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Case Reports in Obstetrics and Gynecology

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https://www.readbyqxmd.com/read/30425870/uterine-prolapse-in-pregnancy-two-cases-report-and-literature-review
#1
Chunyan Zeng, Feng Yang, Chunhua Wu, Junlin Zhu, Xiaoming Guan, Juan Liu
Uterine prolapse complicating pregnancy is rare. Two cases are presented here: one patient had uterine prolapse at both her second and third pregnancy, and the other developed only once prolapse during pregnancy. This report will analyze etiology, clinical characteristics, complication, and treatment of uterine prolapse in pregnancy. Routine gynecologic examination should be carried out during pregnancy. If uterine prolapse occurred, conservative treatment could be used to prolong the gestational period as far as possible...
2018: Case Reports in Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30420929/selective-reduction-of-a-heterotopic-cesarean-scar-pregnancy-complicated-by-septic-abortion
#2
Joan Tymon-Rosario, Meleen Chuang
Background: Heterotopic pregnancy involving the implantation of an ectopic pregnancy into a prior cesarean scar with a concurrent intrauterine pregnancy is a rare and potentially life-threatening condition with minimal information in the literature to guide treatment and management options. Case: A 40-year-old G5P3103 at 12 weeks and 3 days with a history of two cesarean deliveries was diagnosed with a live heterotopic pregnancy containing a cesarean scar ectopic and an intrauterine pregnancy...
2018: Case Reports in Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30410807/spontaneous-ovarian-hyperstimulation-syndrome-with-fsh-receptor-gene-mutation-two-rare-case-reports
#3
Emsal Pinar Topdagi Yilmaz, Omer Erkan Yapca, Yunus Emre Topdagi, Seray Kaya Topdagi, Yakup Kumtepe
Development of ovarian hyperstimulation syndrome (OHSS) is very rare in a spontaneous ovulatory cycle and it is usually seen during pregnancy. In the etiology of OHSS, higher hCG (molar pregnancies or multiple pregnancies) and thyroid-stimulating hormone (TSH) levels have been accused. In recent years, some follicle-stimulating hormone (FSH) receptor (FSHR) gene mutations have been described in patients with OHSS in the first trimester with normal hCG levels. Herein, we report two cases of FSHR gene mutation during the investigation of the etiology of spontaneous OHSS...
2018: Case Reports in Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30410806/interstitial-pregnancy-from-medical-to-surgical-approach-report-of-three-cases
#4
L Di Tizio, M R Spina, S Gustapane, F D'Antonio, M Liberati
Background: Interstitial pregnancy is a rare form of ectopic pregnancy that usually leads to uterine rupture resulting in sudden life-threatening haemorrhage, need for blood transfusion, and admission to intensive care unit. Mortality rate is 6-7 times higher than that in classical ectopic pregnancy. Uterine rupture has been typically reported to occur at more advanced gestational ages compared to tubal pregnancy although several recent reports have shown a high risk of rupture before 12 weeks of gestation...
2018: Case Reports in Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30405926/conservative-management-of-abnormally-invasive-placenta-previa-after-midtrimester-foetal-demise
#5
A MacGibbon, Y M Ius
We present the case of a midtrimester intrauterine foetal demise (IUFD) in the context of abnormally invasive placentation. This was a grade 4 placenta previa with placenta increta in a patient requesting fertility conservation and was managed conservatively without immediate surgical intervention. The patient spontaneously delivered the fetus after 33 days, followed by a large obstetric haemorrhage requiring immediate laparotomy and hysterotomy. Her uterus was preserved and she went on to recover without further significant complication...
2018: Case Reports in Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30405925/acute-abdomen-due-to-mutual-tangle-of-two-small-paratubal-cysts
#6
Hiroharu Kobayashi, Shinichi Shibuya, Kentaro Iga, Keiichiro Kato, Airi Kato, Shuhei Terada, Hiroshi Adachi
A 30-year-old woman (gravida 0) visited our hospital with a complaint of right lower abdominal pain. Transvaginal ultrasonography revealed a 5-cm swollen right ovary, which was suspected to be a mature cystic teratoma. Pelvic examination revealed moderate pain. Contrast-enhanced computed tomography showed a 44-mm cystic mass containing fat and calcified material in the right pelvis. Since torsion was suspected, emergent laparoscopic surgery was performed. Intraoperative findings were a swollen right ovary without torsion or congestion...
2018: Case Reports in Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30402312/spontaneous-massive-vulvar-edema-in-pregnancy-a-case-report
#7
Olivier Mulisya, Mbusa Mastaki, Tambavira Gertrude, Kyakimwa Tasi, Jeff K Mathe
Spontaneous massive vulvar edema in pregnancy is unusual and a cause for concern. This condition should be taken seriously since it might be caused by some conditions such as preeclampsia, diabetes, vulvovaginitis, severe anemia, and neoplasms. We report a case of massive vulvar edema in a 15-year-old primigravida following tocolysis therapy at 33 weeks of gestation. Other causes of vulvar edema were excluded. The vulvar edema appeared spontaneously after tocolysis and rapidly increased in size, associated with severe vulvar pains...
2018: Case Reports in Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30402311/thrombophlebitis-of-the-right-renal-capsular-vein-during-the-early-postpartum-period
#8
Koji Nakamura, Kensuke Nakanishi, Satoshi Kubota, Ryoko Takahashi, Mari Tomiie, Akihiro Moriyama
Venous thrombophlebitis is an uncommon cause of fever and lower abdominal pain during the early postpartum period. It mostly occurs in the right ovarian vein, and computed tomography (CT) is useful for diagnosis. We present a case of thrombophlebitis of the renal capsular vein. A 27-year-old postpartum woman presented with right lower abdominal pain and fever unresponsive to antibiotics. Contrast CT showed a ring-enhancing mass in the right retroperitoneum, which was distinct from the right ovarian vein. Exploratory laparoscopy revealed a retroperitoneal hematoma and normal appendix...
2018: Case Reports in Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30386663/epithelial-ovarian-carcinoma-associated-with-metastases-to-central-nervous-system-two-case-reports
#9
Yasuyuki Kawagoe, Tetsuo Nakayama, Satoshi Matuzawa, Kazuko Fukushima, Junji Onishi, Yuichiro Sato, Kimihiro Nagai, Hiroshi Sameshima
We experienced two rare cases of metastases to the central nervous system (cerebral and leptomeningeal metastases) from primary epithelial ovarian carcinoma. The first case was a 55-year-old woman who developed carcinomatous meningitis while on chemotherapy for ovarian cancer stage IIIC. Cytological analysis confirmed carcinomatous cells of ovarian origin in the cerebrospinal fluid. Magnetic resonance imaging demonstrated abnormal hyperintensity in the cerebral sulci on fluid attenuated inversion recovery (FLAIR) sequence with enhanced gadolinium indicating leptomeningeal metastases...
2018: Case Reports in Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30364009/induction-of-labour-in-advanced-abdominal-pregnancy-with-fetal-demise-due-to-cord-round-neck-a-case-report-of-a-missed-diagnosis
#10
Ascensius Achuo Mforteh, Collince Tchakounte, Carlson-Babila Sama, Stephane Eteme-Messi, Willy Djiognouo, Sama Dohbit, Pascal Foumane
Background: There are increasing reports of term live abdominal pregnancies even though the diagnosis of abdominal pregnancy is made preoperatively only in 45% of cases which partly explains the high maternal and perinatal morbidity and mortality associated with abdominal pregnancy. Case Report: We report a rare case of misdiagnosed term abdominal pregnancy complicated by fetal demise due to cord round neck in a 29-year-old G3P2002 at 39-week and 1-day gestation...
2018: Case Reports in Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30363971/postpartum-methicillin-resistant-staphylococcus-aureus-toxic-shock-syndrome-caused-by-a-perineal-infection
#11
Yoko Deguchi, Yuko Horiuchi, Kensaku Shojima, Naoyuki Iwahashi, Miwa Ikejima, Kazuhiko Ino, Kenichi Furukawa
Although toxic shock syndrome (TSS) is rare, multiorgan failure can occur without early identification and appropriate therapy. In particular, a few cases of postpartum TSS due to methicillin-resistant Staphylococcus aureus (MRSA) have been reported. Here, we describe a rare case in which a 32-year-old Japanese woman had TSS due to MRSA that was caused by a perineal infection after a normal vaginal delivery. Twelve days after giving birth to a healthy child, she was readmitted to our hospital due to a 2-day fever and perineal pain without uterine tenderness...
2018: Case Reports in Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30356406/pregnancy-complicated-by-maternal-mody-3-and-paternal-mody-2-diabetes-and-subsequent-rapidly-falling-insulin-requirement
#12
Anastasia Mikuscheva, Adel Mekhail, Benjamin J Wheeler
Background . 'Maturity-Onset Diabetes of the Young' (MODY) or monogenic diabetes accounts for approximately 1-2% of diabetes and is frequently misdiagnosed as type 1 or type 2 diabetes. Here we report a case of a 19-year-old pregnant woman with a MODY 3 diabetes expecting a child to a father with MODY 2 diabetes. Possible inheritance scenarios are described and the implications of these scenarios on the pregnancy and infant are discussed. In addition, the pregnancy was complicated by drastically falling insulin requirements in the mother in the 3rd trimester as well as preterm labour and delivery at 33+4 weeks of gestation...
2018: Case Reports in Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30356399/sertoli-leydig-cell-tumour-and-dicer1-mutation-a-case-report-and-review-of-the-literature
#13
B Wormald, S Elorbany, H Hanson, J W Williams, S Heenan, D P J Barton
Sertoli-Leydig cell tumours of the ovary (SLCT) are rare tumours predominantly caused by mutations in the DICER1 gene. We present a patient with a unilateral SLCT who had an underlying germline DICER1 gene mutation. We discuss the underlying pathology, risks, and screening opportunities available to those with a mutation in this gene as SLCT is only one of a multitude of other tumours encompassing DICER1 syndrome. The condition is inherited in an autosomal dominant fashion. As such, genetic counselling is a key component of the management of women with SLCT...
2018: Case Reports in Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30356358/two-cases-of-dedifferentiated-endometrioid-carcinoma-case-presentation-and-brief-review-of-the-literature
#14
Sachiko Morioka, Yasuhito Tanase, Ryuji Kawaguchi, Tomoko Uchiyama, Hiroshi Kobayash
Endometrioid carcinoma is the most common histological type of uterine endometrial cancer and particularly dedifferentiated endometrioid carcinomas (DEC) are less commonly observed. Silva et al. reported the biological features of UC based on the undifferentiated component of DEC, although the component represented only 20% of undifferentiated carcinoma. In this study, we report two cases of DEC with different presentation. Case 2 presented with the invasion to the bladder, rectum, and LN metastases. In contrast, the tumor in case 1 advanced into the endometrial cavity, similar to an endometrial polyp, without myometrial invasion...
2018: Case Reports in Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30327737/asymptomatic-bacteriuria-in-pregnancy-complicated-by-pyelonephritis-requiring-nephrectomy
#15
Sharon J Kim, Pavan Parikh, Amanda N King, Mary L Marnach
Routine prenatal care in the United States includes screening for asymptomatic bacteriuria (ASB), which occurs in 2 to 7 percent of pregnant women and can cause urinary tract infection and pyelonephritis. We present the case of a pregnant woman affected by multidrug resistant Klebsiella induced ASB during her prenatal screen, which was untreated due to a repeat urine culture showing mixed flora; subsequently, the patient's postpartum course was complicated by pyelonephritis and perinephric abscess, concluding in a radical nephrectomy...
2018: Case Reports in Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30319826/chronic-myeloid-leukemia-and-cesarean-section-the-anesthesiologist-s-point-of-view
#16
Houssam Rebahi, Mourad Ait Sliman, Ahmed-Rhassane El Adib
Background: Chronic Myeloid Leukemia (CML) is a myeloproliferative neoplasm related to chromosomal reciprocal translocation t(9;22). Tyrosine kinase inhibitors (TKIs) such as imatinib have drastically revolutionized the course and the prognosis of this hematologic malignancy. As we know, the association pregnancy-CML is an infrequent situation. Also the use of TKI in pregnant women is unsafe with a lack of alternatives and effective therapeutic options. Thus its cessation during gestation puts those patients at high risk of developing blast crisis characterized by poor outcomes...
2018: Case Reports in Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30319825/severe-preeclampsia-antiphospholipid-syndrome-and-ulnar-artery-thrombosis-in-a-teenage-pregnancy-a-rare-association
#17
M Patabendige, G Barnasuriya, I Mampitiya
Antiphospholipid syndrome (APS) is associated with vascular thrombosis and pregnancy complications. It causes recurrent miscarriage and it is associated with other adverse pregnancy outcomes such as preterm delivery, intrauterine growth restriction, preeclampsia, and HELLP syndrome. Obstetric morbidity is one of the major manifestations of APS with a wide variety of clinical manifestations. This case describes a case of a severe preeclampsia in a 16-year-old primigravida at 29 weeks resulting in a caesarean delivery and subsequent finding of an ulnar artery thrombosis in postpartum period...
2018: Case Reports in Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30305971/recurrent-nausea-and-vomiting-in-a-pregnant-woman-with-chronic-marijuana-use
#18
Hyunyoung G Kim, Jeremiah Moon, Heather Dixon, Paul Tullar
Background: Cannabinoid hyperemesis syndrome is a condition characterized by chronic cannabis use and cyclic episodes of nausea, vomiting, and abdominal pain, relieved by compulsive bathing. The syndrome is likely to be underdiagnosed in pregnant women due to its similarity with hyperemesis gravidarum in the presentation. Case: We report a 20-year-old pregnant woman with multiple admissions for recurrent nausea and vomiting who was observed to be taking frequent hot showers...
2018: Case Reports in Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30302296/a-case-of-intrathoracic-gastric-duplication-cyst-detected-on-prenatal-ultrasound-examination
#19
Hisako Yagi, Yoshino Kinjyo, Yukiko Chinen, Hayase Nitta, Tadatsugu Kinjo, Keiko Mekaru, Hitoshi Masamoto, Hideki Goya, Tomohide Yoshida, Naoya Sanabe, Yoichi Aoki
A 37-year-old (G4P3) woman was referred to our hospital at 32 weeks of gestation for the evaluation of a fetus with an intrathoracic cystic lesion. Ultrasonography and magnetic resonance imaging revealed that a fetal cystic lesion without a mucosal layer was located in the posterior mediastinum. These findings were consistent with a bronchogenic cyst. At 38 3/7 weeks of gestation, an elective cesarean section was performed because of her previous cesarean section. A female neonate without any external anomalies, weighing 2,442 g, with Apgar scores of 8 and 9, and requiring no resuscitation was born...
2018: Case Reports in Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30298111/changes-in-intra-amniotic-fetal-intrathoracic-and-intraperitoneal-pressures-with-uterine-contraction-a-report-of-three-cases
#20
Daisuke Katsura, Yuichiro Takahashi, Shigenori Iwagaki, Rika Chiaki, Kazuhiko Asai, Masako Koike, Shunsuke Yasumi, Madoka Furuhashi
Intra-amniotic, fetal intrathoracic, and intraperitoneal pressures during pregnancy have been previously investigated. However, to our knowledge, changes in these pressures during uterine contractions have not been reported. Herein, we present three cases of polyhydramnios, fetal pleural effusion, and fetal ascites, in which intra-amniotic, fetal intrathoracic, intraperitoneal pressures increased with uterine contractions. These pressure increases may affect the fetal circulation. We suggest that managing potential premature delivery (e...
2018: Case Reports in Obstetrics and Gynecology
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