Bochdalek Diaphragmatic Hernia Complicating Pregnancy in the third Trimester: Case Report
Monica Hernandez-Aragon, Laura Rodriguez-Lazaro, Raquel Crespo-Esteras, Leyre Ruiz-Campo, Ignacio Adiego-Calvo, Jose Manuel Campillos-Maza, Sergio Castan-Mateo
Article Type: Case Report | First Published: August 07, 2015
A 32-year-old primiparous woman was diagnosed of diaphragmatic hernia at 29 weeks' gestation and transferred to our hospital. Initially, gastrointestinal symptoms mimicked pathology related to pregnancy, but failure of conservative measures led to performing imaging tests. It was a Bochdalek hernia containing small bowel loops, colon and omentum but not stomach. She was stabilized, but finally cesarean delivery and hernia repair were performed at 32 weeks because of her symptoms, with a successf...
Management of Spontaneous Rupture of the Amnion with an Intact Chorion
Jenny A. Jacob, Norman A. Ginsberg, Lee P. Shulman and Leeber Cohen
Article Type: Case Report | First Published: August 06, 2015
Idiopathic severe preterm oligohydamnios as a result of spontaneous rupture of the amnion with an intact chorion is a rare event with a scarcity of reports found in the literature. We evaluated the impact of serial amnioinfusions on this unusual occurrence. This is a followup of a 37-year-old woman with idiopathic severe oligohydramnios diagnosed at 18 weeks of gestation. We performed fie serial amnioinfusions with the purpose of improving fetal lung maturity and to prevent Potter anomalad. At 3...
The Case of 11w+ 2d Fetal Heart Rate Positive Unruptured Cervical Pregnancy
Onder Sakin, Bulent Kars, Ilke Tanir and Omer Talip Turhan
Article Type: Case Report | First Published: August 05, 2015
The treatment of cervical pregnancy which is one of the rarest forms of ectopic pregnancy is one of the cases difficult decisions need to be taken. Many years ago when hysterectomy was the only treatment and in case of late treatment decision, 50% of maternal mortality was seen, which results in a change of status with the shape of the high-risk pregnancies' extremely minimal invasive treatment may be possible Moreover, the patient fertility will be preserved and hysterectomy and the negative si...
Postmenopausal Calcified Pedunculated Large Subserous Leiomyoma: A Case Report
Ozhan Ozdemir, Cemal Resat Atalay, Mustafa Erkan Sari, Ertugrul Sen and Mehriban Nebioglu
Article Type: Case Report | First Published: August 03, 2015
A 72-year-old postmenopausal and nullipar woman presented with abdominopelvic pain and a palpable mass in the right lower quadrant. Ultrasonography showed a large, hyperechoic, solid mass. Contrast-enhanced computed tomography (CT) of the abdomen demonstrated a well-circumscribed mass. Rutine laboratuary tests and tumour markers revealed as normal. Total abdominal hysterectomy and bilateral salpingo-oophorectomy is the surgery of choice in this case. Histopathological examination confirmed a cal...
Cervical Varices Presenting as Vaginal Bleeding: A Description of Two Cases and A Management Plan
Kathy Chyjek, Catherine Hutz, Charles Macri, Jeffrey Berger, Anthony Venbrux, Nadia Khati, Dorothy Bulas and John Larsen
Article Type: Case Report | First Published: August 01, 2015
We present two cases of cervical varices found in the setting of second and third trimester bleeding, report on the clinical outcomes and propose a management plan. Both of our patients were delivered between 38-39 weeks gestation and required interdisciplinary meetings between Obstetrics and Gynecology, Anesthesiology, Neonatology and Interventional Radiology to prepare for delivery....
Pregnancy Outcome in Women with History of Uterine Rupture or Dehiscence
Sagy Shick and Ran Neiger
Article Type: Case Series | First Published: July 30, 2015
The rate of Cesarean deliveries continues to increase world-wide. Cesarean delivery, in particular when repeated, is associated with an increased risk of several complications in subsequent pregnancies, including uterine rupture and uterine dehiscence. Rupture of a uterine scar is defined as a disruption of the full thickness of the uterine wall including the overlying visceral peritoneum (uterine serosa). It occurs most frequently in women who have undergone previous uterine surgery (e.g. Cesar...
Intestinal Obstruction due to Endometriosis Involving Atypical Hyperplasia: A Case Report
Mehmet B. Senturk, Hakan Guraslan, Bulent Babaoglu and Mesut Polat
Article Type: Case Report | First Published: July 24, 2015
Intestinal endometriosis is not a rare entity. However, malignant transformation and emergency clinical table such as intestinal obstruction due to endometriosis are rare. This is an important condition because it requires a multidisciplinary approach and careful pathologic intervention especially in mass lesions. The case is here presented of a patient who underwent laparotomy in the emergency surgery clinic because of intestinal obstruction. The pathology analysis revealed atypical endometrial...
Diagnosis and Management of Embryonal Rhabdomyosarcoma in a Woman with Prolapsing Cervical Mass
Elizabeth V. Connor and Paul A. Disilvestro
Article Type: Case Report | First Published: July 10, 2015
Background: Cervical rhabdomyosarcoma is very rare, comprising less than 1% of cervical cancers in adult women. Less than 40 cases of cervical rhabdomyosarcoma have been reported in adult women in the last 50 years. Due to the rarity of this disease, management guidelines are non-existent. Case: We present a 36-year-old woman who presented with pelvic pain and a vaginal mass. The mass was excised, and pathology confirmed poorly differentiated embryonal type rhabdomyosarcoma....
Uterine Tumour Resembling Ovarian Sex Cord Tumour (UTROSCT): Experience with a Rare Disease. Two Case Reports and Overview of the Literature
Brenda Hermsen, Fabrizio Bogliatto, Maaike Bleeker, Luciano Leidi, Hans Trum, Erika Comello and Christianne Lok
Article Type: Case Report | First Published: July 09, 2015
Background: Uterine tumour resembling an ovarian sex cord tumour (UTROSCT) is a rare neoplastic lesion. Patients are generally of reproductive age. Although conservative treatment to preserve fertility has been reported, literature on the optimal treatment on UTROSCT is scarce and only case reports or small case series are available. Aim: To describe the difficulties and resemblances of two different cases of UTROSCT in a pre- and post-menopausal woman in order to classify this uncommon tumour.....
Retroperitoneal Lymphoma Presenting as Gynecologic Malignancy: Case Report and Review of the Literature
Devin Miller, Sarah Andiman, Elena Ratner and Diana English
Article Type: Case Report | First Published: July 04, 2015
Pelvic malignancy is commonly thought to represent a gynecologic primary on presentation. In reality, the differential diagnosis is wide and tumors which do not fit typical patterns on imaging or initial pathology can present a significant diagnostic dilemma as these patients may undergo radical gynecologic surgery unnecessarily. We present the case of a 63 year old female presenting with abdominal pain, back pain, weight gain, and hydronephrosis with acute kidney injury. She was initially admit...