scholarly journals Pathology Behind Constant Watery Vaginal Discharge: A Rare Case of Uterine Cervical Minimal Deviation Adenocarcinoma

2021 ◽  
Vol Volume 13 ◽  
pp. 7929-7935
Author(s):  
Yu Xie ◽  
Qi Zhou ◽  
Limei Chen ◽  
Long Sui
2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Krystal Koh ◽  
Devendra Kanagalingam ◽  
Rajeswari Kathirvel

A woman in her early twenties with dichorionic diamniotic twins underwent emergency caesarean section (CS) for failed induction of labor for discordant growth at 37 weeks. Her CS was complicated by atonic postpartum hemorrhage (PPH) requiring uterotonics, B-lynch suture, and Bakri balloon. She presented on the 5th postoperative day (POD) with fever and wound pain and collapsed due to desaturation. Investigations confirmed ascites on computed tomography (CT) of her abdomen and cardiomyopathy on echocardiogram. She was readmitted on the 22nd POD with watery vaginal discharge. CT abdomen revealed a dehisced CS scar and loculated ascites. Her discharge settled after three weeks with antibiotics and drainage of the ascites. A CT scan 3 months later showed reduction of the peritoneal collection. Caesarean scar dehiscence should be considered for patients presenting with ascites and vaginal discharge after a CS, particularly in the presence of risk factors such as infection or anemia.


2021 ◽  
Vol 2021 (7) ◽  
Author(s):  
Elham Shirali ◽  
Fariba Yarandi ◽  
Narges Izadi Mood ◽  
Maryam Rahmani ◽  
Marjan Ghaemi

ABSTRACT Minimal deviation adenocarcinoma (MDA) of the cervix otherwise known as adenoma malignum is a rare variation of cervical adenocarcinoma. Radiological evaluation plays a great role to ensure an early diagnosis. Here, we report a 48-year-old woman who was presented with a mucoid vaginal discharge 10 years after a supracervical hysterectomy. Despite normal biopsy and cytology, magnetic resonance imaging showed a large cervix and multiple cervical cysts that considered adenoma malignum as a differential diagnosis. She underwent surgery and the pathology confirmed the adenoma malignum. In conclusion, radiologists, as well as gynecologists, and also pathologists may consider MDA among the differential diagnosis in patients with a vaginal discharge and multicysts in the cervix even after hysterectomy despite normal cytology and biopsy.


2021 ◽  
pp. 27-28
Author(s):  
S. Sharnitha ◽  
R. Niranjana ◽  
P. Dhanasekar ◽  
Sarah Grace Priyadharshini

Minimal deviation adenocarcinoma is a subtype of cervical adenocarcinoma and accounts for 1-3% of cervical adenocarcinoma . It is also known as adenoma malignum. We report a case of 55 year old postmenopausal women with complaints of low back pain, on examination cervix was replaced by indurated growth and was diagnosed as minimal deviation adenocarcinoma of cervix by biopsy


Medicina ◽  
2020 ◽  
Vol 56 (9) ◽  
pp. 477
Author(s):  
Natalia Darii Plopa ◽  
Nicolae Gica ◽  
Marie Gerard ◽  
Marie-Cécile Nollevaux ◽  
Milenko Pavlovic ◽  
...  

Background: Colosalpingeal fistula is a rare complication secondary to diverticular disease. The pathogenesis is still not clearly understood. We present the case of a colosalpingeal fistula and a review of the management of this pathology. Case report: A 69-year-old patient with uncomplicated diverticular disease was referred to our department for recurrent vaginal discharge. The clinical examination was unremarkable, hysteroscopy revealed the presence of air in the uterine cavity in the absence of a uterine fistula. A preliminary diagnosis of colosalpingeal fistula was made and was confirmed by computed tomography (CT) scan and hysterosalpingography. A one-stage surgery via laparotomy was successfully performed with remission of the symptoms. Conclusion: Colotubal fistula is a rare complication resulting from intestinal diverticular disease. The purpose of this paper was to emphasize the presence of a rare, but serious complication occurring in diverticular disease with atypical symptoms and one-stage surgery treatment.


2011 ◽  
Vol 3 (1) ◽  
pp. 33-35
Author(s):  
Sindhu Bhute ◽  
Deepti Shrivastava ◽  
Satarupa Mukherjee ◽  
Deepika Rani

ABSTRACT Clinical presentation of müllerian anomalies vary widely. We are reporting here a case of müllerian anomaly, had suffered from secondary infertility and purulent vaginal discharge for last two years. After thorough clinical examination and systematic investigations, her proper diagnosis of communicating bicornuate uterus (H shaped) with partial agenesis of left cervix and total agenesis of right cervix and right kidney was made and patency of right tube was restored, so that not only her symptoms were resolved but she had successful pregnancy too.


Author(s):  
S. K. Peng ◽  
M.A. Egy ◽  
J. K. Singh ◽  
M.B. Bishop

Electron microscopy and energy dispersive x-ray microanalysis (EDXA) are found to be very useful tools for identification of etiologic agents in pneumoconiosis or interstitial pulmonary disorders. Pulmonary interstitial fibrosis and granulomatosis are frequently associated with occupational and environmental pollution. Numerous reports of pneumoconiosis in various occupations such as coal and gold miners are presented in the literature. However, there is no known documented case of pulmonary changes in workers in the sandpaper industry. This study reports a rare case of pulmonary granulomatosis containing deposits from abrasives of sandpaper diagnosed by using EDXA.


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