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Obstetrics and Gynaecology Cases - ReviewsISSN: 2377-9004

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 Open Access DOI:10.23937/2377-9004/1410269

Uterine Lipoleiomyoma: Rare Presentation of Postmenopausal Bleed

Lai Yuan Xin and Lee Saw Joo

Article Type: Case Report | Indexed Archive: Volume 12

The uterine lipomatous tumors are extremely uncommon benign neoplasms. Lipoleiomyoma is a benign tumor that is a leiomyoma variation. Lipoleiomyoma consists of variable proportions of mature lipocytes and smooth muscle cells. Unlike conventional leiomyomas in which the size somewhat declines after menopause, uterine lipoleiomyomas are characterized by progressive enlargement even after menopause....

 Open Access DOI:10.23937/2377-9004/1410268

Head-On Impact: A Rare Case of Cephalohematoma in Utero

Neethi Narasimha and Steven Lewis

Article Type: Case Report | Indexed Archive: Volume 12

Cephalohematomas are commonly observed in neonates following prolonged or difficult vaginal deliveries, though their incidence is significantly lower in uncomplicated vaginal births and virtually absent in cesarean sections. Cephalohematomas originating in utero before the onset of labor are exceedingly rare. This case report describes such an incident in a neonate after maternal trauma resulting from a motor vehicle accident (MVA), with in utero findings of persistent fetal tachycardia and non-...

 Open Access DOI:10.23937/2377-9004267

Ruptured Ovarian Ectopic Pregnancy a Case Report from Leku General Hospital, Ethiopia

Asfaw Kibret

Article Type: CASE REPORT | Indexed Archive: Volume 12

An ovarian ectopic pregnancy is rare occurrence and it is implantation of throphoblastic tissue in or on the ovarian tissue. Most of the time delayed for diagnosis due to its resemblance on ultrasound as hemorrhagic ovarian cyst, hemorrhagic corpus luteum cyst or endometrioma. Usually it ruptures in the first trimester of pregnancy and due to its rich blood supply it is deadly hemorrhagic once it is ruptured....

 Open Access DOI:10.23937/2377-9004/1410266

Dry Tap in a Pregnant Woman Undergoing Caesarean Section: An Anaesthetic Quagmire

Protiti Chatterjee, Adethen Gunasekaran, Jeevasri Calaidrajane and Chitra Rajeswari

Article Type: Case Report | Indexed Archive: Volume 12

It assumes greater significance in situations where administering general anaesthesia is associated with significant risks, such as in pregnant women. Dry tap can have myriad causes, such as a blocked needle, incorrect technique, wrong space, and low cerebrospinal fluid pressure. Alternate neuraxial approaches, such as epidural anaesthesia, can be attempted in certain patients, but the risk of an unrecognized dural puncture must be borne in mind....

 Open Access DOI:10.23937/2377-9004/1410246

Spontaneous Uterine Vessel Rupture in the Peripartum Period: A Case Report

Leonore Cloet, MD, Bart Lutin, MD and Bart De Keersmaecker, MD

Article Type: Case Report | Indexed Archive: Volume 10

Spontaneous uterine vessel rupture in the peripartum period is a rare but life-threatening condition. We report an unusual case of a spontaneous rupture of uterine vessels leading to hypovolemic shock, two hours postpartum. A 32-year-old patient, gravida 2 para 1, had a first uneventful pregnancy. She now had an induction of labor at a gestational age of 40 weeks 3 days, using prostaglandins, artificial rupture of membranes and oxytocin. Epidural analgesia was used for pain relief. After a short...

 Open Access DOI:10.23937/2377-9004/1410265

Using Hydrating and Re-Epithelizing Gels as an Adjuvant Treatment of Fractional CO2 Laser in the Management of Genitourinary Syndrome of Menopause: A Clinical Case Series

Fernando Losa Dominguez and Helena Losa Puig

Article Type: Case Series | Indexed Archive: Volume 12

Vaginal dysbiosis (VD) is characterized by the loss of Lactobacillus dominance that includes several conditions such as bacterial vaginosis, the most common one. Also, VD can foster the development of sexually transmitted diseases and pelvic inflammatory disease, among others. In this series of case reports we show that the adjuvant treatment with a non-hormonal Centella asiatica, hyaluronic acid and prebiotic-based vaginal gel....

 Open Access DOI:10.23937/2377-9004/1410264

Adjuvant Treatment with a Non-Hormonal Centella asiatica, Hyaluronic Acid and Prebiotic-Based Vaginal Gel in Women with Recurrent Dysbiosis: Case Series

Eva Fresnadillo-Humet, Alberto Hidalgo-Chicharro, Ignacio Devesa-Otero, Javier Cortés-Bordoy

Article Type: Case Series | Indexed Archive: Volume 11

Vaginal dysbiosis (VD) is characterized by the loss of Lactobacillus spp dominance that includes several conditions such as bacterial vaginosis as the most common one. Also, VD can foster the development of sexually transmitted diseases and pelvic inflammatory disease, among others. In this series of case reports we show that the adjuvant treatment with a non-hormonal niosomal Centella asiatica, hyaluronic acid and prebiotic-based vaginal gel (Palomacare® Vaginal Gel) can ...

 Open Access DOI:10.23937/2377-9004/1410263

From Mystery Mass to Menacing Marrow: Uterine Myeloid Sarcoma Preceding the Diagnosis of Acute Myeloid Leukemia - Case Report and Literature Review

Josip Valetić, Danijel Bursać, Ana Marija Kovačić, Lucija Kralj, Diana Culej Bošnjak, Josip Valetić and Željko Duić

Article Type: Case Report and Literature Review | Indexed Archive: Volume 11

Uterine myeloid sarcoma (MS) is an extramedullary solid tumor composed of leukemic myeloid cells. It is an uncommon tumour usually accompanied by acute myeloid leukaemia (AML). We report a case of a 64-year-old woman with a cervical-uterine mass followed by vaginal postmenopausal bleeding. Initially she was treated with supracervical hysterectomy, bilateral adnexectomy and partial omentectomy and had no systemic sings that could suggest AML. Second postoperative day she developed thrombocytopeni...

 Open Access DOI:10.23937/2377-9004/1410262

Where Spinal Anesthesia is Not the Final Word- Cesarean Section under General Anesthesia in a Primi Gravida with Severe Scoliosis and Type 4 Placenta Previa: A Case Report

Adethen Gunasekaran, MD, DNB, Protiti Chatterjee, MD, Kirthiha Govindaraj, MD, DNB and Jeevasri Calaidrajane, MD

Article Type: Case Report | Indexed Archive: Volume 11

Both neuraxial and general anesthesia present unique challenges to the anesthesiologist when managing a pregnant patient with scoliosis. The type and duration of scoliosis and the Cobb's angle are key determinants of the degree of respiratory compromise. Pregnant women with scoliosis are anticipated to have deformities in the vertebra, which can render subarachnoid or epidural anesthesia technically challenging. The pulmonary complications following scoliosis add to the physiological changes in ...

 Open Access DOI:10.23937/2377-9004/1410261

Rare Case of Uterine Rupture: 29-Week Interstitial Pregnancy

Camille Blouin, MD and Karine Girard, MD, FRCSC

Article Type: Case Report | Indexed Archive: Volume 11

Interstitial pregnancy is an uncommon entity, rarely leading to a live pregnancy. The current literature describes only a few cases of interstitial pregnancy in the third trimester, for which only a few have positive outcomes. We describe here the management of a case of a 29-week interstitial pregnancy leading to uterine rupture, with favorable maternal and fetal outcomes....

 Open Access DOI:10.23937/2377-9004/1410260

Uterine Malformations: Two Cases Report of Incidental Discovery during Emergency Caesarean Sections

Ouattara Adama, Ouédraogo Emmanuel, Kabore Yacouba, Traoré Salah Idriss and Ouédraogo Charlemagne Marie

Article Type: Case Report | Indexed Archive: Volume 11

Congenital malformations of the uterus vary in frequency according to studies throughout the world. They may be discovered antenatally, at birth or during childhood. Some remain unrecognised and are discovered later by chance during radiological investigations or surgery. We report two cases of uterine malformations, one case of a unicervical bicornuate uterus and one case of a unicornuate uterus discovered incidentally during emergency caesarean sections....

 Open Access DOI:10.23937/2377-9004/1410259

.php?jid= ogcr" style="text-decoration: none;color: #151515;font-size: 18px; margin: 0px 0px 0px 0px;">Anaesthetic Management of a Parturient with Mixed Connective Tissue Disorder

Adethen Gunasekaran, MD, DNB, Vijayanthi Vijayan, MD, Keerthana Vijayakumar, MD and Naveen Vivek Sakkanan, MD, DNB

Article Type: Case Report | Indexed Archive: Volume 11

Mixed connective tissue disorders are a group of autoimmune disorders with overlapping clinical features of rheumatoid, systemic lupus erythematosus, polymyositis, and scleroderma. They are associated with the presence of high titers of anti-U1RNP, anti-La, and anti-Ra antibodies [1]. The underlying pathophysiology is non-inflammatory vasculopathy. The presentation of these disorders includes arthralgia, Raynaud’s phenomenon, puffy hands, esophageal abnormalities, and cardiac problems such...
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 Open Access DOI:10.23937/2377-9004/1410258

Adnexal Torsion and Epiploic Appendigitis in Pregnant Women: Case Report

Oumayma Ben Rejeb, Amal Bayar, Cyrine Chelly, Wessim Elouni and Sassi Boughizane

Article Type: Case Report | Indexed Archive: Volume 11

Adnexal torsion is a surgical emergency that cannot be ignored in women. It is a diagnostic and therapeutic challenge. While the occurrence of adnexal torsion in pregnant women is rare, it still can present significant risks. We present the case of a 23-year-old woman, pregnant at 24 weeks of amenorrhea and consulted for an acute abdominal pain. She underwent exploratory laparoscopy, which revealed ovarian torsion caused by a functional cyst along with epiploic appendigitis. During the procedure...

 Open Access DOI:10.23937/2377-9004/1410257

Uterine Rupture at 17 Weeks of Amenorrhoea in a Septate Uterus: A Desperate Case Report

Ouattara Adama, Ouédraogo Emmanuel, Cissé Maria, Traoré Salah Idriss and Ouédraogo Charlemagne Marie

Article Type: Case Report | Indexed Archive: Volume 11

A septate uterus is the most common congenital anomaly of the uterus. Pregnancy in a septate uterus may progress asymptomatically to term. However, complications may arise and threaten the obstetrical or even vital prognosis of the pregnant woman. The authors report a rare case of uterine rupture in the second trimester of pregnancy in a septated uterus....

 Open Access DOI:10.23937/2377-9004/1410256

Post-Partum Amniotic Fluid Embolism with Cardiac Arrest: A Multidisciplinary Success

Camille LAFRANCE, MD and Joalee PAQUETTE, MD, FRCSC

Article Type: Case Report | Indexed Archive: Volume 11

Amniotic fluid embolism (AFE) is a rare but life-threatening obstetric emergency, often challenging to diagnose due to overlapping clinical presentations. We present a case of AFE-induced cardiovascular collapse and disseminated intravascular coagulopathy (DIC) in a 38-year-old patient G6P4A1V3, emphasizing the critical role of a multidisciplinary approach and the importance of timely recognition in successful management....

 Open Access DOI:10.23937/2377-9004/1410255

Dicavitary Di-Di Twin in Uterine Didelphys: A Case Report

Madeline Wheatley, MD, Greta Fritz, MD, Amma Owusu-Aykaw, MD and Ashley Dowgiert, MD

Article Type: Case Report | Indexed Archive: Volume 11

Patient is a 27-year-old G2P1001 from Michigan, found to have spontaneous dichorionic diamniotic twin gestation in the setting of known uterine didelphys, with a twin localized to each uterine horn. Both twins were affected by severe fetal growth restriction, and the patient ultimately delivered via cesarean section at 29 weeks gestation, secondary to HELLP syndrome. Cesarean section was complicated by fetal malpresentation, requiring T-incision, and elevated quantitiate blood loss of 1400 mL......

 Open Access DOI:10.23937/2377-9004/1410254

Uterine Rupture: A Distressing Catalyst for Severe Postpartum Hemorrhage

Chirag Sharma and Hina Patel

Article Type: Case Report | Indexed Archive: Volume 11

Uterine rupture is a disruption of the uterine scar, causing foetal expulsion into the peritoneal cavity. This condition, primarily caused by the separation of uterine scar tissue from previous caesarean surgery, reduces foetal survival and increases maternal morbidity and mortality. A 32-year-old woman with a history of four vaginal deliveries and one caesarean section was diagnosed with uterine rupture, leading to a laparotomy procedure and obstetric hysterectomy. Consistent antenatal care can...

 Open Access DOI:10.23937/2377-9004/1410253

Acute Complete Uterine Inversion in a Non-Pregnant Woman: A Gynaecological Emergency Managed with Vaginal Hysterectomy

E Samuels, M Das and P Hooper

Article Type: Case Report | Indexed Archive: Volume 11

Though a rare complication of a poorly managed third stage of labour, uterine inversion can be an unusual occurrence in a non-pregnant patient. Gynecological or non-puerperal uterine inversions are mostly associated with benign uterine pathology such as uterine fibroid, but malignant tumours may sometimes be a cause....

 Open Access DOI:10.23937/2377-9004/1410252

Conservative Management of a Large Bladder Flap Hematoma Post Cesarean Section: A Case Report and Mini Review of Literature

Haezel Ann Shibu, MBBS and Anju Mary Varughese, MBBS, MS, DGO, MRCOG, FMAS

Article Type: Case Report | Indexed Archive: Volume 11

Bladder flap hematoma is an unusual complication after cesarean section, where a hematoma forms between the bladder and the lower uterine segment. While small hematomas can be managed conservatively, large bladder flap hematomas are usually managed by drainage, laparoscopy or laparotomy....

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