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Obstetrics and Gynaecology Cases - ReviewsISSN: 2377-9004

Early Online

 Open Access DOI:10.23937/2377-9004/1410240

A Case Report of Repeat Methotrexate Failure in Ectopic Pregnancy during In Vitro Fertilization

Carmine Guynn, PA-S and Kevin Alten, MD

Article Type: Case Report | First Published: April 14, 2023

Patients who undergo assisted reproductive technology, specifically in vitro fertilization (IVF), are at an increased risk of developing ectopic pregnancy. 90% are successfully treated with either single dose or multi-dose methotrexate intervention....

 Open Access DOI:10.23937/2377-9004/1410239

Cesarean Delivery in Extracorporeal Membrane Oxygenation Dependent COVID-19 Parturients: A Case Report

Sannoor S Syed, MD, Abigail O Souryal, MD, Emily H Adhikari, MD, Kelechi B Anyaehie, MD, Joo H Shin, MD, Miakka N Jalloh, MD, Matthew J Leveno, MD, Pamela E Fox, MD and Olutoyosi T Ogunkua, MD

Article Type: Case Report | First Published: April 13, 2023

This case report describes two cases of unvaccinated pregnant patients with COVID-19 who progressed to ARDS requiring Venovenous (VV)-ECMO and successfully underwent cesarean delivery. The patients provided Health Insurance Portability and Accountability Act authorization and consent to publish these reports. This article conforms to case report (CARE) guidelines....

 Open Access DOI:10.23937/2377-9004/1410238

Pregnancy Complicated by Non-Compaction Cardiomyopathy in the Mother and Fetus: A Case Report of Both Maternal Management and Prenatal Diagnosis

Eileen O'Connor, DO, Leah Saylor, DO, Suzanne O'Nan, MD and William Schnettler, MD

Article Type: Case Report | First Published: April 13, 2023

Left ventricular noncompaction cardiomyopathy (LVNC) is a rare form of familial cardiomyopathy attributed to failure of ventricular compaction during embryogenesis. Scant data exists regarding the management approach to pregnant patients with this condition. Additionally, few cases are reported in which both the mother and fetus are simultaneously affected by this condition during the antepartum period. ...

 Open Access DOI:10.23937/2377-9004/1410237

Case Report on the Successful Management of Listeria monocytogenes Infection in the Third Trimester of Pregnancy

Caroline VASSALLO and Yves MUSCAT BARON

Article Type: Case Report | First Published: March 30, 2023

Listeria monocytogenes (LM) is a motile Gram-positive facultative anaerobe, which is primarily transmitted to humans through consumption of contaminated food. Examples include ready-to-eat meals, dairy products like milk and soft cheeses, cold meats and vegetables. In pregnant women, illness caused by LM infection, listeriosis, may occur asymptomatically or it may present with vague flu-like and/or gastrointestinal symptoms....

 Open Access DOI:10.23937/2377-9004/1410236

Idiopathic Granulomatous Mastitis, Erythema Nodosum, and Arthritis (GMENA) in Pregnancy: A Case Report

Ashley Berlot, BS, Lesly Sanchez-Alvarez, BS, Nichelle Simmons, MD and Marie Ward, MD, MPH, FACS

Article Type: Case Report | First Published: March 25, 2023

Idiopathic granulomatous mastitis (IGM) is a rare breast condition most commonly seen in parous reproductive-age females. Rarely is IGM seen with erythema nodosum (EN), and more uncommonly, concurrent IGM, EN, and arthritis, also known as GMENA, particularly during pregnancy. This report details the first known documented case of GMENA in a pregnant individual within the United States....
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 Open Access DOI:10.23937/2377-9004/1410235

Management of Cervical Stenosis - Mechanical Dilatation Adjunct with Hormonal Therapy

Wong Pui Ying, MBChB, MRCOG and Yu Chun Hung, MBChB, MRCOG, FHKCOG, FHKAM (Obstetrics and Gynaecology), Cert HKCOG (Urogynaecology)

Article Type: Case Report | First Published: March 17, 2023

Madam C was a 39-year-old primiparous lady having history of one IVF pregnancy delivered by Caesarean section (CS). She was found cervical intra-epithelial neoplasm (CIN) 2-3 with loop electro-excision procedure (LEEP) performed 6 months after her delivery. 1.8 cm-thick, 2 cm-wide cervix was resected and diagnosed CIN 1....

 Open Access DOI:10.23937/2377-9004/1410234

Successful Management of Intractable Supraventricular Tachycardia in Pregnancy

Ernalyn Joy R Endaya, M.D

Article Type: Case Report | First Published: March 17, 2023

Pregnancy is a complex state in a woman's life. It is associated with anatomical and physiologic changes that greatly affect not only the mother but the living fetus inside her womb. This is a case of a 22-year-old woman at 36 5/7 weeks age of gestation presented with intractable tachycardia. The patient presented at the emergency room in cardiorespiratory distress in conjunction with preterm labor. The dilemma of the management would be thoroughly discussed in consideration of the present mater...

 Open Access DOI:10.23937/2377-9004/1410233

Can a Specific 3.6:1 Myoinositol (1100 mg) to D-chiro-inositol (300 mg) Ratio-Based Food Supplement Increase Pregnancy Rates in Advanced Age Conception? A Series of Case Reports

Jorge Iranzo-Sola, Clara Limonta-Bonitto, Bibiana Rodríguez-Jiménez and Silvia Tapiador- Albertos

Article Type: Case Report | First Published: March 09, 2023

Over the last decades, there has been a progressive delay in the mean maternal age of childbirth in industrialized countries due to multifactorial causes. The proportion of women giving birth for the first time at 35 years or older is now higher than decades ago. Pregnancy in this age group is considered advanced age pregnancy. As age increases, there is a rising risk of infertility, mainly due to the inability to conceive, as well as gestational and perinatal complications, which can potentiall...

 Open Access DOI:10.23937/2377-9004/1410232

A Case Report on Successful Management of Complete Placenta Previa with Internal Iliac Artery Ligation

Nalini Thiruvengadam and Kavitha Gautham

Article Type: Case Report | First Published: February 10, 2023

Placenta previa is a complex and extremely challenging scenario as it may result in serious life-threatening conditions like postpartum hemorrhage (PPH). In this case report we present a 32-year-old Primi with 37 weeks of gestational age who approached a multispeciality private hospital at Chennai with complaints of bleeding per vagina around 32 weeks. The Ultrasonogram finding revealed type- 3 placenta previa posterior and the patient was hospitalized. The concise steps taken in the managemen...

 Open Access DOI:10.23937/2377-9004/1410231

Labial Agglutination in a Reproductive Age Woman

Annie Ruth B Dayu, MD and Ma. Isidora Margarita Yap-Garcia, MD

Article Type: Case Report | First Published: November 05, 2022

A 25-year-old nulligravid was consulted due to inability to have sexual intercourse accompanied by chronic urinary hesitancy, dribbling, and dysmenorrhea. On gynecologic pelvic examination, she presented with complete, adult- onset fusion of the labia minora. This paper describes a stepwise management of a reproductive-age woman with complete labial fusion. Treatment goals include etiological determination, anatomic correction, restoration of normal sexual function, improvement of genitourinary...

 Open Access DOI:10.23937/2377-9004/1410230

Diapers and Dialysis: A Case Report on Postpartum Atypical Hemolytic Uremic Syndrome

Meghan St John, MD and Maritsa Scoulos-Hanson, DO

Article Type: Case Report | First Published: October 19, 2022

While thrombotic microangiopathy (TMA) syndromes such as thrombotic thrombocytopenic purpura (TTP), hemolytic uremic syndrome (HUS) and atypical hemolytic uremic syndrome (aHUS) present similarly with hemolytic anemia, thrombocytopenia, and renal injury, their etiology and treatment differs. This poses challenges to prompt diagnosis and treatment....

 Open Access DOI:10.23937/2377-9004/1410229

Abortion in Patient with Obstructive Longitudinal Vaginal Adhesion following Vaginal Prolapse Surgery: A Case Report

Arielle W Fein, MD, Madeline A Dick-Biascoechea, MD, Gracie Nichols, CRNP and Jessica K Lee, MD, MPH

Article Type: Case Report | First Published: October 12, 2022

A vaginal adhesion is an uncommon complication of vaginal surgery. While treatment options for radiation- induced vaginal stenosis and vaginal septum have been well-characterized, there is little to guide surgeons providing care to patients with intravaginal adhesions. This report presents a multigravida with history of anterior and posterior colporrhaphy and perineoplasty referred from an outpatient abortion clinic for a dense longitudinal adhesion obstructing the cervix....

 Open Access DOI:10.23937/2377-9004/1410228

Eclampsia and Postpartum Depression in the Setting of Recurrent Prenatal COVID-19

Olivia Cook, Sahar Zargar and Wanda Torres

Article Type: Case Report | First Published: September 30, 2022

We present a case of gestational hypertension, eclampsia, and postpartum depression in a 39-year-old nulliparous pregnant patient following multiple prenatal severe acute respiratory syndrome-related coronavirus 2 (SARS- CoV-2) infections. After an initial mild first trimester case of coronavirus disease-19 (COVID-19), the patient received a 2-dose mRNA vaccine against SARS-CoV-2....

 Open Access DOI:10.23937/2377-9004/1410227

Complete Androgen Insensitivity Syndrome: A Rare Case with 47, XXY/46, XY Mosaic Karyotype and Literature Review

Yu Hong, Chun-ke Li and Hai-qi Liang

Article Type: Case Report | First Published: August 29, 2022

Androgen insensitivity syndrome (AIS) is an X-linked recessive genetic disease caused by the absence or defects of androgen receptor (AR). Due to the insensitivity to androgen, clinically, patients often manifest as sexual development disorder. According to the grade of the remaining AR function, AIS is classified as complete (CAIS), partial (PAIS) or mild (MAIS). A 14-year-old Chinese child, raised as female, presents with primary amenorrhea....

 Open Access DOI:10.23937/2377-9004/1410226

A Case of Growing Teratoma Syndrome with Gliomatosis Peritonei in The Setting of Ovarian Immature Teratoma

Joshua Daum, BS, Lauren Griebel, MD and Paul Magtibay, MD

Article Type: Case Review | First Published: July 20, 2022

31-year-old nulliparous female with grade 2 immature teratoma presented following presumed treatment failure. Tumor markers remained consistently normal. Biopsies demonstrated gliomatosis peritonei (GP). Despite chemotherapy, tumor growth persisted. She then underwent fertility-sparing cytoreductive surgery. Final pathology showed no evidence of malignancy and presence of only mature teratoma cells....

 Open Access DOI:10.23937/2377-9004/1410225

Case Report: Vulvar Condylomas - New Local Synergistic Treatments

Zuramis Estrada Blanco

Article Type: Case Report | First Published: May 21, 2022

Condyloma acuminata or genital warts are the clinical expression of infection from certain types of human papillomavirus (HPV) that are considered to have low oncogenic risk (No. 6 and No.11). They are currently considered one of the most common sexually transmitted diseases with increasing incidence among most populations. The lesions present and extend in numerous forms (from very localized forms and limited disease to very extensive forms with multi-focal involvement of the anogenital tract)....

 Open Access DOI:10.23937/2377-9004/1410224

Vulvar Granular Cell Tumor in 51-Year-Old Female: A Case Report

Sophia Salas, Nicholas Haslett and Elise N Everett

Article Type: Case Report | First Published: April 21, 2022

A 51-year-old G3P2012 female presented to the gynecology clinic after referral from her primary care provider for a lump in the vulva. The lump was first noticed two years prior, at which time it was pea-sized per patient report and has slowly grown since. The patient reports the lump is not painful or pruritic but has become more bothersome due to its periclitoral location. There was no drainage, bleeding, ulceration, or inflammation at the site of the lump and no changes in vaginal bleeding or...

 Open Access DOI:10.23937/2377-9004/1410222

Vaginal Dysbiosis Management and the Efficacy of a Non- Hormonal Hyaluronic Acid-Based Vaginal Gel (Palomacare®) as an Adjuvant Treatment: The Palomascopia Survey

Fernando Losa, Santiago Palacios, Silvia P González Rodríguez, Laura Baquedano, Danial Khorsandi and María José Muñoz

Article Type: Brief Report | First Published: March 31, 2022

To understand the diagnosis and treatment strategies for vaginal dysbiosis (VD), and the efficacy of Palomacare® vaginal gel as an adjuvant treatment and for relapse prevention. The Palomascopia study was a digital survey conducted from January to March 2021. The data was analyzed once collected. In Spain, 61% of gynecologists perform a vaginal culture to diagnose VD. To treat bacterial vaginosis 67% of gynecologists, prescribe topical antibiotics and 17% recommend prebiotics, meanwhile 71% of ...

 Open Access DOI:10.23937/2377-9004/1410221

A Unique Case of Complex Pelvic Arterial Collateralization Requiring Multidisciplinary Approach to Prolapsing Submucosal Leiomyoma

Amanda P Stanton, PA-C, Charles Ritchie, MD and Christopher DeStephano, MD

Article Type: Case Report | First Published: March 31, 2022

Leiomyoma are the most common benign tumor of the reproductive tract in premenopausal women. Uterine artery embolization has been accepted as a minimally invasive option for the treatment of leiomyoma. While pelvic arterial embolization has shown promising safety and effectiveness in controlling postpartum hemorrhage, no studies have reviewed its clinical application for the prophylactic decrease of hemorrhage risk following minimally invasive therapies for fibroids. We present a case and discus...

 Open Access DOI:10.23937/2377-9004/1410220

Vaginal Delivery in Pregnancy with Buschke-Löwenstein Tumor (Giant Condyloma Acuminatum)

Marta Narváez-Salazar, MD, Leyre Ruiz-Campo, MD, Javier Navarro-Sierra, MD, Peña Dieste- Pérez, MD, María Jesús Puente-Luján, MD, Marta Lamarca-Ballestero, MD, PhD and Laura Baquedano-Mainar, MD, PhD

Article Type: Case Report | First Published: March 31, 2022

The purpose of this paper is to present the case of a pregnant woman with diagnosis of Buschke-Löwenstein tumor at the beginning of labor, exposing the management and performing a review of the literature on the matter. A pregnant woman in the 37th week of gestation diagnosed with Buschke-Löwenstein tumor at the time of the delivery. Her medical history did not reveal any characteristics. Due to the predominantly perineal spread, with no warts in the vagina or birth canal, the labor progress w...

Volume 9
Issue 2