Case Reports in Women's Health最新文献_第9页

Synchronous primary endometrial adenocarcinoma and primary squamous cell carcinoma of the cervix: A case report and literature review 同步原发性子宫内膜腺癌和原发性宫颈鳞状细胞癌：病例报告和文献综述

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Case Reports in Women's Health Pub Date : 2024-07-29 DOI: 10.1016/j.crwh.2024.e00642

Vishal Bahall, Lance De Barry, Ryan Charles, Stefan Baldeo

{"title":"Synchronous primary endometrial adenocarcinoma and primary squamous cell carcinoma of the cervix: A case report and literature review","authors":"Vishal Bahall, Lance De Barry, Ryan Charles, Stefan Baldeo","doi":"10.1016/j.crwh.2024.e00642","DOIUrl":"10.1016/j.crwh.2024.e00642","url":null,"abstract":"<div><p>The synchronous occurrence of primary endometrioid endometrial adenocarcinoma and primary squamous cell carcinoma of the cervix is exceedingly rare. Ovarian and endometrial cancers represent the most frequently observed forms of synchronous gynaecological malignancies. In contrast, in less than 1 % of cases, endometrial cancer coexists with primary cervical cancer. Considering the unique characteristics of each primary malignancy, the management of synchronous tumours of the female genital tract poses significant challenges and requires a multidisciplinary, tailored approach to treatment.</p><p>This report concerns the case of a 63-year-old woman who underwent radical hysterectomy, bilateral salpingo-oophorectomy and bilateral pelvic lymph node dissection following a histological diagnosis of a poorly differentiated squamous cell carcinoma on cervical biopsy. Histological assessment of the surgical specimen also confirmed a primary grade I endometrioid endometrial adenocarcinoma confined to the endometrium and grade 3 squamous cell cancer of the cervix. The patient was successfully treated with adjuvant vaginal brachytherapy after primary surgery.</p><p>Synchronous endometrial adenocarcinoma and squamous cell carcinoma of the cervix is rare and associated with a poor prognosis. Fewer than ten cases could be found in the medical literature. This report raises awareness and adds to the study of an unusual synchronous cancer of the female genital tract and contributes evidence to advance the development of standardized treatment protocols.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"43 ","pages":"Article e00642"},"PeriodicalIF":0.7,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911224000638/pdfft?md5=23bee0a0e7ea13d4e721b0bb62dcb767&pid=1-s2.0-S2214911224000638-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141952064","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

Relevance of microbiological cultures of cord blood and placental swabs in the rapid diagnosis of preterm newborn infection due to Listeria monocytogenes: A case report 脐带血和胎盘拭子微生物培养在快速诊断早产新生儿李斯特菌感染中的相关性：病例报告

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Case Reports in Women's Health Pub Date : 2024-07-25 DOI: 10.1016/j.crwh.2024.e00638

Francesco D'Aleo , Attilio Tuscano , Tarcisio Servello , Marcello Tripodi , Carmela Abramo , Roberta Bonanno , Ferdinando Antonio Gulino , Sara Occhipinti , Giosuè Giordano Incognito , Luigi Principe

{"title":"Relevance of microbiological cultures of cord blood and placental swabs in the rapid diagnosis of preterm newborn infection due to Listeria monocytogenes: A case report","authors":"Francesco D'Aleo , Attilio Tuscano , Tarcisio Servello , Marcello Tripodi , Carmela Abramo , Roberta Bonanno , Ferdinando Antonio Gulino , Sara Occhipinti , Giosuè Giordano Incognito , Luigi Principe","doi":"10.1016/j.crwh.2024.e00638","DOIUrl":"10.1016/j.crwh.2024.e00638","url":null,"abstract":"<div><p><em>Listeria monocytogenes</em> (<em>Lm</em>) is a Gram-positive bacterium causing listeriosis, a rare but severe foodborne infection, particularly impactful during pregnancy. Maternal-fetal transmission can lead to adverse fetal outcomes, yet symptoms in mothers may be nonspecific, delaying intervention. Despite the severity, the mechanisms of vertical transmission remain unclear. This report describes a case of rapid <em>Lm</em> diagnosis in a preterm newborn using cord blood and placental swabs. A 31-week pregnant woman presented with abdominal pain, diarrhea, and reduced fetal movements after consuming raw sushi. Laboratory findings indicated infection, and she vaginally delivered a live infant with placental and fetal abscesses. Cultures confirmed <em>Lm</em>, with swift diagnosis aided by molecular syndromic testing. The neonate received appropriate antibiotics and was asymptomatic by the end of treatment. This case underscores the need for the rapid diagnosis of maternal-fetal listeriosis, as it poses significant risks during pregnancy, including preterm birth and neonatal complications. Current diagnostic methods often delay treatment. This report emphasizes the use of innovative molecular techniques for early diagnosis, which is crucial in managing neonatal infections, especially in preterm newborns.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"43 ","pages":"Article e00638"},"PeriodicalIF":0.7,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911224000596/pdfft?md5=dd00460c4987894a15d851b28ffa6caf&pid=1-s2.0-S2214911224000596-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141847387","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

Pre-eclampsia and branch retinal artery occlusion in a 29-year-old primigravida with type 1 diabetes: A case report 一名患有 1 型糖尿病的 29 岁初产妇的子痫前期和视网膜分支动脉闭塞：病例报告

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Case Reports in Women's Health Pub Date : 2024-07-25 DOI: 10.1016/j.crwh.2024.e00643

Katerina Tori ScB , William Wirostko , Anna Palatnik , Timothy Klatt

{"title":"Pre-eclampsia and branch retinal artery occlusion in a 29-year-old primigravida with type 1 diabetes: A case report","authors":"Katerina Tori ScB , William Wirostko , Anna Palatnik , Timothy Klatt","doi":"10.1016/j.crwh.2024.e00643","DOIUrl":"10.1016/j.crwh.2024.e00643","url":null,"abstract":"<div><p>Branch retinal artery occlusion is a rare cause of sudden vision loss. New-onset visual disturbances are considered a severe feature of preeclampsia and an indication for delivery regardless of gestational age. This report describes the management of a primigravida at 31 weeks of gestation, with multiple comorbidities, who presented with preeclampsia and a new dark spot in her vision. After extensive workup, her branch retinal artery occlusion was not attributable to her preexisting comorbidities nor an undiagnosed thrombophilia. Multidisciplinary collaboration and close observation enabled delay of delivery until 34 weeks of gestation without detriment and substantially mitigated the risks of preterm birth. Her visual defect was stable and permanent. This seems to be the first case in the literature to describe branch retinal artery occlusion diagnosed simultaneously with preeclampsia in the third trimester. Branch retinal artery occlusion may not be a severe feature of preeclampsia requiring delivery.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"43 ","pages":"Article e00643"},"PeriodicalIF":0.7,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S221491122400064X/pdfft?md5=5f9a14e419ce4c9397639cb06354fe38&pid=1-s2.0-S221491122400064X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141848360","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

Severe multivessel coronary heart disease in a young woman with familial hypercholesterolemia and congenital heart disease: A case report 一名患有家族性高胆固醇血症和先天性心脏病的年轻女性患上了严重的多支血管冠状动脉心脏病：病例报告

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Case Reports in Women's Health Pub Date : 2024-07-23 DOI: 10.1016/j.crwh.2024.e00641

Shaikh B. Iqbal , Shraddha Poudel , Nicholas Huerta , Ajay Kumar , Sean Shieh , Shiavax J. Rao

{"title":"Severe multivessel coronary heart disease in a young woman with familial hypercholesterolemia and congenital heart disease: A case report","authors":"Shaikh B. Iqbal , Shraddha Poudel , Nicholas Huerta , Ajay Kumar , Sean Shieh , Shiavax J. Rao","doi":"10.1016/j.crwh.2024.e00641","DOIUrl":"10.1016/j.crwh.2024.e00641","url":null,"abstract":"<div><p>The prevalence of premature atherosclerotic cardiovascular disease (ASCVD) ranges from 7% to 30%, but the incidence in young patients is increasing. Traditional risk factors, such as hypertension, hyperlipidemia, obesity, and diabetes, have an increasing prevalence in young patients and especially in young women. A 32-year-old woman presented with dyspnea and exertional chest pain. She had a history of familial hypercholesterolemia and unidentified aortic valve disease status after a pulmonary autograft at the age of 20. Due to insurance changes with the onset of the COVID-19 pandemic, she lost access to specialty care. She was not on any cholesterol-lowering agents prior to admission. An electrocardiogram demonstrated no ST changes with elevated high-sensitivity troponin-I concerning for non-ST elevation myocardial infarction. Laboratory data also revealed elevated LDL-C greater than 400. Due to concern for multivessel disease and complex anatomy, she underwent coronary computerized tomography angiography, which verified her multivessel coronary artery disease. An echocardiogram demonstrated a preserved ejection fraction and moderate aortic regurgitation. Her coronary artery bypass graft was deferred due to possible future valvular surgery. She underwent percutaneous coronary intervention with drug-eluting stents to left circumflex and left anterior descending arteries. Familial hypercholesterolemia is a prevalent but under-recognized and under-treated risk factor for premature ASCVD, which can be adequately identified through improved risk assessment and managed with aggressive combination anti-hyperlipidemia therapy.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"43 ","pages":"Article e00641"},"PeriodicalIF":0.7,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911224000626/pdfft?md5=5a69bbc63a562ac15936dd6e6eb17556&pid=1-s2.0-S2214911224000626-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141841817","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

Ewing sarcoma of the uterus: A case report 子宫尤文肉瘤：病例报告

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Case Reports in Women's Health Pub Date : 2024-07-23 DOI: 10.1016/j.crwh.2024.e00640

Zeynep Tek , Anya Laibangyang , Oluwole Odujoko , Bhavna Khandpur , David Doo

{"title":"Ewing sarcoma of the uterus: A case report","authors":"Zeynep Tek , Anya Laibangyang , Oluwole Odujoko , Bhavna Khandpur , David Doo","doi":"10.1016/j.crwh.2024.e00640","DOIUrl":"10.1016/j.crwh.2024.e00640","url":null,"abstract":"<div><p>A case is described of Ewing sarcoma of the uterus, an atypical presentation of an already rare cancer.</p><p>A 55-year-old woman presented with abdominal pain, abnormal uterine bleeding and a uterine mass that measured 11 × 10 × 14.5 cm and demonstrated heterogeneous enhancement with possible areas of central necrosis, concerning for sarcoma. She had a complete surgical resection with total abdominal hysterectomy, bilateral salpingo-oophorectomy, omentectomy, bilateral pelvic lymph node dissection, and excision of mesenteric tumor implants. Her final pathology showed primary Ewing sarcoma-primitive neuroectodermal tumor of the uterus with metastatic spread to the peritoneal cavity. She finished 14 cycles of vincristine-doxyrubicin-cyclophosphamide–ifosfamide, etoposide chemotherapy with no evidence of recurrent metastatic disease at 6-month follow-up.</p><p>Ewing sarcoma is a rare cancer, predominantly seen in adolescents, that typically are of the bone, although in rare instances it can arise from soft tissue; even rarer are presentations in the female genital tract. Even with typical presentations of Ewing sarcoma of the bone, metastatic disease has an overall poor prognosis. The scarcity of cases of metastatic Ewing sarcoma–peripheral neuroendocrine tumors of the uterus makes the condition especially difficult to study. This report describes a case of Ewing sarcoma of the uterus treated by complete surgical resection and aggressive multimodal chemotherapy.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"43 ","pages":"Article e00640"},"PeriodicalIF":0.7,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911224000614/pdfft?md5=03c8ef9cc292ce76540c022ba3ca18a6&pid=1-s2.0-S2214911224000614-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141849316","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

Ovarian lymphangioma resected during abdominal hysterectomy: A case report 腹部子宫切除术中切除的卵巢淋巴管瘤：病例报告

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Case Reports in Women's Health Pub Date : 2024-07-22 DOI: 10.1016/j.crwh.2024.e00639

Brian Benitez , Eva Patalas , Tara Singh

{"title":"Ovarian lymphangioma resected during abdominal hysterectomy: A case report","authors":"Brian Benitez , Eva Patalas , Tara Singh","doi":"10.1016/j.crwh.2024.e00639","DOIUrl":"10.1016/j.crwh.2024.e00639","url":null,"abstract":"<div><p>Ovarian lymphangioma, a rare pathologic finding, is an ovarian mass characterized by lymphatic tissue lined with endothelial cells. It is normally asymptomatic and may be found incidentally during abdominal surgery for other pathologies.</p><p>This report describes a case of a 49-year-old woman presenting to her primary care physician for three months of abdominal bloating and irregular menses. Magnetic resonance imaging revealed a 31 × 23 × 20 cm uterine mass suspected to be the cause of her symptoms. Total abdominal hysterectomy and bilateral salpingectomy were performed. During surgery, the right ovary was flattened and densely adhered to the body of the uterus, necessitating right oophorectomy. Pathology of the right ovary revealed flattened endothelial cells lining cystic spaces, consistent with the diagnosis of ovarian lymphangioma. Taken together, this case and the literature suggest that ovarian lymphangioma should be considered in the differential of ovarian masses, and their management shared more widely to help encourage the development of standard practice guidelines. There are no clear guidelines for when, and how often, to monitor these lesions after resection. In this case, the patient was seen at two-week and six-week follow-up visits with no new symptoms. Given that some case reports describe malignant transformation, patients should be followed this closely in the post-surgical period, and the best cadence for follow-up should be determined to improve outcomes.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"43 ","pages":"Article e00639"},"PeriodicalIF":0.7,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911224000602/pdfft?md5=6467fd668bf402e293ba09c973f37050&pid=1-s2.0-S2214911224000602-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141852215","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

Laparoscopic bilateral salpingo-oophorectomy for recurrent ovarian endometriotic cysts in a woman taking adjuvant tamoxifen for breast cancer: A case report 腹腔镜双侧输卵管切除术治疗因乳腺癌服用他莫昔芬辅助治疗的妇女复发性卵巢子宫内膜异位囊肿：病例报告

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Case Reports in Women's Health Pub Date : 2024-07-18 DOI: 10.1016/j.crwh.2024.e00637

Hajime Takeuchi, Koki Yagi, Naho Tokunaga, Naoki Abe, Mariko Matsuno, Sachino Kira, Sotaro Hayashi, Lifa Lee, Yoko To, Satoshi Nishiyama, Maki Goto, Hiroshi Tsujioka

引用次数: 0

Early recognition and mobilization of resources in managing amniotic fluid embolism for a high-risk obstetric patient: A case report 及早识别并调动资源，处理高危产科病人的羊水栓塞：病例报告

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Case Reports in Women's Health Pub Date : 2024-07-10 DOI: 10.1016/j.crwh.2024.e00634

R. Zbeidy , Anh P. Le , Sarah M. Jacobs , Alexander W.M. Hall , P. Toledo

引用次数: 0

Management of gastrointestinal stromal tumor and acute appendicitis during pregnancy: A case report 妊娠期胃肠道间质瘤和急性阑尾炎的处理：病例报告

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Case Reports in Women's Health Pub Date : 2024-07-10 DOI: 10.1016/j.crwh.2024.e00635

Wendy Yang , Anastasia Jones , Amreesh Mahil , Daniel Nahrwold

引用次数: 0

Elevated lactate dehydrogenase – A red herring in the diagnosis of a sclerosing stromal tumor: A case report 乳酸脱氢酶升高--硬化性间质瘤诊断中的 "红线"：病例报告

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Case Reports in Women's Health Pub Date : 2024-07-09 DOI: 10.1016/j.crwh.2024.e00633

Kelly Devlin , Alexander Gross , Melina Flanagan , Krista Pfaendler

{"title":"Elevated lactate dehydrogenase – A red herring in the diagnosis of a sclerosing stromal tumor: A case report","authors":"Kelly Devlin , Alexander Gross , Melina Flanagan , Krista Pfaendler","doi":"10.1016/j.crwh.2024.e00633","DOIUrl":"https://doi.org/10.1016/j.crwh.2024.e00633","url":null,"abstract":"<div><p>Sclerosing stromal tumors are a rare type of ovarian tumor in the category of sex cord stromal tumors, which arise from the ovarian connective tissue. This report concerns a case of a sclerosing stromal tumor in a 19-year-old nulliparous woman who presented with the chief complaints of menstrual irregularities and dyspareunia. Preoperative imaging revealed a complex right adnexal mass with blood flow and without associated ascites. Tumor markers were all normal except lactate dehydrogenase, which was elevated. The elevated lactate dehydrogenase, in combination with patient age and menstrual irregularities, initially misdirected the clinicians toward suspicion for dysgerminoma or other malignant germ cell tumor of the ovary. Clinicians should beware of excluding the diagnosis of sex cord stromal tumor on the differential in a young person with an adnexal mass and elevated lactate dehydrogenase.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"43 ","pages":"Article e00633"},"PeriodicalIF":0.7,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911224000547/pdfft?md5=c6cb1f77bae21d40a979e00153de0623&pid=1-s2.0-S2214911224000547-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141607564","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