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

Infliximab treatment for Cronkhite-Canada syndrome in pregnancy: A case report 英夫利昔单抗治疗妊娠期克朗凯特-加拿大综合征1例报告

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Case Reports in Women's Health Pub Date : 2025-06-01 Epub Date: 2025-03-30 DOI: 10.1016/j.crwh.2025.e00706

Ayano Rosemary Nakamura , Shuji Yamamoto , Yoshitsugu Chigusa , Masaki Mandai , Haruta Mogami

引用次数: 0

Successful conservative management of myiasis of an episiotomy wound and the uterine cavity postnatally: A case report 成功保守治疗会阴切开伤口及产后子宫腔粘连1例

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Case Reports in Women's Health Pub Date : 2025-06-01 Epub Date: 2025-04-18 DOI: 10.1016/j.crwh.2025.e00709

Satyala Satya Priya , Singuang Kamei Gaithaoliu , Kim Johanna Catharina Verschueren , Parishuddharao Koduri

{"title":"Successful conservative management of myiasis of an episiotomy wound and the uterine cavity postnatally: A case report","authors":"Satyala Satya Priya , Singuang Kamei Gaithaoliu , Kim Johanna Catharina Verschueren , Parishuddharao Koduri","doi":"10.1016/j.crwh.2025.e00709","DOIUrl":"10.1016/j.crwh.2025.e00709","url":null,"abstract":"<div><div>Myiasis refers to an infestation by maggots or fly larvae. Urogenital myiasis, particularly in the uterine cavity, is extremely rare. Previously reported cases involved uterine prolapses, typically managed with hysterectomy. We describe the successful conservative management of myiasis in an episiotomy wound with extension into the uterine cavity. The case involved a woman in her 30s who gave birth to her third child eight days prior and presented with a painful and infected episiotomy site with “worms” emerging from her vagina. Her poverty had led to her malnourishment and poor hygiene; she was being treated for pulmonary tuberculosis. She required 11 days of inpatient care, which included broad-spectrum antibiotics, a three- to five-day course of ivermectin, clindamycin and albendazole, larvae extraction, manual vacuum aspiration, uterine cavity irrigation and the daily application of a menstrual pad soaked in turpentine oil. No further maggots were detected near the end of her hospital stay, nor at follow-up. This case demonstrates that conservative treatment can be effective, though it requires patience. Ensuring proper nutritional status and personal hygiene in the postpartum period is critical to preventing wound infections complicated by myiasis.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"46 ","pages":"Article e00709"},"PeriodicalIF":0.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143854529","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

Mode of delivery in placental abruption: A case report on difficulty in distinguishing between uterine rupture and placental abruption due to clinical features that overlap 胎盘早剥的分娩方式：由于临床特征重叠，子宫破裂和胎盘早剥难以区分的病例报告

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Case Reports in Women's Health Pub Date : 2025-06-01 Epub Date: 2025-05-15 DOI: 10.1016/j.crwh.2025.e00715

Stephen Darko , Nnabuike Chibuoke Ngene

{"title":"Mode of delivery in placental abruption: A case report on difficulty in distinguishing between uterine rupture and placental abruption due to clinical features that overlap","authors":"Stephen Darko , Nnabuike Chibuoke Ngene","doi":"10.1016/j.crwh.2025.e00715","DOIUrl":"10.1016/j.crwh.2025.e00715","url":null,"abstract":"<div><div>Amongst the indications for caesarean delivery (CD) in pregnant women presenting with placental abruption (PA), fetal demise near term, and a previous major uterine surgery are peritonitic abdomen and severe vaginal bleeding. When the presence of these two indications is equivocal, deciding on the mode of delivery becomes challenging, as uterine rupture is a differential diagnosis. This case report develops an algorithm for decision-making on the mode of delivery in this context. A 22-year-old woman (G2P1) with a previous CD presented with antepartum hemorrhage (APH) at 36 weeks of gestation. In the previous pregnancy, she developed pre-eclampsia, PA at 34 weeks of gestation, and had CD and stillbirth. In the index pregnancy, she declined aspirin and had no pre-eclampsia. The APH at index presentation was mild-moderate, making the decision on mode of delivery difficult, but CD was favoured due to the possibility of uterine rupture. Another support for this decision was that access to emergency CD might be limited at the busy hospital the patient attended if an attempt at vaginal delivery were employed and an obvious indication for CD developed later. The decision-delivery time was 95 min. Intra-operatively, Couvelaire uterus, retroplacental clot, and left lateral fundal uterine rupture were found. Lower segment CD was performed, and the uterus repaired in layers. In conclusion, individualized care is recommended for women with PA, fetal demise near term, and a previous major uterine surgery. The clinical condition and context are important considerations that should guide the preferred mode of delivery.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"46 ","pages":"Article e00715"},"PeriodicalIF":0.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144071846","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

First-trimester ultrasound diagnosis of sirenomelia: A case report 妊娠早期超声诊断胎儿畸形1例

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Case Reports in Women's Health Pub Date : 2025-06-01 Epub Date: 2025-05-27 DOI: 10.1016/j.crwh.2025.e00717

Carla Ettore , Elisa Pappalardo , Ferdinando Antonio Gulino , Giosuè Giordano Incognito , Sebastiano Bianca , Giuseppe Ettore

引用次数: 0

Uterine rupture in labor after prior ultrasound-guided percutaneous microwave ablation of uterine fibroids: A case report 超声引导下经皮微波子宫肌瘤消融后分娩子宫破裂1例

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Case Reports in Women's Health Pub Date : 2025-06-01 Epub Date: 2025-03-14 DOI: 10.1016/j.crwh.2025.e00702

Yucui Zeng, Yanlan Wang, Xiaoyan Guang

{"title":"Uterine rupture in labor after prior ultrasound-guided percutaneous microwave ablation of uterine fibroids: A case report","authors":"Yucui Zeng, Yanlan Wang, Xiaoyan Guang","doi":"10.1016/j.crwh.2025.e00702","DOIUrl":"10.1016/j.crwh.2025.e00702","url":null,"abstract":"<div><div>Ultrasound-guided percutaneous microwave ablation for the treatment of uterine fibroids has gained widespread clinical application due to its efficacy. However, reports on fertility outcomes and pregnancy complications following this treatment remain scarce. This report presents the case of a 31-year-old woman who underwent ultrasound-guided percutaneous microwave ablation for uterine fibroids. Regular postoperative follow-up revealed a significant reduction in the size of the uterine fibroids. Six months later, the patient successfully achieved natural conception, and her pregnancy progressed without any abnormalities. Given her strong preference for vaginal delivery, she was admitted to hospital at 40 weeks of gestation for monitoring when she began to exhibit signs of labor. However, uterine rupture occurred without any apparent warning during the labor. Following emergency surgical intervention, the neonate and the patient had a favorable outcome. This case underscores the efficacy of percutaneous microwave ablation for uterine fibroids but also emphasizes the need for postoperative follow-up to promptly identify any complications during the third trimester of pregnancy.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"46 ","pages":"Article e00702"},"PeriodicalIF":0.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143688018","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

Marginal resection preferred over radical resection for a large abdominal wall desmoid tumor during pregnancy: A case report 妊娠期腹壁大硬纤维瘤边缘切除优于根治性切除1例

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Case Reports in Women's Health Pub Date : 2025-06-01 Epub Date: 2025-03-13 DOI: 10.1016/j.crwh.2025.e00701

Riku Watanabe , Hiroki Shinmura , Yasuyuki Yokoyama , Takashi Matsushima

{"title":"Marginal resection preferred over radical resection for a large abdominal wall desmoid tumor during pregnancy: A case report","authors":"Riku Watanabe , Hiroki Shinmura , Yasuyuki Yokoyama , Takashi Matsushima","doi":"10.1016/j.crwh.2025.e00701","DOIUrl":"10.1016/j.crwh.2025.e00701","url":null,"abstract":"<div><div>Desmoid tumors are locally aggressive soft-tissue tumors known for their lack of metastatic potential but high recurrence rate after resection. Few cases of desmoid tumors during pregnancy have been reported, making treatment decisions more challenging.</div><div>This report presents the case of a woman with an abdominal wall desmoid tumor resected at 17 weeks of gestation. The large mass (13.4 cm × 7.4 cm) was compressing the uterus, which necessitated surgical intervention. Marginal resection of the tumor was performed with microscopically positive margins. The patient's postoperative course was uneventful, and she had a normal vaginal delivery at 38 weeks. No recurrence of the tumor was observed at 24-month follow-up. This case represents the largest pregnancy-related abdominal desmoid tumor (22 cm × 12 cm) resected marginally during pregnancy. The procedure allowed for a vaginal delivery rather than a cesarean section.</div><div>Surgical management of desmoid tumors in pregnancy should aim to remove the tumor while preserving function and anatomical integrity. While this approach is feasible for smaller tumors, larger tumors, as in this case, may result in loss of function and anatomical structure. This raises the question of whether marginal resection should be considered when preservation of function and structure is not feasible with radical resection. This case reinforces the fundamental surgical principle that when clear surgical margins cannot be achieved without compromising function and structure, marginal resection should be considered.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"46 ","pages":"Article e00701"},"PeriodicalIF":0.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143683209","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

Vault dehiscence two years after total abdominal hysterectomy: A case report 腹式全子宫切除术后2年穹窿破裂1例

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Case Reports in Women's Health Pub Date : 2025-06-01 Epub Date: 2025-05-13 DOI: 10.1016/j.crwh.2025.e00713

Jessica Benton, Honor Mijatovic, Belinda Lowe

{"title":"Vault dehiscence two years after total abdominal hysterectomy: A case report","authors":"Jessica Benton, Honor Mijatovic, Belinda Lowe","doi":"10.1016/j.crwh.2025.e00713","DOIUrl":"10.1016/j.crwh.2025.e00713","url":null,"abstract":"<div><div>Vault dehiscence is a rare but significant complication of hysterectomy that can result in bowel evisceration through the vagina. This condition occurs when there is separation of the surgically created vaginal cuff, which can lead to serious morbidity, including bowel evisceration, ischaemia, and peritonitis. Vault dehiscence usually occurs in the months following a hysterectomy, but there have been a few case reports of late vaginal vault dehiscence. This report explores the case of a 48-year-old multiparous menopausal woman who presented to the emergency department with unprovoked vaginal cuff dehiscence, on a background of open hysterectomy two years prior. The patient had undergone a laparoscopic hiatal hernia repair two weeks prior to her presentation at the emergency department with dehiscence, raising the question of whether that laparoscopic procedure was related to the presentation with vault dehiscence because it had resulted in weakness of the vaginal vault. She underwent emergency laparoscopic surgery to examine the eviscerated bowel and repair the vault defect. This case report outlines the risk factors for vault dehiscence and factors which may be associated with late and unusual presentations of vault dehiscence after hysterectomy.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"46 ","pages":"Article e00713"},"PeriodicalIF":0.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144178759","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

Vaginocutaneous fistula caused by recurrent labial abscess: A case report 复发性唇脓肿致阴道皮肤瘘1例

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Case Reports in Women's Health Pub Date : 2025-06-01 Epub Date: 2025-03-06 DOI: 10.1016/j.crwh.2025.e00698

Komkrit Aimjirakul, Teerapan Seehanantawong, Apisith Saraluck

引用次数: 0

Early-onset intrahepatic cholestasis of pregnancy resulting from a genetic mutation: A case report 由基因突变引起的妊娠早期肝内胆汁淤积：1例报告

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Case Reports in Women's Health Pub Date : 2025-06-01 Epub Date: 2025-05-13 DOI: 10.1016/j.crwh.2025.e00714

Alyssa Gonzalez , Courtney Fant , Ashten Waks , Thao Le , Jonathan G. Steller

{"title":"Early-onset intrahepatic cholestasis of pregnancy resulting from a genetic mutation: A case report","authors":"Alyssa Gonzalez , Courtney Fant , Ashten Waks , Thao Le , Jonathan G. Steller","doi":"10.1016/j.crwh.2025.e00714","DOIUrl":"10.1016/j.crwh.2025.e00714","url":null,"abstract":"<div><div>Intrahepatic cholestasis of pregnancy (ICP) is a pregnancy-specific condition characterized by pruritus and elevated bile acids. It typically manifests in the third trimester of pregnancy and has been associated with hormonal and genetic factors. Early-onset ICP poses unique diagnostic challenges and may contribute to increased risks of adverse maternal and fetal outcomes. We present a case of severe ICP identified in the early second trimester and later attributed to a rare gene variant.</div><div>A 24-year-old patient (G3P0202) was admitted at 17 weeks of gestation with pruritis, abdominal pain, and jaundice. Laboratory studies were notable for elevated total and direct bilirubin as well as elevated bile acids. The patient's medical history included early-onset ICP accompanied by jaundice in all previous pregnancies. A cholestasis gene panel revealed an autosomal recessive variant in the ABCB11 gene, which encodes a bile salt export pump and is associated with benign recurrent intrahepatic cholestasis (BRIC). Throughout the duration of her pregnancy, the patient was co-managed with the hepatobiliary service, and her symptoms were adequately controlled with ursodeoxycholic acid, rifampin, and hydroxyzine. She labored spontaneously at 34 weeks of gestation and delivered a healthy infant.</div><div>This case underscores the importance of genetic evaluation in the assessment of atypical ICP, particularly in early-onset, recurrent, or treatment-refractory cases. It also highlights the need for multidisciplinary management of complex cases with obstetricians, hepatologists, and genetic counselors.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"46 ","pages":"Article e00714"},"PeriodicalIF":0.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144069458","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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Spontaneous second-trimester uterine rupture in an unscarred uterus: A case report and review of literature 无瘢痕子宫妊娠中期自发性子宫破裂一例报告及文献复习

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Case Reports in Women's Health Pub Date : 2025-06-01 Epub Date: 2025-04-29 DOI: 10.1016/j.crwh.2025.e00711

Everett Lwamulungi, Corrine Arara, Jeevan Marasinghe, Jacqueline Van Dam

引用次数: 0