Successful delivery of spontaneously conceived twins in a single horn of a bicornuate uterus: A case report
Publication date: Available online 27 February 2019Source: Case Reports in Women's HealthAuthor(s): Katherine Adams, Lee MinuzzoAbstractUterine malformations are associated with infertility, recurrent miscarriage and preterm birth, to variable degrees. Accurate classification is crucial to management. A 30-year-old primigravida presented with spontaneous conception of monochorionic diamniotic twins in the right horn of a bicornuate uterus, previously diagnosed as a didelphys uterus. At 28 + 5 weeks of gestation, the patient had preterm prelabour rupture of membranes followed by preterm labour, resulting in the patien...
Source: Case Reports in Womens Health - February 27, 2019 Category: OBGYN Source Type: research
Rectal prolapse and urinary retention: A case report of an “anal cystocele”
ConclusionRectal prolapse with concomitant urinary retention should raise suspicion for posterior bladder prolapse. Here we propose the new term “anal cystocele”. MR imaging aids in the diagnosis and treatment planning for this condition. (Source: Case Reports in Womens Health)
Source: Case Reports in Womens Health - February 5, 2019 Category: OBGYN Source Type: research
Vaginal culture for IVF allows two mothers to carry the same pregnancy: Is more always better?
Publication date: Available online 26 January 2019Source: Case Reports in Women's HealthAuthor(s): Sara Babcock Gilbert, Alex J. Polotsky (Source: Case Reports in Womens Health)
Source: Case Reports in Womens Health - January 27, 2019 Category: OBGYN Source Type: research
A case report of an abnormal trend in hCG levels in a pregnancy complicated by ovarian hyperstimulation syndrome
ConclusionhCG levels may be falsely low in pregnancies complicated by OHSS. (Source: Case Reports in Womens Health)
Source: Case Reports in Womens Health - January 24, 2019 Category: OBGYN Source Type: research
Cerebral pontine infarctions during pregnancy – A case report and review of the literature
Publication date: Available online 23 January 2019Source: Case Reports in Women's HealthAuthor(s): Jenna Kaye Wildman, Bassam H. RimawiAbstractCerebrovascular disease is not uncommon during pregnancy as a result of either venous or arterial occlusion, or a hemorrhagic event, resulting in ischemia. Pregnancy may alter the prognosis of these neurologic disorders, with increased risks of morbidity and mortality for the mother and the developing fetus. Etiologies of stroke during pregnancy and the postpartum period include preeclampsia, eclampsia, HELLP syndrome, posterior reversible encephalopathy syndrome (PRES), amniotic fl...
Source: Case Reports in Womens Health - January 24, 2019 Category: OBGYN Source Type: research
Preeclamptic serous retinal detachment without hypertension: A case report
We present the case of a 24-year-old primigravida who was diagnosed with preeclamptic serous retinal detachment at 30 weeks of gestation that occurred in the absence of hypertension. The patient was delivered by cesarean section for fetal malpresentation and she had complete recovery of her vision by three months postpartum. Providers should exercise vigilance for preeclampsia in women presenting with new-onset visual symptoms, even in the absence of hypertension. (Source: Case Reports in Womens Health)
Source: Case Reports in Womens Health - January 23, 2019 Category: OBGYN Source Type: research
Persistent omental trophoblastic implantation following salpingostomy, salpingectomy and methotrexate for ectopic pregnancy: A case report
Publication date: Available online 14 January 2019Source: Case Reports in Women's HealthAuthor(s): Danielle Robson, Vanessa Lusink, Neil CampbellAbstract2% of all pregnancies are ectopic. Optimal surgical management is currently salpingectomy over salpingostomy, secondary to the risks of persistent trophoblastic tissue or omental implants (15%). However, rare cases of omental trophoblastic implants following laparoscopic salpingectomy have been noted in the literature. Current practice dictates that serial determinations of human chorionic gonadotropin (beta-hCG) levels after salpingectomy are not required, as it is consid...
Source: Case Reports in Womens Health - January 15, 2019 Category: OBGYN Source Type: research
Hyperreactio luteinalis and hypothyroidism: A case report
We report a case of hyperreactio luteinalis (HL) and hypothyroidism diagnosed at 13 weeks of pregnancy. A 29-year-old woman with a spontaneous 13-week singleton pregnancy presented with hirsutism and a pelvic mass. Ultrasound showed a viable pregnancy compatible with the gestational age and multiple cystic lesions on both ovaries. Her TSH levels were markedly elevated and diagnostic of hypothyroidism, for which she was treated. Two days after presentation, she had a spontaneous abortion. The products of conception were histologically normal. Follow-up at 3 months showed resolution of the ovarian cysts, and the previous...
Source: Case Reports in Womens Health - December 29, 2018 Category: OBGYN Source Type: research
Successful delayed-interval delivery in monochorionic diamniotic twin pregnancy: A case report
We describe a case of a successful delayed-interval delivery of monochorionic diamniotic twins following prelabour rupture of membranes at 20 weeks of gestation. The first twin was previable, delivered at 23 weeks and 2 days of gestation, but the second twin was delivered at 24 weeks and 1 day of gestation and survived.Practitioners could consider delayed-interval delivery in monochorionic diamniotic twin pregnancy in a closely monitored environment if the first twin is born peri-viable, to obtain an improved outcome for the remaining fetus. (Source: Case Reports in Womens Health)
Source: Case Reports in Womens Health - December 18, 2018 Category: OBGYN Source Type: research
Investigating menopause in adolescent girls
Publication date: Available online 13 December 2018Source: Case Reports in Women's HealthAuthor(s): Eleni Armeni (Source: Case Reports in Womens Health)
Source: Case Reports in Womens Health - December 14, 2018 Category: OBGYN Source Type: research
Coexistence of a large functioning parathyroid cyst with papillary thyroid carcinoma: A case report and review of the literature
We describe a case of a 70-year-old woman who was diagnosed with PHPT, on the occasion of nephrolithiasis (corrected calcium and PTH levels: 10.8 mg/dl and 187 pg/ml, respectively). Ultrasonographic and scintigraphic investigation confirmed the diagnosis of a large parathyroid cyst attached to the lower pole of the right thyroid lobe and, consequently, the patient underwent parathyroidectomy. Due to the coexistence of multinodular goitre, with some nodules characterized as suspicious of malignancy, a total thyroidectomy was also performed. A histological diagnosis of cystic parathyroid adenoma was made. A unifocal papi...
Source: Case Reports in Womens Health - December 1, 2018 Category: OBGYN Source Type: research
Risk disclosure after Montgomery: Where are we going?
Publication date: Available online 28 November 2018Source: Case Reports in Women's HealthAuthor(s): Felicity Mills, Miran Epstein (Source: Case Reports in Womens Health)
Source: Case Reports in Womens Health - November 28, 2018 Category: OBGYN Source Type: research
Previously asymptomatic ruptured tubal ectopic pregnancy at over 10 weeks' gestation: Two case reports
Publication date: Available online 15 November 2018Source: Case Reports in Women's HealthAuthor(s): Caitlin Gauvin, Melissa Amberger, Kevin Louie, Olga ArgerosAbstractEctopic pregnancy is a life-threatening condition affecting up to 2% of gestations. Implantation in the fallopian tube is most common, with symptoms typically presenting earlier for gestations in the ampulla and isthmus compared with the cornua and non-tubal sites. In this paper, the cases are described of two patients with advanced ectopic pregnancies that ruptured. One woman aged 36 years presented at 17 1/7 weeks' gestation with a ruptured cornual ecto...
Source: Case Reports in Womens Health - November 16, 2018 Category: OBGYN Source Type: research
Diagnosis and laparoscopic management of a 5-week ectopic pregnancy in a rudimentary uterine horn: A case report
Publication date: Available online 15 November 2018Source: Case Reports in Women's HealthAuthor(s): F. Monacci, N. Lanfredini, S. Zandri, F. Strigini, C. Luchi, A. Giannini, T. SimonciniAbstractUterine anomalies result from the failure of complete fusion of the Müllerian ducts during embryogenesis. A unicornuate uterus with a rudimentary horn is the rarest anomaly and results from the failure of one of the Müllerian ducts to develop completely and an incomplete fusion with the contralateral side.Diagnosis and surgical management of a 5-week ectopic pregnancy in a non-communicating rudimentary horn in an 18-year-old nulli...
Source: Case Reports in Womens Health - November 16, 2018 Category: OBGYN Source Type: research
The diagnostic conundrum of chronic ectopic pregnancy: A case report
Publication date: Available online 9 November 2018Source: Case Reports in Women's HealthAuthor(s): Danielle O'Neill, Rachel Pounds, Josefa Vella, Kavita Singh, Jason YapAbstractChronic ectopic pregnancy (CEP) is a rare condition caused by implantation of trophoblastic tissue in the fallopian tube, which causes protracted tissue destruction at the site of attachment. The process of minor rupture and bleeding results in chronic inflammation, giving rise to a haematocele which often resembles a pelvic mass. Unlike ectopic pregnancy, the level of serum human chorionic gonadotropin (hCG) in patients with CEP is usually low or u...
Source: Case Reports in Womens Health - November 11, 2018 Category: OBGYN Source Type: research
