{"title":"Successful pregnancy and delivery in a patient with a Mainz-II pouch urinary diversion: Case report and literature review","authors":"Wisdom Klutse Azanu , Afia Tabua Sakyi , Aishah Fadila Adamu , Frank Obeng","doi":"10.1016/j.crwh.2024.e00656","DOIUrl":"10.1016/j.crwh.2024.e00656","url":null,"abstract":"<div><div>This case report describes the successful management of a 16-year-old primigravida of Black African descent who had undergone Mainz-II ureterosigmoidostomy during infancy. Mainz-II ureterosigmoidostomy as a urinary diversion presents unique management challenges, particularly in pregnant patients. The patient presented to the antenatal clinic after a spontaneously achieved pregnancy; she had normal findings on obstetric and renal ultrasound scans throughout her pregnancy. At 38 weeks of gestation, an elective caesarean section was performed; the absence of the urinary bladder and the intact condition of the Mainz-II pouch were confirmed. A healthy biological male infant weighing 2.3 kg was delivered. Postoperatively, the patient experienced a mild superficial surgical site infection but otherwise had an uneventful recovery. This case underscores the importance of comprehensive prenatal care and meticulous surgical planning in managing pregnancies in patients with complex urinary diversions, and demonstrates that favorable maternal and neonatal outcomes can be achieved with appropriate medical oversight.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"44 ","pages":"Article e00656"},"PeriodicalIF":0.7,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142427331","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}
Saeed Baradwan , Hassan M. Latifah , Haneen Al-Maghrabi , Abdulmonem M. Almutawa
{"title":"Vulvar leiomyoma mimicking Bartholin's gland cyst: A case report","authors":"Saeed Baradwan , Hassan M. Latifah , Haneen Al-Maghrabi , Abdulmonem M. Almutawa","doi":"10.1016/j.crwh.2024.e00655","DOIUrl":"10.1016/j.crwh.2024.e00655","url":null,"abstract":"<div><div>Vulvar leiomyomas are rare benign tumors originating from smooth muscle cells of the vulvar tissue. This report concerns a 31-year-old woman who presented with a painless vulvar mass measuring 5 × 4 cm. The mass was clinically diagnosed as a Bartholin cyst due to its non-tender and soft nature, and as a result the patient underwent wide local excision of the vulvar mass. Histopathology confirmed it to be benign vulvar leiomyoma. This case emphasizes the importance of thorough clinical evaluation and accurate histopathological examination in identifying vulvar masses. This report underscores the diagnostic difficulties associated with rare vulvar lesions and stresses the necessity of a comprehensive approach to their evaluation and treatment.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"44 ","pages":"Article e00655"},"PeriodicalIF":0.7,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142427374","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":"Optimizing cesarean delivery in a patient with exstrophy-epispadias via prenatal MRI and surgical planning: A case report","authors":"Jamie Michael , Hebron Kelecha , Diana Bowen , Amber Watters","doi":"10.1016/j.crwh.2024.e00654","DOIUrl":"10.1016/j.crwh.2024.e00654","url":null,"abstract":"<div><div>Due to advancements in medical care and reconstructive surgery, more patients with bladder exstrophy are reaching reproductive age and considering pregnancy. Complications are more common during pregnancy in this patient population, given medical comorbidities and prior surgical intervention. In the case of cesarean delivery, careful planning is necessary to prevent inadvertent injury to the bladder or bowel segments. This report concerns a patient with a history of infant closure of bladder exstrophy, followed by two bladder augmentations and a catheterizable channel who presented for care at 9 weeks of gestation. Magnetic resonance imaging (MRI) at 36 weeks of gestation was used to delineate the anatomy in planning for cesarean delivery. The patient underwent a successful cesarean delivery at 38 weeks 1 day of gestation. Patients with prior urologic reconstruction can undergo safe cesarean delivery if proper surgical planning is performed. Multidisciplinary care and prenatal MRI are valuable tools for avoiding surgical complications.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"44 ","pages":"Article e00654"},"PeriodicalIF":0.7,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142427298","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}
Daniël P.C. van der Spek , Caroline D. van der Marel , Cecile C. de Vos , Frank J.P.M. Huygen , Maaike Dirckx
{"title":"Successful spinal anaesthesia for caesarean section in a patient with a dorsal root ganglion stimulation implant: A case report","authors":"Daniël P.C. van der Spek , Caroline D. van der Marel , Cecile C. de Vos , Frank J.P.M. Huygen , Maaike Dirckx","doi":"10.1016/j.crwh.2024.e00652","DOIUrl":"10.1016/j.crwh.2024.e00652","url":null,"abstract":"<div><div>Neurostimulation, for example dorsal root ganglion stimulation (DRGS), is increasingly used for managing chronic pain, including among women of reproductive age. We present the case of a 33-year-old patient with complex regional pain syndrome (CRPS) implanted with DRGS who subsequently became pregnant twice. Both pregnancies resulted in the delivery of healthy newborns via caesarean section under successful spinal anaesthesia, with no (device) complications. This case highlights the special considerations for managing pregnant patients with neurostimulation implants, including the differences between DRGS implants and other neurostimulators in the context of neuraxial anaesthesia and the continued use of neurostimulation during pregnancy.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"44 ","pages":"Article e00652"},"PeriodicalIF":0.7,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142427373","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}
Eun Min Lee , Ju Hee Kim , Uiree Jo , Yoon Jung Cho
{"title":"Uterine lymphangioleiomyomatosis in a premenopausal woman with tuberous sclerosis: A case report","authors":"Eun Min Lee , Ju Hee Kim , Uiree Jo , Yoon Jung Cho","doi":"10.1016/j.crwh.2024.e00650","DOIUrl":"10.1016/j.crwh.2024.e00650","url":null,"abstract":"<div><p>Lymphangioleiomyomatosis is a rare disease characterized by abnormal smooth muscle cell growth. It primarily occurs in the lungs but can also rarely occur in other organs, in which case it is classified as extrapulmonary lymphangioleiomyomatosis. It often accompanies tuberous sclerosis complex. This report concerns a case of uterine lymphangioleiomyomatosis with spontaneous uterine rupture in a young woman with tuberous sclerosis complex. A 27-year-old nulligravida patient presented to the emergency room with vaginal bleeding. She had a history of clinical diagnosis of tuberous sclerosis complex and pulmonary lymphangioleiomyomatosis. Initially, abdominopelvic computed tomography and magnetic resonance imaging suggested a hemorrhagic necrosis and rupture of degenerated uterine myoma. She underwent emergency exploratory laparotomy. The right side of her normal-sized uterus were ruptured without any specific mass. Active bleeding and hematoma from the ruptured uterus and partially ruptured right ovary were noted. The procedure included total hysterectomy and right salpingo-oophorectomy. Pathological analysis confirmed lymphangioleiomyomatosis in the uterine serosa and myometrium. Lymphangioleiomyomatosis mainly occurs in women of reproductive age and worsens with estrogen. Early diagnosis and careful follow-up are necessary due to the risk of worsening gynecological symptoms or even uterine rupture during pregnancy. This case enhances our understanding of extrapulmonary lymphangioleiomyomatosis and highlights the importance of comprehensive evaluation in complex clinical scenarios.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"43 ","pages":"Article e00650"},"PeriodicalIF":0.7,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911224000717/pdfft?md5=bbc3a8fa7a9064618c85eaecccb07dee&pid=1-s2.0-S2214911224000717-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142233009","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":"Macroplastique® for stress urinary incontinence lights up as a PET-avid urethral lesion: A case report","authors":"Christine Herforth, Philippe E. Zimmern","doi":"10.1016/j.crwh.2024.e00649","DOIUrl":"10.1016/j.crwh.2024.e00649","url":null,"abstract":"<div><p>Macroplastique® is a periurethral bulking agent used for the treatment of female stress urinary incontinence. It is composed of polydimethylsiloxane macroparticles suspended in a polyvinylpyrolidone carrier to allow injection. The patient in this case report had increased 18F-FDG avidity on PET scan at the site of prior Macroplastique® injection. This avidity was likely due to a local inflammatory response and did not represent an occult malignancy. Keen clinical judgement is necessary when this PET-avid area is demonstrated in women with prior bulking therapy as this is an incidental benign finding that does not require further invasive management.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"43 ","pages":"Article e00649"},"PeriodicalIF":0.7,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911224000705/pdfft?md5=dae6611b2f06d0d86cf9673075ebeaf9&pid=1-s2.0-S2214911224000705-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142228759","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}
Marte F. van der Bijl, Koen Verdonk, Jeanine E. Roeters van Lennep
{"title":"Balancing health and safety: Cardiovascular medications during pregnancy and lactation","authors":"Marte F. van der Bijl, Koen Verdonk, Jeanine E. Roeters van Lennep","doi":"10.1016/j.crwh.2024.e00648","DOIUrl":"10.1016/j.crwh.2024.e00648","url":null,"abstract":"","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"43 ","pages":"Article e00648"},"PeriodicalIF":0.7,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911224000699/pdfft?md5=19ba262af15754ff8450f62452c5c227&pid=1-s2.0-S2214911224000699-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142242674","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}
Anas R. Tuqan , Rayan R. Salahaldin , Mais E. Abubaker , Basel A. Zaben , Anas M. Barabrah , Mohammad H. Rayyan , Saadeh S. Jaber
{"title":"Successful pregnancy in a woman with Herlyn-Werner-Wunderlich syndrome: A case report and literature review","authors":"Anas R. Tuqan , Rayan R. Salahaldin , Mais E. Abubaker , Basel A. Zaben , Anas M. Barabrah , Mohammad H. Rayyan , Saadeh S. Jaber","doi":"10.1016/j.crwh.2024.e00647","DOIUrl":"10.1016/j.crwh.2024.e00647","url":null,"abstract":"<div><p>Herlyn-Werner-Wunderlich (HWW) syndrome is a rare congenital condition characterized by renal agenesis, uterine didelphys, and obstructed hemivagina. This report presents the case of a 19-year-old woman who reported lower abdominal pain and offensive vaginal discharge. Imaging revealed a didelphys uterus, two vaginas, two cervixes, hematocolpos, and an absent right kidney. Surgical intervention involved draining the hematocolpos and excising the uterine septum. After surgery, the patient successfully conceived and had a full-term pregnancy, delivering via cesarean section without complications. This case highlights the importance of early diagnosis and surgical management in preventing complications such as endometriosis and infertility. Prompt recognition and treatment are crucial for preserving fertility in patients with HWW syndrome.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"43 ","pages":"Article e00647"},"PeriodicalIF":0.7,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911224000687/pdfft?md5=d0dcbf5abce9f04957ddb48cd9721098&pid=1-s2.0-S2214911224000687-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142129632","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}
Fatima El Hassouni , Sofia Mchichou , Samia Sassi , Najat Lamalmi , Samir Bargach , Mounia Yousfi malki , Siham El Haddad , Kenza Berrada
{"title":"Retroperitoneal cystic lymphangioma coexisting with a uterine fibroid in a 42-year-old woman: A case report","authors":"Fatima El Hassouni , Sofia Mchichou , Samia Sassi , Najat Lamalmi , Samir Bargach , Mounia Yousfi malki , Siham El Haddad , Kenza Berrada","doi":"10.1016/j.crwh.2024.e00646","DOIUrl":"10.1016/j.crwh.2024.e00646","url":null,"abstract":"<div><p>Lymphangiomas are rare benign neoplasms traditionally thought to result from congenital lymphatic channel malformations, though they may also be associated with other conditions. Retroperitoneal lymphangiomas account for 1% of all lymphangiomas, and fewer than 200 cases have been reported. A 42-year-old woman was admitted with symptoms of abdominal pain and distension. A computerized tomography (CT) scan showed an abdomino-pelvic mass and a giant uterine myoma. The patient underwent explorative laparotomy and the whole cyst mass was removed along with the uterine myoma. Cystic lymphangiomas are often misdiagnosed because of the vague symptoms and the absence of obvious etiology. A provisional diagnosis can be made with CT but histological examination confirms the diagnosis. Cystic lymphangioma should be included in the differential diagnosis of an ovarian cystic mass. Complete resection can be curative.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"43 ","pages":"Article e00646"},"PeriodicalIF":0.7,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911224000675/pdfft?md5=49d316f7bc49763ad6d3942b7a5c0aa0&pid=1-s2.0-S2214911224000675-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142099298","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":"Peritonitis caused by Mycoplasma hominis after laparoscopic total hysterectomy: A case report","authors":"Koki Yagi, Lifa Lee, Naoki Abe, Sachino Kira, Sotaro Hayashi, Hajime Takeuchi, Satoshi Nishiyama, Maki Goto, Hiroshi Tsujioka","doi":"10.1016/j.crwh.2024.e00645","DOIUrl":"10.1016/j.crwh.2024.e00645","url":null,"abstract":"<div><p>Infections after obstetric and gynecologic surgery are commonly caused by enterobacteria, commensal vaginal bacteria, or indigenous skin bacteria (primarily <em>Staphylococcus aureus</em> and <em>Streptococcus</em>). <em>Mycoplasma hominis</em> (<em>M. hominis</em>) rarely causes postoperative infection in the field of obstetrics and gynecology and its treatment is generally delayed. This report describes a case report of peritonitis caused by <em>M. hominis</em> after laparoscopic total hysterectomy. A 44-year-old patient (gravida 1, para 1) presented with heavy menstrual bleeding and severe anemia. She was diagnosed as having multiple uterine fibroids and bilateral endometriomas and underwent laparoscopic surgery. She subsequently developed postoperative peritonitis due to <em>M. hominis.</em> This microorganism was identified in the postoperative cultures of the vaginal discharge and the transvaginal drainage fluid by matrix-assisted laser desorption/ionization time-of-flight mass spectrometry. The patient was treated successfully with the appropriate antimicrobial agents. It is important to consider <em>M. hominis</em> infection when gynecological postoperative infection persists despite treatment with beta-lactam antibiotics, and no causative organisms are identified by Gram staining.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"43 ","pages":"Article e00645"},"PeriodicalIF":0.7,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911224000663/pdfft?md5=01bf3f89d5a88248aefd8d18ba15195a&pid=1-s2.0-S2214911224000663-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142044417","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}