scholarly journals Rotura Uterina às 18 Semanas de Gravidez no Contexto de Útero Malformado

2016 ◽  
Vol 29 (10) ◽  
pp. 667
Author(s):  
Emídio Vale-Fernandes ◽  
Neusa Teixeira ◽  
Alexandra Cadilhe ◽  
Maria José Rocha
Keyword(s):  
Uterine Rupture ◽  
Female Genital Tract ◽  
Obstetric Outcomes ◽  
Placenta Increta ◽  
Abnormal Placentation ◽  
History Of ◽  
Uterine Malformations ◽  
The Right ◽  
Congenital Uterine Anomaly ◽  
Female Genital

Birth defects of the female genital tract are relatively common and often asymptomatic. Despite the pregnancy outcome can be favorable, adverse obstetric outcomes are described in women with uterine malformations. The authors report the case of an obstetric emergency which enhances the possibility of a very adverse and rare outcome of uterine rupture in a left hemi-cavity of a bicornuate uterus away from the term, at 18 weeks of pregnancy, in a pregnant woman with history of caesarean in the right hemi-cavity and with placenta increta. A malformed uterus with a primitive type cavity has lower distensibility of the wall with the progression of the pregnancy and facilitates the development of abnormal placentation forms, increasing the risk of uterine rupture in the first and second trimesters. The knowledge of the existence of a congenital uterine anomaly in the preconceptional period is of primary importance.

scholarly journals Nationwide population-based cohort study of adverse obstetric outcomes in pregnancies with myoma or following myomectomy: Retrospective cohort study

2020 ◽  
Author(s):  
Se Jin Lee ◽  
Hyun Sun Ko ◽  
Sunghun Na ◽  
Jin Young Bae ◽  
Won Joon Seong ◽  
...  
Keyword(s):  
Cohort Study ◽  
Cesarean Section ◽  
Uterine Rupture ◽  
Placenta Previa ◽  
Multivariate Logistic Regression Analysis ◽  
Population Based ◽  
Obstetric Outcomes ◽  
Nulliparous Women ◽  
History Of ◽  
Adverse Pregnancy

Abstract Background: Our objective was to evaluate risks of adverse obstetric outcomes in pregnancies with myoma(s) or in pregnancies following myomectomy. Methods: We analyzed the national health insurance database, which covers almost the entire Korean population, between 2004 and 2015. The risks of adverse pregnancy outcomes in pregnancies with myoma(s) or in pregnancies following myomectomy, compared to those in women without a diagnosed myoma, were analyzed in multivariate logistic regression analysis. Results: During the study period, 38,402 women with diagnosed myoma(s), 9,890 women with a history of myomectomy, and 740,675 women without a diagnosed myoma gave birth. Women with a history of diagnosed myoma(s) and women with a history of myomectomy had significantly higher risks of cesarean section (aOR 1.13, 95% CI 1.1-1.16 and aOR 7.46, 95% CI 6.97-7.98, respectively) and placenta previa (aOR 1.41, 95% CI 1.29-1.54 and aOR 1.58, 95% CI 1.35-1.83, respectively), compared to women without a diagnosed myoma. And the risk of uterine rupture was significantly higher in women with previous myomectomy (aOR 12.78, 95% CI 6.5-25.13), compared to women without a diagnosed myoma, which was much increased (aOR 41.35, 95% CI 16.18-105.69) in nulliparous women. The incidence of uterine rupture was the highest at delivery within one year after myomectomy and decreased over time after myomectomy. Conclusions: Women with a history of myomectomy had significantly higher risks of cesarean section and placenta previa compared to women without a diagnosed myoma.

Synchronous primary endometrial and ovarian cancer with three different histologic patterns: A case report

2003 ◽  
Vol 13 (5) ◽  
pp. 678-682 ◽  
Author(s):  
Y.-S. Ree ◽  
S.-H. Cho ◽  
S.-R. Kim ◽  
S.-H. Cho ◽  
K.-T. Kim ◽  
...  
Keyword(s):  
Clear Cell ◽  
Clear Cell Carcinoma ◽  
Female Genital Tract ◽  
Figo Stage ◽  
Primary Cancer ◽  
Metastatic Lesions ◽  
Synchronous Cancers ◽  
Stage Ia ◽  
The Right ◽  
Female Genital

Synchronous cancers involving both endometrium and ovary in the female genital tract is a well-recognized phenomenon. However, most of them are metastatic lesions arising from one organ and simultaneous primary cancer occurring in both organs is relatively rare. We report a case with dual primary cancer occurring in both ovaries and endometrium with three different histologies. Recently, a 46-year-old women presented with vaginal bleeding was found to have FIGO stage IC clear cell carcinoma of the left ovary, stage IA borderline mucinous cystadoma of the right ovary, and stage IB endometrial carcinoma of endometrioid type. We present this case with a brief review of references.

scholarly journals Nationwide population-based cohort study of adverse obstetric outcomes in pregnancies with myoma or following myomectomy: Retrospective cohort study

2020 ◽  
Author(s):  
Se Jin Lee ◽  
Hyun Sun Ko ◽  
Sunghun Na ◽  
Jin Young Bae ◽  
Won Joon Seong ◽  
...  
Keyword(s):  
Cohort Study ◽  
Cesarean Section ◽  
Uterine Rupture ◽  
Placenta Previa ◽  
Multivariate Logistic Regression Analysis ◽  
Population Based ◽  
Obstetric Outcomes ◽  
Nulliparous Women ◽  
History Of ◽  
Adverse Pregnancy

Abstract Background: Our objective was to evaluate risks of adverse obstetric outcomes in pregnancies with myoma(s) or in pregnancies following myomectomy.Methods: We analyzed the national health insurance database, which covers almost the entire Korean population, between 2004 and 2015. The risks of adverse pregnancy outcomes in pregnancies with myoma(s) or in pregnancies following myomectomy, compared to those in women without a diagnosed myoma, were analyzed in multivariate logistic regression analysis.Results: During the study period, 38,402 women with diagnosed myoma(s), 9,890 women with a history of myomectomy, and 740,675 women without a diagnosed myoma gave birth. Women with a history of diagnosed myoma(s) and women with a history of myomectomy had significantly higher risks of cesarean section (aOR 1.13, 95% CI 1.1-1.16 and aOR 7.46, 95% CI 6.97-7.98, respectively) and placenta previa (aOR 1.41, 95% CI 1.29-1.54 and aOR 1.58, 95% CI 1.35-1.83, respectively), compared to women without a diagnosed myoma. And the risk of uterine rupture was significantly higher in women with previous myomectomy (aOR 12.78, 95% CI 6.5-25.13), compared to women without a diagnosed myoma, which was much increased (aOR 41.35, 95% CI 16.18-105.69) in nulliparous women. The incidence of uterine rupture was the highest at delivery within one year after myomectomy and decreased over time after myomectomy. Conclusions: Women with a history of myomectomy had significantly higher risks of cesarean section and placenta previa compared to women without a diagnosed myoma.

Lymphoepithelioma-like Carcinoma of the Ovary: A Case Report and Review of the Literature

2007 ◽  
Vol 131 (11) ◽  
pp. 1715-1718 ◽  
Author(s):  
Sun Lee ◽  
Sang Yoon Park ◽  
Eun Kyung Hong ◽  
Jae Yoon Ro
Keyword(s):  
Lymph Nodes ◽  
Female Genital Tract ◽  
Undifferentiated Carcinoma ◽  
Ca 125 ◽  
Epithelioid Cells ◽  
Supraclavicular Lymph Nodes ◽  
Node Metastases ◽  
The Right ◽  
Carcinoma Of The Ovary ◽  
Female Genital

Abstract Lymphoepithelioma-like carcinoma is an undifferentiated carcinoma morphologically characterized by sheets of pleomorphic epithelioid cells with an intense lymphoid infiltrate. A 51-year-old woman presenting with low abdominal pain was found to have a right ovarian mass and enlarged pelvic, left para-aortic, and left supraclavicular lymph nodes. Based on a clinical diagnosis of right ovarian carcinoma with lymph node metastases, she received 9 cycles of chemotherapy, resulting in a reduction of her ovarian tumor, disappearance of the enlarged pelvic and para-aortic lymph nodes, and normalization of serum CA 125 level. The residual mass was removed surgically. The histology of the multinodular tumor resembled that of lymphoepithelioma of the nasopharynx and was observed in the right ovary. However, there was no viable tumor in either supraclavicular or para-aortic lymph nodes. Seven months after surgery, the patient has no evidence of disease. Lymphoepithelioma-like carcinoma appears to be rare in the female genital tract.

Diffuse Malignant Peritoneal Mesothelioma Presenting with Psammomatous Calcification on a Cervical Smear

2015 ◽  
Vol 59 (6) ◽  
pp. 498-504 ◽  
Author(s):  
Adeline Tan ◽  
Paul Cohen ◽  
Mooska Raoofi ◽  
Jason Tan ◽  
Nima Mesbah Ardakani ◽  
...  
Keyword(s):  
Female Genital Tract ◽  
Laparoscopic Hysterectomy ◽  
Peritoneal Mesothelioma ◽  
Malignant Peritoneal Mesothelioma ◽  
Cervical Smear ◽  
Psammoma Bodies ◽  
Cervical Smears ◽  
Diffuse Malignant Peritoneal Mesothelioma ◽  
History Of ◽  
Female Genital

Background: Psammoma bodies in cervical smears are rare but may be associated with benign and malignant diseases of the female genital tract. Case: A 52-year-old nulliparous woman presented with a 2-month history of intermittent vaginal spotting and post-coital bleeding. A cervical smear showed an inconclusive high-grade glandular lesion with psammomatous calcification. Previous cervical smears had been normal. This smear contained papillary tissue fragments, occasional spheres of gland-like cells and frequent psammoma bodies. The patient underwent a laparoscopic hysterectomy, bilateral salpingo-oophorectomy and omentectomy. The surface of the omentum and both ovaries contained psammoma bodies with groups of cells identical to those in the cervical smear. Within the omentum, there were invasive malignant epithelioid cells positive for CK7, CK5/6, calretinin, D2-40, WT-1, CK5/6, p16 and EMA. Desmin and PAX-8 immunostains were negative. There was also evidence of BRCA1-associated protein 1 (BAP1) dysfunction compatible with diffuse malignant peritoneal mesothelioma (DMPM). Conclusion: We describe the first reported case of DMPM presenting with an abnormal cervical smear, a rare but important differential diagnosis to consider in abnormal cervical smears showing psammomatous calcification.

scholarly journals Hemiuterus with functional non-communicating horn in a young female

2021 ◽  
Vol 52 (1) ◽  
Author(s):  
M. Venkatesh ◽  
Sandeep Singh Awal
Keyword(s):  
Female Genital Tract ◽  
Young Female ◽  
Human Reproduction ◽  
Obstetric Outcomes ◽  
Pelvic Cavity ◽  
Correct Identification ◽  
Pelvic Mri ◽  
Rudimentary Horn ◽  
Unicornuate Uterus ◽  
The Right

Abstract Background Mullerian duct anomalies are a broad spectrum of congenital anomalies of the female genital tract presenting with variable symptoms like infertility, amenorrhoea, dysmenorrhea, pelvic endometriosis, and poor obstetric outcomes. Unicornuate uterus or hemiuterus occurs as a result of abnormal formation or failure of formation of the contralateral part. Case presentation We present a rare case report of hemiuterus with functional non-communicating horn along with hematometra in a 15-year-old female who presented with severe dysmenorrhoea since her menarche. Pelvic Ultrasonography demonstrated inconclusive findings of a heterogenous lesion in the right pelvic cavity adjacent to the uterus. Further, pelvic MRI revealed a hemiuterus on the left side with a normal endometrial cavity and a well-defined functional non-communicating horn on right side. The diagnosis of European Society of Human Reproduction (ESHRE) Classification U4a uterine anomaly (left hemiuterus with functional non-communicating horn on right side) was established. Conclusions ESHRE Class U4a comprises of hemiuterus with a functional rudimentary horn. This is considered clinically significant as it may lead to further complications, such as hematometra or ectopic pregnancy in the rudimentary horn. Hence, the correct identification of this entity is essential as laparoscopic removal is the current recommended management.

scholarly journals Breast metastasis from pelvic high-grade serous adenocarcinoma: a report of two cases

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Yurina Harada ◽  
Makoto Kubo ◽  
Masaya Kai ◽  
Mai Yamada ◽  
Karen Zaguirre ◽  
...  
Keyword(s):  
Genital Tract ◽  
Abdominal Cavity ◽  
Female Genital Tract ◽  
Serous Carcinoma ◽  
High Grade ◽  
Peritoneal Cancer ◽  
Cancer Tumor ◽  
Stage Ivb ◽  
The Right ◽  
Female Genital

Abstract Background Metastatic tumors to the breast reportedly account for 0.5% to 2.0% of all malignant breast diseases. Such metastatic tumors must be differentiated from primary breast cancer. Additionally, few reports have described metastases of gynecological cancers to the breast. We herein report two cases of metastasis of pelvic high-grade serous adenocarcinoma to the breast. Case presentation The first patient was a 57-year-old woman with a transverse colon obstruction. Colostomy was performed, but the cause of the obstruction was unknown. We found scattered white nodules disseminated throughout the abdominal cavity and intestinal surface. Follow-up contrast-enhanced computed tomography (CT) showed an enhanced nodule outside the right mammary gland. Core needle biopsy (CNB) of the right breast mass was conducted, and immunohistochemical staining of the mass suggested a high-grade serous carcinoma of female genital tract origin. We diagnosed the patient’s condition as breast and lymph node metastasis of a high-grade serous carcinoma of the female genital tract. After chemotherapy for stage IVB peritoneal cancer, tumor reduction surgery was performed. The second patient was a 71-year-old woman with a medical history of low anterior resection for rectal cancer at age 49, partial right thyroidectomy for follicular thyroid cancer at age 53, and left lower lung metastasis at age 57. Periodic follow-up CT showed peritoneal dissemination, cancerous peritonitis, and pericardial effusion, and the patient was considered to have a cancer of unknown primary origin. Contrast-enhanced CT showed an enhanced nodule in the left mammary gland with many enhanced nodules and peritoneal thickening in the abdominal cavity. CNB of the left breast mass was conducted, and immunohistochemical staining of the mass suggested a high-grade serous carcinoma of female genital tract origin. After chemotherapy for stage IVB peritoneal cancer, tumor reduction surgery was performed. Conclusions We experienced two rare cases of intramammary metastasis of high-grade serous carcinoma of female genital tract origin. CNB was useful for confirming the histological diagnosis of these cancers that had originated from other organs. A correct diagnosis of such breast tumors is important to ensure quick and appropriate treatment.

scholarly journals Xanthogranulomatous Salpingooophoritis: The Youngest Documented Case Report

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Harshawardhan Tanwar ◽  
Avinash Joshi ◽  
Vinayak Wagaskar ◽  
Siddharth Kini ◽  
Manoj Bachhav
Keyword(s):  
Case Report ◽  
Female Genital Tract ◽  
Female Child ◽  
Age Group ◽  
Documented Case ◽  
Pediatric Age Group ◽  
Xanthogranulomatous Inflammation ◽  
Abdominal Examination ◽  
The Right ◽  
Female Genital

Background. Xanthogranulomatous inflammation is an uncommon affection of the female genital tract. The youngest case reported of xanthogranulomatous salpingooophoritis in literature was by Shilpa et al. in 2013 in an eighteen-year-old female.Case Report. We report a case of 2-year-old female child with right-sided xanthogranulomatous salpingooophoritis presented as mass in abdomen. This is a case report of the youngest documented case of xanthogranulomatous salpingooophoritis in literature. As per abdominal examination, there was generalized distention of abdomen and a mass was palpable which was arising out of pelvis more on the right side. The ultrasonography (USG) abdomen and pelvis revealed a thick-walled mass measuring 9.2 cm × 6.0 cm × 7.6 cm in pelvis. We did right salpingooophorectomy of the patient. On histopathology, the diagnosis of xanthogranulomatous salpingooophoritis was confirmed.Conclusion. Clinical presentation, radiological appearance, and gross features of xanthogranulomatous lesions of ovary can mimic neoplastic lesions and lead to misdiagnosis. Though, it is very rare in pediatric age group, xanthogranulomatous salpingooophoritis as one of the differential diagnoses should be kept in mind while dealing with tuboovarian masses in this age group.

scholarly journals Surprise Lymph Node Histology in a Patient with Ovarian Serous Carcinoma

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Jayanthi Karunanithi ◽  
Inny Busmanis
Keyword(s):  
Lymph Nodes ◽  
Past History ◽  
Female Genital Tract ◽  
Diagnostic Assessment ◽  
Serous Carcinoma ◽  
Surrounding Connective Tissue ◽  
Lymph Node Histology ◽  
History Of ◽  
Similar Combination ◽  
Female Genital

We report a case of a sixty-three-year-old Chinese female with a known past history of primary, biopsy-diagnosed, ovarian high-grade serous carcinoma. Following three cycles of chemotherapy, she underwent total hysterectomy, bilateral salpingo-oophorectomy cytoreductive surgery with lymphadenectomy, and multiple peritoneal biopsies. In this situation, the lymph nodes would be expected to demonstrate possible residual metastatic serous carcinoma with or without chemotherapy effect. The final diagnostic assessment in the lymph nodes, in this patient, however, was a rare combination of the following pathologies: metastatic serous carcinoma, with areas of chemotherapy effect, and incidental PEComatosis, focally in association with endometriosis, both within lymph nodes and surrounding connective tissue. PEComas have been described in patients with the tuberous sclerosis complex, but the current patient was not known to suffer from this condition. This case is also unusual, as although PEComas have been described as arising in the female genital tract, the associated phenomenon of endometriosis is exceedingly rare, and this is the first known reported case of lymph nodes harbouring a similar combination of pathologies.

scholarly journals Tubo-Ovarian Abscess Occurring 16 Years After Supracervical Hysterectomy

2003 ◽  
Vol 11 (3) ◽  
pp. 167-169 ◽  
Author(s):  
Toshimitsu Tohya ◽  
Toshihiro Yoshimura ◽  
Chikashi Onoda
Keyword(s):  
Genital Tract ◽  
Transvaginal Ultrasound ◽  
Female Genital Tract ◽  
Lower Abdominal Pain ◽  
Pathologic Examination ◽  
Supracervical Hysterectomy ◽  
Tender Mass ◽  
The Right ◽  
Ovarian Abscess ◽  
Female Genital

Background:Supracervical hysterectomy is seldom performed and there are few reports of tubo-ovarian abscess (TOA) after supracervical hysterectomy.Case:The case of a 49-year-old woman with a right TOA is reported. This patient had received a supracervical hysterectomy 16 years earlier due to rupture of the uterus. At this admission, she presented with complaints of lower abdominal pain and fever. Bimanual and transvaginal ultrasound examinations demonstrated a tender mass in the right adnexal region. Laparotomy, pathologic examination and microbiologic study confirmed the diagnosis of right TOA.Conclusion:After supracervical hysterectomy, patients may develop endocervicitis, parametritis and/or TOA. This series may be a subtype of ascending infections in the female genital tract.

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