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Journal of Pediatric and Adolescent Gynecology

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https://www.readbyqxmd.com/read/28928051/letter-to-the-editor
#1
LETTER
F Mitchell
No abstract text is available yet for this article.
September 16, 2017: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/28923750/surgical-decision-making-in-pediatric-and-adolescent-gynecology-just-because-you-can-doesn-t-mean-you-should
#2
EDITORIAL
Paula J Adams Hillard
No abstract text is available yet for this article.
September 15, 2017: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/28919148/creation-and-dissemination-of-a-multispecialty-gme-curriculum-in-pediatric-and-adolescent-gynecology-the-naspag-resident-education-committee-experiences
#3
Carol Wheeler, K J Browner-Elhanan, Yolanda Evans, Nathalie Fleming, Patricia S Huguelet, Nicole W Karjane, Meredith Loveless, Hina J Talib, Paritosh Kaul
OBJECTIVE: The goal was to develop a multispecialty committee to address deficiencies in pediatric and adolescent gynecology resident education through curricular development under the auspices of the North American Society for Pediatric and Adolescent Gynecology. DESIGN: A multispecialty North American committee was organized to develop both short and long curricula in pediatric and adolescent gynecology (PAG) through a combination of conference calls and face-to-face meetings...
September 14, 2017: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/28919147/pediatric-resident-training-in-prepubertal-vulvar-conditions
#4
Monica Rosen, Veronica I Alaniz, Emily K Kobernik, Stephanie Booms, Yolanda R Smith, Elisabeth H Quint
STUDY OBJECTIVE: To assess pediatric resident training in diagnosing and managing prepubertal gynecologic conditions. DESIGN: Voluntary 32-question survey emailed to participants. SETTING: Email contact through the American Academy of Pediatrics listserve. PARTICIPANTS: 7075 U.S. pediatrics and combined internal medicine-pediatric residents. INTERVENTIONS: Descriptive analysis including Chi-square tests was performed on survey results...
September 14, 2017: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/28919146/m%C3%A3-llerian-agenesis-in-cat-eye-syndrome-and-22q11-chromosome-abnormalities-a-case-report-and-literature-review
#5
Abdulmajeed AlSubaihin, John VanderMeulen, Kate Harris, John Duck, Elizabeth McCready
BACKGROUND: Although Müllerian agenesis is the second most common cause of primary amenorrhea the underlying etiology in the majority of cases is unknown. Müllerian agenesis has been reported as a rare finding associated with chromosomal aberrations of the 22q11 chromosomal region including at least one individual with cat eye syndrome (CES) and 10 individuals with deletions or duplications of the 22q11.2 region. However, a potential link between 22q11 abnormalities and uterine malformations has been difficult to adequately ascertain given the limited case reports in the literature...
September 14, 2017: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/28919145/outcomes-of-therapy-for-vulvar-manifestation-of-inflammatory-bowel-disease-in-adolescents
#6
Katherine E Debiec, Scott D Lee, Ghassan T Wahbeh, Anne-Marie Amies Oelschlager
BACKGROUND: Vulvar manifestations of inflammatory bowel disease (IBD) are variable in presentation and challenging to treat. We describe vulvar manifestations and treatment response in adolescent females with IBD. CASES: We identified six patients with vulvar manifestations of IBD and documented treatments by retrospective chart review. Vulvar symptoms occurred without gastrointestinal (GI) symptoms in one patient. For the remaining five patients, two had GI symptoms prior to the onset of vulvar symptoms (mean time difference 4...
September 14, 2017: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/28899828/borderline-ovarian-tumor-in-the-pediatric-and-adolescent-population-a-case-series-and-literature-review
#7
Krista J Childress, Ninad Mohan Patil, Jodi A Muscal, Jennifer E Dietrich, Rajkumar Venkatramani
STUDY OBJECTIVE: To determine the diagnosis, management, and outcome for children and adolescents with borderline ovarian tumor (BOT), To provide a review of the literature on BOT in children and adolescents. DESIGN: A retrospective cohort study of females under age 21 diagnosed with BOT between January 2001 and May 2016. SETTING: Texas Children's Hospital, Houston, Texas PARTICIPANTS: Fourteen patients (ages 12 to 18) diagnosed with BOT. MAIN OUTCOME MEASURES: Clinical presentation, pre-operative characteristics, surgical technique, cancer stage, histology, treatment, recurrence...
September 9, 2017: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/28847757/creation-of-a-composite-score-to-predict-adnexal-torsion-in-children-and-adolescents
#8
Beth I Schwartz, Jill S Huppert, Chen Chen, Bin Huang, Jennifer L Reed
STUDY OBJECTIVE: To create a composite score to predict adnexal torsion in children and adolescents. DESIGN: A prospective cross-sectional study. SETTING: Emergency department (ED) of a tertiary care children's hospital. PARTICIPANTS: 324 females aged 6-21 years who presented to the ED with lower abdominal pain and underwent ultrasound or computed tomography imaging. INTERVENTIONS: Collection of possible clinical and radiologic predictors of torsion...
August 25, 2017: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/28838865/microperforate-hymen-and-pyocolpos-a-case-report-and-review-of-the-literature
#9
Stephanie C Tardieu, Heather Appelbaum
BACKGROUND: Microperforate hymen (MH) is a rare congenital anomaly characterized by a small pinpoint opening in the hymen; girls with this anomaly are prone to develop ascending pelvic infections and recurrent urinary tract infections. CASE: We report the case of a 3-year-old girl who presented with fevers, abdominal pain, recurrent vaginitis and dysuria. She was found to have a MH and pyocolpos. She was treated with IV antibiotics and underwent hymenotomy and drainage of 150cc of purulent fluid...
August 21, 2017: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/28838864/pelvic-abscess-secondary-to-mycoplasma-hominis-following-vaginal-laceration
#10
Vini Vijayan, Gail L Woods, Dale R Donnell, José R Romero
BACKGROUND: Mycoplasma hominis frequently colonizes the urogenital and respiratory tracts of healthy individuals. It has also been associated with genitourinary tract and extra-genital syndromes. CASE: We present a 14-year-old girl who developed a pelvic abscess secondary to M. hominis following a vaginal laceration during sexual intercourse. Despite drainage and broad spectrum antimicrobial therapy, the patient remained symptomatic until M. hominis was identified and specific therapy instituted...
August 21, 2017: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/28838863/case-report-vulvar-arteriovenous-malformation-in-a-16-year-old-girl
#11
L Vienet-Legué, B Hersant, A Bissdorf, A Aymard, C Owen, C Théodore, B J Paniel, B Haddad, C Touboul
BACKGROUND: Congenital arteriovenous malformations (AVM) are infrequent but represent a serious medical challenge due to their unpredictable progression and high hemodynamic activity. CASE: We report the treatment of a voluminous vulvar AVM in a 16-year-old girl. After failure of medical therapy, we performed a radical surgical resection with preliminary embolization and flap reconstruction. SUMMARY AND CONCLUSION: A multidisciplinary approach is required for AVM management...
August 21, 2017: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/28818586/a-rare-presentation-of-the-syndrome-of-inappropriate-antidiuretic-hormone-in-a-12-year-old-female-as-the-initial-presentation-of-an-immature-ovarian-teratoma
#12
Anoop Mohamed Iqbal, W Frederick Schwenk
BACKGROUND: Immature ovarian teratoma is very rare in childhood. We are reporting 12 yo female with immature ovarian teratoma who presented initially with syndrome of inappropriate antidiuretic hormone. CASE: A 12 yo female presented with acute abdomen and distention. Initial laboratory tests showed hyponatremia (sodium -123 mmol/L), that did not respond to fluid management. Computerized tomography showed a 15 cm x 9 cm x 20 cm mass in the right ovary with multifocal internal fat, and dystrophic calcifications...
August 14, 2017: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/28807736/uterine-didelphys-with-bilateral-cervical-agenesis-in-a-15-year-old-female
#13
Kate C Arnold, Theresa C Thai, LaTasha B Craig
BACKGROUND: Isolated uterine didelphys requires no treatment in contrast to cervical agenesis, which requires a hysterectomy. Given this, correct diagnosis of Müllerian anomalies is paramount for making recommendations for patient care. CASE: A 15-year-old presented to clinic with pelvic pain and primary amenorrhea. Uterine didelphys with bilateral cervical agenesis was diagnosed by imaging. Hysterectomy was recommended and diagnosis was confirmed at surgery and by anatomic pathology...
August 11, 2017: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/28807735/impact-of-parent-daughter-communication-about-sex-on-the-use-of-less-effective-contraception-among-women-from-15-to-24-years-old-in-france
#14
Solène Vigoureux, Nathalie Bajos, Virginie Ringa
STUDY OBJECTIVE: Most women begin sexual activity as teenagers but nearly 20% of women in France younger than 25 years rely on less effective contraceptive methods (condoms or methods such as withdrawal or periodic abstinence). We sought to analyze the association with less effective contraception among women aged 15-24 years in France and communication about sex and contraception with their parents. DESIGN, SETTING, PARTICIPANTS, INTERVENTIONS AND MAIN OUTCOME MEASURES: The analyses focused on 713 sexually active women who did not currently want a child, were using contraception, and were interviewed in 2010 in a national cross-sectional probability survey (FECOND) when they were 15-24 years old...
August 11, 2017: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/28826904/providers-experiences-with-vaginal-dilator-training-for-patients-with-vaginal-agenesis
#15
V Patel, J Hakim, V Gomez-Lobo, A Amies Oelschlager
STUDY OBJECTIVE: To examine providers' experiences with vaginal dilator training for patients with vaginal agenesis DESIGN: Anonymous electronic survey PARTICIPANTS: Members of the North American Society of Pediatric Adolescent Gynecology (NASPAG) MAIN OUTCOME MEASURES: How providers learn about vaginal dilator training, common techniques and methods used for patient training, assessment of patient readiness, common patient complaints, issues leading to early discontinuation. RESULTS: There were a total of 55 completed survey responses in which 31 respondents (56%) had been in practice for more than 10 years...
August 4, 2017: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/28782660/evaluation-and-management-of-primary-ovarian-insufficiency-in-adolescents-and-young-adults
#16
Rula V Kanj, Nana Ama Ofei-Tenkorang, Mekibib Altaye, Catherine M Gordon
STUDY OBJECTIVE: To identify clinical features associated with primary ovarian insufficiency (POI) and collect data on the evaluation and treatment received. DESIGN: Retrospective chart review. Data abstracted on etiology of POI, history, laboratory evaluation, imaging results, return for clinical care, and treatment plans. SETTING: Urban children's hospital in Cincinnati, Ohio. PARTICIPANT: s: 50 females, age 11-26 years, with initial presentation of POI between January 1, 2006-December 31, 2015...
August 3, 2017: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/28782659/serum-25-hydroxy-vitamin-d-levels-in-turkish-adolescent-girls-with-polycystic-ovary-syndrome-and-the-correlation-with-clinical-biochemical-parameters
#17
Esra Isci Bostanci, Sibel Ozler, Nafiye Karakas Yilmaz, Huseyin Yesilyurt
OBJECTIVE: Polycystic ovary syndrome (PCOS) is a common endocrinopathy among the female adolescents and young women. The aim of this study is to investigate the relationship between serum 25-hydroxy vitamin D (serum 25(OH) D) levels and metabolic parameters and other characteristics of the PCOS and non-PCOS adolescents. DESIGN: Case-control study. PARTICIPANTS: We analyzed 31 girls with PCOS as defined with the Rotterdam criteria and 35 girls were non-PCOS controls...
August 3, 2017: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/28782658/patterns-of-treatment-of-accidental-genital-trauma-in-girls
#18
Tazim Dowlut-McElroy, Jeanette Higgins, Karen B Williams, Julie L Strickland
STUDY OBJECTIVE: To evaluate the characteristics of girls with accidental genital trauma (AGT) who can be managed in the emergency department (ED) versus the operating suite (OS). DESIGN: Retrospective cohort. SETTING: ED at a children's hospital in a metropolitan area. PARTICIPANTS: Girls aged 0 to 18 years with AGT. MAIN OUTCOME MEASURES: Factors associated with need for evaluation and repair of AGT in the OS...
August 3, 2017: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/28760398/symptomatic-clitoromegaly-case-report-of-a-clitoral-hemangioma
#19
Chandler A Kasuske, Keith A Hansen
BACKGROUND: Clitoromegaly is often a sign of an underlying disorder of sexual development. Isolated clitoromegaly may occur as a result of benign or malignant neoplasm. CASE: A 10-year-old female presented with clitoral swelling and discomfort and was noted to have a 5X2X2 centimeter, tender, cystic mass in the left periclitoral area. Ultrasound confirmed the primarily cystic nature of the lesion. At surgery the mass was carefully excised not damaging the clitoral neurovascular bundle...
July 28, 2017: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/28760397/use-of-3-d-mri-to-diagnose-unilateral-cervical-atresia-in-obstructive-hemivagina-with-ipsilateral-renal-anomaly-ohvira-a-case-report-and-review-of-the-literature
#20
Kristl Tomlin, Craig Barnes, Kathy Van Leeuwen, Amy Williamson
BACKGROUND: Congenital atresia of the cervix in the setting of an obstructed hemivagina with ipsilateral renal anomaly (OHVIRA) is an unusual occurrence which is frequently missed by preoperative imaging modalities. CASE: A 14 year-old adolescent female presented to a tertiary-care facility with abdominal pain associated with a mass. Initial imaging with ultrasound and MRI (magnetic resonance imaging) suggested OHVIRA but a 3-D MRI also correctly identified unilateral cervical atresia on the obstructed left side...
July 28, 2017: Journal of Pediatric and Adolescent Gynecology
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