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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.


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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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. .. read more

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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 .. read more

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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. .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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). .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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) .. read more

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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 .. read more

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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 .. read more

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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. .. read more

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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. .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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. .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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. .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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. .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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. .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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. .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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, .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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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 .. read more

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UMDNJ, New Jersey Medical School
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