Successful Treatment of Placental Chorangiomas by Ultrasound-Guided Percutaneous in utero Microcoil Embolization

2021 ◽  
pp. 1-7
Author(s):  
James Fisher ◽  
Lisa Howley ◽  
Joseph Lillegard ◽  
Vinit Amin ◽  
Bjorn Engstrom ◽  
...  

Placental chorangiomas can cause a high-output fetal state and increase neonatal morbidity and mortality. There is a paucity of data published describing the optimal treatment of these cases, and methods for occlusion to date include placement of vascular clips, bipolar cautery, injection of alcohol or surgical glue, interstitial laser, and microcoil embolization. We report 2 cases of prenatally diagnosed chorangiomas that caused a high-output fetal state and were successfully treated with microcoil embolization. This case series describes our technique and supports microcoil embolization as a potentially safe and effective antenatal treatment option in symptomatic chorangiomas.

2021 ◽  
pp. 135965352110598
Author(s):  
Larry Napolitano ◽  
Liesl Schroedl ◽  
Alexander Kerman ◽  
Christopher R Shea

Cidofovir is a broad-spectrum antiviral agent that has shown efficacy against skin lesions caused by human papillomavirus (HPV). We present a case of extensive verruca vulgaris lesions refractory to imiquimod that was responsive to topical cidofovir therapy, and analyze other case series in the literature of successful treatment of benign HPV-associated skin lesions with topical cidofovir. Topical cidofovir’s favorable response rate and tolerability make it a useful treatment option for patients of differing ages and immune status who have nonmalignant HPV-associated skin lesions and desire topical therapy.


2015 ◽  
Vol 7 (1) ◽  
pp. 1-4
Author(s):  
Vineet V Mishra ◽  
Urmila Sharma ◽  
Ritu Agarwal

ABSTRACT Objective To present five cases of unruptured tubal ectopic pregnancies treated with ultrasound-guided aspiration with local potassium chloride (KCl) or systemic methotrexate (MTX) administration. Design Case series. Setting A hospital-based prospective study. Patients Five women with unruptured tubal ectopic pregnancy. Interventions Transvaginal ultrasound-guided aspiration of tubal ectopic pregnancy followed by local KCl or intramuscular injection of MTX (50 mg/m2). Main outcome measures Successful conservative treatment of tubal ectopic pregnancies with preservation of fallopian tubes. Results Four (80%) out of five women weres uccessfully treated, without the need for operative intervention. One patient required salpingectomy for ruptured ectopic pregnancy during the course of treatment. Conclusion Transvaginal ultrasound-guided aspiration of ectopic gestational sac along with either local KCl or systemic methotrexate administration can be safely used to treat unruptured tubal ectopic pregnancies in selected patient population. How to cite this article Mishra VV, Choudhary S, Sharma U, Agarwal R. Transvaginal Aspiration of Ectopic Gestational Sac: A Novel Treatment Option in Tubal Ectopic Pregnancies. J South Asian Feder Obst Gynae 2015;7(1):1-4.


2016 ◽  
Vol 3 (3) ◽  
pp. 114-118 ◽  
Author(s):  
Dan-Xu Ma ◽  
Yun Wang ◽  
Meng-Meng Bao ◽  
Chen Zhang ◽  
Xue-Yang Li ◽  
...  

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