Case Reports in Women's Health最新文献

{"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":null,"pages":null},"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":null,"pages":null},"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}

{"title":"Expanding the limits of vaginal surgery: Transvaginal vesicolithotomy for an incarcerated procidentia: A case report and literature review","authors":"Themistoklis Mikos,&nbsp;Nikolaos Roussos,&nbsp;Iakovos Theodoulidis,&nbsp;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":null,"pages":null},"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}

{"title":"Large uterine arteriovenous malformation successfully treated with combined endovascular treatment and supracervical hysterectomy: A case report","authors":"Fumika Hamaguchi ,&nbsp;Yasuyuki Onishi ,&nbsp;Yusuke Sagae ,&nbsp;Koji Yamanoi ,&nbsp;Hironori Shimizu ,&nbsp;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":null,"pages":null},"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":"Omental mature cystic teratoma mimicking a mesenteric cyst: A case report","authors":"Fida Asali ,&nbsp;Lubna Batayneh ,&nbsp;Aseel Albtoush ,&nbsp;Salem Abu Mahfouz ,&nbsp;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":null,"pages":null},"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":"Metastatic endometrial carcinoma presenting as a scapular mass: A case report and literature review","authors":"Eccita Rahestyningtyas,&nbsp;Wita Saraswati","doi":"10.1016/j.crwh.2024.e00628","DOIUrl":"https://doi.org/10.1016/j.crwh.2024.e00628","url":null,"abstract":"<div><p>Bone metastases of endometrial cancers are quite rare, especially in the scapula. Only two previous reports of such cases were found in the literature, and in each case a different approach to diagnosis was used. There are no established recommendations for screening for bone metastases at diagnosis or after initial treatment of endometrial cancers. In the present case, a 55-year-old woman with progressive abdominal distension was diagnosed with a cystic mass. Histopathological analysis revealed grade II synchronous endometrioid carcinoma in both the endometrium and the ovaries. The patient received three cycles of combined paclitaxel and carboplatin chemotherapy. Seven months after the last chemotherapy cycle, a palpable lump was found in the right shoulder, suggesting a lesion in the right scapula. A bone scan revealed heightened radioactivity uptake, highlighting the unpredictable nature of the disease progression. The choice of diagnostic imaging modality remains challenging. This case emphasises the need for ongoing investigation of the mechanisms of distant metastasis and for the development of standardised diagnostic and therapeutic strategies.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911224000493/pdfft?md5=eec03a1b1887dcbe191d49dbf0817c34&pid=1-s2.0-S2214911224000493-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141303428","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":"Caesarean scar pregnancy presenting at 17 weeks with a journey involving an exploratory laparotomy, continuing pregnancy and delivery at 34 weeks: A case report","authors":"Sarah Walker ,&nbsp;Simon Grant ,&nbsp;Stephen O'Brien ,&nbsp;Nicola Weale ,&nbsp;Joanna Crofts ,&nbsp;Daniela Vieten-Kay ,&nbsp;Karen Pereira ,&nbsp;Mohamed Elhodaiby","doi":"10.1016/j.crwh.2024.e00626","DOIUrl":"https://doi.org/10.1016/j.crwh.2024.e00626","url":null,"abstract":"<div><p>Caesarean scar pregnancy (CSP) occurs when the gestational sac implants in the region of a scar from a previous caesarean delivery. CSP can lead to life-threatening complications, including severe haemorrhage, uterine rupture, placenta accreta spectrum (PAS) and hysterectomy.</p><p>A 40-year-old woman with one previous caesarean was referred to the specialist centre at 17⁺¹ weeks of gestation with concerns about CSP. At 19 weeks, she was admitted with abdominal pain. Due to raised body habitus, accurate ultrasound assessment was challenging, necessitating reliance on magnetic resonance imaging (MRI). The patient desired to continue the pregnancy, but due to pain and concerns about uterine rupture she consented to a laparotomy to potentially terminate the pregnancy. Findings during the laparotomy were reassuring, leading to the decision not to terminate the pregnancy. The patient remained hospitalised until delivery by caesarean-hysterectomy at 33⁺⁶ weeks. Histopathology confirmed the PAS diagnosis.</p><p>This case highlights the importance of achieving early diagnosis and obtaining clear sonographic findings. It emphasises the pitfalls of relying on MRI due to its tendency to over-diagnose severity. It emphasises the urgency for improved training in this domain. Early sonographic diagnosis allows safer performance of termination of pregnancy. It also provides women who continue with the pregnancy useful prognostic signs to facilitate decisions on the optimal gestation for delivery.</p><p>Determining optimal conservative management for CSP remains an ongoing challenge. This case emphasises the importance of multidisciplinary discussion, comprehensive patient counselling and involving patients in their care planning, to create an individualised and adaptable treatment plan.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S221491122400047X/pdfft?md5=881e772f6e951774e0af451d0404e630&pid=1-s2.0-S221491122400047X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141290894","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 ,&nbsp;Caeymaex Cathy ,&nbsp;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":null,"pages":null},"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}

{"title":"Obstruction from endometriosis causing hydronephrosis and complex renal pelvis rupture: A case report","authors":"Matthew J. Van Ligten ,&nbsp;Talia Sobel ,&nbsp;Sara Shihab ,&nbsp;Andrej Urumov ,&nbsp;Cameron R. Adler ,&nbsp;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":null,"pages":null},"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}

{"title":"Writing case reports: Sharing clinical experience to inform practice","authors":"Nnabuike Chibuoke Ngene ,&nbsp;Margaret Rees","doi":"10.1016/j.crwh.2024.e00621","DOIUrl":"https://doi.org/10.1016/j.crwh.2024.e00621","url":null,"abstract":"","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911224000420/pdfft?md5=8f702dd5fceec60ad5be764351eab143&pid=1-s2.0-S2214911224000420-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141541122","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}