Open Access DOI:10.23937/2377-9004/1410008

Laparoscopic Management of Bilateral Large Ovarian Cysts in a Young Female

M. Brigid Holloran-Schwartz, Jacqueline F. Lou and Leslie McCloskey

Article Type: Case Report | First Published: November 15, 2014

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 and 50, with this risk continuing to increase, although at a slower rate, after the age of 50. While age is the largest risk factor for ovarian cancer, the combined history and physical findin...

 Open Access DOI:10.23937/2377-9004/1410007

Successful Outcome of an Uneventful Caesarean Scar Pregnancy with Intra-Ligamentary Development

Akladios Cherif Y and Langer Bruno

Article Type: Case Report | First Published: November 15, 2014

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 weeks showed a viable and apparently normally situated embryo. During the second and third trimester, fetal growth and Doppler waveforms were within normal limits, and...

 Open Access DOI:10.23937/2377-9004/1410006

Ovarian Cancer in Early Pregnancy, an Unusual Presentation

Saniya M Eltayeb, Moza A AlKalbani, Sarah O Abu Zaid and Saba Mubbashir

Article Type: Case Report | First Published: November 13, 2014

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 young female who presented with acute abdomen at seven weeks gestation and was found to have an ovarian malignancy....

 Open Access DOI:10.23937/2377-9004/1410005

Knowledge and Attitude of Nurses towards In-vitro Fertilization: A Prospective Cohort Study

Obioha Joy A, Ikechebelu Joseph I, Eleje George Uchenna and Joe-Ikechebelu Ngozi N

Article Type: Research Article | First Published: October 29, 2014

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 6% of all ectopic pregnancies in patients with a history of at least one Caesarean section. Th incidence of this pathology ranges from 1/1800 to 1/2200 pregnancies and its rate is 0.15% in women ...

 Open Access DOI:10.23937/2377-9004/1410004

Klinefelter's Syndrome in an Adolescent

Eleje George Uchenna and Ikechebelu Joseph Ifeanyichukwu

Article Type: Case Report | First Published: October 31, 2014

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 was 1.64 metres and weight was 75kg. Breasts and axillary hairs were well developed at Tanner stage IV and III respectively and hair distribution of external genit...

 Open Access DOI:10.23937/2377-9004/1410003

Bilateral Uterine Artery Chemoembolization with Methotrexate and Gelatine Foam for Caesarean Scar Pregnancy - Case Report

Krzysztof Pyra, Slawomir Wozniak, Piotr Czuczwar, Piotr Szkodziak and Michał Sojka

Article Type: Case Report | First Published: October 29, 2014

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 6% of all ectopic pregnancies in patients with a history of at least one Caesarean section. Th incidence of this pathology ranges from 1/1800 to 1/2200 pregnancies and its rate is 0.15% in women ...

 Open Access DOI:10.23937/2377-9004/1410002

An Incidental Diagnosis of the Cystadenofibroma of the Ovary in the Cesarean Section: A Case Report

Hasan Onur Topcu, Zeynep Aslı Oskovi, Ali Irfan Guzel, Irfan Ozer, Mahmut Kuntay Ko kanali and Sabri Cavkaytar

Article Type: Case Report | First Published: October 27, 2014

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 malignant tumor. We did not have the chance for frozen-section diagnosis because the emergency cesarean section was performed in night shift con...

 Open Access DOI:10.23937/2377-3634/1410015

Involvement of Telmisartan on the Protective Effects Mediated by the Peroxisome Proliferator-Activated Receptor-γ Pathway in Mice

Chenghu Huang, Li Yuan and Shuyi Cao

Article Type: Review Article | First Published: December 08, 2014

Aims: The aim of this study is to further elaborate the improving effects of telmisartan on insulin resistance, beta-cell dysfunction and islet inflammation in a PPAR-γ signaling-dependent manner. Methods: The mRNA levels of renin-angiotensin system components were detected. We compared the effects of telmisartan and telmisartan combined with GW9662 (a PPAR-γ antagonist) in mice fed a high-fat diet or isolated non-diabetic mouse islets. Immunoflorescence or real-time PCR was used to de...

 Open Access DOI:10.23937/2377-3634/1410014

Ethnicity and Type 2 Diabetes in Pacific Island Adults in New Zealand

Ljiljana M Jowitt

Article Type: Review Article | First Published: December 02, 2014

The aim of this review was to present ethnic characteristics of type 2 diabetes in Pacific Island adults in New Zealand. International databases including PubMed and Google scholar were consulted in a search using the terms 'Pacific Island populations', 'New Zealand', 'ethnicity', 'obesity', 'metabolic syndrome', 'type 2diabetes', 'food security, and their combinations, as well as the websites of the World Health Organization, International Diabetes Federation, and the Ministry of Health New Zea...

 Open Access DOI:10.23937/2377-3634/1410013

The Relative Contribution of Ethnicity, Overweight and Gestational Diabetes Severity to Postpartum Abnormal Glucose Tolerance

Beatriz Barquiel, Lucrecia Herranz, Javier Riveiro, Natalia Hillman, Noemi Gonzalez, Ma Angeles Burgos and Luis F Pallardo

Article Type: Research Article | First Published: December 01, 2014

Aim: To analyze the influence of ethnicity, Body Mass Index (BMI) and gestational diabetes (GDM) severity on abnormal glucose metabolism at the early postpartum. Methods: Glucose tolerance (WHO criteria) was evaluated at 3-9 months after delivery in a group of 71 GDM women (NDDG criteria) coming from Latin America, 43 from Africa and 14 from Asia or Pacific Islands. Their glucose tolerance was compared to 1,948 European control women by prepregnancy and postpartum BMI and by GDM severity. The ef...