Value of Minimally Invasive Gynecologic Surgeon in Surgical Management of Endometriosis
Natasha Gupta, MD
Article Type: Short Commentary | First Published: October 01, 2020
The quality of endometriosis surgery performed by a Minimally Invasive Gynecologic Surgeon (MIGS) is significantly different from that of a general gynecologist. Their training offers them the experience to detect subtle endometriosis, excise deeply infiltrative endometriosis, manage extra pelvic endometriosis and restore normal anatomy in stage 4 endometriosis. They are able to preserve fertility in an endometriosis patient if patient desires fertility. They are also able to address or excise e...
In Vitro Fertilization Treatment of a Patient with Primary Partial Empty Sella and Other Co-Factors
Tünde Herman, Péter Török, Antonio Simone Laganà and Attila Jakab
Article Type: Case Report | First Published: September 23, 2020
We report the case of a patient with primary empty sella, who had successful assisted reproductive treatment. The patient is a 28-years-old infertile female with primary amenorrhoea and hypogonadotropic hypogonadism. Serum FSH, LH, E2 indicated central anovulation, but the production of GH, ACTH, TSH and PRL were normal. Obesity and insulin resistance were present. Male partner had asthenozoo-teratospermia and hyperprolactinaemia. After three failed intrauterine inseminations, she was addressed ...
Management of Complete Hydatidiform Mole with Co-existing Fetus
Kaitlin DiBartola, MD, Devin Smith, MD, Kara Rood, MD and David O'Malley, MD
Article Type: Case Report | First Published: September 21, 2020
Complete hydatidiform mole with co-existing fetus (CHMCF) is a rare obstetrical finding. These pregnancies pose a unique set of health concerns including hemorrhage, thyrotoxicosis, preeclampsia, and gestational trophoblastic neoplasia (GTN). In this report, we present a 34-year-old G5P1 presented at 6 weeks and 5 days with vaginal bleeding. Further follow-up revealed a complete hydatidiform mole with co-existing fetus in a patient who desired continuation of pregnancy. There is a lack of data a...
Case Report: Pregnancy While Using an IUD
Elvin Piriyev and Thomas Römer
Article Type: Case Report | First Published: September 19, 2020
Intrauterine contraception, mostly in the form of copper IUD or hormone-releasing system, is a widely used method with a high level of contraceptive security. Despite high contraceptive efficiency, pregnancy can still occur. Pregnancy with a levonorgestrel-releasing intrauterine system (LNGIUS) in situ is very rare. Intracavitary pregnancy with an IUD can lead to a higher risk of infection and preterm birth. We present the case of a 28-year-old woman who was admitted to our hospital due to pregn...
Uterine Arteriovenous Malformation after First Trimester Termination of Pregnancy in a Patient with Hereditary Haemorrhagic Telangiectasia
Nicola Strobelt, MD, Elena Osella, MD and Vittorio Aguggia, MD
Article Type: Case Report | First Published: September 13, 2020
Hereditary haemorrhagic teleangiectasia (HHT) is a rare autosomic dominant genetic disorder, characterised by epistaxis, cutaneous teleangiectasias, and arteriovenous malformations (AVMs) located mainly in lungs, gastrointestinal tract, liver, and central nervous system. We report a case of uterine arteriovenous malformation acquired after medical pregnancy interruption in a patient with HHT, discussing the atypical genetic setting and the strategy for the case management. Uterine arteriovenous ...
The Contribution of Anthroposophic Medicament Bryophyllum to the Quality of Life of Patient with Diagnosis of Cavernoma during Prenatal Care: A Case Report
Maria Fernanda Zugliani, Anamaria da Silva Facina, MD, PhD, Regina Helena Wirgues Ramos, Daniel Pereira Götz, Jorge K Hosomi, MD, MS, Eliane CR Follador, MD, PhD and Mary Uchiyama Nakamura, MD, PhD
Article Type: Case Report | First Published: August 10, 2020
We present the successful prenatal and postpartum follow up of a pregnant woman with diagnosis of epilepsy due to brain cavernoma, and depression. A 26-years-old woman had been receiving anti-epileptic drugs (carbamazepine and clobazam) for nine years, which were suspended at risk of teratogenicity at 10 weeks’ pregnancy, when she started prenatal care. The diagnosis was made when she had her first seizure at 17-years-old, and the characteristic image of brain cavernoma was detected on MRI. Sh...
Giant Hemorrhagic Ovarian Cyst with Torsion-Rare Case Report
Durga K, MD, Yasodha A and S Yuvarajan
Article Type: Case Report | First Published: July 23, 2020
Giant ovarian tumours are rare nowadays due to early recognition of these tumours in clinical practice. Management of these tumours depends on age of the patient, size of the mass and its histopathology. We are reporting a rare case of torsion of hemorrhagic ovarian cyst presented to us with acute abdomen. 22-year-old, unmarried girl came to our outpatient department with complaints of lower abdominal pain for 3 days. Patient was apparently normal before 3 days after which she developed lower ab...
A Case of a 33-Week Pregnant Woman with COVID-19 and Term Birth
György Léhner, MD, Walter Krugluger, MD, Stephan W Aberle, MD, Lukas Weseslindtner, MD and Beda Hartmann, MD
Article Type: Case Report | First Published: July 17, 2020
In this case report, we present a pregnant woman diagnosed with COVID-19 at 33 weeks gestation and having a vaginal birth at term. The postpartum and neonatal courses were uncomplicated. Anti-SARS-CoV-2-IgG antibodies were detected in the neonate. A vaginal delivery in this case was safe with clinical diagnosis of COVID-19. To date, there are only limited data about the effect of novel coronavirus (SARS-CoV-2) infection on pregnancy, delivery and placental transfer of antibodies. According to re...