Open Access DOI:10.23937/2377-9004/1410193
Benign, Self-Resolving Subcutaneous Emphysema and Abdominal Crepitus after Open Gynecologic Surgery
Conway Xu, MD, John C Elkas, MD and Chad A Hamilton, MD
Article Type: Case Report | First Published: February 18, 2021
Abdominal crepitus and associated subcutaneous emphysema on imaging following open gynecologic surgery typically signals life-threatening complications including perforated viscus and necrotizing fasciitis, which require prompt intervention. This case is the second to date after open gynecologic surgery where, after extensive workup, significant subcutaneous emphysema of uncertain etiology was diagnosed with a benign and self-resolving course without any long term sequalae. Subcutaneous emphysem...
Open Access DOI:10.23937/2377-9004/1410192
Intra-Operative Ultrasound Assessment of a Myometrial Cyst with Fertility-Sparing Myometrial Cystectomy
Gillian A Corbett, Claire Thompson, Zibi Marchocki and Noreen Gleeson
Article Type: Case Report | First Published: February 15, 2021
Benign leiomyoma can undergo degeneration that result in unusual clinical and radiological presentations. Diffuse hydropic fibroid degeneration resulting in myometrial cyst formation is very rare. Here we describe intra-operative ultrasound recognition of this phenomenon. A 35-year-old nulliparous woman presented to the Gynaecology Oncology Clinic with menorrhagia and pressure symptoms. Abdominal examination revealed an abdominal mass extending to the umbilicus. Ultrasound showed complex pelvic ...
Open Access DOI:10.23937/2377-9004/1410191
Clinical Implications and ESHRE/ESGE Classification of Mullerian Anomalies: A Case Series
Uma Gupta, Vartika Tripathi and Priya Sharma
Article Type: Case Series | First Published: February 10, 2021
Mullerian or paramesonephric ducts form the female genital tract and any deviation from the normal can lead to Mullerian anomalies. Depending on the type of Mullerian anomaly; the presentations, required investigations and treatment options vary considerably and so does the counseling regarding the condition. Due to the highly varied profile of patients with Mullerian anomalies, a number of classification systems have been proposed to aid in their diagnosis and management. A thorough knowledge o...
Open Access DOI:10.23937/2377-9004/1410190
Case Report: Management of an Early Third Trimester Large Adnexal Mass in a Singleton Pregnancy
Lindsay Rucker, MD, Zachary Walker, MD and Brian Casey, MD
Article Type: Case Report | First Published: January 29, 2021
Adnexal masses are increasingly being diagnosed in pregnancy. They are typically either managed expectantly or surgically in the early second trimester; however, limited reports on interventions for management in the third trimester. A 34-year-old G2P1001 patient had a right ovarian cyst found at 82/7 measuring 10.35 × 10.2 × 8.38 cm. It increased to 15 × 11 × 15 cm at 30 1/7 and became symptomatic. She underwent percutaneous drainage (PCD) at 30 2/7 with a decrease in size to 8.8 × 4.2 × ...
Open Access DOI:10.23937/2377-9004/1410189
Case Report of Pregnancy with Huge Fibroid
Hemali Bharat Karia, MBBS, DGO, Deepa Maniar, MBBS, MD and Ketan Gosai, MBBS, MD
Article Type: Case Report | First Published: January 21, 2021
Their presence has been linked to spontaneous abortion, intrauterine growth restriction (IUGR), anemia, multiple blood transfusions, infection, pain, degeneration, malposition of foetus, premature labour, uterine inertia, placental abruption, postpartum hemorrhage, retention of the placenta, increased rates of cesarean section, hysterotomy, obstetric hysterectomy...