Case Reports in Women's Health最新文献_第7页

Chronic inflammatory demyelinating polyneuropathy complicated by pre-eclampsia progressing to HELLP syndrome and pulmonary embolism: A case report 慢性炎症性脱髓鞘多神经病变并发先兆子痫进展为HELLP综合征和肺栓塞1例报告

IF 0.6

Case Reports in Women's Health Pub Date : 2025-10-01 Epub Date: 2025-07-26 DOI: 10.1016/j.crwh.2025.e00737

Michael Herman , Alexandra Herman , Shruti Karanth , Jacquelyn Blackstone

{"title":"Chronic inflammatory demyelinating polyneuropathy complicated by pre-eclampsia progressing to HELLP syndrome and pulmonary embolism: A case report","authors":"Michael Herman , Alexandra Herman , Shruti Karanth , Jacquelyn Blackstone","doi":"10.1016/j.crwh.2025.e00737","DOIUrl":"10.1016/j.crwh.2025.e00737","url":null,"abstract":"<div><div>Chronic inflammatory demyelinating polyneuropathy (CIDP) is an autoimmune mediated peripheral neurologic disease characterized by symmetric, ascending progressive limb weakness and paresthesia. It is a rare and diagnostically challenging condition. Pregnancy-induced CIDP is especially rare, with few case series describing treatment courses, pregnancy outcomes and complications.</div><div>This report concerns a case of a 20-year-old primigravida with CIDP who was initially misdiagnosed with bilateral Bell's palsy. Symptoms progressively worsened to include ascending limb weakness, allodynia, urinary retention and fecal incontinence; she later met criteria for CIDP. Her pregnancy went on to be complicated by prolonged hospitalization and pre-eclampsia; after induction of intravenous immunoglobulin therapy, she developed acute pulmonary embolism and HELLP syndrome, and required emergent C-section delivery. The diagnosis, treatment and management of severe pregnancy complications associated with CIDP are described.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"47 ","pages":"Article e00737"},"PeriodicalIF":0.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144772479","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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Multidisciplinary team management of caesarean scar ectopic pregnancy progressing to a live birth and caesarean hysterectomy at 34 weeks: A case report 多学科团队对剖宫产瘢痕异位妊娠进展到活产和34周剖宫产子宫切除术的处理：1例报告

IF 0.6

Case Reports in Women's Health Pub Date : 2025-10-01 Epub Date: 2025-08-29 DOI: 10.1016/j.crwh.2025.e00746

Ruihong Xue , Wei Gu , Xiao Lang

{"title":"Multidisciplinary team management of caesarean scar ectopic pregnancy progressing to a live birth and caesarean hysterectomy at 34 weeks: A case report","authors":"Ruihong Xue , Wei Gu , Xiao Lang","doi":"10.1016/j.crwh.2025.e00746","DOIUrl":"10.1016/j.crwh.2025.e00746","url":null,"abstract":"<div><div>Progression of a caesarean scar ectopic pregnancy (CSEP) to a live birth is exceptionally rare. Whether the placenta should be removed during a caesarean section for patients with a CSEP complicated by severe placenta accreta spectrum remains unclear. This report presents the case of a 42-year-old multigravida with two prior caesarean sections who presented with CSEP at 6 weeks. Despite recommendations for termination, the patient decided to continue the pregnancy. Serial imaging confirmed a progressive placenta accreta spectrum. At 34+ weeks of gestation, a caesarean hysterectomy was successfully performed under the management of a multidisciplinary team, with good maternal and infant outcomes. The management of a CSEP progressing to a live birth during the third trimester requires provider expertise and multidisciplinary treatment and should be individualized. In the present case, caesarean hysterectomy was performed without attempting placental removal, which might have significantly decreased blood loss. While the patient survived, the management remains controversial, and women with CSEP opting for expectant management should be informed about the lack of conclusive evidence on its safety and associated risks. Such options can be considered only in a highly equipped specialist centre with access to a multidisciplinary team.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"47 ","pages":"Article e00746"},"PeriodicalIF":0.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144916713","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

Laparoscopic hysterectomy with intraoperative treatment of vaginal strictures: A case report 腹腔镜子宫切除术合并术中治疗阴道狭窄1例

IF 0.7

Case Reports in Women's Health Pub Date : 2025-10-01 Epub Date: 2025-07-14 DOI: 10.1016/j.crwh.2025.e00733

Maddison McLellan , Antoinette Abdelmalek , Nkiruka Chuba

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Femoral vein ligation for groin recurrence in a woman with vulval squamous cell carcinoma: A case report 股静脉结扎术治疗女性外阴鳞状细胞癌腹股沟复发1例

IF 0.7

Case Reports in Women's Health Pub Date : 2025-10-01 Epub Date: 2025-06-04 DOI: 10.1016/j.crwh.2025.e00723

Fong Lien Kwong , Mark Davies , Jason K.W. Yap

引用次数: 0

Ultrasound-guided myelomeningocele drainage at time of cesarean section: A case report 超声引导下剖宫产术中脊髓脊膜膨出引流1例

IF 0.7

Case Reports in Women's Health Pub Date : 2025-10-01 Epub Date: 2025-07-18 DOI: 10.1016/j.crwh.2025.e00735

Lauren Yacobucci, Rebecca Wineland, Ramin Eskandari, Roger Newman, Annika Van Oosbree

{"title":"Ultrasound-guided myelomeningocele drainage at time of cesarean section: A case report","authors":"Lauren Yacobucci, Rebecca Wineland, Ramin Eskandari, Roger Newman, Annika Van Oosbree","doi":"10.1016/j.crwh.2025.e00735","DOIUrl":"10.1016/j.crwh.2025.e00735","url":null,"abstract":"<div><div>Myelomeningocele (MMC) is the most common and complex birth defect of the central nervous system that is compatible with long-term survival. Historically, the preferred mode of delivery has been cesarean; however, more recent literature has questioned the benefit of cesarean delivery or avoidance of labor. A key aspect of this decision is determining the delivery mode which will best protect against rupture of the myelomeningocele, untoward traction on the neural placode, and functional spinal cord rostral to the defect site. Ruptured myelomeningocele is associated with significantly increased morbidity and necessitates urgent surgical repair within the first 72 h of life. There appear to have been no published case reports describing MMC drainage prior to delivery, with the goal of preventing rupture of the MMC. The present report concerns a case of an infant who underwent ultrasound-guided needle decompression of a large MMC prior to delivery. Because of the lack of severe rupture, there was a significant volume of healthy skin available for closure of the defect with no postnatal complications from the procedure. In conclusion, drainage of an MMC may result in a decreased risk of rupture of large MMCs at the time of delivery and may be considered in cases where concern for rupture is particularly high. It is also a procedure that may allow for a reduction in maternal morbidity by reducing the need for highly morbid vertical uterine incisions.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"47 ","pages":"Article e00735"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144670619","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

Cervical endometriosis mimicking cervical adenocarcinoma: A case report 宫颈子宫内膜异位症模拟宫颈腺癌1例报告

IF 0.6

Case Reports in Women's Health Pub Date : 2025-10-01 Epub Date: 2025-08-05 DOI: 10.1016/j.crwh.2025.e00738

Kohei Sakabe , Masumi Sunada , Mana Taki , Taito Miyamoto , Rin Mizuno , Koji Yamanoi , Ryusuke Murakami , Hiroaki Ito , Masaki Mandai

{"title":"Cervical endometriosis mimicking cervical adenocarcinoma: A case report","authors":"Kohei Sakabe , Masumi Sunada , Mana Taki , Taito Miyamoto , Rin Mizuno , Koji Yamanoi , Ryusuke Murakami , Hiroaki Ito , Masaki Mandai","doi":"10.1016/j.crwh.2025.e00738","DOIUrl":"10.1016/j.crwh.2025.e00738","url":null,"abstract":"<div><div>Cervical endometriosis is a rare benign condition characterized by ectopic endometrial glands and stroma within the cervix. Its clinical and imaging features resemble those of cervical adenocarcinoma, making preoperative diagnosis difficult.</div><div>This report concerns the case of a 41-year-old woman who presented with abnormal genital bleeding. Magnetic resonance imaging revealed a multicystic cervical mass with suspected solid components showing high T2 signal intensity and focal high signal on T1-weighted imaging, and positron emission tomography–computed tomography showed moderate uptake of fluorodeoxyglucose. Despite repeated evaluations, including cervical cytology, curettage, needle biopsy, and conization, no malignancy or endometriosis was detected. Owing to the persistent concern of gastric-type cervical adenocarcinoma, robot-assisted hysterectomy was performed. Intraoperatively, the lesion was adherent to the right ureter, prompting a conversion to laparotomy. Frozen sections revealed endometriosis. The final histopathological examination confirmed the presence of cervical endometriosis.</div><div>This case highlights the diagnostic challenges associated with cervical endometriosis and the risk of overtreatment. When imaging reveals a multicystic cervical lesion, this rare condition should be considered in the differential diagnosis to avoid unnecessary radical surgery.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"47 ","pages":"Article e00738"},"PeriodicalIF":0.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144860878","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

Surgical management of complete labial fusion in a postmenopausal woman with application of a fish skin graft: A case report 手术处理完全唇融合在绝经后妇女应用鱼皮移植：1例报告

IF 0.6

Case Reports in Women's Health Pub Date : 2025-10-01 Epub Date: 2025-08-14 DOI: 10.1016/j.crwh.2025.e00743

Julia Grace Fitzgerald , Nidhi Chawla , Neil John Kocher

引用次数: 0

Incidental detection of a virilizing Sertoli-Leydig cell tumor during cesarean section: A case report 剖宫产术中意外发现男性化的支持- leydig细胞瘤：1例报告

IF 0.6

Case Reports in Women's Health Pub Date : 2025-10-01 Epub Date: 2025-08-10 DOI: 10.1016/j.crwh.2025.e00742

Roza Mahyoob , Keisuke Sugita , Akiko Yamamoto

{"title":"Incidental detection of a virilizing Sertoli-Leydig cell tumor during cesarean section: A case report","authors":"Roza Mahyoob , Keisuke Sugita , Akiko Yamamoto","doi":"10.1016/j.crwh.2025.e00742","DOIUrl":"10.1016/j.crwh.2025.e00742","url":null,"abstract":"<div><div>Sertoli-Leydig cell tumors are a rare type of sex cord-stromal tumors that are mostly hormonally active (androgenic or estrogenic). Owing to the rarity of this disease, its impact on pregnancy is not fully understood. This report concerns a rare case of a Sertoli-Leydig cell tumor incidentally discovered during a cesarean section. In a resource-poor setting, a 21-year-old woman was referred to hospital for her first childbirth. She had clitoromegaly for a few years, had never had a gynecological consultation, and had not received antenatal care during this pregnancy. Three hours after admission, an emergency cesarean section was indicated because of fetal distress. During the procedure, a right ovarian tumor measuring approximately 10 × 10 cm was found. Considering the patient's age and obstetric history, and the inability to perform histological evaluation during surgery at the hospital she attended, the decision was made to proceed only with tumor resection. Considering the possibility of a sex-cord stromal tumor focusing on the clitoromegaly, histopathological evaluation was performed, and a diagnosis of a Sertoli-Leydig cell tumor was obtained. This case underscores the importance of clinical vigilance for rare hormonally active ovarian tumors during pregnancy, particularly in low-resource settings.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"47 ","pages":"Article e00742"},"PeriodicalIF":0.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144828242","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

Corrigendum to “Marginal resection preferred over radical resection for a large abdominal wall desmoid tumor during pregnancy: A case report” [Case Reports in Women's Health 46 (2025) e00701] “妊娠期大腹壁硬纤维瘤的边缘切除优于根治性切除：一例报告”的更正[妇女健康病例报告46 (2025)e00701]

IF 0.6

Case Reports in Women's Health Pub Date : 2025-10-01 Epub Date: 2025-07-09 DOI: 10.1016/j.crwh.2025.e00730

Riku Watanabe , Hiroki Shinmura , Yasuyuki Yokoyama , Takashi Matsushima

引用次数: 0

Pregnancy after repaired bladder exstrophy: a case report 膀胱外翻修复后妊娠1例

IF 0.7

Case Reports in Women's Health Pub Date : 2025-10-01 Epub Date: 2025-07-18 DOI: 10.1016/j.crwh.2025.e00734

Dineli Kalansuriya , Jay Roberts , Sumudu Britton , Rebecca Marie Kimble

{"title":"Pregnancy after repaired bladder exstrophy: a case report","authors":"Dineli Kalansuriya , Jay Roberts , Sumudu Britton , Rebecca Marie Kimble","doi":"10.1016/j.crwh.2025.e00734","DOIUrl":"10.1016/j.crwh.2025.e00734","url":null,"abstract":"<div><div>Bladder exstrophy (BE) is a rare congenital anomaly of the anterior abdominal wall which results in externalisation of the distal urogenital tract and requires multiple surgeries for repair in early childhood. Pregnancy in patients with repaired BE can be high risk and may present with complications across the entire pregnancy. The literature reports decreased fertility rates and increased rates of miscarriage, preterm birth, placental abruption and postpartum complications in pregnancy for people with repaired bladder exstrophy. The present report concerns the case of a pregnant 27-year-old primigravida patient with repaired bladder exstrophy with an extreme bicornuate uterus. She experienced cervical shortening, recurrent urinary tract infection (UTI) with emerging antibiotic resistance, pelvic girdle pain and postpartum urinary incontinence. This pregnancy was managed by a large multidisciplinary team consisting of obstetrics, urology, infectious diseases, maternal foetal medicine, obstetric medicine and allied health. She achieved a term pregnancy that was delivered by elective individualised caesarean section.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"47 ","pages":"Article e00734"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144679563","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