{"title":"Laparoscopic treatment of an ovarian teratoma with perforation of the small bowel: A case report","authors":"Naho Tokunaga, Sotaro Hayashi, Eriko Iito, Tomohito Kobiyama, Koki Yagi, Mao Sekimata, Naoki Abe, Sachino Kira, Hajime Takeuchi, Lifa Lee, Satoshi Nishiyama, Maki Goto, Hiroshi Tsujioka","doi":"10.1016/j.crwh.2025.e00728","DOIUrl":"10.1016/j.crwh.2025.e00728","url":null,"abstract":"<div><div>Fistula formation is a rare complication of ovarian mature cystic teratoma. This article reports a case of an ovarian mature cystic teratoma associated with fistula formation to the small bowel. A 30-year-old woman, gravida 0, presented with a 1-week history of vague lower abdominal pain and fever. Computed tomography revealed a right ovarian tumor with suspected rupture. Magnetic resonance imaging suggested a mature cystic teratoma and a possible right fallopian tube abscess. Empirical intravenous antibiotic therapy led to clinical improvement; however, the patient subsequently reported bloody stool. During laparoscopic surgery, dense adhesions were found between the right ovarian tumor and the small bowel. Dissection revealed a fistula connecting the ovarian mass to the bowel. A segmental small bowel resection and right ovarian cystectomy were performed. Histopathological analysis confirmed an ovarian mature cystic teratoma with associated intestinal inflammation, but no malignancy. This case highlights the rare but serious complication of fistula formation in ovarian mature cystic teratomas. In patients presenting with gastrointestinal symptoms, especially hematochezia, clinicians should consider the possibility of fistulization and involve gastrointestinal surgery teams as appropriate.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"47 ","pages":"Article e00728"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144570708","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}
{"title":"Spontaneous haemoperitoneum in pregnancy complicated by a pulmonary embolus: a case report","authors":"Matisse Uluilelata , Judy Ormandy","doi":"10.1016/j.crwh.2025.e00722","DOIUrl":"10.1016/j.crwh.2025.e00722","url":null,"abstract":"<div><div>Spontaneous haemoperitoneum in pregnancy is defined as a sudden non-traumatic intra-abdominal haemorrhage in pregnancy or the postpartum period. With an incidence of 1/25000, it has been associated with endometriosis and assisted reproductive technology, and with significant perinatal morbidity and mortality. This report describes a postpartum case of spontaneous haemoperitoneum in pregnancy complicated by pulmonary embolism. The patient, who had a history of endometriosis, underwent a ventouse birth following term induction of labour. Six hours later she developed abdominal pain and bilateral pain in the shoulder tips, associated with a drop in haemoglobin. A computerised tomography scan of the abdomen demonstrated a haemoperitoneum with no actively bleeding vessels. She was managed conservatively with blood transfusion, tranexamic acid, and analgesia. Anticoagulation was withheld due to concerns over bleeding risk. On day 4 postpartum, she developed chest pain and was diagnosed with a pulmonary embolus. Most previously reported cases occurred antenatally and required an emergent laparotomy for fetal concerns. As this case occurred postnatally, fetal well-being did not need to be considered, and non-surgical management was successfully employed. This case also highlights difficulties with decisions regarding anticoagulation in patients at high risk of both bleeding and venous thromboembolism.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"47 ","pages":"Article e00722"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144241167","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}
{"title":"Supporting women's reproductive health at work","authors":"Ruth Abrams","doi":"10.1016/j.crwh.2025.e00699","DOIUrl":"10.1016/j.crwh.2025.e00699","url":null,"abstract":"","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"46 ","pages":"Article e00699"},"PeriodicalIF":0.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144253869","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}
{"title":"Glanzmann's thrombasthenia in a twin pregnancy: A case report","authors":"Vicky X. Xu , Shaun P. Brennecke","doi":"10.1016/j.crwh.2025.e00697","DOIUrl":"10.1016/j.crwh.2025.e00697","url":null,"abstract":"<div><div>Glanzmann's thrombasthenia (GT) is a rare autosomal recessive bleeding disorder caused by deficient or defective integrin αIIbβ3 on platelets, leading to impaired platelet aggregation. Pregnancy in women with GT poses significant challenges due to the increased risk of bleeding antenatally, intrapartum, and postpartum, as well as potential complications for the neonate, such as neonatal alloimmune thrombocytopenia (NAIT). This case report details the contemporary, multidisciplinary management of a 35-year-old primigravid woman with a dichorionic, diamniotic twin pregnancy and GT which included an elective caesarean section under general anaesthesia performed at 36 + 5 weeks of gestation, with recombinant factor VIIa (NovoSeven) and tranexamic acid (TXA) treatment preoperatively and pre-emptive uterotonic administration intraoperatively to minimise haemorrhage. Postpartum management included a seven-week course of TXA. This case highlights the importance of a proactive, multidisciplinary care plan to optimize pregnancy outcomes in women with GT, with a focus on minimizing the risk of severe haemorrhage.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"46 ","pages":"Article e00697"},"PeriodicalIF":0.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143620315","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}
Martina Beretta, Philippe Demoustier, Gabriel Charaf
{"title":"Spontaneous broad ligament rupture following uncomplicated vaginal delivery: A case report","authors":"Martina Beretta, Philippe Demoustier, Gabriel Charaf","doi":"10.1016/j.crwh.2025.e00718","DOIUrl":"10.1016/j.crwh.2025.e00718","url":null,"abstract":"<div><div>Spontaneous hemoperitoneum in the postpartum period is rare and potentially fatal, especially following an uncomplicated vaginal delivery. We present the case of a 37-year-old woman who developed hypovolemic shock and acute abdominal pain four days postpartum. Imaging revealed massive intra-abdominal bleeding. Emergency laparotomy identified a spontaneous rupture of the left broad ligament with 3 l of hemoperitoneum. Surgical repair and resuscitation were successful. This case underlines the importance of considering internal bleeding in postpartum patients with abdominal symptoms, even in the absence of obstetric complications.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"46 ","pages":"Article e00718"},"PeriodicalIF":0.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144178760","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}
Isabella Charlotte Maréchal-Ross , Sashi Siva , Karen Mizia , Jeremy Nicholas Pulvers , Isabella Turton , Ali Moghimi
{"title":"Hemangioma of the umbilical cord: A case report and proposal for standardised reporting criteria","authors":"Isabella Charlotte Maréchal-Ross , Sashi Siva , Karen Mizia , Jeremy Nicholas Pulvers , Isabella Turton , Ali Moghimi","doi":"10.1016/j.crwh.2025.e00708","DOIUrl":"10.1016/j.crwh.2025.e00708","url":null,"abstract":"<div><div>Umbilical cord hemangiomas are rare benign vascular anomalies with limited documentation in the literature. Given their association with adverse perinatal outcomes, standardised criteria for reporting and monitoring are needed. This case report presents an instance of umbilical cord hemangioma and proposes a structured framework for future documentation.</div><div>A comprehensive literature review using OVID Medline and Embase identified cases of umbilical cord hemangiomas, their clinical presentations, and maternal and neonatal outcomes. A case diagnosed in the third trimester is presented, detailing antenatal surveillance, histopathological findings, and perinatal outcomes. Key parameters were analysed in the context of the literature to inform standardised reporting criteria.</div><div>A 36-year-old woman (G3P2) was diagnosed with an umbilical cord hemangioma at 29 + 3 weeks gestation following a routine growth scan. Serial ultrasound scans demonstrated lesion stability until 35 + 4 weeks, prompting increased fetal surveillance. Multidisciplinary consensus favoured expectant management, leading to an uncomplicated spontaneous vaginal delivery at 39 weeks. Histopathology confirmed a cord hemangioma composed of dilated, ectatic vascular channels lined by endothelial cells.</div><div>This case contributes to the growing body of evidence on umbilical cord hemangiomas by providing detailed clinical, ultrasound, and histopathological findings. Successful expectant management and favourable perinatal outcomes highlight the role of serial ultrasound surveillance. Given the rarity and potential risks of these lesions, standardised reporting is essential to improve understanding and to guide management. By proposing a set of standardised reporting criteria, this case report serves as a step toward enhancing data consistency and informing management strategies.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"46 ","pages":"Article e00708"},"PeriodicalIF":0.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143791010","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}
Lalani De Silva , Kaumadi Udeshika , Sinha De Silva , Priyani Amarathunga
{"title":"Russell body cervicitis: A case report and literature review highlighting diagnostic pitfalls","authors":"Lalani De Silva , Kaumadi Udeshika , Sinha De Silva , Priyani Amarathunga","doi":"10.1016/j.crwh.2025.e00707","DOIUrl":"10.1016/j.crwh.2025.e00707","url":null,"abstract":"<div><div>Russell bodies have been observed in various inflammatory and neoplastic conditions, although their presence in the female genital tract is rare, with fewer than ten documented cases of Russell body cervicitis. This case report appears to be the first of Russell body cervicitis identified during pregnancy. A 28-year-old woman, at 20 weeks of gestation, underwent a cervical polypectomy after a polyp was detected incidentally during a cervical cerclage procedure. Pathological examination revealed an inflamed endocervical polyp with predominant plasma cell infiltrate. Most of the plasma cells contained intracytoplasmic Russell bodies and there were some Mott cells. Immunohistochemical stains confirmed the polyclonal nature of the plasma cell infiltrate.</div><div>This report highlights the diagnostic challenges associated with Russell body cervicitis, given its rarity and histological resemblance to other inflammatory and neoplastic conditions. A review of the literature reveals that the few reported cases presented as a non-neoplastic process during reproductive age, with an uneventful follow-up. This report contributes to the limited knowledge of Russell body cervicitis, particularly in the context of pregnancy.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"46 ","pages":"Article e00707"},"PeriodicalIF":0.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143843107","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}
Ruth S. Goh , Wee Ming Peh , Christopher Goh Hood Keng
{"title":"Pyogenic granuloma gravidarum: A case report","authors":"Ruth S. Goh , Wee Ming Peh , Christopher Goh Hood Keng","doi":"10.1016/j.crwh.2025.e00716","DOIUrl":"10.1016/j.crwh.2025.e00716","url":null,"abstract":"<div><div>Pyogenic granuloma gravidarum (PGG) is a benign fibrovascular lesion arising during pregnancy. This report concerns a woman in her third trimester of pregnancy with recurrent left epistaxis and a swelling in her left nostril. She was diagnosed with PGG via magnetic resonance imaging (MRI) and nasoendoscopy. The lesion was managed conservatively and the neonate was delivered without complication at 37 weeks of gestation. Evidence shows that MRI is superior to computerised tomography (CT) in the assessment of soft-tissue masses, but there is a paucity of MRI PGG imaging in the literature. This report shows that MRI, together with the clinical context, is adequate to make a diagnosis of PGG. This was a rare case of a nasal lesion that was allowed to involute conservatively, hence avoiding the potential complications of surgery. This appears to be the first published report to include a follow-up to a successful second pregnancy and delivery without the recurrence of PGG.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"46 ","pages":"Article e00716"},"PeriodicalIF":0.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144139129","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}
Masoud Edalati , Karam Khouri , Ahmed Lazim , Shuanzeng Wei , Anjali Seth , Daniela Proca
{"title":"A case report with pathological insights into cotyledonoid dissecting leiomyoma: Essential for differentiating this rare benign tumor from cancer","authors":"Masoud Edalati , Karam Khouri , Ahmed Lazim , Shuanzeng Wei , Anjali Seth , Daniela Proca","doi":"10.1016/j.crwh.2025.e00719","DOIUrl":"10.1016/j.crwh.2025.e00719","url":null,"abstract":"<div><div>Cotyledonoid dissecting leiomyoma (CDL), also known as Sternberg tumor, is a rare uterine leiomyoma variant with distinct imaging, gross, and microscopic features that deviate from classic leiomyomas. Despite its benign nature, CDL frequently mimics malignancy on radiologic and clinical evaluations, posing a diagnostic challenge. Understanding its unique characteristics is crucial for correct diagnosis to prevent unnecessary aggressive treatment. This report concerns the case of a 52-year-old postmenopausal woman with abnormal bleeding and an enlarged uterus. Ultrasound revealed a 4.3 × 3.5 × 3.5 cm complex echogenic mass of undetermined etiology in the right adnexa. MRI demonstrated a heterogeneously enhancing, irregular mass between the right ovary and uterine fundus. Given her postmenopausal status, a total hysterectomy with bilateral salpingo-oophorectomy was performed. Gross examination revealed a red, spongy, nodular, and cystic tumor containing gelatinous material. The mass involved the right lateral uterine wall, extending toward the fundus and round ligament, but remained distinct from the ovary and fallopian tube. Microscopically, interlacing smooth muscle fascicles whorled around prominent thick-walled vessels, confirming the diagnosis of CDL—a rare, benign uterine leiomyoma with a unique gross and microscopic appearance. Recognizing CDL is critical for both clinicians and pathologists to avoid misdiagnosing it as malignancy. Increased awareness can prevent unnecessary radical treatment, ensuring appropriate patient management while avoiding potential overtreatment and associated complications.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"46 ","pages":"Article e00719"},"PeriodicalIF":0.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144184997","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}