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 Case Report 


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Published Date
March 06, 2017

Vol. 4, Issue 1

Treatment of Chronic Ovarian Vein Thrombosis

Huma Farid

Corresponding author: Huma Farid, MD, Instructor in Obstetrics and Gynecology, Harvard Medical School, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02215, USA, Tel: 617-667-4600, E-mail: hfarid@bidmc.harvard.edu

Ovarian vein thrombosis is a rare condition, occurring most commonly in the postpartum or postoperative period, but has also been identified in cases of malignancy and infection. This report describes a case of chronic ovarian vein thrombosis that most likely developed postoperatively in a patient who was subsequently found to have a malignancy.

Citation: Farid H (2017) Treatment of Chronic Ovarian Vein Thrombosis. Obstet Gynecol Cases Rev 4:102. 10.23937/2377-9004/1410102.



 Case Report 


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Published Date
January 28, 2017

Vol. 4, Issue 1

Laparoscopic Single Mesh Sacrohysteropexy Plus bladder Patch for Pelvic Organ Prolapse

Mai Myoga, Kazuaki Yoshimura, Kazuaki Nishimura, Kaori Hoshino and Toru Hachisuga

Corresponding author: Kazuaki Yoshimura, Department of Obstetrics and Gynecology, Wakamatsu Hospital of University of Occupational and Environmental Health, 1-17-1 Hamamachi, Wakamatsu-ku, Kitakyushu, 808-0024, Japan

Here we introduce a laparoscopic sacrohysteropexy plus bladder patch procedure as a useful operative procedure for POP patients who desire uterine preservation. A 62-year-old woman, gravida 2 para 2 with pelvic organ prolapse quantification (POP-Q) stage III of uterine prolapse and stage II of cystocele, came to our hospital and desired a POP operation with uterine preservation.

Citation: Myoga M, Yoshimura K, Nishimura K, Hoshino K, Hachisuga T (2017) Laparoscopic Single Mesh Sacrohysteropexy Plus bladder Patch for Pelvic Organ Prolapse. Obstet Gynecol Cases Rev 4:101.



 Case Report 


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Published Date
December 01, 2016

Vol. 3, Issue 6

Giant Vulvar Leiomyoma: Successful Management in a Poor Setting of a Common Neoplasm in an Uncommon Site

Bang Guy Aristide, Savom Eric Patrick, Missi Amanda Marlene, Metogo Ntsama Junie Annick and Essomba Arthur

Corresponding author: Bang Guy Aristide, General surgery unit, Yaounde' University Teaching Hospital, Cameroon

In clinical practice, leiomyoma of the vulva are infrequent and rarely encountered. We report the case of a 36-year-old Cameroonian with a 10-year history of a left labia majora swelling. After evaluating history and clinical examination, a decision of excision of this tumor was taken. Intraoperatively, the mass was well circumscribed with a weight of 480 g. The cosmetic result was good. Histopathology confirmed the diagnosis of vulvar leiomyoma.

Citation: Aristide BG, Patrick SE, Marlene MA, Annick MNJ, Arthur E (2016) Giant Vulvar Leiomyoma: Successful Management in a Poor Setting of a Common Neoplasm in an Uncommon Site. Obstet Gynecol Cases Rev 3:100.



 Case Report 


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Published Date
November 26, 2016

Vol. 3, Issue 6

Hydrops Fetalis Associated with Congenital Cytoplasmic Body Myopathy

Yuki Kodama, Hiroshi Sameshima, Masatoki Kaneko, Hideki Kawaguchi, Tomoaki Ikeda and Tsuyomu Ikenoue

Corresponding author: Yuki Kodama, MD, Faculty of Medicine, Department of Obstetrics and Gynecology, University of Miyazaki, 5200 Kihara, Kiyotake, Miyazaki 889-1692, Japan

A 27-year-old, gravida 3, para 1 Japanese woman was transferred to our hospital because of fetal pleural effusion and polyhydroamnios at 33 weeks of gestation. She had a family history of amyotrophic lateral sclerosis in her maternal uncle. Her first child, a 3-year-old boy, was healthy. The pregnancy had been uneventful until 33 weeks, when the patient noticed the fetus was less active than before. On admission, the fetus had bilateral pleural effusion, ascites, and subcutaneous edema. The amniotic fluid index was more than 30 cm. Fetal ejection fraction of the left ventricle was 60 to 80%, and the heart rate was 140-150 beat per minute without arrhythmia.

Citation: Kodama Y, Sameshima H, Kaneko M, Kawaguchi H, Ikeda T, et al. (2016) Hydrops Fetalis Associated with Congenital Cytoplasmic Body Myopathy. Obstet Gynecol Cases Rev 3:099.



 Case Report 


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Published Date
November 01, 2016

Vol. 3, Issue 6

Challenges Diagnosing Appendiceal Neoplasms during Pregnancy

Vidya Bharati, Angeles Alvarez Secord, Thomas M Price and John Migaly

Corresponding author: Thomas M Price, MD, Departments of Obstetrics and Gynecology, Duke University, 5704 Fayetteville Road, Durham, NC 27713, USA

A 31 y.o. G1P0 at 18 weeks estimated gestational age was found to have an echogenic 7.8 cm by 3.1 cm mass adjacent to the uterine fundus during an anatomy scan. Follow-up radiology performed abdominal ultrasound was normal. Patient delivered vaginally without incident. Three years later she was diagnosed with a right complex pelvic mass identified during a saline infusion sonogram for fertility evaluation. Carcinoembryonic antigen was elevated. Laparoscopic surgery revealed appendiceal mass and normal gynecological findings. Pathology demonstrated low grade mucinous neoplasm of the appendix.

Citation: Bharati V, Alvarez-Secord A, Price TM, Migaly J (2016) Challenges Diagnosing Appendiceal Neoplasms during Pregnancy. Obstet Gynecol Cases Rev 3:098.



 Case Series 


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Published Date
October 01, 2016

Vol. 3, Issue 5

Cyst of Canal of Nuck: Our Experience

Juan Piazze, Ettore Palma, Francesco Recchia, Valerio D'Orazi, Daniela Romanzi, Michele Rosselli, Massimo Bratta and Silvio Rea

Corresponding author: Dr. Juan Piazze, ASL Frosinone (Poliambulatorio di Ceprano-Ospedale SS Trinita di Sora), Fondazione Carlo Ferri, Monterotondo, Rome

We report two cases of a cyst of the canal of Nuck in which sonography showed a tubular cystic structure characterized by internal septum localized within the inguinal canal. Unfortunately, Magnetic resonance (MRI) examination was not performed in the first case, however in the second case, MRI demonstrated that the mass suggested an hydrocele of the Canal of Nuck. Both cases were solved satisfactorily and confirmed cysts of canal of Nuck by means of laparoscopic technique.

Citation: Piazze J, Palma E, Recchia F, D'Orazi V, Romanzi D, et al. (2016) Cyst of Canal of Nuck: Our Experience. Obstet Gynecol Cases Rev 3:097.



 Review Article 


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Published Date
September 24, 2016

Vol. 3, Issue 5

Pheochromocytoma in Pregnancy: A Review of the Literature

A Yulia, I W Seetho, A Ramineni and RAK Jaiyesimi

Corresponding author: Dr. Angela Yulia, PhD, MBChB, DRCOG, DFSRH, MRCOG Specialist Trainee in Obstetrics and Gynaecology, Department of Obstetrics and Gynaecology, Royal Victoria Hospital, Newcastle upon Tyne NE1 4LP, United Kingdom

pheochromocytoma in pregnancy is a life-threatening condition. Although it is rare, if the diagnosis is missed or mismanaged, it has detrimental effect on both mother and fetus, with mortality up to 58%. Diagnosis of pheochromocytoma in pregnancy remains a huge challenge faced by clinicians due to its non-specific signs and symptoms and the fact that it mimics other conditions which occur much more commonly in pregnancy.

Citation: Yulia A, Seetho IW, Ramineni A, Jaiyesimi RAK (2016) Pheochromocytoma in Pregnancy: A Review of the Literature. Obstet Gynecol Cases Rev 3:096.



 Case Report 


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Published Date
September 02, 2016

Vol. 3, Issue 5

The Anesthetic Approach for a 27-Week Pregnant Woman Undergoing Endoscopic Sinus Surgery

Nilay Boztas, Sevda Ozkardesler, Mert Akan and Mine Sari

Corresponding author: Nilay Boztas, MD, Medical Faculty, Department of Anesthesiology and Reanimation, Dokuz Eylul University, Izmir, Turkey

In pregnancy non-obstetric surgery involves many significant difficulties for the anesthetist. The majority of these procedures are non-elective and some are life-threatening. This report explains the preoperative preparation and general anesthetic method for a 27-week pregnant woman with osteofibrotic mass narrowing the left optic canal causing rapidly advancing loss of vision.

Citation: Boztas N, Ozkardesler S, Akan M, Sari M (2016) The Anesthetic Approach for a 27-Week Pregnant Woman Undergoing Endoscopic Sinus Surgery. Obstet Gynecol Cases Rev 3:095.



 Case Report 


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Published Date
September 01, 2016

Vol. 3, Issue 5

Supraclavicular Lymph Node as a Presentation of Fallopian Tube Cancer

Mohamed Satti, Ahmed Abdelaziz, Pouya Abhari and Guy Boike

Corresponding author: Mohamed Satti, MD, Department of Obstetrics and Gynecology, Division of Gynecology Oncology, Hurley Medical Center, Michigan State University, Michigan 48439, USA

A 44-year-old female presented with a large firm mass involving the left side of her neck; she denied any other symptoms. A CT scan was performed which was consistent with a 5.9 cm left-sided neck mass. A fine needle aspiration biopsy was consistent with poorly differentiated adenocarcinoma, and a serum CA125 was normal. Subsequently, a PET scan was performed and revealed increased uptake in the para-aortic and retroperitoneum lymph nodes; a soft tissue mass was seen in the left hemi-pelvis.

Citation: Satti M, Abdelaziz A, Abhari P, Boike G (2016) Supraclavicular Lymph Node as a Presentation of Fallopian Tube Cancer. Obstet Gynecol Cases Rev 3:094.



 Case Report 


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Published Date
August 06, 2016

Vol. 3, Issue 4

Breus Mole: A Placental Anomaly in a Patient Undergoing a Dilation and Evacuation

Navdeesh Reiners, Victor Sai, Nagesh Ragavendra, Aparna Sridhar and Angela Chen

Corresponding author: Navdeesh Reiners, MD, MPH, Department of Obstetrics and Gynecology, Kaiser Permanente Medical Center, Santa Clara, CA 95051, USA

A 22-year-old woman presented at 21+1 weeks for dilation and evacuation. Sonographic features were consistent with a Breus mole. Intraoperatively, traction and massage were used to deliver the placenta; the patient quickly achieved hemostasis. Final pathology showed a fibrin lined intervillous cystic structure compatible with a Breus mole.

Citation: Reiners N, Sai V, Ragavendra N, Sridhar A, Chen A (2016) Breus Mole: A Placental Anomaly in a Patient Undergoing a Dilation and Evacuation. Obstet Gynecol Cases Rev 3:093.



 Case Report 


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Published Date
July 05, 2016

Vol. 3, Issue 4

Termination of Pregnancy for an 11q Terminal Deletion Incidentally Diagnosed Prenatally; Jacobsen Syndrome Penetrance and Ethical Dilemmas

Sofia F Makrydima, Eftihios Trakakis, Athanasios Minkoff and Nikolaos Papantoniou

Corresponding author: Sofia F Makrydima, 3rd Department of Obstetrics and Gynaecology, Attikon University Hospital, Rimini 1, 12462, Haidari, Athens, Greece

The currently noted boost of de novo microdeletions has been partly attributed to the relevant increase of mean paternal age at the time of first child acquisition. The simultaneous widespread implementation of molecular techniques for prenatal karyotyping has revealed distinct deletion aberrations of uncertain clinical significance. Recent research has failed to confirm the intrinsic correlation between implicated genome fragment and extent of phenotypic abnormality.

Citation: Makrydima SF, Trakakis E, Minkoff A, Papantoniou N (2016) Termination of Pregnancy for an 11q Terminal Deletion Incidentally Diagnosed Prenatally; Jacobsen Syndrome Penetrance and Ethical Dilemmas. Obstet Gynecol Cases Rev 3:092.



 Case Report 


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Published Date
July 04, 2016

Vol. 3, Issue 4

Clinical Observation of 84 Days Delayed Delivery of the Second Fetus in Twin Pregnancy

Julia E Dobrokhotova, Oleg V Makarov, Pavel V Kozlov and Pavel A Kuznetsov

Corresponding author: Prof. Julia E Dobrokhotova, Doctor of Medical Science, PhD, Head of Department of Obstetrics and Gynecology, Medical Faculty, N.I. Pirogov Russian National Research Medical University, Moscow, The Russian Federation

Perinatal morbidity and mortality in preterm labor is significantly higher than in on-term delivery. The share of preterm infants accounts for approximately 70% of all cases of early neonatal mortality. One of the most important independent risk factors for preterm birth is multiple pregnancy. The risk of delivery before 30, 32 and 34 weeks in twin pregnancy is about 4%, 8% and 16%, respectively. In general, the frequency of preterm labor with twins is 6 times higher than in singleton pregnancies.

Citation: Dobrokhotova JE, Makarov OV, Kozlov PV, Kuznetsov PA (2016) Clinical Observation of 84 Days Delayed Delivery of the Second Fetus in Twin Pregnancy. Obstet Gynecol Cases Rev 3:091.



 Case Report 


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Published Date
July 01, 2016

Vol. 3, Issue 4

The Use of Advanced Reproductive Technologies while Breastfeeding: A Role for in Vitro Maturation

Catherine S Rose and Bruce I Rose

Corresponding author: Bruce I Rose, Department of Obstetrics and Gynecology, St. Luke's University Health Network, Bethlehem, PA 18015, USA

Breastfeeding provides significant health benefits for both the mother and child. There is a decreased risk of ovarian and breast cancer, the development of diabetes, and myocardial infarction for women who breastfed their child. The risk decreases even more significantly if the mother is exclusively breastfeeding without supplementation of formula and the longer the mom and baby choose to breastfeed. For the child, breastfeeding decreases the risk of childhood leukemia, childhood obesity, asthma, sudden infant death syndrome (SIDS), and acute otitis media.

Citation: Rose CS, Rose BI (2016) The Use of Advanced Reproductive Technologies while Breastfeeding: A Role for in vitro Maturation. Obstet Gynecol Cases Rev 3:090.



 Case Series 


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Published Date
June 01, 2016

Vol. 3, Issue 3

Aggressive Complete Hydatidiform Mole Coexistent With A Normal Fetus During Pregnancy: Is There A Correlation Between Outcome, and Serum HCG Levels? A Report on 2 Cases and Review of the Literature

Nathalie Renard, SWA Nij Bijvank, HH De Haan, J van Eyck, JWB de Groot, RHM Verheijen and AJ Kruse

Corresponding author: Nathalie Renard, Department of obstetrics and gynaecology, University Hospital Ghent De Pintelaan 185, 9000 Ghent, Belgium

wo cases of complete hydatidiform mole with coexisting fetus are described. In the first case, the mole of this twin pregnancy displayed an aggressive behavior with early maternal onset of severe pre-eclampsia and lung and liver metastases. The second patient opted for termination of pregnancy prior to a possible onset of complications. Existing literature on this topic is also reviewed, in particular on the role of serum hCG levels to predict a favourable fetal prognosis.

Citation: Renard N, Bijvank SN, Haan HHD, Eyck JV, de Groot JWB, et al. (2016) Aggressive Complete Hydatidiform Mole Coexistent With A Normal Fetus During Pregnancy: Is There A Correlation Between Outcome, and Serum HCG Levels? A Report on 2 Cases and Review of the Literature. Obstet Gynecol Cases Rev 3:089.



 Short Review 


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Published Date
May 21, 2016

Vol. 3, Issue 3

Sacral Nerve Stimulation and Fecal Incontinence: Current Uses and Emerging Trends

Jennifer E Hrabe, Brooke Gurland and Tracy L Hull

Corresponding author: Tracy L Hull, MD, Professor of Surgery, Department of Colorectal Surgery, Cleveland Clinic Foundation, Cleveland, OH 44106, USA

Fecal incontinence (FI) is a socially devastating condition affecting both men and women. Patients often suffer in silence, as FI is frequently unreported. It is commonly seen in patients who also experience urinary incontinence (UI). Risk factors for FI include obstetrical trauma as well as increasing age. Until recently, treatment options were limited and consisted of medical therapy or surgical options with limited efficacy or high morbidity. Initially used for UI, sacral nerve stimulation has emerged as a successful treatment modality for FI.

Citation: Hrabe JE, Gurland B, Hull TL (2016) Sacral Nerve Stimulation and Fecal Incontinence: Current Uses and Emerging Trends. Obstet Gynecol Cases Rev 3:088.



 Case Report 


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Published Date
May 21, 2016

Vol. 3, Issue 3

Isolated Rectal Laceration Following Normal Spontaneous Vaginal Delivery and Delayed Rectal Hemorrhage

Yuzuru Anzai

Corresponding author: Yuzuru Anzai, Department of Obstetrics and Gynecology, NYU Langone Medical Center, New York, NY, USA

A 37-year-old Para 0 patient underwent an induction of labor due to chronic hypertension. She had a successful normal vaginal delivery but experienced acute cardiovascular collapse immediately following the delivery requiring massive transfusion. She also was found to have an isolated rectal laceration without laceration of anus or anal sphincter. After she was discharged home she presented to the emergency room with rectal hemorrhage 5 days after the initial repair requiring an additional two units of packed red blood cell transfusion. This case is presented for this rare complication of vaginal delivery.

Citation: Anzai Y (2016) Isolated Rectal Laceration Following Normal Spontaneous Vaginal Delivery and Delayed Rectal Hemorrhage. Obstet Gynecol Cases Rev 3:087.



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