Stage IV choriocarcinoma in a 47-year-old-woman 12 years after her last known pregnancy: A case report
We present a rare case of metastatic choriocarcinoma.Case presentationA 47-year-old woman presented with shortness of breath, anemia and an elevated serum BhCG level. Her most recent known pregnancy was 12 years previously. Following investigation, she was found to have FIGO stage IV choriocarcinoma with brain metastasis, despite having not experienced any abnormal vaginal bleeding. She was treated with chemotherapy; her treatment was complicated by neutropenic sepsis and a visceral perforation. The patient went into remission and received long-term follow-up.DiscussionIt is unclear in this case whether the disease occur...
Source: Case Reports in Womens Health - January 30, 2020 Category: OBGYN Source Type: research
Elevated international normalized ratio (INR) and new diagnosis of hepatitis C associated with severe intrahepatic cholestasis of pregnancy (ICP): A case report
ConclusionThis case highlights and adds to the growing body of evidence supporting the need for universal screening for hepatitis C in ICP patients and the potential role for repeat SBA testing, which would be a notable change from the traditional care of these individuals. (Source: Case Reports in Womens Health)
Source: Case Reports in Womens Health - January 30, 2020 Category: OBGYN Source Type: research
Torsion of the left fallopian tube without ovarian involvement in a 47-year-old woman: A case report
Publication date: Available online 30 January 2020Source: Case Reports in Women's HealthAuthor(s): A.C. Ziogas, I.K. Thanasas, I.T. Oikonomou, C. TsiamantaAbstractIsolated torsion of the fallopian tube is an unusual finding in a female patient presenting with acute lower abdominal pain. Left tubal torsion is considered to be a particularly rare condition. The patient presented with lower abdominal pain due to torsion of the left hydrosalpinx with no ovarian involvement. The patient underwent laparotomy and a left salpingectomy. The follow-up was uneventful. (Source: Case Reports in Womens Health)
Source: Case Reports in Womens Health - January 30, 2020 Category: OBGYN Source Type: research
Spontaneous dichorionic-diamniotic twins in a noncommunicating uterine horn: A case report
ConclusionThis is a rare case of a twin pregnancy contained in a noncommunicating rudimentary uterine horn. The presence of this horn was not detected on ultrasonography or MRI. (Source: Case Reports in Womens Health)
Source: Case Reports in Womens Health - January 30, 2020 Category: OBGYN Source Type: research
Uterine smooth muscle tumour of uncertain malignant potential (STUMP): Where are we now?
Publication date: Available online 30 January 2020Source: Case Reports in Women's HealthAuthor(s): Raji Ganesan (Source: Case Reports in Womens Health)
Source: Case Reports in Womens Health - January 30, 2020 Category: OBGYN Source Type: research
Endometrial adenocarcinoma arising in a pelvic implant following uterine morcellation: A case report
We report a unique case of a 60-year-old woman developing endometrial cancer in a uterine deposit 18 years after she had undergone laparoscopic subtotal hysterectomy with morcellation for benign pathology. She had used unopposed estrogen as menopausal hormone therapy. She presented with a pelvic mass that was causing pressure symptoms. On imaging, the mass had an enhancing vascular nodular component and appeared to abut normal ovaries and the residual cervix. She proceeded to laparotomy, where a 12 cm pelvic mass was found morbidly adherent to the bladder anteriorly and to the cervical stump. The pelvic mass was excise...
Source: Case Reports in Womens Health - January 19, 2020 Category: OBGYN Source Type: research
Maternal pulmonary edema after 46 h of ritodrine hydrochloride administration: A case report
DiscussionExcessive use of ritodrine or its use in combination with other tocolytic agents can cause maternal pulmonary edema, even with <48 h of use. Adverse maternal side-effects and rebound uterine contractions due to cessation of ritodrine may paradoxically trigger preterm birth. Strict patient selection for tocolytic therapy is essential and ritodrine requires caution because of its potential side-effects. (Source: Case Reports in Womens Health)
Source: Case Reports in Womens Health - January 16, 2020 Category: OBGYN Source Type: research
Perivascular epithelioid cell tumors (PEComa) in pregnancy with uterine rupture and ongoing abdominal gestation: A case report
We report a case of PEComa in pregnancy with initial undiagnosed presentation at 18 weeks of gestation and subsequent presentation and diagnosis at 30 weeks of gestation. Abdominal pain led to the use of magnetic resonance imaging, which raised concerns about placentation abnormality and abdominal pregnancy. Exploratory laparotomy was notable for a 10 cm by 15 cm posterior uterine defect through which the placenta and amniotic sac containing the fetus were extruded. Placenta-like tissue was noted to be invading through the anterior wall of the uterus, which led to concern regarding placenta percreta. A total abdomi...
Source: Case Reports in Womens Health - January 11, 2020 Category: OBGYN Source Type: research
Maternal pulmonary edema after 46 h of ritodrine hydrochloride administration: A case report
DiscussionExcessive use of ritodrine or its use in combination with other tocolytic agents can cause maternal pulmonary edema, even with <48 h of use. Adverse maternal side-effects and rebound uterine contractions due to cessation of ritodrine may paradoxically trigger preterm birth. Strict patient selection for tocolytic therapy is essential and ritodrine requires caution because of its potential side-effects. (Source: Case Reports in Womens Health)
Source: Case Reports in Womens Health - January 11, 2020 Category: OBGYN Source Type: research
Spinal cord stimulation for the treatment of chronic pelvic pain after Tarlov cyst surgery in a 66-year-old woman: A case report
We describe a patient who developed worsening pelvic pain and lumbar radiculopathy after surgical management of her Tarlov cysts. Medication failed to relieve the pain, as did a variety of other procedures, before the patient ultimately received significant pain relief from high-frequency spinal cord stimulation. This case may provide guidance for physicians when managing patients suffering from symptomatic Tarlov cysts, or worsening pain symptoms after surgical management of these cysts. (Source: Case Reports in Womens Health)
Source: Case Reports in Womens Health - January 11, 2020 Category: OBGYN Source Type: research
Induction of labour in low- and middle-income countries: Challenges and measures to improve outcomes
Publication date: Available online 27 December 2019Source: Case Reports in Women's HealthAuthor(s): Nnabuike Chibuoke Ngene (Source: Case Reports in Womens Health)
Source: Case Reports in Womens Health - December 28, 2019 Category: OBGYN Source Type: research
Grade III subcapsular liver hematoma secondary to HELLP syndrome: A case report of conservative management
Publication date: Available online 24 December 2019Source: Case Reports in Women's HealthAuthor(s): Daniel Bradke, Ashley Tran, Tatiana Ambarus, Munir Nazir, Maryann Markowski, Alexander JuuselaAbstractSubcapsular liver hematoma (SLH) is a rare condition that is associated with preeclampsia and HELLP (hemolysis, elevated liver enzymes, and low platelets) syndrome. A high level of suspicion, early diagnosis, and coordinated, intensive multidisciplinary management are necessary to monitor for serious complications and prevent death. Options include conservative management, hepatic resection, hepatic artery ligation and liver...
Source: Case Reports in Womens Health - December 25, 2019 Category: OBGYN Source Type: research
Twisting around an axis: A case report of uterine torsion
ConclusionPelvic organ torsion most often presents as sudden pain that is unrelieved by medication. Diagnosis is sometimes made with imaging and Doppler studies. Surgical intervention is often required. In a patient with a rapidly enlarging fibroid uterus with acute pain, one should consider a uterine torsion. (Source: Case Reports in Womens Health)
Source: Case Reports in Womens Health - December 25, 2019 Category: OBGYN Source Type: research
The eventual successful management of ovarian torsion in a hyperstimulated ovary following in vitro fertilization: A case report
Publication date: Available online 7 December 2019Source: Case Reports in Women's HealthAuthor(s): Gordon Narayansingh, Jennifer HohAbstractAbdominal pain following in vitro fertilization (IVF) in the presence of enlarged ovaries commonly leads to the diagnosis of ovarian hyperstimulation syndrome (OHSS). Progressively worsening pain with a rise in inflammatory markers with normal hematological indices implies a diagnosis of ovarian torsion of the hyperstimulated ovary. Early recourse to laparoscopic assessment and derotation of the affected ovary even after 72 h following the onset of symptoms can allow a return to viab...
Source: Case Reports in Womens Health - December 7, 2019 Category: OBGYN Source Type: research
Laparoscopic hysterectomy to manage uterine rupture due to placenta percreta in the first trimester: A case report
We describe a patient who presented with abdominal pain at 13 weeks of gestation and was diagnosed with placenta percreta during laparoscopy for presumed appendicitis. Intraoperatively, placenta was seen perforating the uterine fundus and 1 l of hemoperitoneum was evacuated. However, the uterus was hemostatic and the patient was stable, so the procedure was terminated. The patient was then transferred to a tertiary care center, where she ultimately underwent an uncomplicated laparoscopic gravid hysterectomy. We conclude that placenta percreta can occur in the first trimester even in patients without traditional risk fa...
Source: Case Reports in Womens Health - November 29, 2019 Category: OBGYN Source Type: research
