A 71-Year-Old G2P2 Woman with Postmenopausal Bleeding and Severe Cervical Stenosis

Objective: We aimed to determine the frequency of endometrial pathologies of patients who presented to our outpatient clinic with postmenopausal bleeding (PMB) and asymptomatic menopausal patients with a finding of thickened endometrium on transvaginal ultrasonography.Study Design: This study was performed at Bezmialem University Hospital. Women who presented to our clinic from January 2015 to January 2017 were analyzed. Patients were divided to two groups. All patients underwent transvaginal ultrasound with a 7.5 MHz probe. Endometrial sampling was performed by either blind D&C (dilatation & curettage) or pipelle sampling. We excluded patient specimens that were obtained by hysteroscopy.Results: Electronic records of a total of 368 patients in menopause were inspected. Out of these patients; 287 (78%) underwent endometrium sampling indicated by bleeding. Eighty-one patients (22%) were asymptomatic; however, a thickened endometrium echo on TVUSG examination (≥ 5 mm) was suspected. The median age was 57 (42-85). In both groups the two leading causes of endometrial pathology was; endometrial polyps followed by proliferative endometrium. The frequency of endometrial cancer was 9.4 % for the PMB group and 1.2 % in the asymptomatic patient groupConclusion: Evaluation of PMB as soon as possible is essential for diagnosing endometrial pathologies. Role of endometrial thickness is decisive in detecting patients at high risk for malignancy especially with comorbid conditions. Histopathological evaluation is mandatory for ruling out malignancy.

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Endometrial sampling before or after saline contrast sonohysterography in women with postmenopausal bleeding (ESPRESSO trial): A multicenter randomized controlled trial

Acta Obstetricia Et Gynecologica Scandinavica ◽

10.1111/aogs.14086 ◽

2021 ◽

Author(s):

Albertine J. Vroom ◽

Luca Aerts ◽

Marlies Y. Bongers ◽

Arianne C. Lim ◽

Bart J. Pielkenrood ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Controlled Trial ◽

Postmenopausal Bleeding ◽

Endometrial Sampling ◽

Randomized Controlled ◽

Multicenter Randomized Controlled Trial

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A rare cause of postmenopausal bleeding: chronic lymphocytic leukemia

Climacteric ◽

10.1080/13697137.2021.1917540 ◽

2021 ◽

pp. 1-3

Author(s):

İ. Kale ◽

Cumhur Selçuk Topal

Keyword(s):

Chronic Lymphocytic Leukemia ◽

Lymphocytic Leukemia ◽

Postmenopausal Bleeding

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Overshunting-Related Cervical Myelopathy Causing Progressive Gait Disturbance: A Case Report

Case Reports in Neurology ◽

10.1159/000514551 ◽

2021 ◽

pp. 312-317

Author(s):

Eva Vister ◽

Sebastiaan Hammer ◽

Rudolf W.M. Keunen ◽

Astrid L. Rijssenbeek ◽

Niels A. van der Gaag

Keyword(s):

Cerebrospinal Fluid ◽

Cervical Myelopathy ◽

Complete Resolution ◽

Late Complication ◽

Gait Disturbance ◽

Shunt Revision ◽

Proper Treatment ◽

Cervical Stenosis ◽

Vp Shunt ◽

Associated Symptoms

A complication of ventriculoperitoneal (VP) shunting is overdrainage or overshunting of cerebrospinal fluid, which can cause formation of hygroma but in rare cases also cervical myelopathy at a later stage. In this article, we describe a very late complication of VP shunting. We present a 75-year-old man, previously given a VP shunt at the age of 46, who developed a progressive gait disturbance and ataxia of the limbs after 27 years. MRI showed a cervical stenosis and myelopathy as a result of venous engorgement due to chronic overshunting of the VP shunt. Revision of the VP shunt resulted in complete resolution of his neurological symptoms and the cervical myelopathy. Cervical myelopathy due to chronic overshunting is a rare and potentially very late complication of a VP shunt. Our case underlines the importance of awareness of this complication while proper treatment can reverse the associated symptoms fully.

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Anterior cord syndrome in a 30-year-old male with congenital cervical stenosis

Visual Journal of Emergency Medicine ◽

10.1016/j.visj.2021.100988 ◽

2021 ◽

Vol 22 ◽

pp. 100988

Author(s):

Monica Mitta ◽

Michael L. Sternberg

Keyword(s):

Cervical Stenosis

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The value of cervical MRI in surgical lumbar canal stenosis patients

The Egyptian Journal of Neurology Psychiatry and Neurosurgery ◽

10.1186/s41983-020-00249-1 ◽

2021 ◽

Vol 57 (1) ◽

Author(s):

Omar Youssef Abdalla ◽

Hieder Al-Shami ◽

Heba Medhat Maghraby ◽

Abdelrhman Enayet

Keyword(s):

Clinical Presentation ◽

Adult Population ◽

Cervical Canal ◽

Lumbar Stenosis ◽

Cervical Stenosis ◽

Lumbar Canal Stenosis ◽

Cervical Canal Stenosis ◽

Canal Stenosis ◽

Tandem Spinal Stenosis ◽

A Prospective Study

Abstract Background The prevalence of cervical canal stenosis alone is estimated to be present in 4.9% of the adult population. Co-existence of dual pathology may complicate clinical presentation and necessitates a wise and individually based decision process. Objectives To estimate the co-existence of cervical canal stenosis in surgical lumbar canal stenosis patients and its reflection on decision-making regarding surgery. Methods It is a prospective study that was conducted on 70 cases with symptomatic lumbar canal stenosis by investigating them for cervical canal stenosis clinically and radiologically. Results The co-existence of cervical and lumbar canal stenoses was seen in 62 cases (88.57%); cases with relative cervical stenosis were 25 (35.714%) and absolute cervical stenosis was 37 (52.857%). Cases with no cervical stenosis were 8 (11.428%) and cases with relative lumbar stenosis were 22 (31.428%), while cases with absolute lumbar stenosis were 48 (68.571%). Cases with symptomatic cervical canal stenosis were 30 (42.857%). Cases with asymptomtic cervical canal stenosis were 32 (45.71%). Conclusion Tandem spinal stenosis (TSS) is not uncommon and MRI cervical spine should be done for every lumbar canal stenosis patient especially if indicated by history or clinical examination.

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