Phenotypic variations in X chromosome mutations: Two case reports
We present two cases of partial X chromosome deletions that do not reflect the typical phenotype of TS.Patient 1 presented at age 17 with primary amenorrhea, cognitive delay and tall stature. Patient 2 presented at age 16 with primary amenorrhea, normal intelligence and average stature.Patient 1's karyotype revealed isodicentric X chromosome [46 X, idic(X)(q21)]. Patient 2's karyotype revealed [46 X,del(X)(q13.3)]. The stature of these patients was not affected. Estrogen therapy was required to provide secondary sexual changes promote bone health.Advances in technology and reproductive health provide an opportunity to make...
Source: Case Reports in Womens Health - November 8, 2018 Category: OBGYN Source Type: research
Letter to the Editor: Metal hypersensitivity reactions in the context of Essure™
Publication date: Available online 30 October 2018Source: Case Reports in Women's HealthAuthor(s): Kory Markel, Bruce Brod, Sharon E. Jacob (Source: Case Reports in Womens Health)
Source: Case Reports in Womens Health - October 31, 2018 Category: OBGYN Source Type: research
Twin pregnancy complicated by total placenta previa in a Fontan-palliated patient: A case report
We present a case of a twin pregnancy in a Fontan-palliated woman that was complicated by total placenta previa. The patient was diagnosed with tricuspid atresia type II, and underwent the Fontan operation at 11 years of age. At 32 years of age, she was shown to have a dichorionic diamniotic twin pregnancy. A placenta previa was also noted. At 26 weeks' gestation, she had difficulty breathing, cardiomegaly, and worsening mitral regurgitation. At 29 weeks' gestation, an emergency cesarean section was performed, as the patient had massive genital bleeding. A postoperative cardiac catheterization demonstrated a leak f...
Source: Case Reports in Womens Health - October 26, 2018 Category: OBGYN Source Type: research
Postpartum nephrotic syndrome related to new onset of systemic lupus erythematosus: A case report
We present the case of a 34-year-old woman (gravida 2, para 1) who underwent a lower-segment cesarean section at 34 weeks and 6 days of gestation because she had developed preeclampsia and nephrotic syndrome. The concomitant presence of significant hypoproteinemia, hypoalbuminemia, uremia, elevated creatinine serum levels, hyperuricemia and hypertriglyceridemia is indicative of impaired renal function and nephrotic syndrome. This woman was diagnosed with systemic lupus erythematosus nephritis. It is imperative for clinicians to investigate the exact pathophysiological causes of nephrotic syndrome with onset in the puer...
Source: Case Reports in Womens Health - October 16, 2018 Category: OBGYN Source Type: research
Malignant Brenner tumor: Two case reports
We report two cases of ovarian MBT, detailing the clinical presentation, radiographic characteristics, and histologic findings with supplementary imaging. Our cases demonstrate the pathologic challenge of histologically diagnosing MBT versus other Brenner tumors and transitional cell carcinoma (TCC) of the ovary. (Source: Case Reports in Womens Health)
Source: Case Reports in Womens Health - October 13, 2018 Category: OBGYN Source Type: research
Fetal hyperthyroidism associated with maternal thyroid autoantibodies: A case report
Publication date: October 2018Source: Case Reports in Women's Health, Volume 20Author(s): Paraskevi Kazakou, Marianna Theodora, Christina Kanaka-Gantenbein, Evangelia Zapanti, Helen Bouza, Chrysa Petropoulou, George Daskalakis, Stavroula A. Paschou, Eleni AnastasiouAbstractA 33-year-old Caucasian woman was referred at 24 + 3 weeks of gestation due to fetal tachycardia and hydrops. She had an uncomplicated pregnancy 16 years previously and was on levothyroxine after total thyroidectomy for Graves' disease 6 years previously, when she developed moderate exophthalmos. Laboratory evaluation revealed appropriate thyroid...
Source: Case Reports in Womens Health - October 5, 2018 Category: OBGYN Source Type: research
Sexually acquired acute hepatitis C infection diagnosed during pregnancy: a case report of successful postpartum treatment
ConclusionWith the rise in HCV infection among pregnant patients, physicians should be diligent in assessing pregnant women and their partners for HCV risk factors, testing for HCV when risk is identified, and arranging follow-up testing and treatment for HCV-positive mothers and their infants. (Source: Case Reports in Womens Health)
Source: Case Reports in Womens Health - September 20, 2018 Category: OBGYN Source Type: research
Vulvodynia: A disease commonly hidden in plain sight
Publication date: Available online 12 September 2018Source: Case Reports in Women's HealthAuthor(s): Pedro Vieira-Baptista, Joana Lima-Silva, Faustino R. Pérez-López, Mario Preti, Jacob Bornstein (Source: Case Reports in Womens Health)
Source: Case Reports in Womens Health - September 13, 2018 Category: OBGYN Source Type: research
Uterine choriocarcinoma diagnosed 11 years after menopause: A case report
ConclusionThis case report highlights that choriocarcinoma, a tumor normally associated with pregnancy, can present after the menopause. (Source: Case Reports in Womens Health)
Source: Case Reports in Womens Health - September 11, 2018 Category: OBGYN Source Type: research
Hydrosalpinx with acute abdominal pain during the third trimester of pregnancy: A case report
ConclusionHydrosalpinx should be considered as one of the differential diagnoses for acute abdomen during pregnancy. A multidisciplinary approach is recommended, with a careful work-up, due to the risks to both fetus and mother. (Source: Case Reports in Womens Health)
Source: Case Reports in Womens Health - September 8, 2018 Category: OBGYN Source Type: research
Ovarian necrosis due to S. pyogenes septic thrombophlebitis: A case report
We report the case of a 24-year-old woman admitted to the emergency department for evaluation. She had acute abdominal pain and fever 18 h after insertion of a levonorgestrel intrauterine device (IUD).She had a normal vaginal delivery 45 days earlier, and no other significant medical background. In a few hours the symptoms worsened, with rapid progression towards multiorgan failure. Differential diagnoses of late ovarian thrombophlebitis and ovarian torsion were considered. Laparoscopic surgery revealed the absence of ovarian torsion. The microbiologic culture of the IUD showed colonization by GAS.The sudden onset of s...
Source: Case Reports in Womens Health - September 8, 2018 Category: OBGYN Source Type: research
Delayed systemic allergic dermatitis following Essure insert: A case report
We present a case of a 41-year-old woman who reported a delayed systemic allergic reaction to the Essure. This is the fourth such case to be reported in the literature.Four years after Essure insertion, the patient developed systemic contact dermatitis secondary to the nickel component. The Essure was suspected as the cause after a positive allergy-patch test result for nickel. An initial laparoscopic bilateral salpingectomy did not improve her symptoms (likely due to retained microfilament), but a subsequent hysterectomy resulted in complete resolution of symptoms.Nickel allergy is a rare but serious complication of the E...
Source: Case Reports in Womens Health - August 31, 2018 Category: OBGYN Source Type: research
Pregnancy in a woman with recurrent immunoglobulin a nephropathy: A case report
This report aims to provide clinicians with useful information for the management of patients with IgAN during pregnancy. (Source: Case Reports in Womens Health)
Source: Case Reports in Womens Health - August 23, 2018 Category: OBGYN Source Type: research
Hyperreactio luteinalis in a monochorionic twin pregnancy complicated by preeclampsia: A case report
We present a case of a 30-year-old woman with a spontaneous monochorionic diamniotic twin pregnancy who presented with early-onset preeclampsia, concern about possible twin-twin transfusion syndrome, and bilateral enlarged ovarian masses. Both ovaries had multiple thin-walled unilocular cysts; one ovary measured 17.9 × 17.5 × 9.1 cm and the other 12.5 × 11 × 12.3 cm. After extensive counseling, the patient underwent an uncomplicated dilation and evacuation. Postoperative assessment indicated elevated androgen levels, which spontaneously resolved, supporting the clinical diagnosis of HL. It is import...
Source: Case Reports in Womens Health - August 10, 2018 Category: OBGYN Source Type: research
Advanced gestational trophoblastic disease: A case report of medical management prior to surgical intervention
ConclusionAdvanced GTD is rare. Undetected GTD can result in complications such as thyrotoxicosis, which poses substantial risks in the peri-operative period. Appropriate identification and management of this clinical problem are essential to prevent complications as well as subsequent malignant sequelae. (Source: Case Reports in Womens Health)
Source: Case Reports in Womens Health - August 1, 2018 Category: OBGYN Source Type: research
