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

Acute non-puerperal uterine inversion caused by a giant uterine leiomyoma with angioleiomyomatous features: A case report 具有血管平滑肌瘤特征的巨大子宫平滑肌瘤致急性非产褥期子宫内翻1例

IF 0.6

Case Reports in Women's Health Pub Date : 2025-10-01 Epub Date: 2025-09-02 DOI: 10.1016/j.crwh.2025.e00747

Volkan Karatasli , Neslihan Bayramoglu , Ferhat Coskun

{"title":"Acute non-puerperal uterine inversion caused by a giant uterine leiomyoma with angioleiomyomatous features: A case report","authors":"Volkan Karatasli , Neslihan Bayramoglu , Ferhat Coskun","doi":"10.1016/j.crwh.2025.e00747","DOIUrl":"10.1016/j.crwh.2025.e00747","url":null,"abstract":"<div><div>Non-puerperal uterine inversion is an extremely rare condition most often associated with uterine tumors. A 48-year-old woman presented with sudden vaginal bleeding and a large protruding mass. Emergency surgery revealed complete uterine inversion caused by a giant pedunculated mass arising from the uterine fundus. The tumor was excised vaginally, and the uterus was manually repositioned. Because multiple fibroids were also present and fertility was not desired, a total abdominal hysterectomy with bilateral salpingo-oophorectomy was performed. Histopathological examination revealed a leiomyoma with prominent angioleiomyomatous features, characterized by spindle cells surrounding thick-walled vascular structures and immunopositivity for desmin, smooth muscle actin, and progesterone receptor. The postoperative course was uneventful, and no recurrence was observed during 60 months of follow-up. This case highlights a rare morphological variant of uterine leiomyoma presenting with acute non-puerperal inversion and emphasizes the importance of early recognition and prompt surgical management.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"47 ","pages":"Article e00747"},"PeriodicalIF":0.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144988073","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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Isthmic tubal ectopic pregnancy from a partial molar pregnancy: A case report and literature review 部分臼齿妊娠致峡管性异位妊娠1例报告并文献复习

IF 0.7

Case Reports in Women's Health Pub Date : 2025-10-01 Epub Date: 2025-07-22 DOI: 10.1016/j.crwh.2025.e00736

Richard Q. Vuong , Molly Hurd , Zeynep Tek , Nicole Brzozowski

{"title":"Isthmic tubal ectopic pregnancy from a partial molar pregnancy: A case report and literature review","authors":"Richard Q. Vuong , Molly Hurd , Zeynep Tek , Nicole Brzozowski","doi":"10.1016/j.crwh.2025.e00736","DOIUrl":"10.1016/j.crwh.2025.e00736","url":null,"abstract":"<div><div>While tubal ectopic pregnancies and molar pregnancies are relatively common, tubal molar pregnancies are exceptionally rare, with an estimated incidence of 1.5 per 1,000,000 pregnancies. Molar pregnancies are at risk for developing malignant gestational trophoblastic neoplasia (15–20 % for complete hydatidiform moles and 0.5–6 % for partial hydatidiform moles) and warrant robust diagnostic workup to determine appropriate management. Presented here is a case of an isthmic tubal ectopic pregnancy secondary to a partial hydatidiform mole; additionally, a literature review through PubMed discusses all tubal molar pregnancies reported within a 5-year period.</div><div>A 41-year-old woman (gravida 2, para 0, aborta 1) at 6 weeks and 5 days of gestation presented to the emergency department from the outpatient clinic because prenatal ultrasound did not show an intrauterine pregnancy and her a <span><math><mi>β</mi></math></span>-hCG level was 17,913 mIU/mL. Due to concern for ectopic pregnancy, she underwent diagnostic laparoscopy, which revealed an unruptured right isthmic tubal ectopic gestation. The specimen was removed and sent for histological evaluation, which confirmed a partial hydatidiform mole that stained positive for p57; the finding was supported by molecular studies. The patient was discharged the same day and follow-up <span><math><mi>β</mi></math></span>-hCG levels were monitored weekly until undetectable. The literature review found that 13 tubal molar pregnancies had been reported between 2019 and 2024.</div><div>Histopathologic examination of gestational trophoblastic disease should be supported by ancillary studies such as immunohistochemical, flow cytometry, and molecular analyses to ensure accurate diagnosis. Magnetic resonance imaging could offer a way to preoperatively diagnose molar ectopic pregnancy in select hemodynamically stable patients.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"47 ","pages":"Article e00736"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144696838","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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Multiple lesions of endometriosis in the small intestine treated by the shaving technique: A case report 剃须技术治疗小肠子宫内膜异位症多发病变1例

IF 0.7

Case Reports in Women's Health Pub Date : 2025-10-01 Epub Date: 2025-07-13 DOI: 10.1016/j.crwh.2025.e00731

Igor Chiminacio , João Francisco Petry , Nataly Nunes Ladeira Ramalho Verissimo Campos , Carolina Obrzut

{"title":"Multiple lesions of endometriosis in the small intestine treated by the shaving technique: A case report","authors":"Igor Chiminacio , João Francisco Petry , Nataly Nunes Ladeira Ramalho Verissimo Campos , Carolina Obrzut","doi":"10.1016/j.crwh.2025.e00731","DOIUrl":"10.1016/j.crwh.2025.e00731","url":null,"abstract":"<div><div>A case is reported of endometriosis present in several areas of the small intestine, successfully treated by excision using the conservative technique of shaving the intestinal wall. A 30-year-old woman with a 10-year history of pelvic pains, menstrual cramps since menarche, dyspareunia, and infertility for 3 years presented with symptoms of abdominal distension, diarrhea, nausea, and vomiting during menstruation, previously diagnosed as irritable bowel syndrome and dysbiosis. The diagnosis of deep endometriosis was made by clinical history, specialized physical examination, magnetic resonance imaging, and ultrasound mapping with intestinal preparation. The extensive pelvic endometriosis and a complex intestinal lesion in the rectosigmoid indicated the need for surgical intervention. During surgery, seven lesions of endometriosis were identified in the terminal ileum, as well as lesions in the uterine parametrium, ectocervical region, rectosigmoid, bilateral endometriomas, appendix, right iliac fossa and right diaphragmatic dome, which were not visualized in the preoperative examination. The excision included en bloc peritonectomy, segmental resection of the rectum, and removal of the intestinal lesions using a shaving technique and reinforcement sutures. There were no postoperative complications. Histopathological examination confirmed endometriosis. Endometriosis of the small intestine is a challenge to diagnose before surgery due to the lack of standardized imaging tests. Diagnostic suspicion should be based on symptoms of abdominal distension, nausea, or vomiting during menstruation. The shaving technique allowed for the safe removal of multiple lesions from the small intestine, proving a practical and reproducible approach.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"47 ","pages":"Article e00731"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144665648","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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The unfortunate twin: A case report of intrapartum diagnosis of heterotopic pregnancy 不幸的双胞胎：异位妊娠产时诊断1例

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Case Reports in Women's Health Pub Date : 2025-10-01 Epub Date: 2025-07-04 DOI: 10.1016/j.crwh.2025.e00729

Mesfin Ayalew Tsegaye, Meles Tazeb Teloye

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The challenges of managing vulval squamous cell cancer in women with Fanconi anaemia: A case report and literature review 范可尼贫血女性外阴鳞状细胞癌治疗的挑战：1例报告和文献复习

IF 0.7

Case Reports in Women's Health Pub Date : 2025-10-01 Epub Date: 2025-06-27 DOI: 10.1016/j.crwh.2025.e00727

Chester Chiah , Lucy Grant , Jason Yap , Fong Lien Kwong

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Corrigendum to “Labial artery pseudoaneurysm following preterm vaginal delivery treated with ultrasound-guided thrombin injection: A case report” [Case Reports in Women's Health Volume 39 (2023)] “超声引导凝血酶注射治疗阴道早产后唇动脉假性动脉瘤：一个病例报告”的更正[妇女健康病例报告第39卷（2023）]

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Case Reports in Women's Health Pub Date : 2025-10-01 Epub Date: 2025-05-02 DOI: 10.1016/j.crwh.2025.e00712

Simon Banh, Susan Keating

引用次数: 0

Mpox in pregnancy: Clinical management and preparedness for a clade I outbreak 妊娠期m痘：I支暴发的临床管理和准备

IF 0.6

Case Reports in Women's Health Pub Date : 2025-10-01 Epub Date: 2025-04-22 DOI: 10.1016/j.crwh.2025.e00710

Jennifer Bisland, Paul T.-Y. Ayuk

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

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Case Reports in Women's Health Pub Date : 2025-10-01 Epub 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":"2025-10-01","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

The role of magnetic resonance imaging in fertility-sparing surgical management of abdominal pregnancy: A case report 磁共振成像在保留生育能力的腹部妊娠手术治疗中的作用：1例报告

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Case Reports in Women's Health Pub Date : 2025-10-01 Epub Date: 2025-07-11 DOI: 10.1016/j.crwh.2025.e00732

Kathleen Lundeberg , Conner Blackwell

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Navigating vaginal delivery in a patient with severe uterine prolapse: A case report 导航阴道分娩患者严重子宫脱垂：1例报告

IF 0.7

Case Reports in Women's Health Pub Date : 2025-10-01 Epub Date: 2025-06-17 DOI: 10.1016/j.crwh.2025.e00726

Sarah Sebastian, Nicole Jenkins, Stephanie Pistilli

{"title":"Navigating vaginal delivery in a patient with severe uterine prolapse: A case report","authors":"Sarah Sebastian, Nicole Jenkins, Stephanie Pistilli","doi":"10.1016/j.crwh.2025.e00726","DOIUrl":"10.1016/j.crwh.2025.e00726","url":null,"abstract":"<div><div>Pelvic organ prolapse (POP) during pregnancy is rare, with few cases to guide clinical management. Vaginal delivery is possible; however, it is associated with increased risk of antepartum and intrapartum complications. This report discusses a case of intrapartum severe uterine prolapse in pregnancy and management techniques which resulted in a successful vaginal delivery.</div><div>A 43-year-old grand multiparous woman (para 9) presented at 40 weeks in labor with stage III uterine prolapse. She had been diagnosed during her antepartum course, but declined a pessary and opted instead for expectant management. Her labor course was complicated by obstructed labor until she underwent manual reduction of her prolapse, subsequent bedrest, and oxytocin augmentation, leading to vaginal delivery of a term neonate. Her third stage was complicated by uterine atony, managed with bimanual massage and uterotonics.</div><div>This case illustrates that vaginal delivery is feasible in pregnancies complicated by severe uterine prolapse when pelvic anatomy is appropriately restored. Restoration may facilitate labor progression and reduce the risk of obstructed labor. However, the risk of intrapartum complications remains high. Awareness of these potential complications is critical as impaired uterine contractility from uterine prolapse may limit effective labor mechanics in all stages of labor.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"47 ","pages":"Article e00726"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144365406","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