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

Vault dehiscence two years after total abdominal hysterectomy: A case report 腹式全子宫切除术后2年穹窿破裂1例

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Case Reports in Women's Health Pub Date : 2025-06-01 DOI: 10.1016/j.crwh.2025.e00713

Jessica Benton, Honor Mijatovic, Belinda Lowe

{"title":"Vault dehiscence two years after total abdominal hysterectomy: A case report","authors":"Jessica Benton, Honor Mijatovic, Belinda Lowe","doi":"10.1016/j.crwh.2025.e00713","DOIUrl":"10.1016/j.crwh.2025.e00713","url":null,"abstract":"<div><div>Vault dehiscence is a rare but significant complication of hysterectomy that can result in bowel evisceration through the vagina. This condition occurs when there is separation of the surgically created vaginal cuff, which can lead to serious morbidity, including bowel evisceration, ischaemia, and peritonitis. Vault dehiscence usually occurs in the months following a hysterectomy, but there have been a few case reports of late vaginal vault dehiscence. This report explores the case of a 48-year-old multiparous menopausal woman who presented to the emergency department with unprovoked vaginal cuff dehiscence, on a background of open hysterectomy two years prior. The patient had undergone a laparoscopic hiatal hernia repair two weeks prior to her presentation at the emergency department with dehiscence, raising the question of whether that laparoscopic procedure was related to the presentation with vault dehiscence because it had resulted in weakness of the vaginal vault. She underwent emergency laparoscopic surgery to examine the eviscerated bowel and repair the vault defect. This case report outlines the risk factors for vault dehiscence and factors which may be associated with late and unusual presentations of vault dehiscence after hysterectomy.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"46 ","pages":"Article e00713"},"PeriodicalIF":0.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144178759","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}

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Venous thromboembolism in pregnancy: A silent threat 妊娠期静脉血栓栓塞：无声的威胁

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Case Reports in Women's Health Pub Date : 2025-06-01 DOI: 10.1016/j.crwh.2025.e00689

Shastra Avendra Bhoora , Nnabuike Chibuoke Ngene

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Recognising obstetric emergencies 认识产科紧急情况

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Case Reports in Women's Health Pub Date : 2025-06-01 DOI: 10.1016/j.crwh.2025.e00695

Amrita Banerjee, Angela Yulia

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Corrigendum to “Unexpected acute appendicitis found at laparoscopic surgery for a right ovarian teratoma: A case report” [Case Rep Womens Health. 2025 Jan 31:45:e00691] “右卵巢畸胎瘤腹腔镜手术发现意外急性阑尾炎1例报告”的勘误表[病例报告妇女健康。2025 Jan 31:45:e00691]

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Case Reports in Women's Health Pub Date : 2025-06-01 DOI: 10.1016/j.crwh.2025.e00704

Rie Okuya , Hiroshi Ishikawa , Nozomi Sakai , Eri Katayama , Kaori Kuroda , Kaori Koga

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Corrigendum to “A rare presentation of isolated right-sided pleural effusion in the context of ovarian hyperstimulation syndrome: A case report” [Case Reports in Women's Health 32 (2021) e00347] “卵巢过度刺激综合征中罕见的孤立性右侧胸腔积液：一例报告”的更正[妇女健康病例报告32 (2021)e00347]

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Case Reports in Women's Health Pub Date : 2025-06-01 DOI: 10.1016/j.crwh.2025.e00703

Angela Vidal , Christiane Wachter , Alexandra Kohl Schwartz , Carolin Dhakal

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Fournier's gangrene in a woman with chronic neutropenia presenting at 12 weeks of pregnancy: a case report and literature review 妊娠12周出现慢性中性粒细胞减少症的妇女富尼耶坏疽1例报告及文献复习

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Case Reports in Women's Health Pub Date : 2025-06-01 DOI: 10.1016/j.crwh.2025.e00721

Manuela Neri , Paolo Albino Ferrari , Elisabetta Sanna , Giovanni Caocci , Valerio Vallerino , Sonia Nemolato , Giorgia Locci , Clelia Madeddu , Matteo Runfola , Anna Maria Paoletti , Antonio Macciò

{"title":"Fournier's gangrene in a woman with chronic neutropenia presenting at 12 weeks of pregnancy: a case report and literature review","authors":"Manuela Neri , Paolo Albino Ferrari , Elisabetta Sanna , Giovanni Caocci , Valerio Vallerino , Sonia Nemolato , Giorgia Locci , Clelia Madeddu , Matteo Runfola , Anna Maria Paoletti , Antonio Macciò","doi":"10.1016/j.crwh.2025.e00721","DOIUrl":"10.1016/j.crwh.2025.e00721","url":null,"abstract":"<div><div>The management of Fournier's gangrene in pregnancy in a woman with chronic idiopathic neutropenia is described. A 36-year-old pregnant woman was admitted at 12 weeks of gestation with sepsis, high fever, severe anemia requiring transfusions, and a perianal necrotic area approximately 10 cm in diameter extending to the perineum, consistent with Fournier's gangrene. She required both surgery and medical therapy. Surgery included a laparoscopic defunctioning sigmoid loop colostomy and perineal debridement. The skin and mucous membranes of the perineum were cleansed daily using water irrigation, decontamination and disinfection, and the vagina and rectum were irrigated with antiseptic and antifungal solutions. The necrotic areas were removed. Granulocyte colony-stimulating factor and erythropoietin were administered to restore normal levels of white blood cells and hemoglobin. Vital parameters, hematological values, and clinical examination of the perineum showed progressive improvement during treatment, and complete restoration of the perineum was achieved. The patient successfully carried the pregnancy to term. In conclusion, key factors for success were treatment of the sepsis, loop colostomy, granulocyte growth factor therapy and cleansing of the anus and perineum.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"46 ","pages":"Article e00721"},"PeriodicalIF":0.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144221684","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

Hysteroscopic treatment for interstitial pregnancy: A case report 宫腔镜治疗间质性妊娠1例

IF 0.7

Case Reports in Women's Health Pub Date : 2025-05-31 DOI: 10.1016/j.crwh.2025.e00720

Siman Liu, Yujie Huang, Xiu Lin

{"title":"Hysteroscopic treatment for interstitial pregnancy: A case report","authors":"Siman Liu, Yujie Huang, Xiu Lin","doi":"10.1016/j.crwh.2025.e00720","DOIUrl":"10.1016/j.crwh.2025.e00720","url":null,"abstract":"<div><div>Interstitial pregnancy is a rare form of ectopic pregnancy in which the gestational sac implants in a unique location within the uterus. Rupture of an interstitial pregnancy can lead to severe, potentially life-threatening uterine hemorrhage. Common treatment options include laparoscopic surgery to incise the myometrium and remove the embryo, laparoscopic wedge resection of the lesion, or medical therapy. However, these surgical interventions can compromise the integrity of the uterine muscle layer and may lead to fallopian tube obstruction.</div><div>This report concerns the case of a 29-year-old patient who underwent frozen-thawed blastocyst transfer and presented at 6 weeks of gestation. A 3D ultrasound suggested a possible interstitial tubal pregnancy. Hysteroscopy was performed, during which no gestational sac was identified within the uterine cavity. Under ultrasound guidance, microforceps were introduced via hysteroscopy into the interstitial portion of the right fallopian tube, and fresh chorionic villi were successfully retrieved. Follow-up 3D ultrasound showed no abnormalities.</div><div>In this case, the interstitial tubal pregnancy was removed via hysteroscopy using non-electrosurgical instrumentation, effectively preserving the integrity of the myometrium and avoiding thermal damage to the endometrium. This approach enabled rapid recovery and reduced the risk of uterine rupture in future pregnancies.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"47 ","pages":"Article e00720"},"PeriodicalIF":0.7,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144241216","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

First-trimester ultrasound diagnosis of sirenomelia: A case report 妊娠早期超声诊断胎儿畸形1例

IF 0.7

Case Reports in Women's Health Pub Date : 2025-05-27 DOI: 10.1016/j.crwh.2025.e00717

Carla Ettore , Elisa Pappalardo , Ferdinando Antonio Gulino , Giosuè Giordano Incognito , Sebastiano Bianca , Giuseppe Ettore

引用次数: 0

Pyogenic granuloma gravidarum: A case report 化脓性妊娠肉芽肿1例

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Case Reports in Women's Health Pub Date : 2025-05-24 DOI: 10.1016/j.crwh.2025.e00716

Ruth S. Goh , Wee Ming Peh , Christopher Goh Hood Keng

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Mode of delivery in placental abruption: A case report on difficulty in distinguishing between uterine rupture and placental abruption due to clinical features that overlap 胎盘早剥的分娩方式：由于临床特征重叠，子宫破裂和胎盘早剥难以区分的病例报告

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Case Reports in Women's Health Pub Date : 2025-05-15 DOI: 10.1016/j.crwh.2025.e00715

Stephen Darko , Nnabuike Chibuoke Ngene

{"title":"Mode of delivery in placental abruption: A case report on difficulty in distinguishing between uterine rupture and placental abruption due to clinical features that overlap","authors":"Stephen Darko , Nnabuike Chibuoke Ngene","doi":"10.1016/j.crwh.2025.e00715","DOIUrl":"10.1016/j.crwh.2025.e00715","url":null,"abstract":"<div><div>Amongst the indications for caesarean delivery (CD) in pregnant women presenting with placental abruption (PA), fetal demise near term, and a previous major uterine surgery are peritonitic abdomen and severe vaginal bleeding. When the presence of these two indications is equivocal, deciding on the mode of delivery becomes challenging, as uterine rupture is a differential diagnosis. This case report develops an algorithm for decision-making on the mode of delivery in this context. A 22-year-old woman (G2P1) with a previous CD presented with antepartum hemorrhage (APH) at 36 weeks of gestation. In the previous pregnancy, she developed pre-eclampsia, PA at 34 weeks of gestation, and had CD and stillbirth. In the index pregnancy, she declined aspirin and had no pre-eclampsia. The APH at index presentation was mild-moderate, making the decision on mode of delivery difficult, but CD was favoured due to the possibility of uterine rupture. Another support for this decision was that access to emergency CD might be limited at the busy hospital the patient attended if an attempt at vaginal delivery were employed and an obvious indication for CD developed later. The decision-delivery time was 95 min. Intra-operatively, Couvelaire uterus, retroplacental clot, and left lateral fundal uterine rupture were found. Lower segment CD was performed, and the uterus repaired in layers. In conclusion, individualized care is recommended for women with PA, fetal demise near term, and a previous major uterine surgery. The clinical condition and context are important considerations that should guide the preferred mode of delivery.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"46 ","pages":"Article e00715"},"PeriodicalIF":0.7,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144071846","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