Case Reports in Women's Health最新文献_第6页

Successful management of acute type A aortic dissection in the third trimester of pregnancy: A case report 妊娠晚期急性A型主动脉夹层的成功治疗：1例报告

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Case Reports in Women's Health Pub Date : 2024-12-17 DOI: 10.1016/j.crwh.2024.e00678

Hamza A. Abdul-Hafez , Mahmoud N. Khadra , Alaa Hamed , Ibrahim Ayman Majjad , Mohammed A. Barakat , Adham B. Nazzal , Issa Al-Khdour

{"title":"Successful management of acute type A aortic dissection in the third trimester of pregnancy: A case report","authors":"Hamza A. Abdul-Hafez , Mahmoud N. Khadra , Alaa Hamed , Ibrahim Ayman Majjad , Mohammed A. Barakat , Adham B. Nazzal , Issa Al-Khdour","doi":"10.1016/j.crwh.2024.e00678","DOIUrl":"10.1016/j.crwh.2024.e00678","url":null,"abstract":"<div><div>Acute type A aortic dissection during pregnancy is rare but life-threatening. It requires early multidisciplinary diagnosis and intervention to optimize maternal and fetal outcomes. We report the case of a 35-year-old woman (gravida 7 para 6) at 34 weeks of gestation who presented with epigastric pain, initially suspected to be gastroenteritis. Despite stable initial findings, her condition deteriorated and a CT angiogram confirmed the diagnosis of DeBakey Type I aortic dissection, which extended from the aortic root to the iliac arteries. She underwent an emergency cesarean section followed by a Bentall procedure, a surgical technique first described by Bentall and De Bono in 1968 to manage the aortic valve, root, and ascending aorta abnormalities. Both mother and baby survived, with an uneventful recovery. However, this case highlights the diagnostic challenges of aortic dissection in pregnancy, as non-specific symptoms can mimic benign conditions. Multidisciplinary management and timely surgical intervention are crucial for maternal and fetal survival.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"45 ","pages":"Article e00678"},"PeriodicalIF":0.7,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143098548","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

Second-trimester uterine rupture in bicornuate uterus: A case report 妊娠中期双角子宫破裂1例。

IF 0.7

Case Reports in Women's Health Pub Date : 2024-12-14 DOI: 10.1016/j.crwh.2024.e00676

Mesfin Ayalew Tsegaye, Zelalem Adugna Mekonnen, Dawit Takele Lemma, Alemayehu Nigusssie Adugna, Rebecca Haile Tesfay

引用次数: 0

Low-dose naltrexone as a treatment for vulvodynia: A case series 低剂量纳曲酮治疗外阴痛：一个病例系列。

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Case Reports in Women's Health Pub Date : 2024-12-13 DOI: 10.1016/j.crwh.2024.e00677

Renee T. Sullender, R. Gina Silverstein, Diamond M. Goodwin , Asha B. McClurg, Erin T. Carey

引用次数: 0

Bilateral avascular necrosis leading to hip fracture in pregnancy: A case report 妊娠期双侧缺血性坏死导致髋部骨折1例

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Case Reports in Women's Health Pub Date : 2024-12-11 DOI: 10.1016/j.crwh.2024.e00675

Marlon M. Mencia , Pedro Pablo Hernandez Cruz , Shanta Bidaisee , Allan Beharry

引用次数: 0

Prenatal diagnosis of clinodactyly and its association with genetic syndromes: A case report clinodacty的产前诊断及其与遗传综合征的关系：1例报告。

IF 0.7

Case Reports in Women's Health Pub Date : 2024-12-01 DOI: 10.1016/j.crwh.2024.e00674

Themistoklis Loukopoulos , Athanasios Zikopoulos , Nikolaos Vlassis , Emmanouil Manolakos , Sotirios Sotiriou , Anastasia Vatopoulou , Fani Gkrozou , Anastasios Potiris , Sofoklis Stavros , Charikleia Skentou

{"title":"Prenatal diagnosis of clinodactyly and its association with genetic syndromes: A case report","authors":"Themistoklis Loukopoulos , Athanasios Zikopoulos , Nikolaos Vlassis , Emmanouil Manolakos , Sotirios Sotiriou , Anastasia Vatopoulou , Fani Gkrozou , Anastasios Potiris , Sofoklis Stavros , Charikleia Skentou","doi":"10.1016/j.crwh.2024.e00674","DOIUrl":"10.1016/j.crwh.2024.e00674","url":null,"abstract":"<div><div>A curvature of a finger that bends inwards relative to the other fingers is a common observation during prenatal screening. When the angulation exceeds 10 degrees, it is known as “clinodactyly” and could suggest a variety of underlying issues. Even though it usually remains unnoticed during pregnancy, it may be a sign of serious fetal disease. We report the case of a fetus diagnosed with clinodactyly of the thumb accompanied by tachycardia, abnormal levels of maternal hormones in the first trimester and increased impedance to flow in the uterine arteries. Although non-invasive prenatal testing was normal, amniocentesis was carried out and two deviations at chromosome 20 were identified through molecular karyotyping. Our report aims to raise clinical suspicion regarding the potential association between genetic abnormalities and clinodactyly. A careful clinical and genetic consultation is required in order to achieve the most favorable outcome for both mother and child.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"44 ","pages":"Article e00674"},"PeriodicalIF":0.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11667062/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142884989","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

Dedifferentiated recurrent liposarcoma of the uterine corpus: A case report and literature review 子宫体去分化复发性脂肪肉瘤1例报告并文献复习

IF 0.7

Case Reports in Women's Health Pub Date : 2024-12-01 DOI: 10.1016/j.crwh.2024.e00670

Sana Mushtaq , Muhammad Arslan Ul Hassan , Yan Li , Ikran Abdi , Aqsa Ahmad , HaiNing Li

{"title":"Dedifferentiated recurrent liposarcoma of the uterine corpus: A case report and literature review","authors":"Sana Mushtaq , Muhammad Arslan Ul Hassan , Yan Li , Ikran Abdi , Aqsa Ahmad , HaiNing Li","doi":"10.1016/j.crwh.2024.e00670","DOIUrl":"10.1016/j.crwh.2024.e00670","url":null,"abstract":"<div><div>Liposarcoma of the uterine corpus represents an exceptionally rare tumor, with few cases documented in the literature, underscoring its unique histopathologic characteristics and management challenges. This case describes the clinical management of a 57-year-old patient with well-differentiated liposarcoma of the uterine corpus who presented with a three-month history of abdominal pain and distension. She underwent an abdominal hysterectomy followed by chemotherapy but experienced local recurrence in the mesentery and retroperitoneum after 21 months. Tumor resection was performed again, followed by chemotherapy, but the patient experienced a second recurrence 15 months later, involving the small intestine, vaginal stump, and ureter, with evidence of dedifferentiated liposarcoma. A third surgical resection was carried out without administering chemotherapy and the patient remained asymptomatic at follow-up appointments every 3 months for a year. This case highlights the importance of acknowledging the aggressive nature of recurrent liposarcoma, especially its transition into dedifferentiated liposarcoma, and the need for tailored management strategies.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"44 ","pages":"Article e00670"},"PeriodicalIF":0.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142743488","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

Uterine rupture with induction using misoprostol for intrauterine foetal death in the second trimester: A case report 米索前列醇诱导子宫破裂治疗妊娠中期宫内死胎1例。

IF 0.7

Case Reports in Women's Health Pub Date : 2024-12-01 DOI: 10.1016/j.crwh.2024.e00671

Akiko Yamamoto, Patrick Jn-Charles

{"title":"Uterine rupture with induction using misoprostol for intrauterine foetal death in the second trimester: A case report","authors":"Akiko Yamamoto, Patrick Jn-Charles","doi":"10.1016/j.crwh.2024.e00671","DOIUrl":"10.1016/j.crwh.2024.e00671","url":null,"abstract":"<div><div>Uterine rupture is a well-known, life-threatening complication of misoprostol use; the incidence is remarkably low. Herein, we report what seems to be the first documented case of uterine rupture following induction of labour for intrauterine foetal death in the second trimester without a uterine scar. A 40-year-old woman with no history of caesarean section or uterine surgery presented with mild lower abdominal pain and mild genital bleeding. Transabdominal ultrasonography revealed intrauterine foetal death, at presumed gestational age of 20 weeks. Two hours after three doses of 400 μg 3-hourly of misoprostol, the patient complained of abdominal pain; however, the foetus was not expelled. Repeat sonography revealed the foetus in the abdominal cavity and fluid collection in the pelvis. Based on the probable diagnosis of uterine rupture, a laparotomy was performed. The intra-abdominal haemorrhage volume was approximately 250–300 ml. There was a linear rupture approximately 10 cm long on the posterior wall of the uterus, and as a consequence, a macerated and foetid foetus and part of the placenta were found in the abdominal cavity. A total hysterectomy was performed, and the patient was discharged three days after the intervention without any postoperative complications. In conclusion, while misoprostol is generally safe for second-trimester pregnancy termination, its use should be approached with caution and close monitoring in cases of uterine inflammation.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"44 ","pages":"Article e00671"},"PeriodicalIF":0.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665375/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142881379","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

Gracilis flap and partial colpocleisis of Kahr for pelvic organ prolapse after anterior exenteration: A case report 股薄肌瓣联合部分阴道闭锁治疗盆腔器官脱垂1例。

IF 0.7

Case Reports in Women's Health Pub Date : 2024-12-01 DOI: 10.1016/j.crwh.2024.e00673

Greta Lisa Carlin , Sören Lange , Werner Haslik , Harun Fajkovic , Engelbert Hanzal

{"title":"Gracilis flap and partial colpocleisis of Kahr for pelvic organ prolapse after anterior exenteration: A case report","authors":"Greta Lisa Carlin , Sören Lange , Werner Haslik , Harun Fajkovic , Engelbert Hanzal","doi":"10.1016/j.crwh.2024.e00673","DOIUrl":"10.1016/j.crwh.2024.e00673","url":null,"abstract":"<div><div>Anterior exenteration is a radical surgical option for treating locally advanced pelvic malignancies when alternative treatments are deemed ineffective or inappropriate. Due to its nature as an ablative treatment, interference with supportive structures of the pelvic floor can result in pelvic organ prolapse.</div><div>A 70-year-old woman presented with prolapse after radical cystectomy and following two unsuccessful attempts at Le Fort colpocleisis, the second of which was further complicated by rupture of the vaginal cuff. After exploratory laparotomy to evaluate pelvic adhesions and potential tumor recurrence, the necrotic vaginal apex was excised via the vaginal route, and a musculus gracilis flap was created to cover the levator hiatus in a <em>Z</em>-shaped pattern. The introitus was then narrowed by partial colpocleisis of Kahr. The postoperative course was uneventful and high patient satisfaction and an adequate anatomic result were found at one-year follow-up.</div><div>There is a scarcity of literature regarding the optimal treatment for pelvic organ prolapse after anterior exenteration, and to our knowledge this is the first published report of the use of a gracilis flap combined with partial colpocleisis of Kahr with a satisfactory outcome in this complicated situation. This case underscores the importance of a multidisciplinary approach in managing prolapse after radical cystectomy, showcasing the successful integration of expertise across gynecology, urology, and reconstructive surgery.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"44 ","pages":"Article e00673"},"PeriodicalIF":0.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11667628/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142884988","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

Management of primary hepatic pregnancy: A case report 原发性肝性妊娠的处理：1例报告

IF 0.7

Case Reports in Women's Health Pub Date : 2024-12-01 DOI: 10.1016/j.crwh.2024.e00668

Yusuf Mohammed Yusuf , Gulilat Tigiye Endeshaw , Berhanu Mohammed Shifa , Biniyam Afework Abate , Ashenafi Aberra Buser , Mohammednur Ali Mohammed , Shimelis Ayalew Yimer , Yabets Tesfaye Kebede , Bekri Delil Mohammed

{"title":"Management of primary hepatic pregnancy: A case report","authors":"Yusuf Mohammed Yusuf , Gulilat Tigiye Endeshaw , Berhanu Mohammed Shifa , Biniyam Afework Abate , Ashenafi Aberra Buser , Mohammednur Ali Mohammed , Shimelis Ayalew Yimer , Yabets Tesfaye Kebede , Bekri Delil Mohammed","doi":"10.1016/j.crwh.2024.e00668","DOIUrl":"10.1016/j.crwh.2024.e00668","url":null,"abstract":"<div><div>Hepatic pregnancy, an exceedingly rare subtype of abdominal ectopic pregnancy, remains clinically challenging due to its infrequency, diverse presentations, and diagnostic difficulties. We report the clinical course, diagnostic journey and treatment of a woman with a primary hepatic pregnancy.</div><div>The patient presented with acute pain in the right hypochondrium and vomiting. Imaging revealed a peripheral hypodense gestational sac within the right hepatic lobe containing a fetus with heart pulsations, as well as peritoneal fluid and pelvic collection. Following administration of mifepristone, the patient underwent a laparotomy, and expelled a developed fetus. Hepatic resection utilizing the Pringle maneuver was performed, and methotrexate was administered postoperatively. The patient had a stable recovery and vital signs and was discharged two days after surgery.</div><div>This case highlights the diagnostic and management challenges of hepatic pregnancy, and emphasizes the need for heightened clinical suspicion and thorough evaluation. By sharing the experience, we aim to contribute insights to guide the diagnosis and management of similar cases.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"44 ","pages":"Article e00668"},"PeriodicalIF":0.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142743483","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

Gynaecological Emergencies 妇科紧急情况

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Case Reports in Women's Health Pub Date : 2024-12-01 DOI: 10.1016/j.crwh.2024.e00672

Annabelle Huguenin

引用次数: 0