Open Access DOI:10.23937/2377-9004/1410018
Management of Early Pregnancy Failure in a Patient with Pancytopenia
Diana Cholakian and Jenell Coleman
Article Type: Case Report | First Published: December 08, 2014
The safest and most effective therapy for an early pregnancy failure in women with pancytopenia is unknown. Here, we present a case report of a patient diagnosed with a 10-week embryonic demise who had a rare hematologic disorder called TnPolyagglutination syndrome that caused pancytopenia. The patient was offered expectant, medical, or surgical management, and she chose outpatient vaginal misoprostol. A week later, the patient presented to the emergency room with a septic abortion. She was give...
Open Access DOI:10.23937/2377-9004/1410017
Is Single Incision Laparoscopy A Feasible Alternative for Advanced Ovarian Cancer Approach? A Case Report and Literature Review
Marina Fistarol, Paula Guastaferro Magalhaes, Paola Gaston Giostri, Admario Silva Santos Filho, Augusto Henriques Fulgencio Brandao and Mauricio Bechara Noviello
Article Type: Case Report | First Published: December 08, 2014
Single Incision Laparoscopy (SIL) is a promising technique in the context of minimally invasive surgery, since it might improve cosmesis and cause less tissue trauma, if compared to multiple incision laparoscopies. Recent studies have shown its feasibility and safety for the approach of benign diseases. In this article, we report four cases of advanced ovarian cancer, addressed through SIL, with the purpose of fast diagnosis and recovery, allowing prompt onset of chemotherapy....
Open Access DOI:10.23937/2377-9004/1410016
An Unusual Cause of Transıent Fetal Ascıtes: Fetal Ovarıan Cyst Rupture
Demirpence S
Article Type: Case Report | First Published: December 07, 2014
Background: Ovarian cysts can be diagnosed prenatally and in case of persistence are found in newborns. Most resolve spontaneously, although in a small proportion of cases they can persist and be symptomatic. Fetal ascites may be due to immune or non immune hydrops fetalis or to a series of locoregional problems However, it can be an isolated finding rarely. Case: In this case we reported an isolated fetal ascites case that was caused by fetal ovarian cyst rupture. Conclusion:Fetal hydrops may b...
Open Access DOI:10.23937/2377-9004/1410015
Angular Pregnancy: A Review of Cases Reported in the Past 80 Years
Michael Brett Rankin, Allison Dunning BS and Elizabeth Kagan Arleo
Article Type: Review Article | First Published: December 06, 2014
Objective: To review reported cases of angular pregnancy (defined in 1898 as "implantation of the embryo just medial to the uterotubal junction, in the lateral angle of the uterine cavity") to determine outcomes. Study design: A systematic search of medical electronic databases (1934-2013; search term: "angular pregnancy") was performed, initially yielding 150 manuscripts; after application of selection criteria, 54 were included for review, yielding 85 cases of angular pregnancy. Pregnancy outc...
Open Access DOI:10.23937/2377-9004/1410014
An Uncommon Case of Antepartum and Postpartum Surgical Aorta Repair in a Patient with Marfan Syndrome
Liggins Casandra A, Lin Monique G and Foley Michael R
Article Type: Case Report | First Published: November 30, 2014
Background: Marfan syndrome is a heritable connective tissue disorder with significant risk of cardiovascular compromise. The physiological changes of pregnancy greatly increases that risk resulting in significant threat of maternal and fetal morbidity and mortality. Case: A 21-year-old G1P0 female with Marfan syndrome presented at 16 weeks gestation with a 7.3 cm ascending aortic aneurysm and a desire to maintain her pregnancy. Immediate surgical repair was performed upon presentation with reas...
Open Access DOI:10.23937/2377-9004/1410013
Paraganglioma and Pregnancy: Management of Cesarean Delivery and Subsequent Laparoscopic Adrenalectomy
Jennifer T. Mallek, Monique Ho, Christiana Shaw, Mark Rice and Tammy Euliano
Article Type: Case Report | First Published: November 30, 2014
Background: Pheochromocytomas and paragangliomas are rare catecholamine-secreting tumors (CSTs) that may lead to severe hypertensive episodes and are associated with high maternal and fetal mortality when undiagnosed or mismanaged. Case: A 28-year-old full-term, normotensive woman with presumed pheochromocytoma underwent a cesarean under epidural anesthesia, which was also used for postoperative pain control, followed by an uncomplicated adrenalectomy under general anesthesia 5 days later....
Open Access DOI:10.23937/2377-9004/1410012
Case Report of Massive Subcutaneous Emphysema: A Benign Postoperative Finding
Jonathan R. Foote, Matthew F. Kohler and Jennifer Young-Pierce
Article Type: Case Report | First Published: November 29, 2014
The development of postoperative crepitus following abdominal surgery is not a normal physical exam finding and should prompt an immediate concern for necrotizing fasciitis. Imaging using Computed Tomography (CT) will demonstrate subcutaneous emphysema. This case report presents a patient with benign postoperative surgical subcutaneous emphysema presenting as crepitus on exam. A 44-year-old female presented with a large uterine firoid with concerns for sarcomatous growth given dramatic short int...
Open Access DOI:10.23937/2377-9004/1410011
Neoadjuvant Chemotherapy for Vulvar Cancer: Case Series from a Single Institution
Ismail Mert, Jacqueline Guterman, Ira S. Winer, Rouba Ali-Fehmi and Gunter Deppe
Article Type: Case Report | First Published: November 27, 2014
Vulvar carcinoma accounts for approximately 5% of gynecologic cancers in the United States with an estimated 4,490 new cases and 950 deaths in 2012. Survival depends on the extent of cancer spread upon initial diagnosis. Th staging of vulvar cancer depends on tumor size and spread to lymph nodes and other organs. Stage I and II comprise the early stages of vulvar carcinoma, where there is localized disease without lymph node involvement. Whereas late stage disease, stage III and IV, involves tum...
Open Access DOI:10.23937/2377-9004/1410010
Staged Management of Placenta Accreta in a Hybrid Operating Room Suite
Valerie E Whiteman, Bruce Zweibel, Amrat Amand, Mary A Cain, Xiaomang Stickles and Mitchel Hoffman
Article Type: Case Report | First Published: November 17, 2014
Background: The proper management of placenta accreta remains challenging, with risks of significant blood loss. Interventional radiology assistance for control of hemorrhage is considered for difficult cases however this involves transportation of a critically ill patient. Case: We performed a multi-step cesarean hysterectomy for placenta accreta in a hybrid operating room suite. With intra-arterial catheters placed pre-operatively, the cesarean was performed leaving the placenta in utero, with...
Open Access DOI:10.23937/2377-9004/1410009
Comparative Genomic Hybridization (CGH) for Prenatal Diagnosis of Wolf-Hirschhorn Syndrome
Adara Benitez, Marina Naveiro, Manuel Vargas, Maria Setefila Lopez-Criado, Carmen Entrala and Sebastian Manzanares
Article Type: Original Article | First Published: November 17, 2014
Wolf-Hirschhorn Syndrome (WHS) is a rare genetic condition caused by partial deletion of the short arm of chromosome 4 (4p-). Variability in 4p deletions and rearrangements leads to a wide spectrum of clinical manifestations of this disease. Most prenatal WHS diagnoses are associated with large 4p deletions identified by conventional cytogenetic techniques; however some submicroscopic deletions can only be diagnosed using molecular techniques. In this case report, a combined diagnostic approach ...
Open Access DOI:10.23937/2377-9004/1410008
Laparoscopic Management of Bilateral Large Ovarian Cysts in a Young Female
M. Brigid Holloran-Schwartz, Jacqueline F. Lou and Leslie McCloskey
Article Type: Case Report | First Published: November 15, 2014
Adnexal masses are a common finding in women of all ages, with a 5-10% lifetime risk of surgery for suspected ovarian neoplasms. The most common symptoms of ovarian cysts are pelvic pressure or pain, however many can remain asymptomatic. Ovarian cancer risk increases in a linear fashion between the ages 30 and 50, with this risk continuing to increase, although at a slower rate, after the age of 50. While age is the largest risk factor for ovarian cancer, the combined history and physical findin...
Open Access DOI:10.23937/2377-9004/1410007
Successful Outcome of an Uneventful Caesarean Scar Pregnancy with Intra-Ligamentary Development
Akladios Cherif Y and Langer Bruno
Article Type: Case Report | First Published: November 15, 2014
A 33-year-old woman, gravida 5, para 2, was scheduled for a caesarean delivery at 38 weeks, because of both the foetus's breech presentation and her history of 2 caesarean deliveries. A subsequent dilatation and curettage for incomplete abortion completed her obstetric history. Early pregnancy was uneventful. Ultrasound at 6 and 8 weeks showed a viable and apparently normally situated embryo. During the second and third trimester, fetal growth and Doppler waveforms were within normal limits, and...
Open Access DOI:10.23937/2377-9004/1410006
Ovarian Cancer in Early Pregnancy, an Unusual Presentation
Saniya M Eltayeb, Moza A AlKalbani, Sarah O Abu Zaid and Saba Mubbashir
Article Type: Case Report | First Published: November 13, 2014
The incidence of diagnosed ovarian carcinoma in pregnancy is rare, reported as 0.018-0.073/1000 pregnancies. Very few cases are reported in the English literature regarding management of ruptured malignant ovarian cyst in pregnancy; almost all the cases reported described patients in the third trimester of pregnancy. We report a case of a young female who presented with acute abdomen at seven weeks gestation and was found to have an ovarian malignancy....
