scholarly journals A case report of recurrent uterovaginal prolapse and cervical elongation in anulliparous female with a distorted Pelvis

2020 ◽  
Vol 8 (5) ◽  
pp. 116-117
Author(s):  
Nazli Hameed ◽  
Binyamin Butt ◽  
Rabia Jamshaid
Keyword(s):  
Case Report ◽  
Pelvic Fracture ◽  
Rare Case ◽  
Uterine Prolapse ◽  
Life Quality ◽  
Reproductive Age ◽  
Advanced Age ◽  
Uterovaginal Prolapse ◽  
Cervical Elongation ◽  
Genitourinary Prolapse

Recurrent uterovaginal prolapse adversely affects the life quality in women. Genitourinary prolapse affects around 40-50 % of women in their lifetimes with a higher incidence in women of advanced age and parity. It is less common in females of reproductive age, being particularly rare in nulliparous females. The reported incidence in this group is only 1%. In this case report we are highlighting a rare case of uterine prolapse in a young nulliparous woman after pelvic fracture. The cervix was also unusually long None of the previous surgeries took into account the elongated cervix with the prolapse, contributing to the so-called recurrence in this patient. The treatment of this patient was done by combining Sacro hysteropexy with Manchester Repair.

scholarly journals A Case Report of Primary Pulmonary Choriocarcinoma in a Man: Successful Combination of Surgery and Chemotherapy

2020 ◽  
Vol 13 (2) ◽  
pp. 923-928
Author(s):  
Hang Thi Thuy Nguyen ◽  
Hung Huy Hoang ◽  
Anh Thi Van Le
Keyword(s):  
Case Report ◽  
Adjuvant Chemotherapy ◽  
Malignant Tumor ◽  
Rare Case ◽  
Rare Condition ◽  
Optimal Treatment ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Standardized Treatment

Choriocarcinoma is a malignant tumor that typically appears in gonadal organs and primarily occurs in women of reproductive age. Being a primary extragonadal choriocarcinoma, primary pulmonary choriocarcinoma (PPC) is an extremely rare condition. Due to the rarity of PPC, no standardized treatment has been established so far. However, surgery combined with adjuvant chemotherapy appears to be the most optimal treatment. Here, we report a rare case of a man with PPC that was successfully treated with surgery followed by chemotherapy.

scholarly journals A Rare Case Report: A Malignant Histiocytic Tumor in the Form of Ovarian Mass

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Emsal Pinar Topdagi Yilmaz ◽  
Yakup Kumtepe ◽  
Yunus Emre Topdagi ◽  
Seray Kaya Topdagi
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Medical Oncology ◽  
Virgin Female ◽  
Reproductive Age ◽  
Ovarian Malignancy ◽  
Ovarian Mass ◽  
Histiocytic Cell ◽  
Rare Case Report ◽  
Rare Malignancy

Histiocytic cell malignancies are very rare. Hence, the information about this disease in hematology is limited. In this case report, we present a case of malignant histiocytic tumor affecting the ovary of a 40-year-old virgin female. Primary ovarian malignancy was not considered for the patient who was approached as if she had ovarian malignancy, since there was an indication of a mass in the ovary. Therefore, an aggressive surgery was not performed. Since our patient was in the reproductive age, fertility-preserving surgery was performed. Our patient was then treated systemically by medical oncology. In conclusion, the rare malignancy group was investigated in the present study along with an evaluation of the current literature.

scholarly journals Successful Management of Cervical Elongation During Pregnancy and Labor: A Case Report

2020 ◽  
Author(s):  
Nasim Shokouh ◽  
Zeenat Ghanbari ◽  
Nafiseh Saedi
Keyword(s):  
Case Report ◽  
Physical Examination ◽  
Vaginal Delivery ◽  
Outpatient Clinic ◽  
Uterine Prolapse ◽  
Active Phase ◽  
Normal Vaginal Delivery ◽  
Successful Management ◽  
Cervical Elongation ◽  
First Stage Of Labor

Uterine prolapse and cervical elongation are rare conditions that can complicate pregnancy, labor, and its management. To minimize complications, proper management of this conditionis necessary. A 26-year-old woman referred to our outpatient clinic with a lump protruding from her vagina. She was 16 weeks pregnant. Physical examination revealed uterine prolapseand cervical elongation, so to prevent the complications of the protruded cervix, a pessary was inserted. She had the pessary during the first stage of labor until the rupture of membranes(at 6 cm cervical dilatation). After removal of the pessary, although the cervix was out of introitus, the active phase of labor initiated and a normal vaginal delivery was done. Newonset prolapse during pregnancy with more probability is due to cervical elongation. During labor and delivery, this condition could be managed with conservative methods, includingpessary placement. and this condition could be managed with conservative methods including pessary placement during pregnancy and labor.

scholarly journals An Unusual Presentation of a Huge Nabothian Cyst of Cervix With Manifestation of Uterine Prolapse: A Case Report

2020 ◽  
Vol 13 ◽  
pp. 117954762097467
Author(s):  
Sushna Maharjan ◽  
Mamata Tiwari
Keyword(s):  
Case Report ◽  
Coming Out ◽  
Uterine Prolapse ◽  
Vaginal Wall ◽  
Reproductive Age ◽  
Unusual Presentation ◽  
Levator Ani Muscle ◽  
Minor Trauma ◽  
Cervical Lesions ◽  
Second Degree

Background: Nabothian cysts are common benign cervical lesions in women of reproductive age. They usually occur due to childbirth or minor trauma; mostly are small and asymptomatic. However, huge nabothian cysts may have variable presentation and can even mimic malignancy thus, biopsy is recommended to rule out malignancy. The unusual presentation of nabothian cyst as uterine prolapse makes it a diagnostic challenge for management of the patient similar to the present case. Case report: We report a case of a huge nabothian cyst in a perimenopausal, multiparous woman who presented with complaints of something coming out of vagina suddenly after mild heavyweight lifting and pain abdomen. Pelvic examination revealed a second degree uterine prolapse with a large lump protruding outside the vagina. Transvaginal ultrasonography demonstrated a multicystic cervical mass of size 9.5 cm × 8.0 cm arising from the posterior lip of cervix that was protruding through the vaginal canal. After excision of mass, prolapse became first degree. Histopathologic diagnosis was a cervical nabothian cyst. Patient had persisting first degree uterine prolapse along with posterior vaginal wall prolapse on subsequent postoperative follow ups. Hence, vaginal hysterectomy with repair to the vaginal wall was performed later. Conclusion: The present case of nabothian cyst is reported for its unusual presentation as uterine prolapse. The risk factors for pelvic organ prolapse (POP) in the present case are advancing age, multiparity and perimenopausal status. The connective tissue and levator ani muscle became weak and the nabothian cyst unmasked the POP that was latent and asymptomatic by increasing the prolapse from first degree to second degree.

scholarly journals A rare case of utero-vaginal prolapse seen at third trimester: case report and review of literature

2021 ◽  
Vol 10 (8) ◽  
pp. 3212
Author(s):  
Adebayo Awoniyi ◽  
Aloy Okechukwu Ugwu ◽  
Sunusi Rimi Garba ◽  
Nneoma Kwemtochukwu Aniugwu ◽  
Augustine Egba ◽  
...  
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Elective Caesarean Section ◽  
Pelvic Organ ◽  
Uterovaginal Prolapse ◽  
Review Of Literature ◽  
Third Trimester ◽  
The Third ◽  
Child Bearing ◽  
In Pregnancy

Pelvic organ prolapse (POP) is an infrequent cause of morbidity in pregnancy. We presented a case of stage three uterovaginal prolapse that was first noticed in the third trimester. Management of POP is individualized and its determined by the severity of the symptoms, stage of the prolapse, gestational age, patient’s desire and expertise of the gynaecologist. Different options of management have been proposed ranging from conservative to laparoscopy, hysterectomy in women with no desire for further child bearing. Vaginal delivery is an option; however, most obstetricians opt for elective caesarean section at term. 

scholarly journals Leiomyoma of the anterior vaginal wall: a rare case

2021 ◽  
Vol 4 (2) ◽  
pp. 107-111
Author(s):  
Saheed Olanrewaju Jimoh ◽  
GRACE GWABACHI EZEOKE ◽  
OLAYINKA RABIU BALOGUN ◽  
ADEMOLA POPOOLA ◽  
ABIODUN SULEIMAN ADENIRAN ◽  
...  
Keyword(s):  
Rare Case ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Reproductive Age ◽  
Uterovaginal Prolapse ◽  
Diagnostic Challenge ◽  
Complete Excision ◽  
Case Presentation ◽  
High Index Of Suspicion ◽  
Lying Down

Background: Leiomyoma is a benign smooth muscle mesenchymal tumor, usually of uterine origin but may rarelydevelop in the vaginal walls. Case presentation: A case of 40-year-old para 5+0 woman with anterior vaginal wall leiomyoma is reported. Thepresentation mimics that of uterovaginal prolapse and hence presents a diagnostic challenge. The unusualappearance of the protrusion, failure to reduce at any time even while lying down, and complete absence of urinarysymptoms raised the suspicion of a rare case. The diagnosis was made through examination under anesthesia,cystoscopy, and biopsy. Histological examination of the biopsy specimen confirmed vaginal wall leiomyoma. Thepatient had complete excision of the mass without any complications. Discussion and Conclusion: Vaginal wall leiomyoma is a rare benign vaginal lesion that can easily bemisdiagnosed. Diagnosis involves critical clinical evaluation, especially during pelvic examinations. Any vaginalprotrusion should be approached with a high index of suspicion, especially in patients of reproductive age.

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