The implications of hysteroscopy in the updated guidelines on heavy menstrual bleeding from the UK National Institute for Health and Care Excellence (NICE)
Publication date: Available online 25 April 2019Source: Case Reports in Women's HealthAuthor(s): Nicola Ramshaw, Gordon Narayansingh (Source: Case Reports in Womens Health)
Source: Case Reports in Womens Health - April 25, 2019 Category: OBGYN Source Type: research
Bulky Bartholin's gland cyst: Case report of an incidental finding
ConclusionUrogynaecological complaints require a careful consideration of the symptoms and an adequate physical examination before additional tests are requested. Although a differential diagnosis can be made preoperatively, confirmation is necessarily histological. (Source: Case Reports in Womens Health)
Source: Case Reports in Womens Health - April 17, 2019 Category: OBGYN Source Type: research
The management of severe pre-eclampsia and HELLP syndrome in a twin pregnancy with a known morbidly adherent placenta: A case report
We present a case of MAP complicating a dichorionic diamniotic (DCDA) twin pregnancy requiring delivery by emergency cesarean hysterectomy at 30 + 2 weeks of gestation.Case PresentationA 36-year-old woman, G3P2, with a DCDA twin pregnancy and known MAP presented to the labour ward at 30 + 2 weeks of gestation with evidence of pre-eclampsia and fulminating HELLP syndrome. Delivery was indicated due to fetal distress, demonstrated by pathological findings on cardiotocography, acutely deranged liver functions and worsening thrombocytopenia. An emergency cesarean hysterectomy was performed with postoperative monito...
Source: Case Reports in Womens Health - April 12, 2019 Category: OBGYN Source Type: research
Hyperprolactinemia associated with macroprolactinoma in a 17-year-old: A case report
In conclusion, clinicians should be aware of the diagnostic and therapeutic problems in the management of hyperprolactinemia. (Source: Case Reports in Womens Health)
Source: Case Reports in Womens Health - April 4, 2019 Category: OBGYN Source Type: research
Postpartum xanthogranulomatous pyelonephritis: A case report
We present a case of XGP without any evidence of renal calculi, manifesting in a 26-year-old previously healthy woman immediately post-partum. (Source: Case Reports in Womens Health)
Source: Case Reports in Womens Health - April 2, 2019 Category: OBGYN Source Type: research
Refusal of antenatal care and the applicable conceptual models
Publication date: Available online 28 March 2019Source: Case Reports in Women's HealthAuthor(s): Nnabuike Chibuoke Ngene (Source: Case Reports in Womens Health)
Source: Case Reports in Womens Health - March 28, 2019 Category: OBGYN Source Type: research
Peritoneal inclusion cysts treated with a levonorgestrel-releasing intrauterine system: A case report
We present the case of a 42-year-old woman with PICs complaining of progressive abdominal pain and fullness who was initially treated with drainage and gonadotropin releasing hormone agonist (GnRHa). Despite the treatment, her symptoms worsened approximately one year later. She was again treated with drainage and GnRHa, and subsequently a levonorgestrel-releasing intrauterine system (LNG-IUS) was placed in her intrauterine cavity. Thereafter, her condition stabilized and no complications were reported. The LNG-IUS may be an effective management option for patients with PICs. (Source: Case Reports in Womens Health)
Source: Case Reports in Womens Health - March 28, 2019 Category: OBGYN Source Type: research
Non-obstetric traumatic vulvar hematoma: Conservative or surgical approach? A case report
We present the case of a patient with a traumatic vulvar hematoma who required surgical treatment; we also review the literature on this gynecological pathology. Our case highlights the importance of early surgical intervention to reduce associated morbidity and to minimize hospital stay. (Source: Case Reports in Womens Health)
Source: Case Reports in Womens Health - March 26, 2019 Category: OBGYN Source Type: research
Delayed delivery of the second twin: Case report and literature review of diamniotic dichorionic twin pregnancy with very early preterm premature rupture of membranes
We report the delayed delivery of a second baby in a twin pregnancy with pPROM and very premature delivery of the first baby. This condition is exceptional and there are no validated medical protocols for its management; the scientific evidence is still controversial. In our case, after the birth of the first baby, pregnancy was continued for 29 days, with monitoring of maternal and fetal parameters, which enabled the delivery of the second baby with improved neonatal outcomes. This case supports the prolongation of the pregnancy of the second twin. (Source: Case Reports in Womens Health)
Source: Case Reports in Womens Health - March 20, 2019 Category: OBGYN Source Type: research
An improperly positioned menstrual cup complicated by hydronephrosis: A case report
ConclusionGiven their common use today, it is important that physicians become familiar with menstrual cups and are capable of recognizing cup misplacement to avoid complications such as hydronephrosis. (Source: Case Reports in Womens Health)
Source: Case Reports in Womens Health - March 17, 2019 Category: OBGYN Source Type: research
Non-puerperal uterine inversion associated with adenosarcoma of the uterus: A case report
ConclusionUterine sarcoma is a malignant tumour of the uterus that typically presents with vaginal bleeding, and rarely as prolapsed uterine inversion. Uterine inversion rarely occurs outside the puerperal setting; however, when it does occur, the possibility of an underlying malignancy should not be neglected. (Source: Case Reports in Womens Health)
Source: Case Reports in Womens Health - March 9, 2019 Category: OBGYN Source Type: research
In-vitro fertilization resulting in heterotopic pregnancy, ovarian hyperstimulation and paralytic ileus: A case report
Publication date: Available online 9 March 2019Source: Case Reports in Women's HealthAuthor(s): Vedran Madžarac, Željko Duić, Josip Valetić, Gordana Planinić-RadošAbstractHeterotopic pregnancy followed by ovarian hyperstimulation syndrome and paralytic ileus are rare and potentially fatal complications associated with assisted reproduction. A 37-year-old nulliparous woman, after in-vitro fertilization and embryo transfer, presented to the gynaecology department with severe abdominal distension, diffuse abdominal pain and vaginal bleeding. Transvaginal ultrasound examination revealed an intrauterine pregnancy, with bo...
Source: Case Reports in Womens Health - March 9, 2019 Category: OBGYN Source Type: research
Systemic adverse events in imiquimod use for cervical intraepithelial neoplasia – A case series
Publication date: Available online 6 March 2019Source: Case Reports in Women's HealthAuthor(s): Tirza Wouters, Natasja Hendriks, Margot Koeneman, Arnold-Jan Kruse, Anna van de Sande, Heleen J. van Beekhuizen, Kees G. Gerestein, Ruud L.M. Bekkers, Jurgen M.J. PiekAbstractTreatment for cervical intraepithelial neoplasia (CIN) often consists of an excisional procedure. However, less invasive treatment methods have been explored, such as topical treatment with imiquimod cream. Imiquimod has been proven to be effective in the regression of vulvar intraepithelial neoplasia (VIN) and vaginal intraepithelial neoplasia (VAIN). Prev...
Source: Case Reports in Womens Health - March 7, 2019 Category: OBGYN Source Type: research
Perineal pyoderma gangrenosum in pregnancy: A case report
We describe the case of a 28-year-old woman with pyoderma gangrenosum in the perineal region during pregnancy. Cytological analysis of a skin biopsy specimen showed neutrophilic infiltrates across all the layers of the dermis, confirming the diagnosis of pyoderma gangrenosum. Determining a management plan, including the mode of delivery, was difficult. Oral prednisolone was started and her ulcer started to improve, but she still had the ulcer when she reached full term. Because there was a concern that the ulcer would be worsened by vaginal delivery, cesarean section was performed. After her delivery, pyoderma gangrenosum ...
Source: Case Reports in Womens Health - March 7, 2019 Category: OBGYN Source Type: research
Postmenopausal complete labial fusion and pseudo-incontinence: A case series
ConclusionsIn this report we present a case series of seven postmenopausal patients with CLF and urinary pseudo-incontinence who underwent successful surgical management with good anatomical results and complete resolution of urinary symptoms. (Source: Case Reports in Womens Health)
Source: Case Reports in Womens Health - March 7, 2019 Category: OBGYN Source Type: research
