Endovascular Management of Refractory Puerperal Hematomas: A Case Report and Review of the Literature
Simon Bradette, MD, FRCPC, Melissa Marien, MD, PGY-3, Melanie Rousseau, MD, FRCPC, Mathieu Beland, MD, FRCPC and Catherine Lalonde, MD, FRCPC
Article Type: Case Report | First Published: November 06, 2019
Pelvic hematomas can be a serious complication of vaginal delivery. They can be associated with significant morbidity related to blood loss, infection, surgery and blood product transfusion. Reported incidence varies from 1/300 to 1/1500. Operative vaginal delivery and episiotomy are among the most common risk factors associated with puerperal hematomas, but they may also occur in the absence of laceration of the surrounding tissue. They are classified as vulvar, vaginal, vulvovaginal or retrope...
Refractory Hyperemesis Gravidarum in a Patient with Type 1 Diabetes Treated with Laparoscopically Assisted Feeding Jejunostomy Tube Placement
Melissa Chu Lam, MD, Briana Baxter, MD, Farrah Naz Hussain, MD, Kristina Martimucci Feldman, MD and Barak Rosenn, MD
Article Type: Case Report | First Published: November 04, 2019
Severe Hyperemesis gravidarum (HG) is a debilitating condition that affects less than 1% of pregnant women. Management of HG is further complicated in women with type 1 diabetes due to oscillations between hypo and hyperglycemia, often exacerbated by the presence of gastroparesis. We report a 25-year-old G1P0 with longstanding uncontrolled type 1 diabetes mellitus (HbA1C 10.5%), who presented to our service multiple times with hyperemesis and ketosis. On each of these admissions, she was diagnos...
Uterine Leiomyoma with Lung Metastases Stump Tumour
Martin N, Escobar A, Varela A, Guillem E and Cortes-Funes H
Article Type: Case Report | First Published: April 24, 2019
We present one clinical case of a 41-year-old, female Russian origin patient, with lung nodules suggestive of metastases, with no primary tumor found, referred for study and treatment in our Oncology Department. After a deep analysis of the case, reviewed the literature and result of the pathology of biopsy from lung lesions, the final diagnosis reached was: Benign muscle tumors of Gynecological origin, with the capacity for produce distant metastasis compatible with STUMP Tumor (Metastatic leio...
A Large Uterine Leiomyoma with Hypertrophied Omental Vessels: A Case Report
Ayse Nur Aksoy, Ebru Bulut Erdem, Gülsah Tanas Sarıkas and Elçin Telli
Article Type: Case Report | First Published: March 29, 2019
Uterine leiomyomas are the most common solid benign uterine neoplasms that arise from the overgrowth of smooth muscle and connective tissue in the uterus. It is estimated that 20-40% of women of reproductive age have uterine leiomyoma; the prevalence increases during the reproductive age and decreases after menopause. Uterine leiomyomas have been classified according to their location: Submucosal, intramural, subserosal. While subserosal uterine leiomyomas are usually asymptomatic; intramural an...
Incarcerated Retroverted Uterus Manually Replaced in 24 Week Pregnancy
Lucy May, Susan Rutter, E H Whitby and Adam Temple
Article Type: Case Report | First Published: February 28, 2019
An incarcerated uterus is a rare obstetric complication, with a reported incidence of 1 in 3000 pregnancies. It occurs when a retroverted uterus does not resolve beyond mid-gestation and the uterine corpus becomes confined in the hollow of the sacrum. This causes the cervix to become displaced above or against the pubic symphysis. Retroversion of the uterus occurs in 15% of pregnancies and is considered a normal anatomical variation and usually resolves to an anteverted position by 14-16 weeks g...
The Clinical Differences on 2:4 Finger Ratios of the Hirsute Women
Raziye Desdicioglu, Fatma Betul Erdemli, Selma Calıskan, Kadir Desdicioglu and Ayse Filiz Yavuz
Article Type: ORIGINAL ARTICLE | First Published: February 27, 2019
We aimed to research whether there was a difference in terms of the 2:4 finger ratio between women with hirsutism and healthy women without hirsutism and the correlation between degree of hirsutism and 2:4 finger ratios and clinically evaluated our results. Our study included 144 voluntary women (control group: 51, study group: 93) with ages from 18 to 38 years. The hirsutism level of patients was assessed using the Ferriman-Gallway scale with points given from 0 to 4 in 9 body regions. All pati...
Hyperextension of the Fetal Neck
CR Elizalde, P Dieste, J Fernandez, V Fernadnez and C Zulueta-Santos
Article Type: CASE REPORT | First Published: February 22, 2019
The purpose of this study was to review the current challenges that the diagnosis and clinical management of hyperextension of the fetal neck represent and to describe the clinical significance and differential diagnosis of this entity, detected by ultrasound prior to the onset of labour. A case of hyperextension the fetal neck is presented. The key points in the diagnosis and management of fetuses with these sonographic finding are reviewed. Hyperextension of the fetal neck is a sonographic fin...