Obstetrics and Gynaecology Cases - Reviews is an open access peer-reviewed journal of obstetrics, gynaecology, focused to publish cases and reviews in all aspects of reproductive health. Articles are peer reviewed by clinicians or researchers expert in the field of Obstetrics and Gynaecology. The journal invites submissions from scientific and clinical reviews relevant to practice and case reports. The Journal will give publication priority to reviews and case reports.

The goal of the journal is to promote excellence in the clinical practice of obstetrics and gynecology and related fields close to Obstetrics and Gynaecology. The journal publishing a broad range of original, peer-reviewed papers, from scientific and clinical research to reviews relevant to practice and case reports.

 
Journal Information

Title: Obstetrics and Gynaecology Cases - Reviews

ISSN: 2377-9004

Editor-in-chief: Leslie Iffy

NLM title abbreviation: Obstet Gynecol Cases Rev

ISO abbreviation: Obstet Gynecol Cases Rev

Other titles: OGCR

Category: General Medicine

DOI: 10.23937/2377-9004

Peer review: Double blind

Review speed: 3 weeks

Fast-track review: 10 days

Publication format (s): Electronic and print

Publication policy: Open Access; COPE guide

Publication type(s): Periodicals

Publisher: ClinMed International Library

Country of publication: USA

Language: English

Contact email: contact@clinmedjournals.org

 
Articles Search by   Keyword   |   Journal title   |   Author name   |   DOI

 

 Open Access DOI:10.23937/2377-9004/1410136

Risk Factors Associated with Preterm Birth in a Brazilian Maternal and Child Health Hospital

Bianca Karenina Brito de Medeiros, Maria da Conceicao Cornetta, Janaina de Oliveira Crispim and Ricardo Ney Cobucci

Article Type: Research Article | First Published: November 19, 2018

This population-based case-control study aims to verify the risk factors associated with preterm birth (PTB) in a maternity school. The cases were newborns with a gestational age greater than or equal to 22 weeks and less than 37 weeks (birth weight greater than or equal to 500 g), and controls were those born with gestational age equal to or greater than 37 weeks gestation. Data are recorded in the Live Birth Information System of 3,915 births at the Januário Cicco Maternity School in the year...
 

 Open Access DOI:10.23937/2377-9004/1410135

Vulvar Neoplasia in Cameroon, West Africa: Diagnostic Challenges

Simon M Manga, Rosanna F DeMarco, Florence Manjuh, Zacharie Sando and Edith R Welty

Article Type: Case Report | First Published: November 15, 2018

Disorders of the vulva have characteristically received less attention than disorders of the cervix and other reproductive organs. There are a number of challenges in diagnosing vulvar neoplasia (pre-invasive and invasive vulvar disease) in Cameroon and other low- and middle-income countries (LMICs). This is primarily because the early signs and symptoms of vulvar neoplasia are non-specific and are predominantly characterized by pruritus vulvae, which can easily be mistaken for vulvar candidiasi...
 

 Open Access DOI:10.23937/2377-9004/1410134

Accurate Diagnosed by a Contrast-Enhanced Abdominal Computed Tomography (CT) for a Ruptured Large Tubal Pregnancy Mimicking Abdominal Pregnancy

Kun-Ta Ho, Jen-Yu Wen and Ming-Ping Wu

Article Type: Case Report | First Published: October 31, 2018

Abdominal ectopic pregnancy is a more complicated and severe situation, as compared with tubal pregnancy. Accurate differential diagnosis between abdominal and tubal pregnancy is important before the choice of laparoscopic approach. We presented the use of contrast-enhanced computed tomography (CT) to diagnose an unusual presentation of large tubal pregnancy mimicking abdominal pregnancy. A 24-year-old woman presented to emergency room (ER) with ...
 

 Open Access DOI:10.23937/2377-9004/1410133

Endometrial and Colorectal Synchronous Cancer: A Case Report

Jose Antonio Perez Alvarez, Beatriz Contreras Gonzalez, Alfonso Angel Quesada Lopez-Fe, Dacil Judit Preckler Pena and Cristina Luisa Sanchez-Pinto Hernandez

Article Type: Case Report | First Published: October 25, 2018

Synchronous detection of different types of cancer at the pelvic level is a rare finding. Due to its low incidence, the actual knowledge of this disease is difficult since it is based on articles published on small series of cases. We present the clinical, surgical, and anatomopathological findings of a patient with a synchronous endometrial cancer with a colorectal cancer. Synchronous detection of different types of pelvic cancer in women is a r...
 

 Open Access DOI:10.23937/2377-9004/1410132

Cesarean Section in a Parturient with Pseudocholinesterase Deficiency Suspected by Preoperative Interview and Immune Thrombocytopenic Purpura

A Jlali, W Ben Moussa, M Gara, O Ammar, M Mehdi and L Grati

Article Type: Case Report | First Published: October 24, 2018

The preoperative evaluation of a patient for anesthesia is the cornerstone for perioperative management plans. The following case report details the importance of medical interview in a parturient with suspected pseudocholinesterase deficiency and documented immune thrombocytopenic purpura, and shows that anesthetic complications can be avoided by a rigorous preoperative anamnesis. Pseudocholinesterase (PChE) deficiency is an inherited or acquired condition in which the metabolism of succinylcho...
 

 Open Access DOI:10.23937/2377-9004/1410131

Uterus-Sparing Treatment Options for the Management of Fibroids

Alessandro Napoli, Roberto Scipione, Hans-Peter Erasmus, Cristina Marrocchio, Susan Dababou, Fabrizio Andrani, Carola Palla, Michele Anzidei, Federica Ciolina, Lucia Manganaro, Delia Savone, Ludovico Muzii, Francesco Pecorini and Carlo Catalano

Article Type: Original Article | First Published: August 22, 2018

Currently, different treatment options are available in the management of uterine fibroids: Medical therapy aims at relieving symptoms, while semi-invasive or non-invasive procedures aim to treat symptoms and eventually to reduce the fibroids' size. A wide spectrum of treatments may be confusing to implement correctly, and the gynecologist should be familiar with the features of each procedure, to provide a personalized therapy....
 

 Open Access DOI:10.23937/2377-9004/1410130

Primary Breast and Lung Cancer - Case Report

Rodrigo Dias Nunes, Adriana Magalhaes de Oliveira Freitas and Djulie Anne de Lemos Zanatta

Article Type: Clinical Case | First Published: August 10, 2018

A case review of a Caucasian 35-year-old female patient with no family history, diagnosed with primary breast cancer, and later finding lesions on the right lung. After image exams on the lungs and research, what was expected to be a result of a metastasis, was in fact a primary adenocarcinoma....
 

 Open Access DOI:10.23937/2377-9004/1410129

A Case of Intra-Operative Anaphylaxis to Patent Blue Dye during Sentinel Lymph Node Biopsy

A Jlali, M Gara, M Mehdi and LGrati

Article Type: Case Report | First Published: August 02, 2018

Patent Blue Violet dye is commonly used for selective localization of the lymphatic system before sentinel lymph node biopsy. This procedure is routinely recommended for staging the axilla in early breast cancer. However, it has long been recognized that such dye is associated with anaphylaxis. Here, we present a case of an intraoperative grade 2 anaphylaxis which commenced 20 minutes following the subcutaneous periareolar injection of patent blu...
 

 Open Access DOI:10.23937/2377-9004/1410128

A Case of Intra-Abdominal Desmoplastic Small Round Cell Tumor in a Young Girl Patient

Houda Fagouri, Mounia Ziyadi, Abdellahi Ibrahim, Ali Osman, Abdelah Babahabib, Mohamed Oukabli, Jaouad Kouach, Driss Rahali Moussaoui and Mohamed Dehayni

Article Type: Case Report | First Published: July 30, 2018

Desmoplastic small round cell tumor (DSRCT) is a rare and highly aggressive mesenchymal tumor; fewer than 200 cases have been reported in the literature. DSRCT mainly develops in adolescent and young adults with a strong male predominance; the male to female ratio is 4:1. Among female, it appears more precociously in the form of a pelvic mass, an abdominal distension or a high rate of Ca125. Its diagnosis is anatomopathological. The tumor typical...
 

 Open Access DOI:10.23937/2377-9004/1410127

High Grade Uterine Sarcoma with Concurrent Metastatic Adenocarcinoma to the Uterus: A Case Report

Luke King, Radhika P Gogoi, Christopher Hummel, Zongming Chen and Ashlee Smith

Article Type: Case Report | First Published: July 12, 2018

A 59-year-old G1P1001 with a past medical history of hypertension, benign thyroid nodules, class III obesity (body mass index 35.02 kg/m2) and appendectomy with colonic resection due to intussusception as a child, presented for gynecologic consultation for a large uterine mass found on transvaginal ultrasound following a 2-month history of lower abdominal pain, vaginal bleeding, and malodorous vaginal discharge....
 

 Open Access DOI:10.23937/2377-9004/1410126

Effect of N-Acetyl Cysteine Supplementation on Blood Lead Levels in Pregnant Women Suffering from Pre-Eclampsia

Shimaa M Motawei, Hossam E Gouda and Adel M El-Mansoury

Article Type: Original Article | First Published: June 09, 2018

Lead toxicity is still a prevalent public health problem in both developed and developing countries. While, the developed countries have largely succeeded to decrease the severity of this problem, developing countries still suffer from the burden of this health hazard and many sources of lead exposure still exist in these countries....
 

 Open Access DOI:10.23937/2377-9004/1410125

An Atypical Presentation of Extraovarian Endometrioma

Alexander Berger, Nora Ward Graham, Crystal Berry-Roberts and William Schlaff

Article Type: case Presentation | First Published: May 30, 2018

Patients with endometriomas typically present with an intraovarian mass, often associated with multiple foci of extraovarian lesions. An isolated extraovarian endometrioma is rare and represents a challenging diagnostic dilemma....
 

 Open Access DOI:10.23937/2377-9004/1410124

Early Pregnancy Loss: A Management Guide

Paul R Brezina

Article Type: Review Article | First Published: May 30, 2018

One of the most difficult aspects of reproductive medicine is the management of recurrent pregnancy loss. Recurrent pregnancy loss is one of the most emotionally devastating challenges facing couples who want to grow their family. For many couples, risk factors that increase the chances of experiencing a loss can be identified and treated. For other couples, however, a definitive cause is never identified....
 

 Open Access DOI:10.23937/2377-9004/1410123

A Rare Case of Langerhans Cell Histiocytosis

Francesca Letizia Vellucci, Cristina Regini, Alice Cannoni, Cinzia Orlandini, Sandro Razzi, Rosa Santopietro, Felice Petraglia and Stefano Luisi

Article Type: Case Report | First Published: May 25, 2018

A 49-years-old nulliparous woman came to our attention reporting pain and discomfort in the vagina as well as an important dyspareunia, which prevented a normal sex life by a few months. The gynecological examination showed a small paraurethral lesion easily bleeding and a small sub urethral ulcerated lesion. A biopsy specimen of vagina reported localization of Langerhans cell histiocytosis (LCH)....
 

 Open Access DOI:10.23937/2377-9004/1410122

High Grade Endometrial Stromal Sarcoma with Osteoclast-like Giant Cells: A Unique Subtype of a Rare Tumor

David Matthew Saulino, Noah Reilly, Bihong Zhao and Songlin Zhang

Article Type: case Presentation | First Published: May 23, 2018

Osteoclast-like giant cells have been reported in variety of different tumor types including breast carcinoma, pancreatic carcinoma, ovary tumor, uterine leiomyosarcoma, hepatocellular carcinoma, renal cell carcinoma. To the best of our knowledge, there are only two previous case reports in the literature showing endometrial stromal sarcoma with osteoclast-like giant cells. Endometrial stromal sarcoma is a rare uterine malignant neoplasm and incl...
 

 Open Access DOI:10.23937/2377-9004/1410121

Adenomyosis in an 18-Year-Old Adolescent: A Case Report

Iaponira da Silva Vidal, Lilian Santos Soares, Cassio Aurelio Dutra, Mara Juliane Jovino, Ana Katherine Goncalves and Ricardo Ney Cobucci

Article Type: Case Report | First Published: March 31, 2018

Adenomyosis is a rare cause of chronic pelvic pain or severe dysmenorrhea that presents in the adolescent population. Here we describe an 18-year-old nulliparous woman who presented with a history of severe and worsening dysmenorrhea with cramps and increased menstrual flow since the menarche occurred 4-years-ago. A magnetic resonance imaging (MRI) described a poorly defined junctional zone of the endometrium, suggestive of adenomyosis, associate...
 

 Open Access DOI:10.23937/2377-9004/1410120

Hot Flushes in a 15-Year-Old Girl Post Treatment of Bilateral Ovarian Dysgerminoma: A Case Report

Iaponira da Silva Vidal, Lilian Santos Soares, Karen Beatriz Gurgel, Ana Katherine Goncalves and Ricardo Ney Cobucci

Article Type: Case Report | First Published: March 29, 2018

Ovarian tumors in adolescents are a medical challenge due to their rarity. The aim is to describe a case of adnexal disease in a girl with hot flushes after treatment. A 15-year-old girl presented a history of menstrual delay and progressive increase of abdominal volume. Initially, clinical suspicion was for pregnancy, but after abdominal magnetic resonance imaging, a solid-cystic abdominopelvic mass was revealed. She underwent laparotomy and pat...
 

 Open Access DOI:10.23937/2377-9004/1410119

Splenosis Mimicking Peritoneal Implants in a Female with Ovarian Cystic Masses: A Case Report

Nancy Boniel, Amit Mayer, Alex Rabinovich, Mihai Meirovitz and Alla Khashper

Article Type: Case Report | First Published: March 19, 2018

A case of large bilateral cystic ovarian masses is reported. Initial imaging, including ultrasound (US) and computed tomography (CT), showed a large right ovarian cystic tumor, a smaller multicystic left ovarian tumor and multiple solid peritoneal implants suspicious for metastases. Due to a history of remote post-traumatic splenectomy, the presence of bilateral benign ovarian cystic tumors in combination with peritoneal splenosis was considered....
 

 Open Access DOI:10.23937/2377-9004/1410118

Case of Outpatient Pregnancy Prolongation at Premature Rupture of Membranes before Reaching the Viability Term

YE Dobrokhotova, AS Olenev, PA Kuzetsov, LS Djokhadze and KI Konstantinova

Article Type: Case Report | First Published: February 16, 2018

Premature rupture of membranes is not losing its topicality, as one third of all the premature deliveries starts with the discharge of the amniotic fluid. Despite the fact that the treatment tactics is represented in the normative documents, the world literature describes cases of the outpatient management of patients. The given article describes the case of a successful pregnancy completion as a result of outpatient management, which is considered to be an acceptable option in the case of the p...
 

 Open Access DOI:10.23937/2377-9004/1410117

Ovarian Granulosa Cell Tumor: A Clinicopathological Series

Mark R Brincat, David Pisani, Donika Metaraku, Rachel Micallef, Yves Muscat Baron, Eleanor Borg, Annelise Aquilina, James Degaetano and Salvina Zrinzo

Article Type: Case Report | First Published: February 05, 2018

Granulosa cell tumours (GCT) are uncommon neoplasms, accounting for 2-5% of all ovarian carcinomas. The pathogenesis of these tumours is characterised by differentiation towards the follicular granulosa cell. However, the exact cell of origin is disputed, with the granulosa cell, thecal cell or fibroblast having been proposed as putative progenitors. A granulosa stem-cell has been described, which has also been suggested as a cell of origin....
 

 Open Access DOI:10.23937/2377-9004/1410116

Septicaemia with Fusobacterium necrophorum from Periodontal Disease in Pregnancy Resulting in Immature Birth: Case Report and Review of Literature

D van der Windt, R Kornegoor, R Walhof, BP Overbeek and KM Paarlberg

Article Type: Case Report | First Published: February 05, 2018

A 26-year-old woman (gravida four, para two) delivered an immature infant at 23 weeks of gestation after presenting with abnormal vaginal blood loss and sepsis. Blood cultures and placenta cultures showed bacteremia by Fusobacterium necrophorum. Histopathological examination of the placenta was concurrent with that, showing severe chorioamnionitis with funisitis. A dentist and oral surgeon confirmed the diagnosis of generalised periodontal diseas...
 

 Open Access DOI:10.23937/2377-9004/1410115

Tubo-Ovarian Abscess in Early Pregnancy - Report of a Rare Coexistence

Brandao P , Portela-Carvalho AS, Estevinho C, Soares E and Melo A

Article Type: Case Report | First Published: February 05, 2018

Pelvic inflammatory disease is extremely rare during pregnancy. Both differential diagnosis and management of tubo-ovarian abscesses in pregnancy are challenging and associated with poor obstetric outcomes. The authors present a case of a 17-years-old girl with low abdominal pain for five days. A tubo-ovarian abscess was suspected, with an early pregnancy of unknown location. She was admitted to receive intravenous antibiotics and to rule out ect...
 

 Open Access DOI:10.23937/2377-9004/1410114

Laparoscopic Management of Interstitial Ectopic Pregnancy with Endo GIA™ without Rupture

Rawan Al Harmi, Rania Hassan, Basma Darwish and Nawal Dayoub

Article Type: Case Report | First Published: February 02, 2018

Interstitial pregnancy is uncommon, accounting for 2-4% of all ectopic pregnancies. It is potentially serious and mortality is most commonly due to rupture and subsequent hemorrhage. Both medical and surgical management options are available, depending on a given individual's case. Currently, the preferred surgical approach is laparoscopy. However, despite the presence of different laparoscopic techniques, there is no consensus on a single best t...
 

 Open Access DOI:10.23937/2377-9004/1410113

Managing Tetraplegia and its Associated Risks in Pregnancy and Labour- A Case Report

Fatima Rashed, Summia Zaher, and Marion Beard

Article Type: Case Report | First Published: January 22, 2017

The management of tetraplegic women in pregnancy and labour is a rare event, with sporadic cases reported worldwide. These women often require increased medical input due to potentially life-threatening complications associated with their spinal cord injury. Of these, autonomic dysreflexia is the most widely feared....
 

 Open Access DOI:10.23937/2377-9004/1410112

Biamniotic Parasitic Conjoined Twins with Discordant Genotype

Sofie C Husen, Maarten FCM Knapen, Femke AT de Vries, Robert M Verdijk and Lutgarde CP Govaerts

Article Type: Case Report | First Published: January 20, 2018

Conjoined twin pregnancies are uncommon. The prevalence of conjoined twins in the first trimester of pregnancy is estimated as 1:50,000, with an unexplained female predominance (3:1). It is thought that at 13-14 days gestational age an incomplete fission of the germinal disc causes the development of a conjoined twin pregnancy, obligatory being associated with a monochorionic monoamniotic placentation. ...
 

 Open Access DOI:10.23937/2377-9004/1410111

Tension Free Vaginal Tape Erosion into the Urinary Bladder: A Case Report

Priyanka Singh and Han How Chuan

Article Type: Case Report | First Published: December 28, 2017

The Tension-free Vaginal Tape (TVT) is the most commonly performed procedure for the management of Stress Urinary Incontinence (SUI). There is insufficient data on the occurrence of complications and their management. The incidence of tape erosion and infection is observed to be higher with synthetic non-absorbable slings....
 

 Open Access DOI:10.23937/2377-9004/1410110

Unusual Localization of a Leiomyoma; Vaginal Leiomyoma in a 24 Years Virgin Woman: A Case Report

Najeh Hsayaoui, Wael Mbarki, Hajer Bettaieb, Youssef El Cadhi, Fatma Douik, Hedhili Oueslati, Sana Mezghenni and Chaouki Mbarki

Article Type: Case Report | First Published: December 11, 2017

Vaginal leiomyomas are rare benign solid tumors of the vagina with only about 300 reported cases. Here we describe a 24-year-old sexually inactive patient presented with a vaginal bleeding. On ultrasonography, a 5-centimeter vaginal mass was diagnosis in the anterior vaginal wall under urethra....
 

 Open Access DOI:10.23937/2377-9004/1410109

Ultrasound and Biochemical First Trimester Markers as Predictive Factors for Intrauterine Growth Restriction

Benitez Martin A, Vargas Perez M and Manzanares Galan S

Article Type: Research Article | First Published: December 06, 2017

After analyzing our results, we ascertained that some variables were protective, and others were risk factors for SGA, however a multivariate model established to predict SGA indicates that these were not good predictors of SGA (AUC = 0.65)....
 

 Open Access DOI:10.23937/2377-9004/1410108

Intravenous Leiomyomatosis of the Uterus: A Case Report

Fatma Douik, Najeh Hsayaoui, Hajer Bettaieb, Wael Mbarki, Hedhili Oueslati and Chaouki Mbarki

Article Type: Case Report | First Published: October 30, 2017

Intravenous Leiomyomatosis (IVL) is an unusual clinical condition characterized by histologically benign smooth muscle lesions extending from the uterus into pelvic and systemic veins and, more rarely, into the right cardiac chambers....
 

 Open Access DOI:10.23937/2377-9004/1410107

Anterior Vaginal Wall Epitheloid Leiomyoma: A Case Report

Priyanka Singh, Leong May Ying and Han How Chuan

Article Type: Case Report | First Published: October 26, 2017

Primary paraurethral tumours of benign nature in females are quite infrequent. Physical examination and imaging modalities like ultrasound and magnetic resonance imaging of the pelvis help in characterising the mass morphologically and structurally. They also help to decipher the relationship of the mass with the urethra and the vagina....
 

 Open Access DOI:10.23937/2377-9004/1410106

Management of Maternal Atrial Myxoma in Advanced Pregnancy: A Clinical Dilemma

Emma Wilson, Karthikeyan Gopal, Jay Iyer, Robert Tam, Ryan Schrale and Yaniv Zipori

Article Type: Case Report | First Published: October 16, 2017

In this report, we present a challenging case of pedunculated left atrial myxoma which was initially diagnosed on Transthoracic Echocardiography (TTE) at 39 weeks and 2 days gestation in a grand-multigravida woman with previous normal deliveries. She was delivered by urgent caesarean section with resection of the myxoma on the following day....
 

 Open Access DOI:10.23937/2377-9004/1410105

Outcome of Novasure Endometrial Ablation in Women with Heavy Menstrual Bleeding with or without Dysmenorrhoea, Including Those with Uterine Cavity Length More Than 6.5 cm

Nader Gad, Ashlee Rigby, Alia Vemuri and Mahima Singh

Article Type: Research Article | First Published: October 14, 2017

Heavy Menstrual Bleeding (HMB) is a common health problem and may be associated with iron deficiency anaemia affecting the quality of life of many women. Problems of HMB can be more complicated when it is associated with dysmenorrhea. Traditionally, medical management of HMB has been the first line therapy....
 

 Open Access DOI:10.23937/2377-9004/1410104

Challenges with Cervical Cancer Treatment in Cameroon

Simon Manga, Mireille Kanjo and Wilfred Ngwa

Article Type: Case Study | First Published: October 13, 2017

This is a case study of women with Invasive Cervical Cancer (ICC) and her course of treatment, showing the critical need for prevention through aggressive screening and vaccination programs. Even though cost of treatment was a barrier, she completed her radiation therapy and felt better....
 

 Open Access DOI:10.23937/2377-9004/1410103

Breast Cancer Masquerades as an Endometrial Cancer

Atinuke Akinpeloye, Mohamed Satti, Douglas Congdon and Guy Boike

Article Type: Case Report | First Published: May 12, 2017

Patient A was a 47-year-old African American lady admitted for thrombocytopenia. A mammogram done a few weeks prior to admission was reported as BIRADS 4 for the right breast. She had a biopsy done as an inpatient which revealed invasive lobular carcinoma. Due to persistent vaginal bleeding a gynecological consult was requested....
 

 Open Access DOI:10.23937/2377-9004/1410102

Treatment of Chronic Ovarian Vein Thrombosis

Huma Farid

Article Type: Case Report | First Published: March 06, 2017

Ovarian vein thrombosis is a rare condition, occurring most commonly in the postpartum or postoperative period, but has also been identified in cases of malignancy and infection. This report describes a case of chronic ovarian vein thrombosis that most likely developed postoperatively in a patient who was subsequently found to have a malignancy....
 

 Open Access DOI:10.23937/2377-9004/1410101

Laparoscopic Single Mesh Sacrohysteropexy Plus bladder Patch for Pelvic Organ Prolapse

Mai Myoga, Kazuaki Yoshimura, Kazuaki Nishimura, Kaori Hoshino and Toru Hachisuga

Article Type: Case Report | First Published: January 28, 2017

Here we introduce a laparoscopic sacrohysteropexy plus bladder patch procedure as a useful operative procedure for POP patients who desire uterine preservation. A 62-year-old woman, gravida 2 para 2 with pelvic organ prolapse quantification (POP-Q) stage III of uterine prolapse and stage II of cystocele, came to our hospital and desired a POP operation with uterine preservation....
 

 Open Access DOI:10.23937/2377-9004/1410100

Giant Vulvar Leiomyoma: Successful Management in a Poor Setting of a Common Neoplasm in an Uncommon Site

Bang Guy Aristide, Savom Eric Patrick, Missi Amanda Marlene, Metogo Ntsama Junie Annick and Essomba Arthur

Article Type: Case Report | First Published: December 01, 2016

In clinical practice, leiomyoma of the vulva are infrequent and rarely encountered. We report the case of a 36-year-old Cameroonian with a 10-year history of a left labia majora swelling. After evaluating history and clinical examination, a decision of excision of this tumor was taken. Intraoperatively, the mass was well circumscribed with a weight of 480 g. The cosmetic result was good. Histopathology confirmed the diagnosis of vulvar leiomyoma....
 

 Open Access DOI:10.23937/2377-9004/1410099

Hydrops Fetalis Associated with Congenital Cytoplasmic Body Myopathy

Yuki Kodama, Hiroshi Sameshima, Masatoki Kaneko, Hideki Kawaguchi, Tomoaki Ikeda and Tsuyomu Ikenoue

Article Type: Case Report | First Published: November 26, 2016

A 27-year-old, gravida 3, para 1 Japanese woman was transferred to our hospital because of fetal pleural effusion and polyhydroamnios at 33 weeks of gestation. She had a family history of amyotrophic lateral sclerosis in her maternal uncle. Her first child, a 3-year-old boy, was healthy. The pregnancy had been uneventful until 33 weeks, when the patient noticed the fetus was less active than before. On admission, the fetus had bilateral pleural e...
 

 Open Access DOI:10.23937/2377-9004/1410098

Challenges Diagnosing Appendiceal Neoplasms during Pregnancy

Vidya Bharati, Angeles Alvarez Secord, Thomas M Price and John Migaly

Article Type: Case Report | First Published: November 01, 2016

A 31 y.o. G1P0 at 18 weeks estimated gestational age was found to have an echogenic 7.8 cm by 3.1 cm mass adjacent to the uterine fundus during an anatomy scan. Follow-up radiology performed abdominal ultrasound was normal. Patient delivered vaginally without incident. Three years later she was diagnosed with a right complex pelvic mass identified during a saline infusion sonogram for fertility evaluation. Carcinoembryonic antigen was elevated. L...
 

 Open Access DOI:10.23937/2377-9004/1410097

Cyst of Canal of Nuck: Our Experience

Juan Piazze, Ettore Palma, Francesco Recchia, Valerio D'Orazi, Daniela Romanzi, Michele Rosselli, Massimo Bratta and Silvio Rea

Article Type: Case Series | First Published: October 01, 2016

We report two cases of a cyst of the canal of Nuck in which sonography showed a tubular cystic structure characterized by internal septum localized within the inguinal canal. Unfortunately, Magnetic resonance (MRI) examination was not performed in the first case, however in the second case, MRI demonstrated that the mass suggested an hydrocele of the Canal of Nuck. Both cases were solved satisfactorily and confirmed cysts of canal of Nuck by mean...
 

 Open Access DOI:10.23937/2377-9004/1410096

Pheochromocytoma in Pregnancy: A Review of the Literature

A Yulia, I W Seetho, A Ramineni and RAK Jaiyesimi

Article Type: Review Article | First Published: September 24, 2016

pheochromocytoma in pregnancy is a life-threatening condition. Although it is rare, if the diagnosis is missed or mismanaged, it has detrimental effect on both mother and fetus, with mortality up to 58%. Diagnosis of pheochromocytoma in pregnancy remains a huge challenge faced by clinicians due to its non-specific signs and symptoms and the fact that it mimics other conditions which occur much more commonly in pregnancy....
 

 Open Access DOI:10.23937/2377-9004/1410095

The Anesthetic Approach for a 27-Week Pregnant Woman Undergoing Endoscopic Sinus Surgery

Nilay Boztas, Sevda Ozkardesler, Mert Akan and Mine Sari

Article Type: Case Report | First Published: September 02, 2016

In pregnancy non-obstetric surgery involves many significant difficulties for the anesthetist. The majority of these procedures are non-elective and some are life-threatening. This report explains the preoperative preparation and general anesthetic method for a 27-week pregnant woman with osteofibrotic mass narrowing the left optic canal causing rapidly advancing loss of vision....
 

 Open Access DOI:10.23937/2377-9004/1410094

Supraclavicular Lymph Node as a Presentation of Fallopian Tube Cancer

Mohamed Satti, Ahmed Abdelaziz, Pouya Abhari and Guy Boike

Article Type: Case Report | First Published: September 01, 2016

A 44-year-old female presented with a large firm mass involving the left side of her neck; she denied any other symptoms. A CT scan was performed which was consistent with a 5.9 cm left-sided neck mass. A fine needle aspiration biopsy was consistent with poorly differentiated adenocarcinoma, and a serum CA125 was normal. Subsequently, a PET scan was performed and revealed increased uptake in the para-aortic and retroperitoneum lymph nodes; a soft...
 

 Open Access DOI:10.23937/2377-9004/1410093

Breus Mole: A Placental Anomaly in a Patient Undergoing a Dilation and Evacuation

Navdeesh Reiners, Victor Sai, Nagesh Ragavendra, Aparna Sridhar and Angela Chen

Article Type: Case Report | First Published: August 06, 2016

A 22-year-old woman presented at 21+1 weeks for dilation and evacuation. Sonographic features were consistent with a Breus mole. Intraoperatively, traction and massage were used to deliver the placenta; the patient quickly achieved hemostasis. Final pathology showed a fibrin lined intervillous cystic structure compatible with a Breus mole....
 

 Open Access DOI:10.23937/2377-9004/1410092

Termination of Pregnancy for an 11q Terminal Deletion Incidentally Diagnosed Prenatally; Jacobsen Syndrome Penetrance and Ethical Dilemmas

Sofia F Makrydima, Eftihios Trakakis, Athanasios Minkoff and Nikolaos Papantoniou

Article Type: Case Report | First Published: July 05, 2016

The currently noted boost of de novo microdeletions has been partly attributed to the relevant increase of mean paternal age at the time of first child acquisition. The simultaneous widespread implementation of molecular techniques for prenatal karyotyping has revealed distinct deletion aberrations of uncertain clinical significance. Recent research has failed to confirm the intrinsic correlation between implicated genome fragment and extent of p...
 

 Open Access DOI:10.23937/2377-9004/1410091

Clinical Observation of 84 Days Delayed Delivery of the Second Fetus in Twin Pregnancy

Julia E Dobrokhotova, Oleg V Makarov, Pavel V Kozlov and Pavel A Kuznetsov

Article Type: Case Report | First Published: July 04, 2016

Perinatal morbidity and mortality in preterm labor is significantly higher than in on-term delivery. The share of preterm infants accounts for approximately 70% of all cases of early neonatal mortality. One of the most important independent risk factors for preterm birth is multiple pregnancy. The risk of delivery before 30, 32 and 34 weeks in twin pregnancy is about 4%, 8% and 16%, respectively. In general, the frequency of preterm labor with tw...
 

 Open Access DOI:10.23937/2377-9004/1410090

The Use of Advanced Reproductive Technologies while Breastfeeding: A Role for in Vitro Maturation

Catherine S Rose and Bruce I Rose

Article Type: Case Report | First Published: July 01, 2016

Breastfeeding provides significant health benefits for both the mother and child. There is a decreased risk of ovarian and breast cancer, the development of diabetes, and myocardial infarction for women who breastfed their child. The risk decreases even more significantly if the mother is exclusively breastfeeding without supplementation of formula and the longer the mom and baby choose to breastfeed. For the child, breastfeeding decreases the ri...
 

 Open Access DOI:10.23937/2377-9004/1410089

Aggressive Complete Hydatidiform Mole Coexistent With A Normal Fetus During Pregnancy: Is There A Correlation Between Outcome, and Serum HCG Levels? A Report on 2 Cases and Review of the Literature

Nathalie Renard, SWA Nij Bijvank, HH De Haan, J van Eyck, JWB de Groot, RHM Verheijen and AJ Kruse

Article Type: Case Series | First Published: June 01, 2016

wo cases of complete hydatidiform mole with coexisting fetus are described. In the first case, the mole of this twin pregnancy displayed an aggressive behavior with early maternal onset of severe pre-eclampsia and lung and liver metastases. The second patient opted for termination of pregnancy prior to a possible onset of complications. Existing literature on this topic is also reviewed, in particular on the role of serum hCG levels to predict a ...
 

 Open Access DOI:10.23937/2377-9004/1410088

Sacral Nerve Stimulation and Fecal Incontinence: Current Uses and Emerging Trends

Jennifer E Hrabe, Brooke Gurland and Tracy L Hull

Article Type: Short Review | First Published: May 21, 2016

Fecal incontinence (FI) is a socially devastating condition affecting both men and women. Patients often suffer in silence, as FI is frequently unreported. It is commonly seen in patients who also experience urinary incontinence (UI). Risk factors for FI include obstetrical trauma as well as increasing age. Until recently, treatment options were limited and consisted of medical therapy or surgical options with limited efficacy or high morbidity. ...
 

 Open Access DOI:10.23937/2377-9004/1410087

Isolated Rectal Laceration Following Normal Spontaneous Vaginal Delivery and Delayed Rectal Hemorrhage

Yuzuru Anzai

Article Type: Case Report | First Published: May 21, 2016

A 37-year-old Para 0 patient underwent an induction of labor due to chronic hypertension. She had a successful normal vaginal delivery but experienced acute cardiovascular collapse immediately following the delivery requiring massive transfusion. She also was found to have an isolated rectal laceration without laceration of anus or anal sphincter. After she was discharged home she presented to the emergency room with rectal hemorrhage 5 days afte...
 

 Open Access DOI:10.23937/2377-9004/1410086

Dextroposition of the Heart Reflected Mosaic Fetal Trisomy 18

Mohamed A Satti, Frederico G Rocha, Erin Beaver and Jeffrey M Dicke

Article Type: Case Report | First Published: May 02, 2016

Anatomy scan of a 22 year old prima gravida at 19w4d showed a viable IUP with unilateral choroid plexus cyst and dextroposition of the heart without any other observed structural malformation. Amniocentesis revealed a normal male pattern for chromosomes 13, 18, 21, X and Y by fluorescence in situ hybridization (FISH). However, chromosomal microarray analysis (CMA) for circulating fetal DNA in maternal blood was consistent with mosaic Trisomy 18. ...
 

 Open Access DOI:10.23937/2377-9004/1410085

Successful Treatment of A Primary Cervical Diffuse Large B-Cell Lymphoma with Rituximab-CHOP Immunochemotherapy

Diaz-De La Noval B, Hernandez A, Zapardiel I, De-Santiago J and Diestro Tejeda

Article Type: Case Report | First Published: May 02, 2016

We describe a 46-year-old healthy woman with primary extranodal Non-Hodgkin's diffuse large B-cell lymphoma of the uterine cervix Ann Arbor stage IIEA IPI 1. She presented an acute renal failure and severe ureterohydronephrosis successfully treated with 6 courses of chemotherapy based on Rituximab plus Cyclophosphamide, Doxorubicin, Vincristine and Prednisone (R-CHOP) with no major side effects....
 

 Open Access DOI:10.23937/2377-9004/1410084

Cutaneous Horn of the Breast: A Rare Clinical Feature

Cedric Nadeau, David Desseauve and Emilie Laban

Article Type: Letter to Editor | First Published: April 11, 2016

A benign cutaneous horn was evocated as its base was thin but the diagnostic of a pre invasive intraepithelial dysplasia or squamous cell carcinoma of the skin had to be eliminated by histological examination. It looked like a solid elongated keratinized tumor connected to the skin by a thin bridge of pink/red regular skin (Figure 1 and Figure 2). No evidence of pre invasive skin lesion was found around. The patient had an excision of the lesion ...
 

 Open Access DOI:10.23937/2377-9004/1410083

The Confusion of Mothers with Gestational Diabetes Mellitus due to the Multidimensionality of Healthcare and Therapeutic Care: A Serious Threat to Mother and Fetus's Health

Fatemeh Ghaffari, Zahra Rahnavard, Mahvash Salsali and Soroor Parvizi

Article Type: Research Article | First Published: April 05, 2016

Gestational diabetes mellitus (GDM) is a challenge of the 21st century. The management of the diseases confronts numerous issues which lead to undesirable results of care consequences. The aim of this study is to explain factors involved in the confusion of mothers with GDM due to the multidimensionality of healthcare and therapeutic care. The present study was carried out in 2014 with a qualitative method. Purposive sampling was employed to sele...
 

 Open Access DOI:10.23937/2377-9004/1410082

Amniotic Fluid Embolism: Combined Treatment with Surgery and Extracorporeal Membrane Oxygenation Support - A Case Report

Arnon Wiznitzer, Rinat Gabbay-Benziv, Eran Altman, Dan Aravot and Philippe Biderman

Article Type: Case Report | First Published: March 28, 2016

A 42-year-old gravida 1, 40-weeks' gestation, presented with rupture of membranes in labor. Her history and prenatal care were unremarkable except for obesity. On physical examination, blood pressure was 156/91 mmHg with no other signs of pre-eclamsia. Due to non-progression at active labor, cesarean section was performed with extended "top-up" epidural and delivery of a healthy boy. Immediately after removal of the placenta, the patient reported...
 

 Open Access DOI:10.23937/2377-9004/1410081

An Idiopathic Case of Recurrent Spontaneous Ovarian Hyper Stimulation Syndrome

Alessandra Ainsworth, Zaraq Khan and Jani Jensen

Article Type: Case Report | First Published: March 26, 2016

We report a case of recurrent spontaneous ovarian hyperstimulation syndrome (OHSS). The patient presented at 8 weeks gestation. Due to severity of symptoms, the patient required both inpatient and outpatient management. Her symptoms resolved at 11 weeks gestation and the pregnancy was carried to term. Recurrent spontaneous OHSS is a rare and potentially morbid event. While most cases will eventually resolve, patients require careful diagnosis, su...
 

 Open Access DOI:10.23937/2377-9004/1410080

Urinary Incontinence as a Presenting Symptom of Bladder Cancer

Elena Vilar Gonzalez, Marta Perez de la Fuente, Enrique Gonzalez Diaz

Article Type: Case Report | First Published: March 25, 2016

Urinary incontinence is a very common complaint among women. We should think of potentially serious aetiologies when there is no response to empiric treatments, especially in postmenopausal women. We report a case of a 69 year old woman, referred to our pelvic floor unit with urinary incontinence and nocturia. After failing with anticholinergic treatment, a transvaginal ultrasound scanning shows an irregular solid lesion of 6 mm, which was diagno...
 

 Open Access DOI:10.23937/2377-9004/1410079

Postpartum Low Back Pain: It is not always What You Think

Melissa Corso, Diane Grondin and Carol Ann Weis

Article Type: Case Report | First Published: March 18, 2016

Postpartum back pain is common, with up to 75% of women experiencing back pain immediately following birth. This pain can be moderately to severely debilitating to the new mom, affecting activities of daily living such as caring for her new born, sleep patterns, and otherhousehold activities. However, all low back pain is not created equal and we document a case study with an unusual cause of postpartum back pain....
 

 Open Access DOI:10.23937/2377-9004/1410078

Management of Pregnancy in a 24 Year Old Woman with Cervical Cancer in Resource Limited Settings: Case Report

Elichilia R Shao, George Semango, Kevin V Nandonde and Richard Rumanyika

Article Type: Case Report | First Published: March 03, 2016

Cervical cancer (CaCx) among immune competent young women is quite rare. Its management is a challenge especially in resource limited settings. We report management of pregnancy in a 24 year old woman with CaCx in Mwanza, Tanzania. A 24-year-old Tanzanian black women gravida three at 23 weeks of gestational age (GA) came to our hospital complaining of heavy vaginal bleeding mixed with foul smell discharges for about 2 months....
 

 Open Access DOI:10.23937/2377-9004/1410077

An Internet Survey of Women with Unicornuate Uterus: Pregnancy Outcomes by Classification

Megan Trad

Article Type: Original Research | First Published: March 02, 2016

Unicornuate Uterus is a rare uterine anomaly that currently has very little scientific research on the reproductive possibilities and experiences of women with this condition, the majority of research is done on individual case studies. This article seeks to gain a wider look at all of the reproductive complications that women with Unicornuate uterus encounter, and also to investigate if there are statistically significant differences between sub...
 

 Open Access DOI:10.23937/2377-9004/1410076

Investigating Alcohol Consumption during Pregnancy for the Prevention of Fetal Alcohol Spectrum Disorders (FASD)

Mauro Ceccanti, Daniela Fiorentino, Paola Ciolli, Giovanna Coriale, Marisa Patrizia Messina, Maria Concetta Marcella Scamporrino, Simona Solombrino, Marco Fiore and Valentina Carito

Article Type: Review Article | First Published: March 01, 2016

The term FASD (Fetal Alcohol Spectrum Disorders) is used to describe the entire spectrum of pathologies and disorders caused by alcohol exposure in uterus. Alcohol assumed in pregnancy passes directly through the placental barrier causing a broad range of symptoms whose severity can greatly vary in degree. The alcohol teratogenic effect may result in physical damage and specific facial anomalies, growth delays, neurological defects along with int...
 

 Open Access DOI:10.23937/2377-9004/1410075

"The Association between Child Loss, Children's Paternity and High Parity in Dar Es Salaam, Tanzania": A Cross Sectional Survey at the National Referral Hospital

Andrew H. Mgaya, Hussein L. Kidanto and Hans N. Mgaya

Article Type: Research Article | First Published: February 26, 2016

A cross-sectional study conducted at Muhimbili National referral Hospital in Tanzania inquired about and compared age, socioeconomic status, perception of obstetric risks of grand multiparity, contraceptive knowledge and practice, obstetric history and having children of different paternity, between grand multiparas and lower parity women using Chi-square and student's t-tests....
 

 Open Access DOI:10.23937/2377-9004/1410074

A Rare Case of Mekel's Diverticulum Perforation by the Gangrenous Appendicitis during Pregnancy

Cinzia Orlandini, Nathalie Conti, Alessandra Pizzo, Elisabetta Guerrini, Luigi Verre, Felice Petraglia and Stefano Luisi

Article Type: Case Report | First Published: February 22, 2016

Meckel's diverticulum is one of the most common congenital malformations of the small intestine and it results from an incomplete obliteration of the omphalomesenteric or vitelline duct. The position of Meckel's divericulum along the length of the small intestine is variable, but is usually found within 100cm of the ileocecal valve. Perforated Meckel's diverticulum is a rare complication during pregnancy. Its presentation is similar to appendicit...
 

 Open Access DOI:10.23937/2377-9004/1410070

A Rare Case of Acute Pseudo-Meigs' Syndrome Presenting with Pleural Effusion and Ascites and a Ruptured Leiomyoma and Hemorrhagic Shock

Matthew Cowan, Janine Crantz, Stephanie Welsh, William Nahhas and Steven R Lindheim

Article Type: Case Report | First Published: January 28, 2016

Meigs' Syndrome is classically described as a triad of benign solid ovarian tumor with the gross appearance of a fibroma (either a fibroma, thecoma, or granulosa cell tumor) accompanied with ascites and pleural effusion. In contrast, pseudo-Meigs' Syndrome presents with ascites and pleural effusion but with any other pelvic mass, including mature teratomas, struma ovarii, and leiomyomata of the ovary, fallopian tube, or uterus....
 

 Open Access DOI:10.23937/2377-9004/1410073

Vulvar Abcess due to Actinomyces Meyerii

Iacob Marcovici

Article Type: Case Report | First Published: January 30, 2016

A 14 years old girl presented with vulvar swelling, pain, and difficulty to walk. Her examination showed a tender and large left labial abscess (Figure 1). In OR, the patient underwent incision and drainage. Large amounts of puss were evacuated. Aerobic and anaerobic cultures were obtained. The patient's postoperative recovery was unremarkable and she was discharged on oral Ciprofloxacin 250 mg twice a day and Cephalexin 500 mg twice a day for 7 ...
 

 Open Access DOI:10.23937/2377-9004/1410072

Robotic Assisted Repair of Bilateral Fallopian Tube Prolapse after Vaginal Hysterectomy

Ruben J. Barrera -Vera, Kimberley Chiu, Perry Cohen, Victoria Chernyak and Nicole S. Nevadunsky

Article Type: Case Report | First Published: January 30, 2016

Hysterectomy is the most frequent major surgical procedure performed in gynecology. Fallopian tube prolapse into the vaginal vault is a rare but known reported complication of hysterectomy, estimated to occur in approximately 0.1% of procedures, although the true incidence of this complication is difficult to estimate, as many cases are either unreported or unrecognized. It is three times more frequent after vaginal hysterectomy....
 

 Open Access DOI:10.23937/2377-9004/1410071

Broad Ligament Hernia after Cesarean Section

Christopher M Tarney, Johnnie Wright Jr and Karen Wilson

Article Type: Case Report | First Published: January 29, 2016

Small bowel obstruction is rare after cesarean section but can become a surgical emergency. As the rate of cesarean deliveries increases, the frequency of complications will likely increase. A 26-year-old woman, gravida 3 para 2002, underwent emergent cesarean section at term for non-reassuring fetal status. The procedure was complicated by difficulty returning the uterus to the abdomen after exteriorization for hysterorrhaphy. She was readmitted...
 

 Open Access DOI:10.23937/2377-9004/1410069

Latrogenic Myometrial Defect Following Fetoscopic Laser Therapy for Twin-Twin Transfusion Syndrome (TTTS)

Stephanie L Cooper, Sean Spence, David Somerset, Rory Windrim and Greg Ryan

Article Type: Case Report | First Published: January 23, 2016

Monochorionic twin pregnancies have significantly increased risk of fetal loss, perinatal mortality and morbidity compared to dichorionic twin and singleton gestations. Twin to twin transfusion syndrome (TTTS) occurs in 10-15% of these twins, and is the most important cause of mortality....
 

 Open Access DOI:10.23937/2377-9004/1410068

Uterine Arteriovenous Malformations and its Imitators: Is there a Role for Hysteroscopy?

Christopher M Tarney, Saioa Torrealday and Jason Parker

Article Type: Case Report | First Published: December 28, 2015

Uterine arteriovenous malformations (AVMs) are an uncommon vascular disease occurring in women during the reproductive years, which can lead to life-threatening vaginal bleeding. The prevalence of AVMs is unknown with less than 100 case reports described in the literature. Uterine AVMs may be congenital or acquired; risk factors for the latter include early pregnancy loss, pregnancy termination, and instrumentation of the uterus, cervical or endo...
 

 Open Access DOI:10.23937/2377-9004/1410067

Growing Teratoma Syndrome Concurrent with Pregnancy: A Case Report and Literature Review

Aki Tanaka-Murakami, Masakazu Abe, Yuka Kasamatsu, Nobuhiro Kado, Shiho Kuji, Nobutaka Takahashi, Munetaka Takekuma and Yasuyuki Hirashima

Article Type: Case Report and Literature Review | First Published: November 30, 2015

Growing teratoma syndrome (GTS) is a rare disease characterized by the appearance of benign metastatic lesions during or after chemotherapy for germ cell tumor. Complete surgical resection is important for the diagnosis and cure of GTS. We encountered a patient with a suspected GTS during her second pregnancy and childbirth; 4 years later, radical surgery confirmed the diagnosis. A tumor that was suspected to be GTS was observed in a 31 year old ...
 

 Open Access DOI:10.23937/2377-9004/1410066

Familial Hypercholesterolemia and Pregnancy: Risk and Management

Roberta Mombelli and Giuliana Mombelli

Article Type: Review Article | First Published: November 18, 2015

Familial hypercholesterolemia (FH) is a dominantly inherited disorder present from birth with elevated levels of low-density lipoprotein (LDL) cholesterol and increased risk for premature coronary heart disease (CHD) with clinical manifestation between the first and the fourth decades of life. Although statins are the most effective therapy for individuals with FH the use of statins is contraindicated during pregnancy. For this reason, before of ...
 

 Open Access DOI:10.23937/2377-9004/1410065

VIA and Challenges of a Single Visit Approach in Malawi

Haeok Lee, Mary Sue Makin, Jasintha T Mtengezo and Address Malata

Article Type: Case Report | First Published: November 01, 2015

Cancer of the cervix is the most common cancer in women in sub-Saharan Africa. This is a report of the experience of a 25 year-old HIV negative woman with five children who was detected with a precancerous lesion with VIA at a local health facility. She was referred for post-VIA treatment at another facility 60 Km away. She traveled all day for her follow-up treatment and spent all her money to get there so that she had none remaining to pay for ...
 

 Open Access DOI:10.23937/2377-9004/1410064

Left Vaginal Obstruction and Complex Left Uterine Horn Communication in a 12 Year Old Female

Barry E. Perlman, Amy S. Dhesi, Gerson Weiss

Article Type: Case Report | First Published: October 29, 2015

Obstructive Mullerian duct anomalies are an infrequently encountered clinical problem. The use of imaging and surgical exploration allowed for diagnosis and treatment of symptoms of a complex obstructive mullerian anomaly. We present a case of a 12 year old female with a history of intermittent lower abdominal pain and absent left kidney who was found to have an obstructed left vagina and complex left uterine horn communications resulting in hema...
 

 Open Access DOI:10.23937/2377-9004/1410063

Turner Syndrome and Infertility: A Review of Literature

Emine Demirel, Emre Ekmekci, Zeynep Soyman and Sefa Kelekci

Article Type: Review Article | First Published: October 28, 2015

Fertility of women with Turner Syndrome is now being more interested due to the new improvements in assisted reproductive techniques. Turner Syndrome is characterized by the premature atresia of ovarian follicules. Atresia starts at intrauterine period and continues till all ovarian follicules go to atresia. The time of this period changes from patient to patient. Also Turner Syndrome is related with higher risks in pregnancy. These include highe...
 

 Open Access DOI:10.23937/2377-9004/1410062

Placental Abruption Diagnosed by the Lab Technician

L MacDonald, F Waterson, S Marshall and A Cope

Article Type: Case Report | First Published: September 30, 2015

Placental abruption is the separation of the placenta from the uterus. Diagnosis of placental abruption is largely a diagnosis of exclusion and ultrasound is not diagnostic. A case of a placental abruption diagnosed by the presence of two blood types in the group and save sample is presented. A thorough search of the relevant databases would suggest that this is the first reported case of such....
 

 Open Access DOI:10.23937/2377-9004/1410061

Primary Umbilical Endometrioma: A Case Report

Lim Leek Mei and Mickael Hoong Farn Weng

Article Type: Case Report | First Published: September 30, 2015

We report a case of primary umbilical endometrioma. She was a 41year old lady, para 1+1 with a background history of type2 diabetes mellitus, hypertension and a previous uneventful Caesarean section in 2005. She was subfertile since then. She presented with scanty painless bleeding from the umbilicus for past 5 months which coincided with her menses. The bleed would start a few days before her menses and ceased by day two, in small amount and pa...
 

 Open Access DOI:10.23937/2377-9004/1410060

Adenomyoma of Endocervical Type of the Cervix Uteri with Reactive Atypia and Goblet Cell Differentiation - A Case Report and Review of the Literature

Steffen Hauptmann, Katja Mohr and Regina Grosse

Article Type: Case Report | First Published: September 30, 2015

In this report we present the rare case of a 53 years old woman with an adenomyoma of endocervical type of the cervix uteri with reactive atypia and focal goblet cell differentiation. The epithelium of the lesion was MUC5AC positive, making this marker invalid in excluding the most important differential diagnosis of this lesion, the minimal deviation adenocarcinoma. The most relevant literature is reviewed and the differential diagnoses are disc...
 

 Open Access DOI:10.23937/2377-9004/1410059

Case Report: Gestational Diabetes Mellitus: 2 Cases Diagnosed and Treated Using IADPSG Criteria. The Debate Goes On

Alejandra Duran Rodriguez-Hervada, Amparo Sabate Garcia, Consuelo Aunon Pereda, Carla Assaf-Balut, Miguel A Rubio, Nuria Izquierdo Mendez, Noelia Perez Perez, Miguel A Herraiz Martinez, and Alfonso L Calle-Pascual

Article Type: Case Report | First Published: September 28, 2015

Gestational Diabetes Mellitus (GDM) is an important public health problem, given its high prevalence and its association with adverse maternal and fetal outcomes. Recent evidence has confirmed that the risk of adverse outcomes is a continuum, increasing as maternal blood glucose levels rise. Furthermore, women with prior GDM are a high-risk group for the future development of diabetes, metabolic syndrome, and cardiovascular disease....
 

 Open Access DOI:10.23937/2377-9004/1410058

Ovarian Stromal Hyperthecosis and Hyperandrogenemia Refractory to Hormonal Suppression

Gregory M Gressel, Natalia Buza, Shirley M McCarthy and Pinar H Kodaman

Article Type: Case Report | First Published: September 26, 2015

Ovarian stromal hyperthecosis (OSH) is an uncommon clinical entity. According to the 2014 WHO classification of gynecologic tumors, it has been documented in one-third of patients older than age 55 years of age in autopsy studies. This disorder usually presents in the second or third decade of life with menstrual irregularity as well as signs of virilization. Presentation in the post-menopausal period is less common, but has been reported....
 

 Open Access DOI:10.23937/2377-9004/1410057

Bochdalek Diaphragmatic Hernia Complicating Pregnancy in the third Trimester: Case Report

Monica Hernandez-Aragon, Laura Rodriguez-Lazaro, Raquel Crespo-Esteras, Leyre Ruiz-Campo, Ignacio Adiego-Calvo, Jose Manuel Campillos-Maza, Sergio Castan-Mateo

Article Type: Case Report | First Published: August 07, 2015

A 32-year-old primiparous woman was diagnosed of diaphragmatic hernia at 29 weeks' gestation and transferred to our hospital. Initially, gastrointestinal symptoms mimicked pathology related to pregnancy, but failure of conservative measures led to performing imaging tests. It was a Bochdalek hernia containing small bowel loops, colon and omentum but not stomach. She was stabilized, but finally cesarean delivery and hernia repair were performed at...
 

 Open Access DOI:10.23937/2377-9004/1410056

Management of Spontaneous Rupture of the Amnion with an Intact Chorion

Jenny A. Jacob, Norman A. Ginsberg, Lee P. Shulman and Leeber Cohen

Article Type: Case Report | First Published: August 06, 2015

Idiopathic severe preterm oligohydamnios as a result of spontaneous rupture of the amnion with an intact chorion is a rare event with a scarcity of reports found in the literature. We evaluated the impact of serial amnioinfusions on this unusual occurrence. This is a followup of a 37-year-old woman with idiopathic severe oligohydramnios diagnosed at 18 weeks of gestation. We performed fie serial amnioinfusions with the purpose of improving fetal ...
 

 Open Access DOI:10.23937/2377-9004/1410055

The Case of 11w+ 2d Fetal Heart Rate Positive Unruptured Cervical Pregnancy

Onder Sakin, Bulent Kars, Ilke Tanir and Omer Talip Turhan

Article Type: Case Report | First Published: August 05, 2015

The treatment of cervical pregnancy which is one of the rarest forms of ectopic pregnancy is one of the cases difficult decisions need to be taken. Many years ago when hysterectomy was the only treatment and in case of late treatment decision, 50% of maternal mortality was seen, which results in a change of status with the shape of the high-risk pregnancies' extremely minimal invasive treatment may be possible Moreover, the patient fertility will...
 

 Open Access DOI:10.23937/2377-9004/1410054

Postmenopausal Calcified Pedunculated Large Subserous Leiomyoma: A Case Report

Ozhan Ozdemir, Cemal Resat Atalay, Mustafa Erkan Sari, Ertugrul Sen and Mehriban Nebioglu

Article Type: Case Report | First Published: August 03, 2015

A 72-year-old postmenopausal and nullipar woman presented with abdominopelvic pain and a palpable mass in the right lower quadrant. Ultrasonography showed a large, hyperechoic, solid mass. Contrast-enhanced computed tomography (CT) of the abdomen demonstrated a well-circumscribed mass. Rutine laboratuary tests and tumour markers revealed as normal. Total abdominal hysterectomy and bilateral salpingo-oophorectomy is the surgery of choice in this c...
 

 Open Access DOI:10.23937/2377-9004/1410053

Cervical Varices Presenting as Vaginal Bleeding: A Description of Two Cases and A Management Plan

Kathy Chyjek, Catherine Hutz, Charles Macri, Jeffrey Berger, Anthony Venbrux, Nadia Khati, Dorothy Bulas and John Larsen

Article Type: Case Report | First Published: August 01, 2015

We present two cases of cervical varices found in the setting of second and third trimester bleeding, report on the clinical outcomes and propose a management plan. Both of our patients were delivered between 38-39 weeks gestation and required interdisciplinary meetings between Obstetrics and Gynecology, Anesthesiology, Neonatology and Interventional Radiology to prepare for delivery....
 

 Open Access DOI:10.23937/2377-9004/1410052

Pregnancy Outcome in Women with History of Uterine Rupture or Dehiscence

Sagy Shick and Ran Neiger

Article Type: Case Series | First Published: July 30, 2015

The rate of Cesarean deliveries continues to increase world-wide. Cesarean delivery, in particular when repeated, is associated with an increased risk of several complications in subsequent pregnancies, including uterine rupture and uterine dehiscence. Rupture of a uterine scar is defined as a disruption of the full thickness of the uterine wall including the overlying visceral peritoneum (uterine serosa). It occurs most frequently in women who h...
 

 Open Access DOI:10.23937/2377-9004/1410051

Intestinal Obstruction due to Endometriosis Involving Atypical Hyperplasia: A Case Report

Mehmet B. Senturk, Hakan Guraslan, Bulent Babaoglu and Mesut Polat

Article Type: Case Report | First Published: July 24, 2015

Intestinal endometriosis is not a rare entity. However, malignant transformation and emergency clinical table such as intestinal obstruction due to endometriosis are rare. This is an important condition because it requires a multidisciplinary approach and careful pathologic intervention especially in mass lesions. The case is here presented of a patient who underwent laparotomy in the emergency surgery clinic because of intestinal obstruction. Th...
 

 Open Access DOI:10.23937/2377-9004/1410050

Diagnosis and Management of Embryonal Rhabdomyosarcoma in a Woman with Prolapsing Cervical Mass

Elizabeth V. Connor and Paul A. Disilvestro

Article Type: Case Report | First Published: July 10, 2015

Background: Cervical rhabdomyosarcoma is very rare, comprising less than 1% of cervical cancers in adult women. Less than 40 cases of cervical rhabdomyosarcoma have been reported in adult women in the last 50 years. Due to the rarity of this disease, management guidelines are non-existent. Case: We present a 36-year-old woman who presented with pelvic pain and a vaginal mass. The mass was excised, and pathology confirmed poorly differentiated emb...
 

 Open Access DOI:10.23937/2377-9004/1410049

Uterine Tumour Resembling Ovarian Sex Cord Tumour (UTROSCT): Experience with a Rare Disease. Two Case Reports and Overview of the Literature

Brenda Hermsen, Fabrizio Bogliatto, Maaike Bleeker, Luciano Leidi, Hans Trum, Erika Comello and Christianne Lok

Article Type: Case Report | First Published: July 09, 2015

Background: Uterine tumour resembling an ovarian sex cord tumour (UTROSCT) is a rare neoplastic lesion. Patients are generally of reproductive age. Although conservative treatment to preserve fertility has been reported, literature on the optimal treatment on UTROSCT is scarce and only case reports or small case series are available. Aim: To describe the difficulties and resemblances of two different cases of UTROSCT in a pre- and post-menopausal...
 

 Open Access DOI:10.23937/2377-9004/1410048

Retroperitoneal Lymphoma Presenting as Gynecologic Malignancy: Case Report and Review of the Literature

Devin Miller, Sarah Andiman, Elena Ratner and Diana English

Article Type: Case Report | First Published: July 04, 2015

Pelvic malignancy is commonly thought to represent a gynecologic primary on presentation. In reality, the differential diagnosis is wide and tumors which do not fit typical patterns on imaging or initial pathology can present a significant diagnostic dilemma as these patients may undergo radical gynecologic surgery unnecessarily. We present the case of a 63 year old female presenting with abdominal pain, back pain, weight gain, and hydronephrosis...
 

 Open Access DOI:10.23937/2377-9004/1410047

Minimal Deviation Adenocarcinoma Associated with High-Grade Squamous Cervical Intraepithelial Neoplasia

Carlos Villegas-Cruz, Alhely Lopez Arias, Delia Perez Montiel, Jose Chanona-Vilchis, Luis Alonso Herrera Montalvo and David Cantu de Leon

Article Type: Case Report | First Published: June 30, 2015

Cancer of the uterine cervix is the second cause of cancer at the worldwide level in women, with an incidence of 529,409 new cases annually and is the third place in mortality with 274,883 deaths; in Mexico it represents the second cause of cancer in women with 10,186 new cases each year and the second cause of cancer-related mortality with 5,061 cases, second only to breast cancer....
 

 Open Access DOI:10.23937/2377-9004/1410046

Liposarcoma of the Vagina

Mieczyslaw R. Gajda, Masoud Mireskandari, Harald Winzer, Herbert Diebolder, Matthias Regensberger, Ingo B. Runnebaum and Iver Petersen

Article Type: Case Report | First Published: June 28, 2015

Liposarcoma is the most common soft tissue sarcoma in adults. It typically occurs in retroperitoneum or extremities. However, this malignant tumor is very rare in the female reproductive system. In this article we present detailed clinical and histopathologic features of a case with liposarcoma of vagina and review the literature on this theme using PUBMED database. The tumor was presented as a rapidly growing mass in the vagina in a 50 year old ...
 

 Open Access DOI:10.23937/2377-9004/1410045

Sclerosing Stromal Tumor of the Ovary in Postmenopausal Women: A Report of Two Cases

Chae Min Lee, Soyi Lim, Hyun Yi Cho, Seung Yeon Ha and Jin Woo Shin

Article Type: Case Report | First Published: June 19, 2015

Sclerosing Stromal Tumor (SST) was first delineated as a distinct ovarian sex cord stromal tumor in 1973 by Chalvardjian and Scully. It is a benign neoplasm, distinguished from other ovarian stromal tumors by the production of collagen and a pseudolobular pattern, and it tends to occur in the second and third decades of life in diagnosed patients. We discovered two rare cases of SST in postmenopausal women which are the topic of this report. Thes...
 

 Open Access DOI:10.23937/2377-9004/1410044

Fertility Sparing Surgery for Management of Serous Cystadenoma: Surgical Technique and Follow Up

Islam Fahmi, Mili Thakur, Ahmed Abdelaziz, Mohammed Ashraf and Mostafa I. Abuzeid

Article Type: Case Report | First Published: June 14, 2015

Ovarian cysts are commonly encountered adnexal masses by gynecologists, with a reported incidence of 5-15% of all reproductive age women. Large ovarian cysts are usually treated by surgical excision with cystectomy or oophorectomy. Laparoscopic ovarian cystectomy in large ovarian cysts has been underutilized. This report discusses the surgical technique of fertility sparing laparoscopic cystectomy for serous cystadenoma and subsequent follow up o...
 

 Open Access DOI:10.23937/2377-9004/1410043

Extensive Hemorrhage during C-section of a Placenta Percreta with Bladder Invasion - Case Report

Rodrigo Dias Nunes, Djulie Anne de Lemos Zanatta and Natalia Vidal Lucena

Article Type: Case Report | First Published: June 08, 2015

Morbidly Adherent Placenta is a clinical condition where the placental tissue implants abnormally to the myometrium. In rare situations, the placenta can pass through the myometrium and invade organs surrounding the uterus; this is referred to as Placenta Percreta. This high morbidity condition can lead to a massive hemorrhage during surgery along with other various complications. We report a case of a 35 year old woman with no previous diagnosis...
 

 Open Access DOI:10.23937/2377-9004/1410042

Membranous Dysmenorrhea - Case Report

Rodrigo Dias Nunes and Viviane Cristine Pissetti

Article Type: Case Report | First Published: June 06, 2015

This is the report of a 32-year-old woman with severe abdominal pain followed by a decidual cast discharge. The Membranous Dysmenorrhea is a clinical entity rarely mentioned in the medical literature. Few discoveries have been made about this condition. The medical knowledge, due to the lack of description of this entity in current textbooks, also contributes to it's under diagnosis. The anatomopathological exam defines the diagnosis. These case ...
 

 Open Access DOI:10.23937/2377-9004/1410041

Mayer-Rokitansky-Kuster-Hauser Syndrome - Case report

Rodrigo Dias Nunes and Djulie Anne de Lemos Zanatta

Article Type: Case Report | First Published: June 02, 2015

This is the report of a teenager student with primary amenorrhea with secondary sexual characteristics. The incidence of Mayer- Rokitansky-Kuster-Hauser syndrome was not clearly established, but studies indicate a variation of 1/4,000 and 1/5,000 live births of the female sex. The syndrome is characterized by aplasia of the Mullerian duct on a person who has karyotype 46, XX with female phenotype characteristic of primary amenorrhea in adolescenc...
 

 Open Access DOI:10.23937/2377-9004/1410040

Leiomyosarcoma of the Right Iliac Veins Presenting as a Pelvic Mass: A Case Report

E.Tripodi, V. Zanfagnin, C. Fava, P. Zola and A. Ferrero

Article Type: Case Report | First Published: May 30, 2015

Leiomyosarcoma of the iliac veins is a very uncommon tumour. Prognosis is usually poor and the best treatment is unknown. Case report: We report the case of a 74-year-old woman presenting a right leg oedema. Venous colour doppler was normal. Abdominal ultrasound and magnetic resonance scanning demonstrated a 70 mm mass in the right pelvis with a well-defined profile, which was not homogeneous after contrast enhancement....
 

 Open Access DOI:10.23937/2377-9004/1410039

Long Term Triptorelin Therapy in a Large Endometriosis Nodule Arising in an Episiotomy Scar

Basma Darwish, Gregoire Leleup, Cecile Martin and Horace Roman

Article Type: Case Report | First Published: May 26, 2015

Endometriosis is the extra-uterine presence of endometrial glands and stroma, most often in the pelvis. It is very occasionally found in extra-abdominal sites. Perineal endometriosis is the presence of endometrial tissue in the perineal sites. Endometriosis of the perineum and vulva is extremely rare, with the most common site being episiotomy scars....
 

 Open Access DOI:10.23937/2377-9004/1410038

The Gravid Patient Presenting with Laryngeal Angioedema

Luke Maxfield Jessica R Jackson and Julie Decesare

Article Type: Case Report | First Published: May 08, 2015

Laryngeal swelling can be life threatening with etiologies including angioedema and cellulitis. While both involve swelling of subcutaneous tissues angioedema involves extravasation of fluid into interstitium while cellulitis is caused by direct extension of a spreading infection. The cause of angioedema involves multiple etiologies with response to treatment varying with underlying pathophysiology....
 

 Open Access DOI:10.23937/2377-9004/1410037

A Case of Arthrogryposis Multiplex Congenita in One Identical Twin Pregnancy

Ulas Fidan, Fahri Burcin Firatligil, Kazim Emre Karasahin, Mustafa Ulubay, Ugur Keskin and Ali Ergun

Article Type: Case Report | First Published: May 06, 2015

Arthrogryposis multiplex congenita, is a developmental deformation characterized with multiple joint contructures that is seen in one delivery out of 3000 in average. The limitation of fetal movements which start in early pregnancy weeks especially at the 7th or 8th gestastional week, is the most important factor in etiology....
 

 Open Access DOI:10.23937/2377-9004/1410036

Case Report: 7q11 Microdeletion in Swyer Syndrome Patient

Patrick T Reeves, Axel G Moreira, Tochi M Amagwula, Toy G Lee, Dominique D Washington, AkilaMuthukumar and John Y Phelps

Article Type: Case Report | First Published: May 04, 2015

Swyer syndrome or XY gonadal dysgenesis is caused by genetic mutations in testis-determining factors, such as the SRY gene, that lead to streak gonads in phenotypical females. The following case demonstrates a patient with a 7q11 microdeletion, a region which governs the coding of a transcription regulator called Zinc Finger 92 (ZNF92)....
 

 Open Access DOI:10.23937/2377-9004/1410035

Retained Placenta Accreta Presenting as Secondary Postpartum Hemorrhage

Yilun Koethe, Gabrielle A Rizzuto and Maureen P Kohi

Article Type: Case Report | First Published: May 02, 2015

Abnormal placentation and retention of products of conception (RPOC) are common causes of postpartum hemorrhage. Case: A 37-year-old gravida 4 para 1 woman with history of Asherman's syndrome from prior dilatation and curettage presented in spontaneous labor. Following normal vaginal delivery, portions of the placenta were retained and had to be manually extracted....
 

 Open Access DOI:10.23937/2377-9004/1410034

Haemoglobin Electrophoretic Patterns, ABO and Rhesus D Blood Groups Distribution among Antenatal Women in Sokoto, Nigeria

Udomah FP, Isaac IZ, Aliyu N, Erhabor O, Ahmed MH, Yakubu A, Hassan M and John RT

Article Type: Research Article | First Published: April 23, 2015

All human red blood cells contain a pigmented metalloprotein called haemoglobin which is of different types. Hemoglobin is the oxygen carrying pigment of the red blood cells. Defects in its genes can produce abnormal haemoglobin which leads to conditions known as haemoglobinopathies. Haemoglobin electrophoretic patterns include the normal haemoglobin which is the most prevalent and is referred to as hemoglobin A (HbA) and other abnormal ones also...
 

 Open Access DOI:10.23937/2377-9004/1410033

Case Report on a 10cm Pelvic Mass: Unruptured Chronic Ectopic versus Neoplasm

Christine Rojas, Kerry Ann Hudson and Kevin Byrd

Article Type: Case Report | First Published: April 14, 2015

Ectopic pregnancy is the leading cause of maternal death in the first trimester. Approximately 18% of ectopic pregnancies present to the emergency department with vaginal bleeding, abdominal pain or both....
 

 Open Access DOI:10.23937/2377-9004/1410032

Blasts on Blood Film after Treatment of Ovarian Cancer

Heong V, Duong B and Wong S

Article Type: Case Report | First Published: April 13, 2015

A 40 year old female with a history of hypertension, depression and menorrhagia was admitted with a one week history of flu like symptoms, lethargy and neutropenia. Two years prior to admission, she was diagnosed with FIGO Stage IIC clear cell epithelial ovarian cancer and underwent a total abdominal hysterectomy and bilateral salphingo-oophorectomy (optimal debulking)....
 

 Open Access DOI:10.23937/2377-9004/1410031

Collision Tumor: Dermoid Cysts and Mucinous Cystadenoma in the Same Ovary and a Review of the Literature

Mehmet Suhha Bostanci, Ozge Kizilkale Yildirim, Gazi Yildirim, Murat Bakacak, Isin Dogan Ekinci, Sevgi Bilgen and Rukset Attar

Article Type: Case Report | First Published: March 31, 2015

Collision tumor is defined as the coexistence of two adjacent, but histologically distinct tumors without histological admixture in the same tissue or organ. Collision tumors involving ovaries are extremely rare. The coexistence of a mucinous cystadenoma with a dermoid cyst is infrequently reported. However, the most common histological combination of collision tumor in the ovary is the coexistence of teratoma with mucinous tumors....
 

 Open Access DOI:10.23937/2377-9004/1410030

Hybrid Arc Stereotactic Ablative Body Radiation Therapy for Pelvic Relapse of Gynecologic Malignancies

Charles A Kunos, Howard Shaffer and Jeffrey M Fabien

Article Type: Case Report | First Published: March 30, 2015

Relapsed gynecologic cancers are difficult to control in the pelvis, especially when surgery, chemotherapy and radiation treatments have already been administered. For this clinical scenario, stereotactic body radiation therapy has emerged as a meaningful treatment strategy. The new Vero stereotactic body radiation therapy system uses coplanar and noncoplanar radiation treatment beams with submillimeter precision to treat cancer targets....
 

 Open Access DOI:10.23937/2377-9004/1410029

Preventing E. coli O157:H7 Infection in Pregnancy

Bharati Kalgi and Mark G Martens

Article Type: Review Article | First Published: March 29, 2015

E. coli O:157 causes 73,000 illness in the United States annually. It is estimated that up to 10% of patients with EHEC infections may develop HUS, with a case-fatality rate ranging from 3% to 5%. Overall, HUS is the most common cause of acute renal failure leading to chronic renal sequelae in approximately 50% of survivors....
 

 Open Access DOI:10.23937/2377-9004/1410028

Aortobifemoral Reconstruction during Pregnancy

Muller VA, Kasper AS and Hinterseher I

Article Type: Case Report | First Published: March 28, 2015

We report a case of aortobifemoral bypass because of severe peripheral artery disease in a 40-year-old woman at 13 weeks of pregnancy. The patient presented herself to the emergency room with necrosis on her toes and a reduction of her maximal walking distance. She was obese and a heavy smoker although she has been pregnant at that time....
 

 Open Access DOI:10.23937/2377-9004/1410027

A Case Study of Stillbirth in a Pregnancy Complicated by Asthma

Vicki L Clifton and Maureen D Busuttil

Article Type: Case Report | First Published: March 25, 2015

Asthma during pregnancy can be complicated by intrauterine growth restriction, preterm delivery and stillbirth. This paper reports the obstetric and respiratory history of a 23 year old woman whose pregnancy was complicated by asthma and a severe asthma exacerbation that was associated with a stillbirth at 34 weeks gestation....
 

 Open Access DOI:10.23937/2377-9004/1410026

The Evolution of Laparoscopy in the Management of the Ovarian Mass: Challenges Overcome, Challenges Remaining

Mohamad S Mahmoud

Article Type: Opinion | First Published: March 13, 2015

While laparotomy and ultrasound guided aspiration were still the common approaches for the management of ovarian cysts in the late 20th century, the introduction of laparoscopy in the surgical armatarium has begun changing this approach as early as the late 1960's. In his publication dated 1969, Dr Stepto from the royal college of obstetrics and gynecology describes his own techniques using laparoscopy to diagnose the type of the ovarian cyst by ...
 

 Open Access DOI:10.23937/2377-9004/1410025

Expectant Management in Cesarean Scar Pregnancy

Natasha Gupta

Article Type: Letter | First Published: February 27, 2015

The incidence of pregnancy implantation at unusual sites like cesarean scar, cervix or ovaries is on rise due to the increase in incidence of cesarean sections, dilatation and curettages and pelvic inflammatory diseases. Diagnosis of these rare types of ectopic pregnancies is extremely challenging. Cesarean scar ectopic pregnancy as well as cervical pregnancy can be easily confused with each other or with an inevitable abortion....
 

 Open Access DOI:10.23937/2377-9004/1410024

The Outcome of TVT-O Procedure with Cough Test in Theatre under Local Anaesthesia and Sedation in Women with or without Intrinsic Sphincter Deficiency: Retrospective Case Series of 111 Women

Nader Gad, Basia Slusarczyk, Brooke O'Brien and Andrew Mitchell

Article Type: Case Report | First Published: February 23, 2015

Aim: To assess the outcome of TVT-O procedure performed under local anaesthesia and sedation, with a cough test, on patients with urodynamic stress urinary incontinence with or without intrinsic sphincter deficiency. Methods: A retrospective cohort study analysing the outcomes of 111 women between December 2004 and April 2013. The primary outcome was the resolution of stress urinary incontinence....
 

 Open Access DOI:10.23937/2377-9004/1410023

Uterine Artery Embolisation for the Treatment of Large Submucosal Fibroid (Clinical Case)

Dobrokhotova J, Grishin I, Khachatryan A, Causeva O, Zlatovratsky A and Rogovskaya S

Article Type: Case Report | First Published: February 09, 2015

Article is devoted to the problem of endovascular treatment of uterine fibroids - Uterine Artery Embolization (UAE). A number of researches do not promote to use UAE technique when the uterine fibroid has submucosal position, considering the conservative transcervical myomectomy to be more accessible. In the article, based on clinical case, indication of EMA at the large submucous uterine fibroid among women that are still in their reproductive a...
 

 Open Access DOI:10.23937/2377-9004/1410022

Intra-operative Management of Skull Remnant Discovered during Emergent Primary Cesarean Delivery

Lisa A. Licare and Suruchi Thakore

Article Type: Case Report | First Published: February 08, 2015

Background: Operative anticipation of patients with prior abdominal surgeries is critical for the evaluation of obstetric patients. The following case demonstrates the importance of preoperative planning before emergent surgery is indicated. Case: T.M. is a 26 year- old gravida 8, para 0161 at 24 weeks 5 days who presented with preeclampsia with severe features. Her history is significant for brain surgeries with abdominal skull flap preservation...
 

 Open Access DOI:10.23937/2377-9004/1410021

Arteriovenous Malformation of the Cervix: A Rare Cause of Vaginal Bleeding after Supracervical Hysterectomy

Nigel Pereira, Kayla M Wishall, Gabrielle M Hawkins, Nima R. Patel and Carl R. Della Badia DO

Article Type: Case Report | First Published: January 30, 2015

Background: Cyclic vaginal bleeding is a well-known complication after a supracervical hysterectomy; however, severe delayed vaginal bleeding occurs infrequently. Case: A 29-year-old woman underwent a supracervical hysterectomy for dysmenorrhea and pelvic pain refractory to multiple medical modalities. Eight weeks after surgery, the patient began to experience persistent heavy vaginal bleeding that continued in spite of application of silver nitr...
 

 Open Access DOI:10.23937/2377-9004/1410020

Endoscopic Conservative Treatment for an Ureterovaginal Fistula Caused by Foreign Body

DeLeon E, Lankford D, Allman D, Phillibert D, Paolucci M, Gore S and Clare C

Article Type: Case Report | First Published: January 20, 2015

Foreign body placement in the vagina is a rare cause of ureterovaginal fistula. A fistula is often due to an unrecognized injury to the ureter, most commonly after gynecologic pelvic surgery, such as during hysterectomy for benign indications. This manuscript will discuss a case of a 34-year-old African American female who presents with a history of sexual assault and a one month history of urinary incontinence. Physical examination revealed clea...
 

 Open Access DOI:10.23937/2377-9004/1410019

Conservative Management of Uterine Artery Pseudoaneurysm Rupture with Rectal Fistula after Laparoscopic Myomectomy and Review of the Literature

Gabbi L, Petrocelli F, Di Domenico S, Ferrero S and RemorgidaV

Article Type: Case Report | First Published: December 17, 2014

Late uterine hemorrhage caused by uterine artery pseudoaneurysm is a rare but life-threatening complication after uterine surgery. The association of uterine pseudoanerysm rupture causing rectal fistula has not been reported in literature as well as its management. Herein we report a case of massive late uterine bleeding and rectal bleeding after laparoscopic myomectomy. A 43 year old Caucasian nulliparous woman underwent laparoscopic excision of...
 

 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 e...
 

 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, allowin...
 

 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 ov...
 

 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, yiel...
 

 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 surgica...
 

 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 adrenale...
 

 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 concer...
 

 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 ...
 

 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...
 

 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...
 

 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 ovaria...
 

 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 an...
 

 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 malig...
 

 Open Access DOI:10.23937/2377-9004/1410005

Knowledge and Attitude of Nurses towards In-vitro Fertilization: A Prospective Cohort Study

Obioha Joy A, Ikechebelu Joseph I, Eleje George Uchenna and Joe-Ikechebelu Ngozi N

Article Type: Research Article | First Published: October 29, 2014

Caesarean scar pregnancy (CSP) is the rarest type of ectopic pregnancy. It is a life-threatening abnormal form of implantation of a gestational sac in the myometrium at the site of a previous Caesarean scar. CSP was fist described by Larsen and Salomon in 1978. It is estimated that CSP constitutes about 6% of all ectopic pregnancies in patients with a history of at least one Caesarean section. Th incidence of this pathology ranges from 1/1800 to ...
 

 Open Access DOI:10.23937/2377-9004/1410004

Klinefelter's Syndrome in an Adolescent

Eleje George Uchenna and Ikechebelu Joseph Ifeanyichukwu

Article Type: Case Report | First Published: October 31, 2014

Klinefelter's syndrome is an important common sex chromosomal abnormality in humans and it remains an important genetic cause of male infertility. A 12-year-old student was referred to our hospital due to presence of small penis and testes since birth and progressive breast enlargement of fie years duration. On examination, the height was 1.64 metres and weight was 75kg. Breasts and axillary hairs were well developed at Tanner stage IV and III re...
 

 Open Access DOI:10.23937/2377-9004/1410003

Bilateral Uterine Artery Chemoembolization with Methotrexate and Gelatine Foam for Caesarean Scar Pregnancy - Case Report

Krzysztof Pyra, Slawomir Wozniak, Piotr Czuczwar, Piotr Szkodziak and Michał Sojka

Article Type: Case Report | First Published: October 29, 2014

Caesarean scar pregnancy (CSP) is the rarest type of ectopic pregnancy. It is a life-threatening abnormal form of implantation of a gestational sac in the myometrium at the site of a previous Caesarean scar. CSP was fist described by Larsen and Salomon in 1978. It is estimated that CSP constitutes about 6% of all ectopic pregnancies in patients with a history of at least one Caesarean section. Th incidence of this pathology ranges from 1/1800 to ...
 

 Open Access DOI:10.23937/2377-9004/1410002

An Incidental Diagnosis of the Cystadenofibroma of the Ovary in the Cesarean Section: A Case Report

Hasan Onur Topcu, Zeynep Aslı Oskovi, Ali Irfan Guzel, Irfan Ozer, Mahmut Kuntay Ko kanali and Sabri Cavkaytar

Article Type: Case Report | First Published: October 27, 2014

Ovarian cystadenofibromas are relatively rare epithelial ovarian tumors which contain fibrous stroma besides the epithelial proliferation. They may mimic malignant neoplasms with their gross appearance or by imaging modalities. In our case, an incidental ovarian mass was detected in a 41 year-old patient during cesarean section with an appearance like a malignant tumor. We did not have the chance for frozen-section diagnosis because the emergency...
 

 Open Access DOI:10.23937/2377-9004/1410001

Outcome of Labor in Twin Gestation at a Tertiary Institution in a Developing Nation: A 15-Year Review

Rose Anorlu and Olukayode Akinlaja

Article Type: Review Article | First Published: September 19, 2014

Objective: To describe our experience with twin gestation in a developing nation tertiary institution. Method: All cases of twin gestation at the Lagos University Teaching Hospital over a 15-year period were retrospectively reviewed. Results: There were 642 twin births out of a total of 28,472 deliveries, a ratio of 1:44. Peak age at occurrence was 28 with only 6% (39) being grand multipara. 66.4% (426) delivered preterm at about 36 weeks and...

Editor-in-chief


ClinMed International Library

3
2
2
2

Articles Published

All articles are fully peer reviewed, free to access and can be downloaded from our ClinMed archive.

Contact our editorial office

Editors' Picks

Can Genetic Testing Provide Information to Develop Customized Nutrigenomic..
Pubmed ID:26225358 | PMC ID:PMC4516390
Acute Ovarian Insufficiency and Uterine Infarction Following Uterine Artery..
Pubmed ID:26523290 | PMC ID:PMC4623578
Challenges of Fertility Sparing Ovarian Surgery Imposed by Krukenberg..
Pubmed ID:26366440 | PMC ID:PMC4563814
Ultra-High Resolution Optical Coherence Tomography Imaging of Unilateral..
Pubmed ID:27398405 | PMC ID:PMC4936830
Hypothesizing that a Pro-Dopaminergic Regulator (KB220z™ Liquid Variant)..
Pubmed ID:29034323 | PMC ID:PMC5638455
Titanates and Titanate-Metal Compounds in Biological Contexts..
Pubmed ID:26430701 | PMC ID:PMC4587770
MyHEART: A Non Randomized Feasibility Study of a Young Adult..
Pubmed ID:28191544 | PMC ID:PMC5300088
Exenatide Effects on Cardiometabolic Risk and Weight in Adolescents..
Pubmed ID:27182560 | PMC ID:PMC4864000
A New Animal Model to Study Endogenous Cardiotonic Steroids and the Progression..
Pubmed ID:26457335 | PMC ID:PMC4599712
Common Genetic Variation in Circadian Rhythm Genes and Risk of..
Pubmed ID:26807442 | PMC ID:PMC4722961
Active Hexose Correlated Compound Activates Immune Function to Decrease..
Pubmed ID:27790645 | PMC ID:PMC5079436
The Extraction, Anticancer Effect, Bioavailability, and..
Pubmed ID:27790646 | PMC ID:PMC5079443
Kyphosis and Sleep Characteristics in Older Persons: The Rancho..
Pubmed ID:28480455 | PMC ID:PMC5419044
Suppression of Experimental Arthritis through AMP-Activated Protein..
Pubmed ID:26120598 | PMC ID:PMC4479345
Aspirin-Triggered Resolvin D1 Versus Dexamethasone in the Treatment of..
Pubmed ID:27110599 | PMC ID:PMC4841619
Elder Mistreatment and its Subtypes across Different Sociodemographic and..
Pubmed ID:26973979 | PMC ID:PMC4786076
Balance and its Clinical Assessment in Older Adults - A Review..
Pubmed ID:26942231 | PMC ID:PMC4773046
Caregiver Abuse of Chicago Chinese Older Adults in a Community..
Pubmed ID:27606358 | PMC ID:PMC5008847
The Relationship of Older Adults' Physical Pain to Depression and..
Pubmed ID:27642644 | PMC ID:PMC5023019
Sphingosine 1-Phosphate Receptor 2 Regulates the Migration,..
Pubmed ID:27275017 | PMC ID:PMC4888913
Mammary Epithelial Cell Lineage Analysis via the Lyon's Hypothesis..
Pubmed ID:27453956 | PMC ID:PMC4957014
Epigenetic Loss of MLH1 Expression in Normal Human Hematopoietic Stem Cell..
Pubmed ID:27570841 | PMC ID:PMC4996274
Long-Term Function, Pain and Medication Use Outcomes of Radiofrequency..
Pubmed ID:26005713 | PMC ID:PMC4440581
Caspase Cleaved Tau in Alzheimer's Disease: A Therapeutic Target..
Pubmed ID:25639474 | PMC ID:PMC4308811
Corpora Amylacea in Neurodegenerative Diseases: Cause or Effect?..
Pubmed ID:26550607 | PMC ID:PMC4634668
Differences in ME and CFS Symptomology in Patients with Normal and..
Pubmed ID:28713856 | PMC ID:PMC5510614
Gene-Specific Promoter Methylation Status in Hormone-Receptor-Positive..
Pubmed ID:26005715 | PMC ID:PMC4440485
A Derivative of Differentiation-Inducing Factor-3 Inhibits PAK1..
Pubmed ID:26688830 | PMC ID:PMC4682050
Overcoming Endocrine Resistance in Hormone-Receptor Positive Advanced..
Pubmed ID:26726315 | PMC ID:PMC4697745
Zinc Ionophore (Clioquinol) Inhibition of Human ZIP1-Deficient Prostate..
Pubmed ID:26878064 | PMC ID:PMC4751054
Electron Microscopic Analysis of Silicate and Calcium Particles..
Pubmed ID:27158665 | PMC ID:PMC4858188
Effects of chest physical therapy in patients with non-tuberculous mycobacteria
Pubmed ID:28804763 | PMC ID:PMC5552049
A Community-Based Exercise and Support Group Program Improves Quality..
Pubmed ID:26640827 | PMC ID:PMC4667740
Four Weeks of Balance Training Does Not Affect Ankle Joint Stiffness in Subjects..
Pubmed ID:27642647 | PMC ID:PMC5025258
Social Ecology and Diabetes Self-Management among Pacific Islanders..
Pubmed ID:28736764 | PMC ID:PMC4516390
Examining Characteristics of Hospitalizations in Heart Failure Patients: Results..
Pubmed ID:28736765 | PMC ID:PMC5517048