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

Septic shock after a saline infusion hysterosalpingosonogram in a woman with stage IV endometriosis and infertility: A case report 一名患有 IV 期子宫内膜异位症和不孕症的妇女在接受生理盐水输注子宫输卵管造影术后发生脓毒性休克：病例报告

IF 0.7

Case Reports in Women's Health Pub Date : 2024-11-07 DOI: 10.1016/j.crwh.2024.e00663

Mariah Colussi , Geneviève Horwood , Jenn McCall , Jenna Gale , Sukhbir Singh

{"title":"Septic shock after a saline infusion hysterosalpingosonogram in a woman with stage IV endometriosis and infertility: A case report","authors":"Mariah Colussi , Geneviève Horwood , Jenn McCall , Jenna Gale , Sukhbir Singh","doi":"10.1016/j.crwh.2024.e00663","DOIUrl":"10.1016/j.crwh.2024.e00663","url":null,"abstract":"<div><div>Saline infusion sonohysterography/hysterosalpingo-contrast sonography is commonly used in the work-up of infertility. Overall, pelvic infection following these investigations is rare, but risk may be increased in patients with deep infiltrating endometriosis. Antibiotic prophylaxis is not professionally recommended in patients with advanced endometriosis, a point that requires reconsideration. A 29-year-old woman with stage IV endometriosis presented with pelvic inflammatory disease and sepsis following a saline hysterosalpingo-contrast sonogram for investigation of infertility. Her infection was resistant to antibiotic treatment and she required extensive surgical intervention for source control, which impacted her fertility. The immunodeficient pelvic microenvironment in patients with endometriosis and endometrioma can increase the risk and severity of pelvic infection. Antibiotic prophylaxis should always be utilized in those with stage IV endometriosis who are due to undergo saline infusion sonohysterography or hysterosalpingo-sonography.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"44 ","pages":"Article e00663"},"PeriodicalIF":0.7,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142661844","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

Recurrent adnexal torsion in a teenager with hypermobile Ehlers-Danlos syndrome: A case report 一名患有艾勒斯-丹洛斯综合征（Ehlers-Danlos syndrome）活动过度症的青少年复发性附件扭转：病例报告

IF 0.7

Case Reports in Women's Health Pub Date : 2024-11-06 DOI: 10.1016/j.crwh.2024.e00661

Michail Panagiotopoulos, Maria Tsiriva, Lito Vogiatzi-Vokotopoulou, Konstantinos Koukoumpanis, Nikolaos Kathopoulis, Athanasios Douligeris, Athanasios Protopapas, Lina Michala

{"title":"Recurrent adnexal torsion in a teenager with hypermobile Ehlers-Danlos syndrome: A case report","authors":"Michail Panagiotopoulos, Maria Tsiriva, Lito Vogiatzi-Vokotopoulou, Konstantinos Koukoumpanis, Nikolaos Kathopoulis, Athanasios Douligeris, Athanasios Protopapas, Lina Michala","doi":"10.1016/j.crwh.2024.e00661","DOIUrl":"10.1016/j.crwh.2024.e00661","url":null,"abstract":"<div><div>Hypermobile Ehlers-Danlos syndrome (hEDS) is the most common type of EDS, characterized by joint hypermobility, frequent dislocations, and chronic pain. Genetic markers are not typically used in diagnosis.</div><div>A 17-year-old clinically diagnosed with hEDS presented with recurrent lower abdominal pain, later attributed to intermittent partial adnexal torsion. Whole-genome sequencing revealed a missense mutation c.1691G > A (p.Arg564His) in the COL1A1 gene. She had undergone two exploratory laparotomies at ages 8 and 10 due to acute pain, resulting in a left adnexectomy and right detorsion with hydrosalpinx drainage. It was suspected that the recurrent adnexal torsion was linked to hEDS-related tissue elasticity, and so a laparoscopic right oophoropexy by shortening the utero-ovarian ligament was performed. At one-year follow-up, she was asymptomatic.</div><div>This case highlights the potential connection between hEDS and adnexal torsion, which may contribute to chronic abdominal pain, often misattributed to other conditions, such as irritable bowel syndrome.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"44 ","pages":"Article e00661"},"PeriodicalIF":0.7,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142661843","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

Diagnosis and management challenges of recurrent lupus pericarditis in pregnancy: A case report 妊娠期复发性狼疮性心包炎的诊断和治疗难题：病例报告

IF 0.7

Case Reports in Women's Health Pub Date : 2024-11-06 DOI: 10.1016/j.crwh.2024.e00662

Alexander Indra Humala, Manggala Pasca Wardhana

{"title":"Diagnosis and management challenges of recurrent lupus pericarditis in pregnancy: A case report","authors":"Alexander Indra Humala, Manggala Pasca Wardhana","doi":"10.1016/j.crwh.2024.e00662","DOIUrl":"10.1016/j.crwh.2024.e00662","url":null,"abstract":"<div><div>Systemic lupus erythematosus (SLE) is an autoimmune multisystem disease. Pericarditis in SLE can lead to severe effusion and cardiac tamponade, and is associated with significant morbidity and mortality. Therefore, early diagnosis and treatment are essential. A 32-year-old woman at 21 weeks of gestation with a history of lupus pericarditis two years previously presented to the emergency department with shortness of breath, fever, and weakness. Transthoracic echocardiography revealed a massive pericardial effusion, right ventricle failure, pulmonary hypertension, severe tricuspid regurgitation, and mild mitral regurgitation. A chest X-ray suggested pericardial effusion accompanied by pulmonary edema. Due to worsening of the patient's health, a joint decision was made with her and her family to terminate the pregnancy. Most cardiac manifestations of SLE worsen during pregnancy and can lead to life-threatening conditions such as cardiac tamponade or congestive heart failure. This is a rare case of recurrent lupus pericarditis in pregnancy accompanied by massive pericardial effusion, heart failure and pulmonary edema. Management is challenging because the most effective drugs are known to be harmful to the fetus.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"44 ","pages":"Article e00662"},"PeriodicalIF":0.7,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142661846","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

Lithopedion – A rare complication of abdominal pregnancy: A case report 腹腔积液--腹腔妊娠的罕见并发症：病例报告

IF 0.7

Case Reports in Women's Health Pub Date : 2024-11-01 DOI: 10.1016/j.crwh.2024.e00659

Champika Maggonage , Sibra Shihab , Chaminda Herath , Sulochana Wijetunga , Buddhika Dassanayake , Anura Abeysundara

引用次数: 0

Live birth after uterine-sparing treatment of pyometra following abdominal myomectomy: A case report 腹部子宫肌瘤剔除术后保宫治疗脓子宫后的活产：病例报告

IF 0.7

Case Reports in Women's Health Pub Date : 2024-10-30 DOI: 10.1016/j.crwh.2024.e00660

Kiley Hunkler , David Boedeker , Yovanni Casablanca , Micah Hill

引用次数: 0

Excision of benign multicystic peritoneal mesothelioma and deep infiltrating endometriosis with bowel involvement – A case report 切除良性多囊性腹膜间皮瘤和肠道受累的深部浸润性子宫内膜异位症--病例报告

IF 0.7

Case Reports in Women's Health Pub Date : 2024-10-23 DOI: 10.1016/j.crwh.2024.e00658

Zahra Azeem, Jyoti Sharma, Robert Johnson, Natalia Price, Miquel Zilvetti Yabar, Donna Ghosh

{"title":"Excision of benign multicystic peritoneal mesothelioma and deep infiltrating endometriosis with bowel involvement – A case report","authors":"Zahra Azeem, Jyoti Sharma, Robert Johnson, Natalia Price, Miquel Zilvetti Yabar, Donna Ghosh","doi":"10.1016/j.crwh.2024.e00658","DOIUrl":"10.1016/j.crwh.2024.e00658","url":null,"abstract":"<div><div>Benign multicystic peritoneal mesothelioma (BMPM) is a rare peritoneal tumour. Treatment involves complete surgical resection, although recurrence rates are high. Notably, there are 7 documented cases of BMPM coexisting with endometriosis on histology and in the case reported here it was associated with deep infiltrating endometriosis. Examination of the 26-year-old nulliparous woman with deep dyspareunia, dyschezia and occasional rectal bleeding revealed restricted uterine mobility and a rectovaginal nodule.</div><div>Magnetic resonance imaging (MRI) showed multiple clear cystic structures in the pelvis of unknown aetiology. Following discussion by a multidisciplinary team, a diagnostic laparoscopy was performed. Intraoperatively, bilateral endometriomas were identified, along with multiple fluid-filled cystic structures in the pelvis and on the anterior abdominal wall. An adhesiolysis and drainage of endometriomas was performed and the cystic structures were sent for histology.</div><div>Histopathology confirmed BMPM, positive for AE1/3 and calretinin. The patient was referred to a mesothelioma malignancy institute and advised to undergo definitive surgery by the local endometriosis team. A joint surgical procedure with a colorectal team involved laparoscopic excision of peritoneal cysts, cystectomy for bilateral endometriomas, and excision of deep infiltrating endometriosis with bowel shaving. Histopathology revealed benign mesothelial cysts with foci of endometriosis.</div><div>The patient had an uncomplicated recovery and is planned for long-term follow-up with the mesothelioma malignancy institute due to the high recurrence rate (up to 50 %). This case report suggests a definitive role of this two-stage procedure in patients with this diagnostic complexity and emphasises the role of multidisciplinary management.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"44 ","pages":"Article e00658"},"PeriodicalIF":0.7,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142533134","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

Bladder rupture 11 years after partial cystectomy for bladder endometriosis: A case report and review of literature 膀胱子宫内膜异位症膀胱部分切除术11年后膀胱破裂：病例报告和文献综述

IF 0.7

Case Reports in Women's Health Pub Date : 2024-10-16 DOI: 10.1016/j.crwh.2024.e00657

Haruna Tokuyama , Yosuke Tarumi , Saiko Yamauchi , Hiroyuki Okimura , Hisashi Kataoka , Tetsuya Kokabu , Kaori Yoriki , Fumitake Ito , Izumi Kusuki , Taisuke Mori

{"title":"Bladder rupture 11 years after partial cystectomy for bladder endometriosis: A case report and review of literature","authors":"Haruna Tokuyama , Yosuke Tarumi , Saiko Yamauchi , Hiroyuki Okimura , Hisashi Kataoka , Tetsuya Kokabu , Kaori Yoriki , Fumitake Ito , Izumi Kusuki , Taisuke Mori","doi":"10.1016/j.crwh.2024.e00657","DOIUrl":"10.1016/j.crwh.2024.e00657","url":null,"abstract":"<div><div>Partial cystectomy is often performed to treat bladder endometriosis. However, there are no reports of bladder rupture more than 10 years after cystectomy. A 55-year-old woman with a history of laparoscopic bilateral salpingo-oophorectomy and partial cystectomy for bladder endometriosis at the age of 44 years presented with worsening dysuria, decreased urine output, and malaise for over a week. Blood tests revealed elevated creatinine and BUN levels indicating renal failure. Transvaginal ultrasonography and computed tomography revealed large amounts of peritoneal fluid. Abdominocentesis was performed, and peritoneal fluid analysis confirmed the presence of urinary ascites, which was indicative of bladder rupture. Retrograde cystography revealed contrast leakage into the bladder wall. Therefore, a diagnosis was made of with bladder rupture and pseudo-renal failure. If abdominal pain and peritoneal fluid are present after bladder endometriosis surgery, bladder rupture should be considered in the differential diagnosis even after a long postoperative period.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"44 ","pages":"Article e00657"},"PeriodicalIF":0.7,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142533133","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

Intramural pregnancy managed by conservative laparoscopic resection: A case report 腹腔镜保守切除术治疗腹腔内妊娠：病例报告

IF 0.7

Case Reports in Women's Health Pub Date : 2024-10-09 DOI: 10.1016/j.crwh.2024.e00653

Abdel Naser M.I. Aburayyan , Oday M.B. Zuhour , Barah K.S. Alsalameh , Maya Sabboh , Afnan W.M. Jobran

引用次数: 0

Successful pregnancy and delivery in a patient with a Mainz-II pouch urinary diversion: Case report and literature review 一名美因茨 II 型尿袋尿路改道患者成功怀孕并分娩：病例报告和文献综述

IF 0.7

Case Reports in Women's Health Pub Date : 2024-10-09 DOI: 10.1016/j.crwh.2024.e00656

Wisdom Klutse Azanu , Afia Tabua Sakyi , Aishah Fadila Adamu , Frank Obeng

{"title":"Successful pregnancy and delivery in a patient with a Mainz-II pouch urinary diversion: Case report and literature review","authors":"Wisdom Klutse Azanu , Afia Tabua Sakyi , Aishah Fadila Adamu , Frank Obeng","doi":"10.1016/j.crwh.2024.e00656","DOIUrl":"10.1016/j.crwh.2024.e00656","url":null,"abstract":"<div><div>This case report describes the successful management of a 16-year-old primigravida of Black African descent who had undergone Mainz-II ureterosigmoidostomy during infancy. Mainz-II ureterosigmoidostomy as a urinary diversion presents unique management challenges, particularly in pregnant patients. The patient presented to the antenatal clinic after a spontaneously achieved pregnancy; she had normal findings on obstetric and renal ultrasound scans throughout her pregnancy. At 38 weeks of gestation, an elective caesarean section was performed; the absence of the urinary bladder and the intact condition of the Mainz-II pouch were confirmed. A healthy biological male infant weighing 2.3 kg was delivered. Postoperatively, the patient experienced a mild superficial surgical site infection but otherwise had an uneventful recovery. This case underscores the importance of comprehensive prenatal care and meticulous surgical planning in managing pregnancies in patients with complex urinary diversions, and demonstrates that favorable maternal and neonatal outcomes can be achieved with appropriate medical oversight.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"44 ","pages":"Article e00656"},"PeriodicalIF":0.7,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142427331","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

Vulvar leiomyoma mimicking Bartholin's gland cyst: A case report 外阴白肌瘤模仿巴氏腺囊肿：病例报告

IF 0.7

Case Reports in Women's Health Pub Date : 2024-10-09 DOI: 10.1016/j.crwh.2024.e00655

Saeed Baradwan , Hassan M. Latifah , Haneen Al-Maghrabi , Abdulmonem M. Almutawa

引用次数: 0