scholarly journals Bilateral Ovarian Endometriomas Presenting as Nonprogress of Labor: First Case Report in the Literature Is Concomitant Surgical Excision during Cesarean Section Advisable?

2012 ◽  
Vol 2012 ◽  
pp. 1-2
Author(s):  
Shashank Shekhar ◽  
Chanderdeep Sharma ◽  
Vinay Somya ◽  
Meghna Thusoo ◽  
Nidhi Raina

Objective. To report the first case of bilateral ovarian endometriomas, leading to nonprogress of labour, successfully excised during cesarean section.Design. Case report.Setting. Department of Obstetrics & Gynecology of Dr. RPGMC Tanda, Kangra, India.Patients. A primigravida in labour at term gestation.Interventions. Surgical management.Main Outcome Measures. Description and treatment of a pregnant woman with bilateral ovarian endometriomas during cesarean section.Results. Successful excision of ovarian endometriomas and reconstruction of the ovaries during cesarean section.Conclusion. Management of incidentally detected endometriomas during cesarean section should be individualized, taking into account the symptoms, size, bilaterality, and adhesion with adjacent organs.

Author(s):  
Recep Erin ◽  
Kübra Baki Erin ◽  
Derya Burkankulu Ağırbaş ◽  
Burcu Kemal Okatan

<p>We aimed to present a case with abdominal wall endometriosis following cesarean section in this case report. <br />A 32 year old 39 weeks pregnant woman with G2P1 was admitted to gynaecology clinic with abdominal lump and pain in the midline. Her physical examination included a hard and painful palpable subcutaneous mass of 4x5 cm size in the midline of the abdomen which was semisolid and irreducible. <br />Under general anesthesia, the mass on the rectus muscle was excised with the healthy tissue around with the diagnosis of endometriosis during cesarean section and the pathological diagnosis was reported as endometriosis.<br />Surgical excision is the best treatment method in abdominal wall endometriosis. <br /><br /></p>


2015 ◽  
Vol 6 (2) ◽  
pp. ar.2015.6.0127 ◽  
Author(s):  
Juliette O. Flam ◽  
Christopher D. Brook ◽  
Rachel Sobel ◽  
John C. Lee ◽  
Michael P. Platt

Introduction Epithelial myoepithelial carcinoma (EMC) of the nasal cavity is a rare tumor, and here we describe the first case of EMC of the nasal cavity presenting with epiphora. A case presentation and review of the literature is provided. Methods A case report is described of a 63-year-old man who presented with unilateral epiphora and was found via a thorough history and physical examination to have a nasal tumor. The physical examination consisted of an ocular examination, including probing and irrigation, and a detailed nasal examination (anterior rhinoscopy, nasal endoscopy). The nasal examination was prompted by the patient's report of concurrent nasal symptoms during history taking. Immunohistochemistry subsequently identified the nasal tumor as EMC. A literature search was performed to gain insights into similar malignancies of the nasal cavity. Results Eight cases of EMC of the nasal cavity were identified in the literature, none of the patients presented with epiphora. The case presented here resulted in resolution of the patient's symptoms and no evidence of disease after surgical excision. Conclusion Epithelial myoepithelial is a rare salivary gland malignancy that can arise in the nasal cavity. Unilateral epiphora with concurrent nasal symptoms should prompt nasal cavity examination for the possibility of an obstructive tumor.


2019 ◽  
Vol 7 ◽  
pp. 2050313X1989383
Author(s):  
Malika A Ladha ◽  
Todd Remington

Smooth muscle hamartomas are benign dermal proliferations of smooth muscle cells. Smooth muscle hamartomas are sub-divided into congenital or acquired; the latter is a rare entity with less than 20 cases being reported in the English literature. Most often asymptomatic, acquired smooth muscle hamartomas follow an indolent course. Treatment in the form of surgical excision can be utilized for symptomatic or cosmetic purposes. Here, we report the first case of an acquired smooth muscle hamartomas of the shin which also uniquely presented with hidrosis. This case highlights the varied clinical spectrum of acquired smooth muscle hamartomas.


1982 ◽  
Vol 91 (4) ◽  
pp. 389-391 ◽  
Author(s):  
Julius N. Hicks ◽  
E. Earl Walker ◽  
E. Eugene Moor

Tumors of cartilage rarely occur in the larynx. Most laryngologists see no more than one of these tumors. Therefore, information about the general knowledge, early diagnosis, and surgical treatment of these tumors accumulates slowly. In this paper we will discuss one type of cartilaginous tumor: chondrosarcoma of the cricoid cartilage. We will review general diagnostic information about this tumor, present a case report, and describe a method of conservative surgical excision.


2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Guillaume Morel ◽  
Joy Mootien ◽  
Philippe Guiot ◽  
Khaldoun Kuteifan

TAFRO syndrome is a distinct idiopathic multicentric Castleman disease characterized by the association of thrombocytopenia, anasarca, fever, reticulin fibrosis, and organomegaly. We report the first case occurring in a Caucasian pregnant woman. At 34 weeks of gestation, our patient presented with all clinical and biological symptoms compatible with a TAFRO syndrome. Tough quick cesarean section was performed as symptoms got worse with onset of multiorgan failure requiring mechanical ventilation for acute respiratory distress, continuous renal replacement, and vasopressors. Nine days after ICU admission, steroid boluses were started and allowed spectacular clinical and biological improvement. As systemic inflammatory manifestations are important, TAFRO syndrome can be mistaken with severe autoimmune diseases, systemic infections, hematological malignancies, or hemophagocytic lymphohistiocytosis.


Author(s):  
Zsofia DARADICS ◽  
Mirela Alexandra RUS ◽  
Antonia POPA ◽  
Cristian M. CRECAN ◽  
Cosmin P. PEȘTEAN ◽  
...  

The term dystocia refers to an abnormal birth and the most common cause is an abnormal alignment of the head or forelimbs in the birth canal. Usually in adult horses, acute renal failure occurs as a complication of another disease process that causes hypovolemia . Diarrhea and severe laminitis may develop in more serious cases. The aim of this case report was to present a cesarean section in the mare that evolved with renal failure and subsequent with laminitis. A nine year old Friesian mare was referred to the Veterinary teaching hospital FMV Cluj-Napoca, after a dystocia that could not be resolved conservatively.During surgery, profuse hemorrhage was noticed during the incision and suture of the uterine wall. Hypovolemia was corrected and recovery was uneventful. Two days after surgery, the mare developed acute hyposthenuric renal failure. After 3 days of intensive therapy, kidney function started to improve but the mare developed laminitis. The mare improved over a few weeks and was discharged after orthopedic shoeing. According to the author’s knowledge, this is the first case report of a cesarean section in the mare that evolved into this cascade of sequelae.


2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Joanna C. Mennie ◽  
Robin Reid ◽  
Fiona Cowie ◽  
Omar Hilmi

Objective. We report a rare case of Ewing's sarcoma of the zygomatic arch presenting in a 69-year-old patient.Method. Case report and a review of the world literature on Ewing's sarcoma incidence and management.Results. Ewing's sarcoma is a malignant round cell tumour of neuroectodermal origin that typically presents in the pelvis and long bones of children and adolescent boys. This report is the first to document the presentation of ewing's sarcoma of the zygomatic arch in a 69-year-old lady. Our patient underwent surgical excision and radiotherapy and at 4-year followup has no signs of recurrence or metastasis.Conclusion. To our knowledge this is the first case report to document Ewing's sarcoma of this location in a 69-year-old patient. This case report highlights the importance of diagnostic investigations in Ewing's sarcoma and discusses the management issues that this rare presentation raises.


2015 ◽  
Vol 129 (6) ◽  
pp. 607-610 ◽  
Author(s):  
K-Y Tsai ◽  
W-H Wang ◽  
G-H Chang ◽  
Y H Tsai

AbstractBackground:Pregnancy-associated pyogenic granuloma (pregnancy tumour) is not uncommon. However, control of severe bleeding associated with the lesion by transarterial embolisation has never been reported.Case report:We report the case of a 33-year-old pregnant woman (34 weeks gestation) who presented with a pregnancy-associated pyogenic granuloma of the mandibular gingiva with a life-threatening haemorrhage. The bleeding stopped soon after transarterial micro-embolisation and regressed after one month; thus, no further surgical excision was needed. The patient was free of post-operative wound pain and infection, and there was no recurrence after one year of follow up.Conclusion:In general, surgical excision is the first treatment choice for pregnancy tumours. However, it is limited by the risk of marked deformity or incomplete excision when large lesions or difficult surgical areas are encountered. For large tumours, transarterial embolisation may be a safer alternative.


Author(s):  
Le-Ming Wang ◽  
Shih-Ping Lai ◽  
So-Jung Liang ◽  
Szu-Ting Yang ◽  
Chia-Hao Liu ◽  
...  

2021 ◽  
Vol 31 (02) ◽  
pp. 499-509
Author(s):  
Yi Tong ◽  
Denis Sirhan ◽  
Maria Cortes

Purpose Our case report presents the first case of suprasellar hemangioblastoma diagnosed preoperatively with dynamic computed tomography angiography (four-dimensional [4D] CTA) in a patient without Von Hippel-Lindau (VHL) disease. We illustrate the imaging characteristics of these exceedingly rare tumors and discuss the role of 4D CTA in confirming this diagnosis and guiding surgical management. Finally, we present a literature review of imaging findings, differential diagnosis, management, and prognosis. Case A 39-year-old woman known for diabetes mellitus type II and dyslipidemia presented with headache, bitemporal hemianopsia, and mild hyperprolactinemia. Initial diagnosis of suprasellar meningioma separate from pituitary gland was revised to definitive diagnosis of suprasellar hemangioblastoma after 4D CTA. Conclusion Suprasellar hemangioblastomas are extremely rare, often associated to VHL disease. They present as enhancing as suprasellar mass with prominent intra- and peritumoral vascular flow-voids on magnetic resonance imaging. 4D CTA confirms their vascular nature, demonstrates characteristic rapid shunting with feeding arteries, and enlarged draining veins, and is important in guiding surgical management.


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