Perineal and posterior vaginal wall reconstruction with a superior gluteal artery dual perforator-pedicled propeller flap

Microsurgery ◽  
2014 ◽  
Vol 35 (1) ◽  
pp. 64-67 ◽  
Author(s):  
Benoit Ayestaray ◽  
Yann Martin Proske
Keyword(s):  
Vaginal Wall ◽  
Posterior Vaginal Wall ◽  
Superior Gluteal Artery ◽  
Propeller Flap

scholarly journals Development of Vaginal Pseudoaneurysm 3 Years after Cesarean Section Possibly Induced by Anticoagulant and Antiplatelet Therapies

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Yui Kinjo ◽  
Tadatsugu Kinjo ◽  
Keiko Mekaru ◽  
Hayase Nitta ◽  
Hitoshi Masamoto ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Septal Defect ◽  
Large Mass ◽  
Vaginal Wall ◽  
Arterial Phase ◽  
Posterior Vaginal Wall ◽  
Computed Tomography Scan ◽  
Puncture Site ◽  
Long Period ◽  
Tomography Scan

Pseudoaneurysms generally develop when an arterial puncture site is inadequately sealed. We encountered a case of vaginal pseudoaneurysm that developed 3 years after cesarean section in a 35-year-old gravida 7 para 4 woman who was prescribed with anticoagulant and antiplatelet drugs after surgeries for ventricular septal defect and aortic valve replacement. Pelvic computed tomography scan revealed a large mass, which showed a dappled contrast filling on the arterial phase, located in the posterior vaginal wall. The vaginal pseudoaneurysm was completely occluded by embolization of the left vaginal artery. Anticoagulation and antiplatelet therapies can be potential causes of spontaneous pseudoaneurysm rupture. Extrauterine pseudoaneurysm has a long period of time between cesarean section and pseudoaneurysm discovery. Considering that pseudoaneurysm shows different clinical features for each patient, we should always consider pseudoaneurysm when we assess a patient with postpartum hemorrhage.

scholarly journals Malignant Melanoma of the Vagina - A Case Report

1970 ◽  
Vol 26 (2) ◽  
pp. 103-105
Author(s):  
Nilufa Sultana ◽  
Chowdhury Md Ali ◽  
Rawshan Ara Khanam ◽  
Prof Mahmuda Khatan
Keyword(s):  
Case Report ◽  
Malignant Melanoma ◽  
Small Mass ◽  
Vaginal Wall ◽  
Excision Biopsy ◽  
Posterior Vaginal Wall ◽  
Urethral Meatus ◽  
Antitubercular Drugs ◽  
History Of ◽  
Post Menopausal

A 52 yrs old post menopausal lady was admitted in-the Gynae department of SSMC & Mitford Hospital with a small mass in the lower vagina, foul smelling discharge and occasional itching at that site for 1 year. Examination revealed a small, irregular, firm, partially necrosed, non tender growth with foul smelling brownish discharge 2cm below the external urethral meatus, uterus atrophied, cervix flashed, fornicesfree but few small, black, flat nodules scattered in the posterior vaginal wall. She had no history of exposure to any radiation or sunlight to that area or surgery but only received antitubercular drugs for six month for pulmonary tuberculosis. After conservative treatment excision biopsy was taken and histopathology revealed Malignant Melanoma. She was referred to cancer Institute for adjuvent radiotherapy. DOI: 10.3329/jbcps.v26i2.4190 J Bangladesh Coll Phys Surg 2008; 26:103-105

scholarly journals A large posterior vaginal wall cyst simulating rectocele: an account of an unusual perplexing case

2018 ◽  
Vol 7 (3) ◽  
pp. 1224
Author(s):  
Deepali Garg ◽  
Sheeba Marwah ◽  
Ritu Sharma ◽  
Sudha Salhan
Keyword(s):  
Postoperative Complications ◽  
Incidental Finding ◽  
Relevant Literature ◽  
Vaginal Wall ◽  
Exceptional Case ◽  
Cystic Lesions ◽  
Posterior Vaginal Wall ◽  
Careful Evaluation ◽  
Gynaecological Examination ◽  
Clinical Considerations

Benign cystic lesions of the vagina are uncommon, often being an asymptomatic incidental finding revelled during routine gynaecological examination. Large vaginal wall cysts > 5cm size are a rare gynaecological entity. Most of the work available in literature accounts their mullerian genesis. Large epidermal inclusion cysts are further rarer. Thus, here is described a case illustrating an exceptional case of large epidermal inclusion vaginal wall cyst mimicking rectocele. Also, clinical considerations and relevant literature review on the same has been addressed. A 40 year old lady P2L2 presented in gynecology OPD with complaints of feeling of fullness in the vagina associated with some mass protruding out of the vagina for last few years. Careful evaluation indicated it to be a large posterior vaginal wall cyst 7x6 cm, aping enterocele, lying separate from rectum. The cyst was then surgically excised without any intraoperative or postoperative complications. Giant vaginal cysts are an uncommon occurrence. Meticulous clinical evaluation, bolstered with pertinent investigations can help in clinching the diagnosis early.

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