scholarly journals GnRH analogue followed by surgery in treatment of vaginal leiomyoma-a case report

Medicine ◽  
2021 ◽  
Vol 100 (8) ◽  
pp. e24911
Author(s):  
Yinxia Liu ◽  
Xiaoli Wang ◽  
Yuedong He
Keyword(s):  
Case Report ◽  
Gnrh Analogue ◽  
Vaginal Leiomyoma

scholarly journals Late presentation of extrauterine adenomyomas after laparoscopic morcellation at hysterectomy: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mohammed Nagdi Zaki ◽  
Aafia Mohammed Farooq Gheewale ◽  
Nada Ibrahim ◽  
Ibrahim Abd Elrahman
Keyword(s):  
Case Report ◽  
Transvaginal Ultrasound ◽  
Iliac Fossa ◽  
Abdominal Cavity ◽  
Laparoscopic Hysterectomy ◽  
Pathology Report ◽  
Presacral Space ◽  
Gnrh Analogue ◽  
Power Morcellation ◽  
The Right

Abstract Background An adenomyoma is a well circumscribed form of adenomyosis and can be located within the myometrium, in the endometrium as a polyp, or extrauterine with the last being the rarest presentation amongst the three. With the ongoing advancement in gynecological surgery, the use of electromechanical morcellators have made the removal of large and dense specimens possible with minimally invasive techniques. However, it has also caused an increase in complications which were previously rare. Whilst the tissue is being grinded within the abdominal cavity, residual tissue can spread and remain inside, allowing for implantation to occur and thereby giving rise to recurrence of uterine tissue as a new late postoperative complication. Case presentation A 45-year-old woman presented with worsening constipation and right iliac fossa pain. Her past surgical history consists of laparoscopic supra-cervical hysterectomy that was indicated due to uterine fibroids. Computerized tomography and magnetic resonance imaging were done, which showed an irregular lobulated heterogeneous mass seen in the presacral space to the right, located on the right lateral aspect of the recto-sigmoid, measuring 4.5 × 4.3 × 4.3 cm in size. A transvaginal ultrasound revealed a cyst in the left ovary. The patient had a treatment course over several months that included Dienogest (progestin) and Goserelin (GnRH analogue) with add-back therapy. In line with the declining response to medications, the patient was advised for a laparoscopic ovarian cystectomy. During the surgery, an additional lesion was found as a suspected fibroid and the left ovarian cyst was identified as pockets of peritoneal fluid which was sent for cytology. The surgical pathology report confirmed adenomyosis in both specimens, namely the right mass and the initially suspected fibroid. Conclusion In this case report, we showcase a rare occurrence of an extrauterine adenomyoma presenting two years post laparoscopic morcellation at hysterectomy. This poses questions regarding the benefits versus risks of power morcellation in laparoscopic hysterectomy.

scholarly journals VAGINAL LEIOMYOMA: A CASE REPORT

2015 ◽  
Vol 4 (38) ◽  
pp. 9708-6712
Author(s):  
Shailaja Pinjala ◽  
Padmavathi Tatavarthi ◽  
Jaya Laxmi S
Keyword(s):  
Case Report ◽  
Vaginal Leiomyoma

Leydig-Cell-Tumor of the Ovary that Responded to GnRH-Analogue Administration – Case Report and Review of the Literature

2010 ◽  
Vol 118 (05) ◽  
pp. 291-297 ◽  
Author(s):  
R. Klotz ◽  
E. Müller-Holzner ◽  
S. Fessler ◽  
D. Reimer ◽  
I. Zervomanolakis ◽  
...  
Keyword(s):  
Case Report ◽  
Leydig Cell ◽  
Leydig Cell Tumor ◽  
Cell Tumor ◽  
Gnrh Analogue ◽  
Review Of The Literature

scholarly journals Homeopathic treatment of vaginal leiomyoma in a dog: case report

2021 ◽  
Vol 7 (24) ◽  
pp. 152-158
Author(s):  
Maria Ignez Carvalho Ferreira ◽  
Luiz Figueira Pinto
Keyword(s):  
Case Report ◽  
Rio De Janeiro ◽  
Surgical Excision ◽  
Poor Quality ◽  
Clinical State ◽  
Homeopathic Treatment ◽  
Calidad De Vida ◽  
The One ◽  
Vaginal Leiomyoma

The most common vaginal neoplasias in old dogs are leiomyoma and fibroma. Although surgical excision is the indicated treatment, it does not eliminate potential complications that may lead to death or poor quality of life. This paper reports the case of a 9 year-old female Doberman dog with vaginal leiomyoma attended by copious and recidivating colporrhagia homeopathically treated between March and December 2005. Homeopathic approach was the one designed at Homeopathic Unit of the Veterinary Hospital, Rural Federal University of Rio de Janeiro, Brazil. The progress of disease was assessed through clinical evaluation, laboratory exams and ultrasonography. Hemorrhage decreased while the general clinical state of the animal improved. After 7 months of homeopathic treatment, the tumor was spontaneously eliminated through violent abdominal contractions, which was followed by recovery of the animal’s state of health. Keywords:  Homeopathy; Veterinary medicine; Tumors; Leiomyoma; Vaginal; Dogs.   Tratamento homeopático de leiomioma vaginal em cães: relato de caso Resumo As neoplasias vaginais mais comuns em cadelas velhas são o leiomioma e o fibroma. Embora a excisão cirúrgica é o tratamento indicado, não elimina complicações potenciais que podem levar ao óbito ou baixa qualidade de vida. O presente artigo relata o caso de uma cadela Doberman de 9 anos de idade, com leiomioma vaginal, apresentando colporragia copiosa e recidivante, tratada entre março e dezembro de 2005. A abordagem homeopática utilizada foi a desenvolvida na Unidade Homeopática do Hospital Veterinário da Universidade Federal Rural do Rio de Janeiro, Brasil. A evolução da doença foi acompanhada através de avaliação clínica, testes de laboratório e ultrassonografia. A hemorragia diminuiu e o estado geral melhorou. Depois de 7 meses de tratamento homeopático, o tumor foi espontaneamente eliminado através de violentas contrações abdominais, seguido de recuperação do estado de saúde do animal. Palavras-chave:  Homeopatia, Medicina Veterinária; Tumores; Leiomioma; Vaginal; Cães.   Tratamento homeopático de leiomioma vaginal en canino: relato de caso Resumen Las neoplasias vaginales más comunes en caninos ancianos son el leiomioma y el fibroma. Aunque la excisión quirúrgica es el tratamiento de elección, no elimina complicaciones potenciales que pueden llevar al deceso o pobre calidad de vida. Este artículo relata el caso de un canino Doberman femenino de 9 años de edad, con leiomioma vaginal acompañado de colporragia abundante y recidivante, tratado entre marzo y diciembre de 2005. El abordaje homeopático utilizado fue el desarrollado en la Unidad Homeopática del Hospital Veterinario de la Universidad Federal Rural de Río de Janeiro, Brasil. La evolución de la enfermedad fue estimada mediante evaluación clínica, exámenes de laboratorio y ecografía. Las hemorragias disminuyeron, con mejoría del estado general. Después de 7 meses de tratamiento homeopático, el tumor fue espontáneamente eliminado mediante violentas contracciones abdominales, seguido de recuperación del estado de salud del animal. Palabras-clave:  Homeopatía, Medicina veterinaria; Tumores; Leiomioma; vaginal; Perros.   Correspondence author:  Luiz Figueira Pinto. [email protected] How to cite this article:  Ferreira MIC, Pinto LF. Homeopathic treatment of vaginal leiomyoma in a dog: case report. Int J High Dilution Res [online]. 2008 [cited YYYY Mmm DD]; 7(24):152-158. Available from: http://journal.giri-society.org/index.php/ijhdr/article/view/304/358.  

scholarly journals Case Report: Reversible Cerebral Vasoconstriction Syndrome in a cancer patient using ZoladexTM

2021 ◽  
Author(s):  
Paolla Giovanna Rossito de Magalhães ◽  
Marina Buldrini Filogonio Seraidarian ◽  
Bernardo Tardin Caetano ◽  
Barbara Oliveira Paixão ◽  
Tassila Oliveira Nery de Freitas ◽  
...  
Keyword(s):  
Case Report ◽  
Cerebral Angiography ◽  
Postpartum Period ◽  
Cerebral Arteries ◽  
Superficial Temporal Artery ◽  
Chronic Administration ◽  
Temporal Artery ◽  
Reversible Cerebral Vasoconstriction Syndrome ◽  
Gnrh Analogue ◽  
Cerebral Vasoconstriction

Context: The Reversible Cerebral Vasoconstriction Syndrome (SVCR) is characterized by rapid and reversible vasoconstriction and segmental dilation of cerebral arteries, usually preceded by thunderclap headache. The involvement of second and third-order branches of the cerebral arteries is the most commom finding in a cerebral angiography. This report is about a SVCR case with atypical involvement, significantly compromising extracranial vessels and raising the hypothesis of association between the use of hormonal blocker gosserelin acetate (ZoladexTM) with SVCR. Case report: Female, 39 years old, with breast cancer and bone metastasis using ZoladexTM that presented with a sudden headache and vomiting, progressing to global afasia and paresis in the right upper limb. Magnetic resonance identified hyperacute intraparenchymal hematoma in left frontoparietal convexity and subarachnoid haemorrhage. Cerebral angiography showed irregularities in the distal branches (M3 and M4) of the middle cerebral arteries, as well as in the superficial temporal artery, characterized by focal strictures. Conclusion: Studies show that hormonal fluctuations in the postpartum period can trigger SVCR due to the drop in estrogen and progesterone (gonadotropins). During postpartum, the stimulus of breastfeeding increases prolactin levels leading to GnRH suppression, which decreases the level of gonadotropins. ZoladexTM is a GnRH analogue and its chronic administration results in suppression of these hormones - similar to the postpartum period. Therefore, there may be an association of hormonal blockers with SVCR.

An unusual presentation of a vaginal leiomyoma in a postmenopausal hysterectomised woman: a case report

Cases Journal ◽  
2009 ◽  
Vol 2 ◽  
Author(s):  
Smitha Nidhanee ◽  
Sachchidananda Maiti ◽  
Dillshad Shareef ◽  
Nigel Holland
Keyword(s):  
Case Report ◽  
Unusual Presentation ◽  
Vaginal Leiomyoma

Regression of a Vaginal Leiomyoma After Ovariohysterectomy in a Dog: A Case Report

2014 ◽  
Vol 50 (6) ◽  
pp. 424-428 ◽  
Author(s):  
Suresh Sathya ◽  
Kathleen Linn
Keyword(s):  
Case Report ◽  
Spontaneous Regression ◽  
Vaginal Discharge ◽  
Mammary Tumors ◽  
Mixed Breed ◽  
History Of ◽  
Vaginal Leiomyoma

An 11 yr old female mixed-breed Siberian husky was presented with a history of sanguineous vaginal discharge, swelling of the perineal area, decreased appetite, and lethargy. A single, large vaginal leiomyoma and multiple mammary tumors were diagnosed. Mastectomy and ovariohysterectomy were performed. The vaginal leiomyoma regressed completely after ovariohysterectomy. This is the first reported case of spontaneous regression of a vaginal leiomyoma after ovariohysterectomy in a dog.

Vaginal Leiomyoma: Case Report and Literature Review

2017 ◽  
Vol 5 (1) ◽  
pp. 62-65
Author(s):  
Mamta Gupta ◽  
Rita Jindal ◽  
Supriya Kumari ◽  
Namrata Nargotra
Keyword(s):  
Case Report ◽  
Literature Review ◽  
South Asian ◽  
Coming Out ◽  
Rare Entity ◽  
Review Of Literature ◽  
Vaginal Route ◽  
The Right ◽  
Vaginal Leiomyoma

ABSTRACT Introduction Leiomyoma arising from the vagina is a rare entity with varied presentations. Case Report A woman 44 years of age presented with complaints of something coming out vaginally, polymenorrhea, and pain in abdomen. A mass arising from the right posterolateral wall of vagina was seen. Ultrasound reported it to be cervical fibroid. The mass was enucleated through vaginal route. Histopathology confirmed it to be a leiomyoma. Review of literature revealed that it has a varied presentation. Diagnosis is often missed. Conclusion The condition should always be kept in mind whenever coming across any mass in vagina. How to cite this article Gupta M, Saini V, Jindal R, Kumari S, Nargotra N. Vaginal Leiomyoma: Case Report and Literature Review. J South Asian Feder Menopause Soc 2017;5(1):62-65.

scholarly journals A Misdiagnosed Vaginal Leiomyoma: Case Report

2015 ◽  
Vol 3 (3) ◽  
pp. 82-83 ◽  
Author(s):  
Yu Wu ◽  
Weiming Wang ◽  
Xujun Sheng ◽  
Liang Kong ◽  
Jun Qi
Keyword(s):  
Case Report ◽  
Vaginal Leiomyoma
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