1,037 results match your criteria Case reports in obstetrics and gynecology[Journal]


Two Cases of Ectopic Pregnancy Mimicking Gestational Trophoblastic Disease.

Case Rep Obstet Gynecol 2020 16;2020:2417428. Epub 2020 Jun 16.

Department of Gynecology and Obstetrics, Kyoto University, 54 Shogoin Kawahara-cho, Sakyo, Kyoto 606-8507, Japan.

A well-known typical feature of ectopic pregnancy is an evident gestational sac structure outside of the uterus. However, some cases show atypical appearance that is described as a heterogeneous hypervascular mass. We report two cases of ectopic pregnancy that presented heterogeneous findings mimicking gestational trophoblastic diseases but were correctly diagnosed as ectopic pregnancies on MRI. Read More

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http://dx.doi.org/10.1155/2020/2417428DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315310PMC

Ovarian Solid Pseudopapillary Tumor Resembling Benign Hemorrhagic Cyst on Rapid Frozen Section.

Case Rep Obstet Gynecol 2020 30;2020:6473630. Epub 2020 May 30.

Department of Gynecologic Oncology, Kaiser Permanente Southern California, Riverside, CA 92505, USA.

Solid pseudopapillary tumors are rare, with the majority of described cases originating in the pancreas. To date, there are only 10 documented reports of primary ovarian solid pseudopapillary tumors. Here, we describe the case of a 24-year-old woman who presented with worsening pelvic pain and dysmenorrhea. Read More

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http://dx.doi.org/10.1155/2020/6473630DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7285408PMC

Hidradenitis Suppurativa Recurrence in a Caesarean Scar.

Case Rep Obstet Gynecol 2020 3;2020:6283720. Epub 2020 Jun 3.

Veracity Clinical Research, Suite 18 Level 1 250 Ipswich Rd., Woolloongabba QLD 4102, Australia.

Hidradenitis suppurativa (HS), also known as acne inversa, is a chronic, relapsing inflammatory skin condition characterised by the presence of painful nodules, abscesses, and sinus tracts or scarring. Affecting up to 4% of the population, it is not uncommon and is seen predominantly in females at a ratio of 3 : 1. HS carries a substantial burden for those who suffer from it, from the significant psychosocial impact, to the cost of the multitude of topical and systemic treatments which often do not successfully control its symptoms. Read More

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http://dx.doi.org/10.1155/2020/6283720DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7291312PMC

A Case of Trousseau's Syndrome Accompanying Ovarian Cancer with Widespread Thromboembolisms.

Case Rep Obstet Gynecol 2020 5;2020:3738618. Epub 2020 Jun 5.

Department of Gynecology, Seirei Hamamatsu General Hospital, Japan.

The patient was a 41-year-old woman, gravida 0. She had no notable medical history. Laparoscopic right salpingo-oophorectomy and left cystectomy were performed for bilateral ovarian endometriomas, which were both pathologically diagnosed as benign. Read More

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http://dx.doi.org/10.1155/2020/3738618DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7293738PMC

Successful Detection of Unrecognized in Pregnancy Using Cell-Free Next-Generation Sequencing.

Case Rep Obstet Gynecol 2020 26;2020:6767351. Epub 2020 May 26.

Department of Pathology and Immunology, Baylor College of Medicine, Houston, TX, USA.

Flea-borne (murine) typhus is caused by . Infection in pregnant women can lead to adverse outcomes when diagnosis and treatment is delayed. We describe how next-generation sequencing (NGS) using the Karius® test was used to rapidly diagnose murine typhus in two pregnant women admitted to a large tertiary care center in Houston, Texas, when all initial testing was nondiagnostic. Read More

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http://dx.doi.org/10.1155/2020/6767351DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7271245PMC

The Largest Tubal Pregnancy: 14th Week.

Case Rep Obstet Gynecol 2020 20;2020:4728730. Epub 2020 May 20.

Hamad Medical Corporation, Qatar.

Subsequent development and implantation of embryo outside the uterine lining are defined as an ectopic pregnancy. Ectopic pregnancies have a wide range of presentations, for example, acute hemoperitoneum to chronic ectopic pregnancy. The case presented is an unusual case of ectopic pregnancy with large hematosalpinx with classic symptoms. Read More

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http://dx.doi.org/10.1155/2020/4728730DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7260646PMC

Interstitial Pregnancy in the Third Trimester with Severe Preeclampsia: A Case Report and Literature Review.

Case Rep Obstet Gynecol 2020 12;2020:9408501. Epub 2020 May 12.

Department of Obstetrics and Gynecology, Jichi Medical University, Japan.

An interstitial pregnancy that continues beyond the second trimester is a rare phenomenon. We report a patient with an interstitial pregnancy undiagnosed until the third trimester. A multiparous woman was referred to us because of preeclampsia at 26 weeks of gestation. Read More

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http://dx.doi.org/10.1155/2020/9408501DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7240790PMC

Spontaneous Intraoperative Rupture of a Large Interstitial Pregnancy: Laparoscopic Management.

Case Rep Obstet Gynecol 2020 14;2020:5626783. Epub 2020 Apr 14.

Tertiary Referral Center of Gynecological Laparoscopy, Lefkos Stavros Hospital, Athens, Greece.

We present a case of a large interstitial pregnancy which was intraoperatively ruptured, but was eventually laparoscopically treated. The patient experienced 9 weeks of amenorrhea, and a right cornual pregnancy measuring 6 cm was diagnosed. The patient consented on having a minimal surgical treatment, and a laparoscopic right cornuotomy was decided. Read More

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http://dx.doi.org/10.1155/2020/5626783DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7178462PMC

The Sigmoidal Pregnancy: A Rare Entity Complicated by an Inappropriate Medical Intervention.

Case Rep Obstet Gynecol 2020 1;2020:2725975. Epub 2020 Apr 1.

Faculty of Medicine of Damascus University, Damascus, Syria.

The abdominal ectopic pregnancy is very rare and accounts for less than 1% of all ectopic gestations. Due to the lack of clinical suspicion, many obstetricians confuse it with other diseases and manage it inappropriately. Here, we are reporting the case of a 41-year-old woman that was referred to our hospital because of severe vaginal bleeding caused by multiple uterine perforations during the dilatation and curettage. Read More

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http://dx.doi.org/10.1155/2020/2725975DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7154979PMC

Conservative Management of Placenta Percreta: Three Cases and a Review of the Literature regarding Conservative Management of Placenta Accreta Spectrum (PAS) Disorders.

Case Rep Obstet Gynecol 2020 26;2020:9065342. Epub 2020 Mar 26.

Department of Obstetrics and Gynecology, Faculty of Medicine, University of Kelaniya, Ragama, Sri Lanka.

Background: The incidence of placenta accreta spectrum (PAS) disorders has risen over the last decades, and there has been a gradual shift towards expectant management. Conservative management of PAS is known to reduce major obstetric haemorrhage and salvage hysterectomy. There is a lack of consensus on the follow-up of patients undergoing conservative approaches. Read More

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http://dx.doi.org/10.1155/2020/9065342DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7149411PMC

Spontaneously Ruptured Dermoid Cysts and Their Potential Complications: A Review of the Literature with a Case Report.

Case Rep Obstet Gynecol 2020 31;2020:6591280. Epub 2020 Mar 31.

Department of Obstetrics and Gynaecology, Westmead Hospital, Westmead NSW 2145, Australia.

Spontaneous ruptures of dermoid cysts are a rare occurrence due to their thick capsules. This is the first systematic review on spontaneously ruptured dermoid cysts. A comprehensive literature search was performed from PubMed, Google Scholar, and MEDLINE. Read More

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http://dx.doi.org/10.1155/2020/6591280DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7150697PMC

Development of Vaginal Pseudoaneurysm 3 Years after Cesarean Section Possibly Induced by Anticoagulant and Antiplatelet Therapies.

Case Rep Obstet Gynecol 2020 24;2020:6196575. Epub 2020 Mar 24.

Department of Obstetrics and Gynecology, Graduate School of Medicine, University of the Ryukyus, 207 Uehara Nishihara, Okinawa 903-0215, Japan.

Pseudoaneurysms generally develop when an arterial puncture site is inadequately sealed. We encountered a case of vaginal pseudoaneurysm that developed 3 years after cesarean section in a 35-year-old gravida 7 para 4 woman who was prescribed with anticoagulant and antiplatelet drugs after surgeries for ventricular septal defect and aortic valve replacement. Pelvic computed tomography scan revealed a large mass, which showed a dappled contrast filling on the arterial phase, located in the posterior vaginal wall. Read More

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http://dx.doi.org/10.1155/2020/6196575DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7128040PMC

Spontaneous Rupture of Leiomyoma Diagnosed Preoperatively with Noncontrast Computed Tomography.

Case Rep Obstet Gynecol 2020 24;2020:5364165. Epub 2020 Mar 24.

Department of Obstetrics and Gynecology, Women's Hospital of British Columbia, University of British Columbia, Vancouver, Canada.

Background: Spontaneous rupture of benign uterine fibroids is extremely rare and has been associated with fibroid degeneration. It can cause acute intraperitoneal bleeding requiring immediate surgical intervention.

Case: A previously healthy 50-year-old, Caucasian, nullipara presented with syncope, hemodynamic instability, and an acute abdomen. Read More

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http://dx.doi.org/10.1155/2020/5364165DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7128062PMC

A Rare Case of Chronic Uterine Inversion Secondary to Submucosal Fibroid Managed in the Province Hospital of Nepal.

Case Rep Obstet Gynecol 2020 16;2020:6837961. Epub 2020 Mar 16.

District Hospital, Terhathum, Nepal.

Uterine inversion secondary to uterine pathology is a rare scenario that a gynecologist encounters. Unlike puerperal uterine inversion, it is misleading and may not always be possible to reduce to normal position without surgery. We report a case of a 35-year female with per vaginal bleeding for fifteen months with a mass-like sensation in the vaginal canal. Read More

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http://dx.doi.org/10.1155/2020/6837961DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7102445PMC

Diabetes, Fetal Demise, and Shoulder Dystocia: The Importance of Glucose Screening to Prevent Catastrophic Obstetric Outcomes.

Case Rep Obstet Gynecol 2020 10;2020:8142109. Epub 2020 Mar 10.

Department of Obstetrics and Gynecology, Naval Medical Center Portsmouth, USA.

Diabetes is associated with increased risk of stillbirth and shoulder dystocia. Compared with uncomplicated pregnancies, diabetic patients have a 4-6x risk of stillbirth and 2-3x risk of shoulder dystocia. A 34 yo G2P0010 presented with a 40+3 wga IUFD with nonstandard antenatal glucose screening. Read More

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http://dx.doi.org/10.1155/2020/8142109DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7086412PMC

Enoxaparin Effect on Pregnancy Outcomes in a Patient with Elevated Plasminogen Activator Inhibitor-1.

Case Rep Obstet Gynecol 2020 9;2020:7860324. Epub 2020 Mar 9.

UMASS Memorial Medical Center, 119 Belmont Street, Worcester, MA 01605, USA.

Background: Plasminogen activator inhibitor-1 (PAI-1) inhibits tPA and creates a prothrombotic state. Gene polymorphisms of PAI-1 are associated with elevated levels and adverse pregnancy outcomes.

Case: A 36-year-old gravida 6, para 1-1-3-1 with elevated prepregnancy PAI-1 levels, a history of early-onset preeclampsia with severe features superimposed on chronic hypertension, intrauterine growth restriction (IUGR), and recurrent pregnancy loss (RPL), presented with a dichorionic-diamniotic twin gestation. Read More

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http://dx.doi.org/10.1155/2020/7860324DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7086427PMC

Second Trimester Heterotopic Triplet Pregnancy with Intrauterine Twin Pregnancy and Ruptured Interstitial Pregnancy: A Maternal Near-Miss Case Report.

Case Rep Obstet Gynecol 2020 11;2020:5240848. Epub 2020 Mar 11.

Yale University School of Medicine, Division of Maternal Fetal Medicine, USA.

Heterotopic pregnancy is defined as the occurrence of simultaneous intrauterine and extrauterine pregnancies. It is a rare, potentially life-threatening condition and infrequent in natural conceptions. Here, we report a case of spontaneous heterotopic triplet pregnancy with ruptured cornual ectopic pregnancy and simultaneous twin intrauterine pregnancies at 18 weeks of gestation. Read More

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http://dx.doi.org/10.1155/2020/5240848DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7086425PMC

Osler-Weber-Rendu Disease Uncovered by Preeclampsia in a Case Report.

Case Rep Obstet Gynecol 2020 3;2020:2746947. Epub 2020 Mar 3.

Intensive Care Unit, Mohammed VI University Hospital Center, Faculty of Medicine and Pharmacy of Oujda, Mohammed I University, Oujda, Morocco.

Osler-Weber-Rendu disease (OWRD), called hereditary hemorrhagic telangiectasia, is an uncommon genetic illness with the dominant autosomal transmission. It cannot be easily or quickly diagnosed because of both its infrequency and its various associated symptoms. As far as its symptoms are concerned, the patient experiences recurring epistaxis, mucocutaneous telangiectasia, and arteriovenous malformations that can lead to severe undesirable symptoms. Read More

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http://dx.doi.org/10.1155/2020/2746947DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7081023PMC

Early Recurrence of Ovarian Cancer during Pregnancy after Primary Staging Surgery in the First Trimester.

Case Rep Obstet Gynecol 2020 3;2020:1737061. Epub 2020 Mar 3.

Department of Obstetrics and Gynecology, Tokyo Women's Medical University Medical Center East, Japan.

Cancer during pregnancy is rare. However, even during pregnancy, there is the possibility of recurrence for the patients. We present the case of recurrence of ovarian cancer during pregnancy regardless of primary staging surgery performed in the first trimester of the same pregnancy. Read More

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http://dx.doi.org/10.1155/2020/1737061DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7077045PMC

A Successful Pregnancy with Amyotrophic Lateral Sclerosis.

Case Rep Obstet Gynecol 2020 29;2020:1247178. Epub 2020 Feb 29.

Teaching Hospital Peradeniya, Sri Lanka.

Amyotrophic lateral sclerosis (ALS) is a degenerative motor neurone disease that is rarely seen in the obstetric population. We present a 32-year-old patient who presented in her fourth pregnancy with a background history of ALS. There was complete involvement of the upper and lower motor neurone system and bulbar system without involvement of the sensory system. Read More

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http://dx.doi.org/10.1155/2020/1247178DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7071795PMC
February 2020

Adnexal Tumor-Related Neurobehavioral Alterations: A Rare Case Report.

Case Rep Obstet Gynecol 2020 25;2020:3802940. Epub 2020 Feb 25.

Department of Gynaecology, Escola Paulista de Medicina, Universidade Federal de São Paulo, Sao Paulo, Brazil.

Associations between neuropsychotic changes and oncologic disease are often described as late-onset symptoms, secondary to the instituted treatment. However, neurocognitive symptoms as a clinical manifestation of adnexal tumors are still little discussed, despite the importance of these in the gynecology practice. In this article, we present a case of adnexal mass whose first clinical manifestations were neuropsychiatric alterations. Read More

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http://dx.doi.org/10.1155/2020/3802940DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7066408PMC
February 2020

A Rare Case of Watery Vaginal Discharge due to Caesarean Scar Dehiscence following Brace Suture and Balloon Tamponade for the Management of Postpartum Hemorrhage.

Case Rep Obstet Gynecol 2020 26;2020:2064782. Epub 2020 Feb 26.

Department of Obstetrics and Gynecology, KK Women's and Children's Hospital, Lee Kong Chian School of Medicine, Duke NUS Medical School and Yong Loo Lin School of Medicine, Singapore.

A woman in her early twenties with dichorionic diamniotic twins underwent emergency caesarean section (CS) for failed induction of labor for discordant growth at 37 weeks. Her CS was complicated by atonic postpartum hemorrhage (PPH) requiring uterotonics, B-lynch suture, and Bakri balloon. She presented on the 5 postoperative day (POD) with fever and wound pain and collapsed due to desaturation. Read More

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http://dx.doi.org/10.1155/2020/2064782DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7063215PMC
February 2020

Steroid Cell Tumour in Pregnancy: Reflection on a Rare Case and Review of the Literature.

Case Rep Obstet Gynecol 2020 28;2020:1817042. Epub 2020 Feb 28.

Department of Gynaecology Oncology, Liverpool Cancer Therapy Centre, Liverpool Hospital, Liverpool, NSW, Australia 2170.

There are only a few cases of steroid cell tumours that have been described in the literature. Here, we present an exceptionally rare case of a steroid cell tumour arising from the ovary in early pregnancy. Read More

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http://dx.doi.org/10.1155/2020/1817042DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7066393PMC
February 2020

Unusual Case of a Missing Vibrator Device in the Pelvis.

Case Rep Obstet Gynecol 2020 21;2020:8023798. Epub 2020 Feb 21.

The Marchand Institute for Minimally Invasive Surgery, Mesa, AZ 85209, USA.

Emergency room admissions and surgery secondary to the malfunctioning of devices intended for sexual stimulation are extremely common. Emergency room staff in the United States are commonly skilled in the detection and removal of some of these frequent occurrences. Occasionally, surgical intervention can be warranted if the device enters a cavity that cannot safely be explored in the emergency room setting. Read More

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http://dx.doi.org/10.1155/2020/8023798DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7061129PMC
February 2020

Surprise Lymph Node Histology in a Patient with Ovarian Serous Carcinoma.

Case Rep Obstet Gynecol 2020 10;2020:6468124. Epub 2020 Feb 10.

Department of Histopathology, Singapore General Hospital, Singapore.

We report a case of a sixty-three-year-old Chinese female with a known past history of primary, biopsy-diagnosed, ovarian high-grade serous carcinoma. Following three cycles of chemotherapy, she underwent total hysterectomy, bilateral salpingo-oophorectomy cytoreductive surgery with lymphadenectomy, and multiple peritoneal biopsies. In this situation, the lymph nodes would be expected to demonstrate possible residual metastatic serous carcinoma with or without chemotherapy effect. Read More

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http://dx.doi.org/10.1155/2020/6468124DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7035544PMC
February 2020

Plasmapheresis for the Treatment of Anti-M Alloimmunization in Pregnancy.

Case Rep Obstet Gynecol 2020 7;2020:9283438. Epub 2020 Feb 7.

Department of Obstetrics and Gynecology, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan.

Intrauterine transfusion is the standard antenatal treatment for a fetus with severe anemia. Plasmapheresis is an alternative treatment for cases with a history of severe hemolytic disease of the fetus and newborns at less than 20 weeks of gestation. There is only one previous report of plasmapheresis for the anti-M alloimmunization in pregnancy, and we report here on the successful treatment of plasmapheresis for anti-M alloimmunization. Read More

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http://dx.doi.org/10.1155/2020/9283438DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7029308PMC
February 2020

Successful Oocyte Retrieval, Fertilization, and Clinical Pregnancy with Low Serum -hCG on the Day of Oocyte Collection: A Reappraisal of the Definition of the Empty Follicle Syndrome.

Case Rep Obstet Gynecol 2020 8;2020:9210651. Epub 2020 Feb 8.

Division of Reproductive Endocrinology and Infertility, Wayne State University School of Medicine, USA.

Objective: To describe a case of successful oocyte retrieval, fertilization and clinical pregnancy despite very low -hCG level, twelve hours after ovulation trigger.

Design: Case report. . Read More

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http://dx.doi.org/10.1155/2020/9210651DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7031730PMC
February 2020

Disseminated Endometriosis and Low-Grade Endometrioid Stromal Sarcoma in a Patient with a History of Uterine Morcellation for Adenomyosis.

Case Rep Obstet Gynecol 2020 5;2020:7201930. Epub 2020 Feb 5.

Department of Pathology, University of California, San Diego, CA, USA.

Morcellation of benign uterine tumors allows for removal of the tumors via minimally invasive laparoscopic procedures. However, in rare cases, morcellation has been associated with upstaging of unexpected malignancies. Morcellation has also been associated with dissemination of benign pathologic processes such as endometriosis and leiomyomas. Read More

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http://dx.doi.org/10.1155/2020/7201930DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7025032PMC
February 2020

Prenatal Diagnosis and Management of a Rare Central Tendon Defect Type of Congenital Diaphragmatic Hernia with a Massive Pericardial Effusion.

Case Rep Obstet Gynecol 2020 22;2020:6798253. Epub 2020 Jan 22.

Division of Neonatal Medicine, Department of Pediatrics, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.

The central tendon defect type of congenital diaphragmatic hernia (CDH) is extremely rare and usually associated with a significant pericardial effusion. Prenatal diagnostic ultrasound features of this quite rare entity remain often overlooked or misdiagnosed. There is a dearth of literature about the role of prenatal intervention, often through an elective pericardiocentesis, for the prevention of lung hypoplasia and to decrease the overall neonatal morbidity and mortality. Read More

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http://dx.doi.org/10.1155/2020/6798253DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6996704PMC
January 2020

Bacteremia Presenting as an Acute Self-Limited Illness in an Obstetric Patient.

Case Rep Obstet Gynecol 2020 5;2020:5281792. Epub 2020 Feb 5.

Department of Obstetrics & Gynecology, West Virginia University School of Medicine, Morgantown, WV. 26506, USA.

A 20 year-old female at 27-week gestation was admitted for threatened preterm delivery. Following an initially unremarkable hospital course for 12 days, the patient developed fever, chills, generalized malaise, abdominal pain, and diffuse myalgias on day 13 of hospitalization. species was isolated from blood cultures on day 16 of hospitalization. Read More

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http://dx.doi.org/10.1155/2020/5281792DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7025035PMC
February 2020

Grade 4 Pneumonitis in a Patient Treated with a Combination of Gemcitabine and Docetaxel for Recurrent Leiomyosarcoma of the Uterus.

Case Rep Obstet Gynecol 2020 7;2020:4629452. Epub 2020 Feb 7.

Division of Gynecologic Oncology, University of Wisconsin School of Medicine and Public Health, Madison, WI 53792, USA.

Gemcitabine and docetaxel combination chemotherapy is the standard of care for patients with unresectable recurrent or metastatic leiomyosarcoma of the uterus. Although they are generally well-tolerated agents, they can also cause severe and life-threatening pulmonary toxicities. Here, we describe a case of grade 4 pneumonitis due to gemcitabine and docetaxel in a 74-year-old woman with recurrent, metastatic uterine leiomyosarcoma. Read More

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http://dx.doi.org/10.1155/2020/4629452DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7029286PMC
February 2020

Uterine Tumor Resembling Ovarian Sex Cord Tumors Type II with Vaginal Vault Recurrence.

Case Rep Obstet Gynecol 2019 27;2019:5231219. Epub 2019 Nov 27.

Department of Surgical Sciences, Section of Gynecology and Obstetrics, University of Rome Tor Vergata, Italy.

UTROSCTs ( are rare neoplasms of unknown etiology usually occurring in middle-aged women. Less than 100 cases of UTROSCT have been reported so far. Although the typical behavior of UTROSCT is benign, metastatic and recurrent cases can occur. Read More

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http://dx.doi.org/10.1155/2019/5231219DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7012198PMC
November 2019

Unexplained First Trimester Intrahepatic Cholestasis of Pregnancy: A Case Report and Literature Review.

Case Rep Obstet Gynecol 2019 27;2019:4980610. Epub 2019 Dec 27.

American University of Beirut Medical Center, Beirut PO Box: 11-0236, Lebanon.

Intrahepatic cholestasis of pregnancy (ICP) is a condition that usually affects the 3 trimester-pregnant women and is associated with adverse pregnancy outcomes. We present a 31-year-old G2P1 patient with symptoms of ICP as early as 10 weeks of gestation (WG). Her pruritis was initially attributed to eczema. Read More

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http://dx.doi.org/10.1155/2019/4980610DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7024080PMC
December 2019

Absent Ureteral Efflux after Hysterectomy Leads to Diagnosis of Ureteral Atresia with Renal Atrophy.

Case Rep Obstet Gynecol 2020 28;2020:9214613. Epub 2020 Jan 28.

Department of Urology, Lewis Katz School of Medicine at Temple University, Temple University Hospital, 3401 N. Broad St, Philadelphia, PA 19140, USA.

Iatrogenic injury to the urinary system is a known complication of gynecologic surgery; therefore, intraoperative cystoscopy is frequently performed to assess for such injuries. However, if an abnormality is seen, the differential diagnosis extends beyond iatrogenic causes. A 42-year-old patient underwent a total abdominal hysterectomy and had absent efflux from the right ureteral orifice on cystoscopy. Read More

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http://dx.doi.org/10.1155/2020/9214613DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7007933PMC
January 2020

CVT in the Peripartum Period: A Diagnostic Dilemma.

Case Rep Obstet Gynecol 2020 22;2020:7656232. Epub 2020 Jan 22.

Virginia Commonwealth University School of Medicine, Department of Anesthesiology, Inova Fairfax Medical Campus, USA.

Women in the peripartum period can develop headache with a variety of etiologies that require a multidisciplinary approach if unresponsive to treatment (Stella et al. 2007). Neuroimaging needs to be undertaken even occasionally in the absence of focal neurologic signs to rule out life-threatening causes of headache. Read More

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http://dx.doi.org/10.1155/2020/7656232DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7007741PMC
January 2020

Evaluation and Treatment of Cardiac Tamponade in a Pregnant Patient.

Case Rep Obstet Gynecol 2020 15;2020:8703980. Epub 2020 Jan 15.

Rutgers New Jersey Medical School, Newark, New Jersey, USA.

Cardiac tamponade is an uncommon but life-threatening emergency that may occur in pregnant women. There is a plethora of causes, but prompt diagnosis and intervention is imperative to optimize both maternal and fetal outcomes. We report on a case of a large pericardial effusion leading to cardiac tamponade occurring in the 32 week of gestation in a previously healthy woman. Read More

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http://dx.doi.org/10.1155/2020/8703980DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6985926PMC
January 2020

Metastatic Ovarian Clear Cell Carcinoma in the Context of Pregnancy.

Case Rep Obstet Gynecol 2020 3;2020:2695058. Epub 2020 Jan 3.

Department of Obstetrics and Gynecology, Monmouth Medical Center, Long Branch, NJ 07740, USA.

Adnexal masses are routinely encountered in the clinical practice. However, adnexal masses during pregnancy are incidental findings and usually resolve spontaneously or can be managed conservatively during pregnancy due to their benign nature. Ovarian malignancy is a rare event to occur during pregnancy. Read More

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http://dx.doi.org/10.1155/2020/2695058DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6961607PMC
January 2020

Enterocele Presenting as Anterior Rectal Prolapse: Resolution with Vaginal Repair.

Case Rep Obstet Gynecol 2020 3;2020:1796365. Epub 2020 Jan 3.

Department of Obstetrics and Gynecology, Wright State University Boonshoft School of Medicine, 128 E. Apple Street, Suite 3800 CHE, Dayton, OH 45409, USA.

An enterocele is a pelvic hernia formed from the separation of endopelvic fascia, associated with the posterior or anterior vaginal fornix, and most commonly located in the posterior superior vaginal segment. Rectal prolapse is a debilitating condition in which the mucosa of the rectum protrudes circumferentially from the anus. Surgical repair is the recommended treatment for rectal prolapse, and though there are many different surgical options, there is no consensus on which approach is best. Read More

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http://dx.doi.org/10.1155/2020/1796365DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6961605PMC
January 2020

A Rare Case of Sclerosing Stromal Tumor of the Ovary Presenting in Pregnancy: A Diagnostic Dilemma on Presentation.

Case Rep Obstet Gynecol 2019 30;2019:3927971. Epub 2019 Dec 30.

Department of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, NY, USA.

Sclerosing stromal tumor (SST) is a rare benign neoplasm of the ovary. There are only a few cases of sclerosing stromal tumor of the ovary during pregnancy that have been reported in the literature. The presenting symptoms are nonspecific, including pelvic pain or menstrual irregularities. Read More

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http://dx.doi.org/10.1155/2019/3927971DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6955134PMC
December 2019

Vanishing Gastroschisis with a Favorable Outcome after a 3-Year Follow-Up: A Case Report and Literature Review.

Case Rep Obstet Gynecol 2020 7;2020:8542087. Epub 2020 Jan 7.

Department of Pediatric Surgery, Hautepierre, University Hospital, Strasbourg, France.

Vanishing gastroschisis (VG) is a severe complication of gastroschisis with a high mortality rate. We report here a case of VG with a favorable outcome after a 3-year follow-up. A 26-year-old primigravida woman was referred to Strasbourg University Hospital because her fetus was diagnosed with an isolated gastroschisis at 13-week gestation. Read More

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http://dx.doi.org/10.1155/2020/8542087DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6969982PMC
January 2020

A Case of Type I Sirenomelia Complicated by Severe Oligohydramnios in the First Trimester.

Case Rep Obstet Gynecol 2019 26;2019:4564260. Epub 2019 Dec 26.

Department of Obstetrics and Gynecology, Sakakibara Heart Institute, Fuchu, Tokyo, Japan.

Sirenomelia is a very rare congenital anomaly. Type I is the mildest type, and the long bone structures are all normally present with only soft tissue fusion. We experienced a case of type I sirenomelia complicated by severe oligohydramnios. Read More

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http://dx.doi.org/10.1155/2019/4564260DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6949666PMC
December 2019

A Case of Intertwin Membrane Hemorrhage with Spontaneous Resolution.

Case Rep Obstet Gynecol 2019 23;2019:3757454. Epub 2019 Dec 23.

Uniformed Services University, 4301 Jones Bridge Rd., Bethesda, MD 20814, USA.

Vaginal bleeding during pregnancy places women at increased risk of spontaneous abortion. Etiologies for threatened and spontaneous abortions have been well studied, but there is little information on intertwin membrane hemorrhage. We present a patient with a multiple gestation pregnancy who experienced first trimester vaginal bleeding with visualization and subsequent rapid resolution of an intertwin membrane hemorrhage. Read More

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http://dx.doi.org/10.1155/2019/3757454DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6948334PMC
December 2019

Postpartum Seizure and Subarachnoid Haemorrhage Secondary to Moyamoya Disease.

Case Rep Obstet Gynecol 2019 24;2019:6132835. Epub 2019 Dec 24.

Department of Women's and Newborn Health, Westmead Hospital, Cnr Hawkesbury and Darcy Rd, Westmead, NSW 2145, Australia.

Postpartum seizures secondary to subarachnoid haemorrhage (SAH) are rare. The incidence of pregnancy-related SAH is increasing and is highest during the delivery and postpartum periods. While there have been cases in the literature of SAH occurring postpartum, very few are associated with Moyamoya disease. Read More

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http://dx.doi.org/10.1155/2019/6132835DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6942787PMC
December 2019

A Case of Vaginal Birth after Cesarean Delivery in a Patient with Uterine Didelphys.

Case Rep Obstet Gynecol 2019 23;2019:3979581. Epub 2019 Dec 23.

Department of Obstetrics, Gynecology and Women's Health, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii, USA.

Background: The American College of Obstetricians and Gynecologists (ACOG) recommends that most women with one prior low-transverse cesarean delivery should be offered a trial of labor after cesarean (TOLAC). However, very little is known about TOLAC in women with uterine anomalies.

Case: A 32-year-old gravida-2 para-1 female with a history of uterine didelphys and one prior low-transverse cesarean section in the left uterine horn presented with a subsequent pregnancy in the left uterine horn. Read More

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http://dx.doi.org/10.1155/2019/3979581DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6942768PMC
December 2019

A Large Pure Uterine Lipoma: Its Diagnosis by Pelvic MRI and Histopathology.

Case Rep Obstet Gynecol 2019 21;2019:3929647. Epub 2019 Dec 21.

Department of Obstetrics and Gynecology, Kobe Adventist Hospital, 8-4-1 Arinodai, Kita-ku, Kobe Hyogo 651-1321, Japan.

The patient is a 74-year-old female previously diagnosed with an ovarian tumor at age 55. No changes were noted for one year; however, she was lost to follow-up. Eighteen years later, she presented to a local clinic complaining of diffuse abdominal and flank pain. Read More

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http://dx.doi.org/10.1155/2019/3929647DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6942771PMC
December 2019

An Unusual Presentation of Endometrial Cancer with Bilateral Adrenal Metastases at the Time of Presentation and an Updated Descriptive Literature Review.

Case Rep Obstet Gynecol 2019 23;2019:3515869. Epub 2019 Dec 23.

Department of Gynaecologic Oncology, St. James's University Hospital, Leeds, UK.

In endometrial cancer (EC), adrenal metastases are rare indicating advanced disease. We report an unusual presentation of EC with solitary adrenal metastases at the time of diagnosis and provide with an updated literature review. A 68-year-old woman was referred with postmenopausal bleeding of several weeks' duration. Read More

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http://dx.doi.org/10.1155/2019/3515869DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6942745PMC
December 2019

Minimally Invasive Excision of a Giant Paratubal Cyst: Case Report and Management Review.

Case Rep Obstet Gynecol 2019 23;2019:3458230. Epub 2019 Dec 23.

Nini Hospital, Achier El Daya Street, Tripoli, Lebanon.

Paratubal cysts are usually incidentally found due to being small and asymptomatic adnexal structures. Enlargement to more than 15 cm concurrent with late presentation in an adult is rare. We present the case of a 36 cm diameter cyst in a 31-year-old female whose symptoms involved overactive bladder, abdominal bloating, and pressure. Read More

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http://dx.doi.org/10.1155/2019/3458230DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6942751PMC
December 2019

Pregnancy Outcome after Exposure to Migalastat for Fabry Disease: A Clinical Report.

Case Rep Obstet Gynecol 2019 21;2019:1030259. Epub 2019 Dec 21.

Division of Nephrology and Dialysis, Department of Medicine III, Medical University of Vienna, Vienna, Austria.

Our patient was a 37-year-old woman with Fabry disease ( p.R112H) with a medical history of recurrent headache, nausea, vomiting, vertigo, and tobacco use (20 cigarettes/day). Fabry disease was diagnosed in 2005 when she experienced proteinuria, preeclampsia, and hypertension (201/130 mm Hg) during pregnancy (delivered 50 cm, 3. Read More

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http://dx.doi.org/10.1155/2019/1030259DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6942789PMC
December 2019

Uterine Rupture with Evisceration of Intestines through the Vagina during Labour.

Case Rep Obstet Gynecol 2019 11;2019:5234641. Epub 2019 Dec 11.

Department of Obstetrics and Gynaecology, University of Calabar, Calabar, Nigeria.

Uterine rupture is a life threatening obstetric emergency and is associated with high maternal and perinatal mortality. There are some risk factors associated with uterine rupture which may include: prolonged obstructed labour, previous scarred uterus, grand-multiparity, macrosomic baby, abnormal lie, instrumental delivery, induction of labour, oxytocin stimulation and excessive uterine manipulation. Its modes of presentation have been widely reported. Read More

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http://dx.doi.org/10.1155/2019/5234641DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6939412PMC
December 2019

Prenatal Diagnosis of Umbilical Cord Ulcer: A Report of Two Cases.

Case Rep Obstet Gynecol 2019 19;2019:3768761. Epub 2019 Dec 19.

Department of Obstetrics and Gynecology, Shiga University of Medical Science Hospital, Setatsukinowa-cho, Otsu, Shiga 520-2192, Japan.

Umbilical cord ulcer is related to fetal intestinal atresia or meconium; perforation of the ulcer causes fetal deterioration leading to fetal and neonatal death owing to fetal hemorrhage. However, to the best of our knowledge, a method to diagnose umbilical cord ulcer prenatally is not available. No reports exist about the prenatal findings before perforation of umbilical cord ulcer using ultrasonography. Read More

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http://dx.doi.org/10.1155/2019/3768761DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6939419PMC
December 2019