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Akinbiyi Amos A - - 2009
Introduction. We presented two cases of late presentation of ovarian vein thrombosis postpartum following vaginal delivery and cesarean section within a short period in our institution. Both of them had pelvic pain following their deliveries which was associated with fever and chills. One of them was quite a big-sized thrombophlebitic ...
Krishnan B - - 2009
Sialolithiasis is one of the most common diseases of the salivary gland. The submandibular gland and its duct appear to be the most susceptible. However, giant sialoliths have rarely been reported in the literature. Two case reports of giant sialoliths in the submandibular duct alone are presented. In both patients, ...
Iizuka Y - - 2008
A rare case of de novo formation of dural and osteodural arteriovenous fistulas after encephalitis is presented. We review and discuss the etiological angiogenetic factors and processes in intracranial dural arteriovenous fistulas formation. Local tissue hypoxia may have played a role in the initial step causing sprouting angiogenesis as the ...
Huang C C - - 2008
Primary plasmacytoma of the uterine cervix is a rare neoplasm with limited known data, and only several cases sporadically reported in the published literature. Radiotherapy might have a role in the treatment of plasmacytoma of the uterine cervix. We describe primary plasmacytoma of the uterine cervix in a 45-year-old woman ...
Dhulkotia Jaya Saxena - - 2009
INTRODUCTION: Following the introduction of haemostatic agents, new opportunities are available when facing problematic bleeding. We report the first case of traumatic postpartum hemorrhage successfully controlled with a fibrin sealant. CASE PRESENTATION: 26-year nulliparous patient had a rotational forceps delivery and developed multiple vaginal lacerations. Haemostasis could not be achieved ...
Kesterson Joshua P - - 2008
BACKGROUND: Rarely, endometriosis occurs in an abdominal wall scar after a cesarean delivery. CASE: This case report summarizes the presentation, diagnosis and treatment of a woman with an abdominal wall endometrioma within a cesarean delivery skin incision scar. CONCLUSION: An abdominal wall endometrioma needs to be considered in the differential ...
Deffieux Xavier - - 2009
OBJECTIVE: To report on the efficacy and safety of infracoccygeal sacropexy for the treatment of uterovaginal prolapse. METHOD: A retrospective analysis of 87 women who underwent an infracoccygeal sacropexy procedure, 53 receiving a multifilament and 34 receiving a monofilament tape. RESULTS: The mean follow-up was 27 months. Postoperative perineal pain ...
Ahmad Zubair - - 2008
BACKGROUND: The correlation of intra-operative frozen section diagnosis with final diagnosis on permanent sections is an integral part of quality assurance in surgical pathology laboratories. However, there is scant data on this topic from Pakistan. Similarly, no local study has looked at frozen section turnaround times. AIMS AND OBJECTIVES: To ...
Woodmansey Karl - - 2008
Barodontalgia is a rarely reported condition involving changes in ambient pressure resulting in tooth pain. According to Ferjentsik and Aker, Class II barodontalgia is observed in teeth that have pre-existing pulpal disease and an ultimate diagnosis of irreversible pulpitis.1 This article describes a case of Class II barodontalgia that was ...
Jurus Derek - - 2009
Vaginal evisceration of the bowel is a rare and life-threatening complication of gynecologic surgery; recurrence is even more rare. Most cases in the literature discuss primary closure of the dehisced vaginal cuff with delayed absorbable sutures via a vaginal, abdominal, or laparoscopic approach. The case presented here is of a ...
Nohira Tomoyoshi - - 2008
Postpartum hemorrhage (PPH) is a life-threatening emergency in obstetrics. Although recombinant activated factor VII (rFVIIa) has become used for the treatment of some cases of massive hemorrhage, its applications in the field of obstetrics are still limited. We describe a case of successful treatment with rFVIIa for PPH due to ...
Buford Christopher - - 2008
A challenge has recently been levelled against the legal and/or moral legitimacy of some advance directives. It has been argued that in certain cases an advance directive carries no weight in a decision on whether to withhold treatment, since the individual in the debilitating state is not the same person ...
Wise Arlene - - 2008
PURPOSE OF REVIEW: Haemorrhage remains a cause of significant maternal morbidity and mortality. This review summarizes the prevention, management and treatment of obstetric haemorrhage and highlights recent advances and developments. RECENT FINDINGS: Postpartum haemorrhage is the most common cause of major obstetric haemorrhage and is usually due to uterine atony. ...
Lopes-Costa P V - - 2008
Myiasis is the infestation of the tissues of vertebrate animals by the larvae of flies (maggots). As the condition generally occurs in exposed areas of the body, genital myiasis is a rare condition, and myiasis of the uterine cavity is even rarer, only one case having been previously described in ...
Medema Titia Jolenta - - 2008
OBJECTIVE: To report a case of a previously unknown anomaly of the uterus in a patient suffering from primary infertility. DESIGN: Case report. SETTING: University Medical Center. PATIENT(S): A woman with a tricavitated uterus. INTERVENTION(S): During laparotomy both spherical structures and tubes were removed. MAIN OUTCOME MEASURE(S): Hysterosalpingography showed nonpatent ...
Miljkovic N D - - 2008
OBJECTIVE: As adult cartilage has very limited potential to regenerate, cartilage repair is challenging. Available treatments have several disadvantages, including formation of fibrocartilage instead of hyaline-like cartilage, as well as eventual ossification of the newly formed tissue. The focus of this review is the application of bone morphogenetic protein-4 (BMP-4) ...
Heetkamp Anouk - - 2008
Thirteen patients after hemipelvectomy and subsequent delivery of 18 living children are presented in the literature. Pregnancy following this radical surgical procedure is rare. In modern medicine there will be a place for patients who underwent such a procedure and have a wish for children. We present an additional case ...
Bayraktaroglu T - - 2008
OBJECTIVES: We aimed to present a case of Sheehan's syndrome associated with Glanzmann's thrombasthenia. CASE REPORT: A 41-year-old-woman presented with hemorrhagic diathesis needed blood transfusions occasionally during her life-time. In the course of her second delivery, four units of whole blood transfusion were required to control profuse uterine bleeding and ...
Airede Lydia R - - 2008
Postpartum haemorrhage (PPH) is the most common cause of maternal mortality globally. In about 50% of cases PPH is due to uterine atony. When conservative and medical methods of treating PPH due to uterine atony fail, surgical intervention is required to save the woman's life. As an alternative in such ...
Gedikbasi Ali - - 2008
OBJECTIVE: To determine the risk factors causing re-laparotomy and the indications, management and outcomes of re-laparotomy after a cesarean section. METHODS: We had, during the study period of January 2002 to January 2007, 28,799 cesarean sections and 35 cases with re-laparotomy. We studied the patients' age, parity, indications for cesarean ...
Sarrafzadeh-Rezaei F - - 2008
Vaginal prolapse is the protrusion of edematous vaginal tissue into and through the opening of the vulva occurring during the pro-oestrus and oestrus stages of the sexual cycle. True vaginal prolapse may occur near parturition, as the concentration of serum progesterone declines and the concentration of serum oestrogen increases. In ...
Khattar Nikhil - - 2008
Urethral coitus is a very rare entity which usually presents as urethral incontinence during intercourse and is most commonly seen with intact vagina. Only about 24 cases have been reported in the literature. A presentation in vaginal agenesis is exceedingly rare and poses the surgical challenge of restoring continence without ...
Pinho S - - 2008
The term placenta accreta is used to describe any placental implantation in which there is abnormally firm adherence to the uterine wall. This condition complicates 1/2,500 deliveries and is rising in incidence. Abnormal placentation is associated with increased maternal morbidity and mortality from severe hemorrhage, uterine perforation, infection and loss ...
Coskun Demet - - 2008
The choice of anesthetic technique for Caesarean section of a pregnant woman with cerebral arteriovenous malformation (AVM) is made to maintain a stable cardiovascular system, but due to the rarity of this condition, no definitive guidelines exist. We report the case of anesthetic management of Caesarean section of a pregnant ...
Yaakovian Michael D - - 2008
Vaginal evisceration is a rare condition that presents with protruding mass, vaginal bleeding, and pelvic pain. Vaginal evisceration is most commonly associated with previous vaginal surgery but may occur spontaneously, and represents a surgical emergency. We report a case of vaginal evisceration in a 42-year-old premenopausal woman 6 months after ...
Papadakis J C - - 2008
Placenta percreta complicating pregnancy in the first trimester is extremely rare, and only a few cases have been reported in the literature. We recently reported on a patient with risk factors for placenta percreta that presented as first trimester fetal demise, unresponsive to medical management with prostaglandin. The patient required ...
Du Mont Janice - - 2007
This is the first Canadian study to focus directly on whether factors commonly identified as reflecting the seriousness of a sexual assault are noted by judges, and in turn, related to the severity of the sentences they impose. We examined adolescent and adult female sexual assault cases heard in Ontario ...
Wood Sara - - 2007
BACKGROUND: Resistant Trichomonas vaginalis infection is typically treated with increased doses of oral metronidazole. Because of side effects that limit compliance, such treatment may be ineffective. CASE: A young woman had an 8-year history of T vaginalis that was refractory to multiple courses of metronidazole, tinidazole and intravaginal paromomycin. After ...
Mukhopadhyay Sima - - 2007
The association of complete perineal tear and rectal prolapse is less reported in literature, although isolated complete perineal tear and the combinations of vaginal and rectal prolapse are not so unusual, where multiparity and unsupervised home deliveries are quiet common. An interesting case of long standing complete perineal tear with ...
Bachmann Gloria - - 2007
The regulation of vaginal bleeding is an important effect impacting the choice of contraceptive methods. However, comparing vaginal bleeding control and disturbance between various contraceptive studies is often limited by the lack of uniformity in the analysis and reporting of the bleeding patterns. In 1986, the World Health Organization (WHO) ...
Gomez-Lobo Veronica - - 2007
BACKGROUND: We report a case of nonpuerperal uterine inversion associated with an immature teratoma of the uterus. CASE: An adolescent nullipara with prolonged vaginal bleeding, severe abdominal pain, symptomatic anemia, and a presumed diagnosis of retained products of conception was found to have a large mass in the vagina. Uterine ...
Kesterson Joshua - - 2007
BACKGROUND: Amenorrhea resulting from crushing trauma of the pelvis is exceptionally rare. The purpose of this case report is to describe the diagnosis of and successful surgical correction of traumatic separation of the cervix from the uterine corpus. CASE: A nulligravida presented with a complaint of secondary amenorrhea after a ...
Samieh-Tucker A - - 2007
We describe a 30-year-old parturient with acute generalised pustular psoriasis who presented for urgent caesarean section. A multidisciplinary team was involved and general anaesthesia was used successfully. Management of this condition is discussed and the literature reviewed. While generalised pustular psoriasis or impetigo herpetiformis is well recognised in pregnancy, it ...
Sant'Anna G M - - 2007
The case of a term, male neonate (birthweight 3785g) with cephalic presentation, Caesarean-section (C-section) delivery, and failure to thrive is reported. The infant presented with generalized hypotonia and respiratory failure immediately following birth. An initial diagnosis of hypoxic-ischemic encephalopathy was made. However, ventilator dependency and slow recovery of generalized tonus ...
Srivastava G - - 2007
Ogilvies syndrome (OS) is a rare condition in obstetrics but occurs most commonly after caesarean section. Mortality rates from OS can be as high as 36-50% when bowel perforation or ischemia develops which highlights the early recognition of this condition. Early diagnosis is therefore essential to prevent serious morbidity and ...
Pollio Fabrizio - - 2007
A case of secondary postpartum hemorrhage that occurred 3 weeks after cesarean section requiring total abdominal hysterectomy is reported. The patient's history and pathologic features of the removed uterus did not allow the authors to clearly recognize a previous reported cause of this potentially life-threatening complication. Alternative causes of the ...
Sahai-Srivastava Soma - - 2007
BACKGROUND: Peroneal neuropathy has been well described in the literature, but few cases have been reported of bilateral peroneal neuropathy as a complication of normal childbirth. Most reported cases are due to prolonged squatting during childbirth, which is prevalent in certain countries. CASE REPORT: A 30-year-old woman developed bilateral footdrop ...
Dabelea Victor - - 2007
This article reviews our experience with the use of intrauterine tamponade with balloon catheters in the management of severe postpartum hemorrhage. This is a case series report of 23 patients with postpartum hemorrhage unresponsive to medical therapy managed with intrauterine balloon tamponade. We identified these patients by International Classification of ...
Sequeira E - - 2007
Acute puerperal uterine inversion is a rare but potentially fatal obstetric emergency in which the uterine fundus collapses into the uterine cavity. Maternal mortality is high unless the condition is recognised and quickly corrected. The duration of time elapsed from moment of diagnosis to that of correction, along with rapid ...
Abu Jafaru - - 2007
BACKGROUND: Endometrial adenosarcoma is a rare tumor first described by Clement and Scully in 1974. It consists of benign or atypical neoplastic glands within a sarcomatous stroma and represents approximately 8% of all uterine sarcomas. Patients of a variety of ages are affected: the largest series reported 100 cases in ...
Coles M S - - 2007
An 18-yr-old female presented to her local pediatric clinic with a 4-day history of vaginal bleeding and cramping. She reported sexual activity with last coitus two weeks prior and intermittent condom usage. Examination revealed blood in the vaginal vault and a 4- to 5-cm uterus, slightly tender to palpation. Urine ...
Lo Keith W K - - 2007
Fallopian tube prolapse is an unusual complication after hysterectomy. Different surgical options have been proposed, including abdominal, vaginal, and combined laparoscopic approaches, with partial or complete salpingectomy. This article presents experience in the management of 7 cases of fallopian tube prolapse with different surgical approaches according to the characteristics of ...
Chin Arnold I - - 2007
Cyclical hematuria is an unusual presentation of a müllerian fusion anomaly. We report a patient with transverse vaginal septum and menstruation by way of the lower urinary tract because of a vesical-vaginal communication. A defect of vertical fusion, transverse vaginal septum results from failure of canalization of the vaginal plate. ...
Lin Li-Mei - - 2007
BACKGROUND: Primary vaginal clear cell adenocarcinoma (CCA) is a rare gynecological malignancy occurring predominantly in young females with a history of diethylstilbestrol exposure in utero. Vaginal CCA commonly metastasizes to the lungs and the supraclavicular lymph nodes; however we present a rare case of diethylstilbestrol-induced vaginal CCA with cerebral metastases. ...
Livingston Sharee L - - 2007
BACKGROUND: Uterine inversion is a rare complication of vaginal delivery. When chronic inversion is encountered it is often associated with benign or malignant tumors of the uterus. Management of chronic uterine inversion may require several standard techniques before reversion is accomplished. CASE: A woman presented with chronic vaginal bleeding 14 ...
Jain A - - 2007
As sex reassignment surgeries become common and advanced, doctors are more likely to encounter cases with 'different' anatomy. Due to variations in examination and management as compared with non-transsexual patients, these cases generally prove challenging to the physicians. We present a case of recurrent bacterial vaginosis (BV) of neovagina in ...
Koifman Arie - - 2007
We present a case of a 24-year old, otherwise healthy, primigravida that was admitted at term with severe abdominal pain, hemoperitoneum, hypovolemic shock and severe fetal bradycardia. There was no history of abdominal trauma. Due to suspected fetal distress and placental abruption an emergency cesarean section was performed. Careful exploration ...
Basu Maya - - 2007
In this case report, we discuss two cases of the successful use of the tension-free vaginal tape (TVT) to treat women with detrusor overactivity (DO) but no evidence of urodynamic stress incontinence (USI). The use of the TVT for the treatment of DO has been evaluated in a small number ...
Kayastha Sanita - - 2006
This was a prospective study, conducted to analyze the intraoperative complications, postoperative morbidities and complications between abdominal and vaginal hysterectomy. This study was carried out on 100 patients (50 cases abdominal and 50 cases vaginal hysterectomy), in Services Hospital, Lahore in the year 2002 from April to December. Among the ...
Ziebarth Angela - - 2007
OBJECTIVE: To report delayed diagnosis in two cases because of subtle manifestations of partially obstructive müllerian anomalies. DESIGN: Case report. SETTING: Academic medical center. PATIENT(S): The first case is a 30-year-old woman who was seen initially with irregular vaginal bleeding, dysmenorrhea, and dyspareunia. On physical examination she was noted to ...
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