwh.2024.e00637

引用次数: 0

Early recognition and mobilization of resources in managing amniotic fluid embolism for a high-risk obstetric patient: A case report 及早识别并调动资源，处理高危产科病人的羊水栓塞：病例报告

IF 0.7

Case Reports in Women's Health Pub Date : 2024-07-10 DOI: 10.1016/j.crwh.2024.e00634

引用次数: 0

Management of gastrointestinal stromal tumor and acute appendicitis during pregnancy: A case report 妊娠期胃肠道间质瘤和急性阑尾炎的处理：病例报告

IF 0.7

Case Reports in Women's Health Pub Date : 2024-07-10 DOI: 10.1016/j.crwh.2024.e00635

引用次数: 0

Elevated lactate dehydrogenase – A red herring in the diagnosis of a sclerosing stromal tumor: A case report 乳酸脱氢酶升高--硬化性间质瘤诊断中的 "红线"：病例报告

IF 0.7

Case Reports in Women's Health Pub Date : 2024-07-09 DOI: 10.1016/j.crwh.2024.e00633

Kelly Devlin , Alexander Gross , Melina Flanagan , Krista Pfaendler

引用次数: 0

Spontaneous conception in a 40-year-old woman after allogeneic stem cell transplant with active graft-versus-host disease: A case report 一名 40 岁女性在异体干细胞移植后自然受孕，并伴有活动性移植物抗宿主病：病例报告

IF 0.7

Case Reports in Women's Health Pub Date : 2024-07-09 DOI: 10.1016/j.crwh.2024.e00636

引用次数: 0

Corona mortis injury during anterior vaginal wall suspension: A case report 阴道前壁悬吊术中的冠状沟损伤：病例报告

IF 0.7

Case Reports in Women's Health Pub Date : 2024-07-03 DOI: 10.1016/j.crwh.2024.e00632

Christine Herforth , Laura Stevens , Philippe E. Zimmern

引用次数: 0

Health after childbirth 产后健康

IF 0.7

Case Reports in Women's Health Pub Date : 2024-06-11 DOI: 10.1016/j.crwh.2024.e00629

引用次数: 0