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Clinical and Experimental Obstetrics & Gynecology

F Chen, H Duan, Y Zhang, Y Liu, X Wang, Y Guo
The authors describe a rare case of a giant nabothian cyst in a 52-year-old woman. The patient had a history of massive abnormal uterine bleeding after heavy physical work. A giant cystic mass, originating from the cervix, was found completely filling the upper third of the vagina. The authors combined hysteroscopy examination with ultrasound to assess the cystic mass' localization, origin, and relationship with other organs. With the tentative diagnosis of a giant nabothian cyst, the patient was treated with a simple cervical incision and local drainage...
2017: Clinical and Experimental Obstetrics & Gynecology
I Tasha, N Lazebnik
Twin reversed arterial perfusion (TRAP) sequence occurs in approximately 1% of monozygotic pregnancies. The proposed pathogenesis is the association of paired artery-to-artery and vein-to-vein anastomoses through the placenta combined with delayed cardiac function of one of the embryos early in pregnancy. Presently the most commonly used technique for TRAP sequence is intrauterine radiofrequency ablation (RFA) of the cord of the recipient twin. This report shares the authors' experience in managing similar cases, the rationale leading to clinical decisions, the timing of the RFA procedure, the potential complications associated with TRAP, and the out-come of these two cases...
2017: Clinical and Experimental Obstetrics & Gynecology
A Kesrouani, I Hatoum, G Dabar, J Choucair, H Jabbour, H Zakaria
The authors report a patient admitted at 12 weeks of pregnancy with an acute infectious syndrome, leading to abortion, sepsis, and multiple organ failure. Admission to intensive care unit (ICU) was needed after curettage for incomplete abortion complicated by uterine atony, hemorrhage, and septic shock. The patient had multiple organ failure and required non-invasive ventilation. Hemoculture showed streptococcus G bacteremia. She had no evidence of concurrent infection, mainly genital or urinary, except amygdalitis few days before...
2017: Clinical and Experimental Obstetrics & Gynecology
A Maharjan, L Yao-Dan, H Li
46,XY pure gonadal dysgenesis (Swyer syndrome) is a rare cause of disorder of sexual development. It is a genetic aberration characterized by a 46,XY karyotype which are phenotypical females, with female genitalia at birth, and normal Müllerian structures. The condition usually becomes apparent first in adolescence with delayed puberty and primary amenorrhea. Herein the authors present the case of a 27-year-old woman with primary amenorrhea and undeveloped breasts. The patient had pure 46,XY gonadal dysgenesis with hypoplastic uterus, estrogen treatment for amenorrhea, and no neoplastic changes on the histopathology report...
2017: Clinical and Experimental Obstetrics & Gynecology
S Esmaeilzadeh, M A Delavar, M G Andarieh
BACKGROUND: Two protocols are generally performed after the following hysteroscopic resection of septate uterus to prevent Asherman's syndrome in Iran. The aim of this study was to assess and compare the postoperative complication rate by alternate and constant therapy following hysteroscopic septum resection procedure. MATERIALS AND METHODS: The authors conducted a retrospective interventional study on secondary data obtained from the medical records of 106 infertile women with septate uterus who underwent a hysteroscopic resection between April 2005 and February 2014...
2017: Clinical and Experimental Obstetrics & Gynecology
C Sofoudis, I Zervomanolakis, I Galani, V Grigoriou, D Botsis, N Vlahos
The incidence of young women diagnosed with cancer has been globally increasing. In many cases the surgical approach followed by chemotherapy, radiotherapy or hormonal therapy could lead to infertility or premature ovarian failure. Several options are available in order to preserve fertility and increase the future gestation rate. Among embryo cryopreservation and oocyte cryopreservation, ovarian tissue cryopreservation represents an ideal option, especially for premenopausal women and for those who cannot delay the start of chemotherapy...
2017: Clinical and Experimental Obstetrics & Gynecology
L Wang, Y Li, X P Zhao, W H Zhang, W Bai, Y G He
Translocation of intrauterine contraceptive device (IUD) from the uterus rarely occurs, which can lead to serious complications. Here the authors reported three cases of IUD migration from into the ureter, bladder, and peritoneal cavity that caused hydronephrosis, respectively. All the three patients received minimally invasive surgeries and recovered.
2017: Clinical and Experimental Obstetrics & Gynecology
K Maeda, T Kaji, S Nakayama, D Nakaoku, M Murakami, A Kondo, M Morine, K Hinokio, M Irahara
CASE REPORT: A 30-year-old Japanese nulliparous woman visited for pregnancy at 33 weeks with a massive ovarian tumor located in the pouch of Douglas. By preoperative screening, her prothrombin time (PT) and activated partial thromboplastin time (APTT) were prolonged, and her FV activity was significantly decreased to 4.8%. After prophylactic FFP 20 ml/kg was administered and her FV factor was 19.3%, cesarean delivery was performed, and her perioperative course was uneventful. One year later, she underwent a dilatation and evacuation because of a missed abortion, although prophylactic FFP was not administered...
2017: Clinical and Experimental Obstetrics & Gynecology
S Pouwels, Y A Dabekausen
Thoracic pain in pregnancy has a broad differential diagnosis. The authors report a young pregnant woman with acute pain in the thoracic region due to a rib fracture after a coughing flare. Physicians must be aware of the broad differential diagnosis (and its clinical consequences) of thoracic pain in pregnancy. Radiographic imaging is not necessary if the clinical signs are obvious. If there is no suspicion for underlying pathology other (expensive) diagnostic tests lose their value. Treatment consists of adequate analgesia and no firther measures need to be taken...
2017: Clinical and Experimental Obstetrics & Gynecology
F Yang, H Hu, P Z He, M Zhang, Y Qian, Y Li
OBJECTIVE: To present a case of severe ovarian hyperstimulation syndrome (OHSS) in a naturally conceived singleton pregnancy after ovulation induction. CASE: A 31-year-old woman with polycystic ovarian syndrome (PCOS) underwent ovulation induction therapy. Six days later, she was admitted to the present hospital with the symptoms of OHSS. Ultrasonography confirmed the single live intrauterine pregnancy, as well as enlarged multicystic ovaries and marked ascites that required abdominal paracentesis...
2017: Clinical and Experimental Obstetrics & Gynecology
M P Biso, P Sala, V G Vellone, G Minetti, C R Gaggero, M Foppiano, E Fulcheri, P De Biasio
PURPOSE OF INVESTIGATION: To propose a multidisciplinary protocol for postmortem disclosure of complex fetal malformations, comparing ultrasound, computed tomography (CT), magnetic resonance imaging (MRI), and autopsy in a case of conjoined ischiopagus twins. MATERIALS AND METHODS: A screening second-trimester ultrasound diagnosed ischiopagus twins at 20 gestational weeks in a 31-year-old woman without any previous ultrasound examination. The couple decided for pregnancy termination...
2017: Clinical and Experimental Obstetrics & Gynecology
H S Moon, K Jeong, S R Lee
INTRODUCTION: Laparo-endoscopic single-incision surgery (LESS) has been developed and gradually adopted for both benign and malignant gynecological procedures. However, LESS has been hindered for use in procedures like myomectomy by limitations in natural architecture and instrumentation, especially in suturing. The da Vinci system features a single-site platform and wristed needle driver, which may help overcome conventional LESS limitations. This case report study describes the feasibility of this robotic single-site (RSS) platform in large myoma cases and offers suggestions...
2017: Clinical and Experimental Obstetrics & Gynecology
P Bakas, I Boutas, M Giner, P Panagopoulos, L Aravantinos
OBJECTIVE: To describe two clinical cases concerning patients at risk of developing severe ovarian hyperstimulation syndrome (OHSS) during in vitro fertilization (IVF) stimulation. DESIGN: Description of clinical management and outcomes of patients using an IVF antagonist rescue protocol to prevent OHSS. SETTING: Reproductive medicine unit, University Hospital. MATERIALS AND METHODS: Two infertile patients undergoing controlled ovarian stimulation (COS) for IVF/intracytoplasmic sperm injection (ICSI) presenting with high risk of OHSS...
2017: Clinical and Experimental Obstetrics & Gynecology
Wen Peng, Yifang Jia
A 38-year-old woman in the 37th week of pregnancy was admitted for acute presentation of severe cough and aggravated dyspnea. She was previously diagnosed with rheumatic heart disease (RHD) at the age of 31. During the present pregnancy, she reported at 37 weeks and had RHD, severe mitral stenosis, secondary pulmonary hypertension, and heart failure. As a consequence, the patient underwent an emergency cesarean section followed by reoperative mitral valve replacement, which was successfully under a cardiopulmonary bypass (CPB)...
2017: Clinical and Experimental Obstetrics & Gynecology
J Markowska, R Madry, B Kasprzak, K Jaszczyńska-Nowinka, R Gryczka, A Marszalek
A case report of a 50-cm diameter and 20-kg mass of benign ovarian tumor. Total abdominal hysterectomy with a bilateral salpingooophorectomy was performed with full patient recovery. Fibrothecomas can remain long asymptomatic and can grow to giant sizes.
2017: Clinical and Experimental Obstetrics & Gynecology
J H Check, A Jaffe
PURPOSE: To determine if dextroamphetamine sulfate could improve symptoms of post-partum depression. MATERIALS AND METHODS: A woman with severe post-partum depression that was resistant to standard antidepressant therapy and psychotherapy was treated with dextroamphetamine sulfate extended release capsules 15 mg/day. RESULTS: A quick and complete abrogation of the depression ensued along with improvement of migraine headaches, insomnia, and chronic fatigue...
2017: Clinical and Experimental Obstetrics & Gynecology
M Zu, W Meng, Q Z Guo, Z Q Liu
This work aimed to analyze the effect of deep infiltrating endometriosis (DIE) in young women. Twenty-seven cases of patients (below 38-years-old) diagnosed with DIE and admitted to the present hospital from January 2008 to July 2014 were reviewed, and their pre- and postoperative states of illness were summarized. The main preoperative symptoms included dysmenorrhea, chronic pelvic pain, dyspareunia, nodule in rectouterine fossa, and reduced level of fertility. All patients underwent surgery (17 laparoscopies and ten laparotomies)...
2017: Clinical and Experimental Obstetrics & Gynecology
G J Cho, K H Ahn, L Y Kim, S Y Hwang, S C Hong, M J Oh, H J Kim
PURPOSE OF INVESTIGATION: The authors aimed to determine the relationship between meteorological variables and hypertension in pregnancy by using data from a national weather database. MATERIALS AND METHODS: For this population-based observational study, the database of the Korea National Health Insurance (KNHI) Claims of the Health Insurance Review and Assessment Service (HIRA) and Korea Meteorological Administration was used. The 48,275 women with preeclampsia among 2,495,383 women who gave birth were included...
2017: Clinical and Experimental Obstetrics & Gynecology
Z M Wang, Q Y Zhu, J F Zhang, J L Wu, R Yang, D M Wang
3ummary Objective: The aim of this study was to investigate the changes and clinical values of platelet parameters in different types of severe preeclampsia (SP). MATERIALS AND METHODS: The pregnant women with SP or normal conditions were selected for the study, the platelet count (PLT), mean platelet volume (MPV), platelet distribution width (PDW). and plateletcrit (PCT) were tested every four weeks, starting from 12(+1) to 16 gestational weeks, to compare the difference in platelet parameters between SP and normal pregnant women...
2017: Clinical and Experimental Obstetrics & Gynecology
F Y Azizieh, R Raghupathy
PURPOSE OF INVESTIGATION: Successful pregnancy depends on the ability of the mother's immune system to undergo a process of immunoregulation in order to tolerate the fetus, and also to create and sustain a nurturing environment during all the stages of pregnancy. Several reports point to interleukin 10 (IL-10) as being vital for normal pregnancy, and low IL-10 levels as being associated with preg- nancy complications. This study aimed to compare IL-10 levels in normal and complicated pregnancy conditions...
2017: Clinical and Experimental Obstetrics & Gynecology
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