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

Large-volume hemoperitoneum and hemodynamic instability in uterine fibroid rupture: A case report 子宫肌瘤破裂时的大容量腹腔积血和血流动力学不稳定：病例报告

Case Reports in Women's Health Pub Date : 2023-12-01 DOI: 10.1016/j.crwh.2023.e00572

Ali Antoine , Laveena Kondagari , Chihiro Okada , Cynthia Arvizo

{"title":"Large-volume hemoperitoneum and hemodynamic instability in uterine fibroid rupture: A case report","authors":"Ali Antoine , Laveena Kondagari , Chihiro Okada , Cynthia Arvizo","doi":"10.1016/j.crwh.2023.e00572","DOIUrl":"https://doi.org/10.1016/j.crwh.2023.e00572","url":null,"abstract":"<div><p>A perimenopausal woman with a known history of fibroid uterus presented to the emergency department with the chief complaint of three weeks of intermittent abdominal pain with acute worsening for two days. The pain was described as 10/10 “tearing” peri-umbilical pain with radiation to the rectum associated with nausea. Vital signs, laboratory results, and physical examination were largely unremarkable at presentation, aside from diffuse tenderness with rebound. Computed tomography revealed a markedly enlarged uterus and large-volume hemoperitoneum and sentinel clot sign, suggesting fibroid as the source of bleeding. Upon re-examination, the patient was found to be hypotensive and tachycardic with worsening hemoglobin, worsening abdominal distension, and a positive focused assessment with sonography in trauma (FAST) exam. Although the source of bleeding was non-specific, a decision was made by the gynecology and general surgery teams to perform an emergency exploratory laparotomy. A midline vertical incision was made and four liters of blood were evacuated from the peritoneal cavity. The gynecology and general surgery teams thoroughly inspected the abdomen. A myomectomy was performed and good hemostasis was confirmed. The patient was transferred to the surgical intensive care unit, where she had an uncomplicated post-operative course. She was discharged home on postoperative day 4. Uterine fibroid rupture should be on the differential for hemoperitoneum in a patient with known fibroids and should be addressed with a timely multi-specialty approach.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911223000966/pdfft?md5=714d4bb607dce33fccd9042020b5974c&pid=1-s2.0-S2214911223000966-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138490933","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

Postpartum subarachnoid hemorrhage – questions on gestational hypertension diagnosis and treatment threshold: A case report 产后蛛网膜下腔出血——妊娠高血压诊治阈值问题1例报告

Case Reports in Women's Health Pub Date : 2023-12-01 DOI: 10.1016/j.crwh.2023.e00569

Elana A. King-Nakaoka , Heather M. Beasley , Stephen R. Kessinger , David C. Pfeiffer

{"title":"Postpartum subarachnoid hemorrhage – questions on gestational hypertension diagnosis and treatment threshold: A case report","authors":"Elana A. King-Nakaoka , Heather M. Beasley , Stephen R. Kessinger , David C. Pfeiffer","doi":"10.1016/j.crwh.2023.e00569","DOIUrl":"https://doi.org/10.1016/j.crwh.2023.e00569","url":null,"abstract":"<div><p>Hypertensive disorders of pregnancy (HDP) are a leading cause of morbidity and mortality for pregnant patients, but how aggressively to address non-severe hypertension in pregnancy remains controversial. The American College of Obstetrics and Gynecology (ACOG) currently recommends a blood pressure treatment threshold of 140/90 mmHg during pregnancy. However, 2017 American College of Cardiology/American Heart Association (ACC-AHA) guidelines define stage 1 hypertension by blood pressures of >130/80 mmHg within the general population. There is now an understudied population of pregnant patients considered to have stage 1 hypertension by ACC-AHA guidelines but who do not meet the treatment threshold by ACOG's standards. This article presents a patient who met ACC-AHA-defined stage 1 hypertension throughout her pregnancy and went on to develop severe hypertension and a postpartum subarachnoid hemorrhage (SAH) secondary to venous hemorrhage. She presented to the emergency department 17 days postpartum complaining of an extreme headache and with a blood pressure of 230/125 mmHg. Magnetic resonance imaging showed SAH in the parietal region adjacent to the superior sagittal sinus. Magnesium and labetalol were administered followed by a clevidipine drip. The patient was continued on antihypertensives and made a full recovery. This article's objective is to draw attention to the urgent need for increased clarity of practice guidelines, consensus between societies, and further study of peripartum health outcomes for pregnant patients defined as having stage 1 hypertension by 2017 ACC-AHA criteria.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911223000930/pdfft?md5=984233fae285bcf0dd07cd21c3687391&pid=1-s2.0-S2214911223000930-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138466009","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

Intact non-communicating rudimentary horn pregnancy in a patient with a history of two cesarean sections: A case report 一名曾有两次剖宫产史的患者体内出现了完整的非交流性胚胎角妊娠：病例报告

Case Reports in Women's Health Pub Date : 2023-11-27 DOI: 10.1016/j.crwh.2023.e00570

Abdalla Ali Mohammed , Ahmed Ibrahim Abdelfattah , Mohammed Mahgoub Ali , Lodan Abdelrahman Elmubarak

引用次数: 0

Intrauterine fetal death due to fetal intracranial hemorrhage associated with maternal vitamin K deficiency: A case report 胎儿颅内出血与母体维生素K缺乏相关的宫内胎儿死亡1例报告

Case Reports in Women's Health Pub Date : 2023-11-19 DOI: 10.1016/j.crwh.2023.e00566

Koya Yasuda , Soichiro Obata , Eita Kumagai , Takayoshi Iijima , Masafumi Yamamoto , Etsuko Miyagi , Shigeru Aoki

{"title":"Intrauterine fetal death due to fetal intracranial hemorrhage associated with maternal vitamin K deficiency: A case report","authors":"Koya Yasuda , Soichiro Obata , Eita Kumagai , Takayoshi Iijima , Masafumi Yamamoto , Etsuko Miyagi , Shigeru Aoki","doi":"10.1016/j.crwh.2023.e00566","DOIUrl":"https://doi.org/10.1016/j.crwh.2023.e00566","url":null,"abstract":"<div><p>Vitamin K deficiency can cause coagulopathy; therefore, supplementation is recommended to prevent intracranial hemorrhage in newborns. Some reports have shown that maternal vitamin K deficiency is associated with intracranial hemorrhage in the fetus. However, no clear guidelines exist for the diagnosis and treatment of maternal vitamin K deficiency to prevent fetal intracranial hemorrhage.</p><p>We report a case of intrauterine fetal death due to intracranial hemorrhage associated with maternal vitamin K deficiency resulting from hyperemesis gravidarum. In this case, maternal protein induced by vitamin K absence II (PIVKA-II) was high at the time of intrauterine fetal death. Therefore, measuring maternal PIVKA-II levels in high-risk cases may help determine the timing of therapeutic interventions for vitamin K deficiency during pregnancy.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911223000905/pdfft?md5=2163c848e16c1ec007772dee85ec8ea6&pid=1-s2.0-S2214911223000905-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138413320","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

Isolated fallopian tube torsion with preservation of ipsilateral ovary. A case report 保留同侧卵巢的孤立输卵管扭转。病例报告

Case Reports in Women's Health Pub Date : 2023-11-16 DOI: 10.1016/j.crwh.2023.e00565

Aseel Almandeel , Heba Abu Saleem , Nouar Elzewawi , Lamya Al Anazi , Bedayah Al Anazi

{"title":"Isolated fallopian tube torsion with preservation of ipsilateral ovary. A case report","authors":"Aseel Almandeel , Heba Abu Saleem , Nouar Elzewawi , Lamya Al Anazi , Bedayah Al Anazi","doi":"10.1016/j.crwh.2023.e00565","DOIUrl":"https://doi.org/10.1016/j.crwh.2023.e00565","url":null,"abstract":"<div><p>Isolated fallopian tube torsion (IFTT) is a rare cause of acute lower abdominal pain in women. Its nonspecific clinical presentation makes preoperative diagnosis more challenging. Laparoscopy is the gold standard in diagnosis and treatment.</p><p>This is a case of a 25-year-old newly married patient presented to the emergency department with sever acute lower abdominal pain associated with nausea. Clinical physical examination revealed abdominal tenderness. Ultrasound showed a right ovarian cyst measuring 4.5 cm × 4.1 cm with mural nodule, no internal vascularity on color doppler. Laparoscopy was performed where the right fallopian tube was found edematous, darkened red in color. Therefore, isolated fallopian tube torsion was diagnosed and right salpingectomy was performed with preservation of the right ovary. Postoperative recovery was uneventful.</p><p>Histopathological examination confirmed necrosis of the excised fallopian tube.</p><p>Isolated fallopian tube torsion is a rare yet noteworthy event. Early diagnosis and timely management are crucial for tubal sparing surgery.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911223000899/pdfft?md5=4a061dc85876df31f72ebde4ab0e3d9d&pid=1-s2.0-S2214911223000899-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138355965","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

Incarceration of a gravid uterus with massive placental enlargement and fetal triploidy at 19 weeks of gestation – A case report on the simultaneous presence of two rare conditions 妊娠19周伴有大量胎盘增大和胎儿三倍体的妊娠子宫嵌顿-同时出现两种罕见情况的病例报告

Case Reports in Women's Health Pub Date : 2023-11-15 DOI: 10.1016/j.crwh.2023.e00564

Judith Sarah Abel, Bernd Morgenstern

引用次数: 0

Pelvic infection caused by periodontitis: A case report 牙周炎所致盆腔感染1例

Case Reports in Women's Health Pub Date : 2023-11-10 DOI: 10.1016/j.crwh.2023.e00563

Cuihong Tian , Hongle Yan , Ping Tang , Jinqiu Shi , Maolian Liang , Yanyan Wan , Weiping Li , Xizhuo Sun , Chenglu Qin

{"title":"Pelvic infection caused by periodontitis: A case report","authors":"Cuihong Tian , Hongle Yan , Ping Tang , Jinqiu Shi , Maolian Liang , Yanyan Wan , Weiping Li , Xizhuo Sun , Chenglu Qin","doi":"10.1016/j.crwh.2023.e00563","DOIUrl":"https://doi.org/10.1016/j.crwh.2023.e00563","url":null,"abstract":"<div><p>Oral bacteria in patients with periodontitis can disseminate into the bloodstream via broken oral epithelial cells, causing odontogenic maxillofacial infections, brain abscesses and endocarditis. However, pelvic infection caused by periodontitis is rare. The case of a 48-year-old woman with a long history of recurrent periodontal infections, who complained of abdominal distention and pain for 14 days after dental implantation, is reported here. Pelvic ultrasound and magnetic resonance imaging signaled multiple inflammatory encapsulated effusions in the posterior uterus, which were removed by laparoscopic surgery and tested with metagenomic next-generation sequencing (mNGS). Through mNGS, numerous oral pathogens, including <em>Filifactor alocis</em>, were identified in the pelvic effusions. The patient was subsequently diagnosed with a pelvic infection originating from periodontitis, and recovered after undergoing surgery and targeted antibacterial treatment. Thus, the possibility of extrabuccal complications in patients with a history of periodontitis or invasive oral procedures merits closer attention.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911223000875/pdfft?md5=81916f2ca0ed9b021a3f7d701ea3de0e&pid=1-s2.0-S2214911223000875-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134657623","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

Heterotopic pregnancy with superfetation following ovarian stimulation: A case report 卵巢刺激后异位妊娠伴超胎1例

Case Reports in Women's Health Pub Date : 2023-11-07 DOI: 10.1016/j.crwh.2023.e00562

Lilas Channiss , Tala Tahle , Rami Sabouni , Mohammed Jamalih

{"title":"Heterotopic pregnancy with superfetation following ovarian stimulation: A case report","authors":"Lilas Channiss , Tala Tahle , Rami Sabouni , Mohammed Jamalih","doi":"10.1016/j.crwh.2023.e00562","DOIUrl":"https://doi.org/10.1016/j.crwh.2023.e00562","url":null,"abstract":"<div><p>Heterotopic pregnancy (HP) is a rare phenomenon. Despite its rarity, there has been a notable increase in its incidence in recent decades due to the greater use of in vitro fertilization (IVF). However, information about the relation between ovarian stimulation and HP is scarce. We report a case of HP after ovarian stimulation using clomiphene citrate.</p><p>A 26-year-old pregnant woman presented to the emergency department with mild vaginal bleeding, and abdominal pain. She had a history of pelvic inflammatory disease (PID) and left salpingectomy due to a previous ectopic pregnancy. She had undergone ovarian stimulation with clomiphene citrate three months earlier. Transvaginal ultrasound revealed an eight-week-old ruptured tubal pregnancy with an intrauterine ten-week-old gestational sac confirming superfetation HP. An urgent laparoscopic right salpingectomy was performed and the extrauterine pregnancy was successfully removed with the preservation of the intrauterine embryo. The course of the intrauterine pregnancy was uneventful and the patient gave birth to a healthy boy via cesarean section.</p><p>Women receiving ovarian stimulation are at an increased risk of developing HP especially when they also have other predisposing factors for HP. Thus, close monitoring using transvaginal ultrasound with extra attention to the adnexa is required for a timely diagnosis and management of HP.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911223000863/pdfft?md5=42d3606e485f67b7b46af656fd3e973f&pid=1-s2.0-S2214911223000863-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"109146290","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

Subcapsular liver hematoma complicating HELLP syndrome: A case report and review of management strategies 肝包膜下血肿并发HELLP综合征:1例报告及治疗策略回顾。

Case Reports in Women's Health Pub Date : 2023-10-28 DOI: 10.1016/j.crwh.2023.e00561

Agnès Villart, Pauline Burban, Elie Mosnino, Mohamed Derouich

{"title":"Subcapsular liver hematoma complicating HELLP syndrome: A case report and review of management strategies","authors":"Agnès Villart, Pauline Burban, Elie Mosnino, Mohamed Derouich","doi":"10.1016/j.crwh.2023.e00561","DOIUrl":"10.1016/j.crwh.2023.e00561","url":null,"abstract":"<div><p>Subcapsular liver hematoma is a life-threatening complication of pregnancy. It is associated with preeclampsia and HELLP syndrome.</p><p>We present the case of a 36-year-old Caucasian nulliparous woman who was diagnosed at 29 weeks and 6 days of gestation with mild preeclampsia. After brief hospitalization she was discharged. During a daily follow-up, at 31 weeks and 3 days of gestation, she complained of mild abdominal pain and blood tests revealed HELLP syndrome. The cervix was unripe. A healthy baby was delivered by emergency cesarean section. The following day, the patient complained of persistent abdominal pain, and at the same time the hepatic cytolysis worsened dramatically. A computed tomography (CT) scan revealed a significant subcapsular hematoma without any active bleeding or breach of Glisson's capsule. We treated the patient conservatively and she was discharged home 10 days after the diagnosis was made.</p><p>The symptoms of subcapsular liver hematoma are non-specific. They include nausea, vomiting and epigastric pain, and pain in the right upper quadrant or shoulder.</p><p>Biological analyses can show hepatic cytolysis, haemolysis and coagulation disorders.</p><p>Medical imaging can confirm the diagnosis.</p><p>The management of subscapular liver hematoma may depends on whether there is hemodynamic stability, active bleeding or breach of Glisson capsule's. If the patient is stable and in the absence of active bleeding, management should be purely symptomatic.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10637892/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89717011","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

Type 3 vasa previa with no low-lying placenta, with central umbilical cord insertion at the upper uterine segment, and with aberrant vessels on the broad membrane: A case report 3型前置血管无低位胎盘，脐中央位于子宫上段，宽膜上有异常血管1例

Case Reports in Women's Health Pub Date : 2023-10-28 DOI: 10.1016/j.crwh.2023.e00558

Michihisa Shiro, Masumi Kiyose, Yukiko Suzuki, Yuka Sano, Shota Ikagawa, Shigeki Yoshida

引用次数: 0