scholarly journals Arteriovenous uterine malformation: case report

2019 ◽  
Vol 9 (1) ◽  
pp. 409
Author(s):  
Raúl D. Lara Sánchez ◽  
Alexander J. Rafaelano Miranda ◽  
Sara E. Hernandez Flores ◽  
Tania P. Alvarez ◽  
Jose M. Bizuet Cabrera ◽  
...  
Keyword(s):  
Case Report ◽  
Heavy Menstrual Bleeding ◽  
Menstrual Bleeding ◽  
Ultrasound Finding ◽  
Pathology Report ◽  
Uterine Malformation ◽  
History Of

The case of a 49-year-old patient is reported, with a particular history of obstetric risk, who presented with severe transvaginal hemorrhage, was performed doppler arteriography and ultrasound, finding data suggestive of arteriovenous uterine malformation, surgery was decided due to heavy menstrual bleeding with anemia, the pathology report shows characteristics of an arteriovenous uterine malformation.

scholarly journals Heavy menstrual bleeding: work-up and management

Hematology ◽  
2016 ◽  
Vol 2016 (1) ◽  
pp. 236-242 ◽  
Author(s):  
Andra H. James
Keyword(s):  
Treatment Strategy ◽  
Bleeding Disorder ◽  
Heavy Menstrual Bleeding ◽  
Menstrual Bleeding ◽  
Laboratory Assessment ◽  
Life Saving ◽  
Ovulatory Dysfunction ◽  
History Of ◽  
Patient’S History ◽  
Work Up

Abstract Heavy menstrual bleeding (HMB), which is the preferred term for menorrhagia, affects ∼90% of women with an underlying bleeding disorder and ∼70% of women on anticoagulation. HMB can be predicted on the basis of clots of ≥1 inch diameter, low ferritin, and “flooding” (a change of pad or tampon more frequently than hourly). The goal of the work-up is to determine whether there is a uterine/endometrial cause, a disorder of ovulation, or a disorder of coagulation. HMB manifest by flooding and/or prolonged menses, or HMB accompanied by a personal or family history of bleeding is very suggestive of a bleeding disorder and should prompt a referral to a hematologist. The evaluation will include the patient’s history, pelvic examination, and/or pelvic imaging, and a laboratory assessment for anemia, ovulatory dysfunction, underlying bleeding disorder, and in the case of the patient on anticoagulation, assessment for over anticoagulation. The goal of treatment is to reduce HMB. Not only will the treatment strategy depend on whether there is ovulatory dysfunction, uterine pathology, or an abnormality of coagulation, the treatment strategy will also depend on the age of the patient and her desire for immediate or long-term fertility. Hemostatic therapy for HMB may serve as an alternative to hormonal or surgical therapy, and may even be life-saving when used to correct an abnormality of coagulation.

scholarly journals Case Report: Inflammatory myofibroblastic tumor causes formation of an ileal conglomerate in a patient previously treated for Wilms’ tumor

F1000Research ◽  
2017 ◽  
Vol 6 ◽  
pp. 677
Author(s):  
Julie Leganger ◽  
Rikke Raagaard Soerensen ◽  
Jacob Rosenberg ◽  
Jakob Burcharth
Keyword(s):  
Small Intestine ◽  
Case Report ◽  
Terminal Ileum ◽  
Inflammatory Myofibroblastic Tumor ◽  
Wilms Tumor ◽  
Pathology Report ◽  
Subsequent Formation ◽  
Meckel’S Diverticulitis ◽  
History Of ◽  
Small Intestinal

Introduction: Inflammatory myofibroblastic tumors (IMTs) are uncommon mesenchymal lesions classified by WHO as neoplasms of uncertain behavior. Morphologically, IMTs are composed of proliferating spindled myofibroblastic cells accompanied by a marked - usually chronic - inflammatory infiltrate. The etiology is unknown, but several theories have been suggested, including an association with Wilms’ tumor. IMTs are rarely diagnosed in adults and have been reported in various organs. IMTs are considered benign but with a potential to recur at their primary site. Case report: A 44-year-old female experienced intermittent severe abdominal pain, loose stools and a visible abdominal bulge. In early childhood the patient had been treated for a Wilms’ tumor. At admission Meckel’s diverticulitis was suspected, but during surgery a tumor in the terminal ileum, creating a conglomerate of small intestinal loops, was observed and completely resected.  The pathology report characterized the tumor as a histologically benign inflammatory myofibroblastic tumor. Postoperatively, the patient experienced several complications including an anastomotic leakage and subsequent formation of an abscess and transcutaneous fistula. Discussion: IMTs rarely arise in the small intestine, and to our knowledge the manifestation of a small intestine conglomerate has not been described previously. Making the diagnosis is difficult, and numerous differential diagnoses were possible in this case. Approximately 8-25% of IMTs in the gastrointestinal tract recur locally. Complete surgical resection is the treatment of choice, and re-excision is the preferred therapy for local recurrence.  To our knowledge, no guidelines concerning follow-ups are available. Conclusion: IMTs in the terminal ileum can mimic Meckel’s diverticulitis and present with symptoms of obstructive ileus due to the formation of a conglomerate of small intestinal loops. Furthermore, IMTs should be considered as a diagnostic possibility in patients with a past medical history of Wilms’ tumor.

scholarly journals Multiple endometrial polyps in a pre-menopausal woman-sonographic and elastographic findings with histopathological correlation

2018 ◽  
Vol 6 (3) ◽  
pp. 1043
Author(s):  
Varghese Paul ◽  
Suresh Phatak ◽  
Gulam Marfani ◽  
Nipun Gupta
Keyword(s):  
Case Report ◽  
Menstrual Bleeding ◽  
Menopausal Woman ◽  
Endometrial Polyps ◽  
Histopathological Correlation ◽  
History Of

We are presenting a case report of a 34-year-old female with history of inter-menstrual bleeding PV and Menorrhagia since 6 months with multiple endometrial polyps. Ultrasound and elastography findings are discussed.

scholarly journals Abnormal Uterine Bleeding in Adolescent

2021 ◽  
Vol 4 (2s) ◽  
pp. 15-22
Author(s):  
Evelyne Theresia ◽  
◽  
Andreas Christoper ◽  
Melissa Edelweishia
Keyword(s):  
Treatment Options ◽  
Abnormal Uterine Bleeding ◽  
Hemodynamic Instability ◽  
Uterine Bleeding ◽  
Warning Signs ◽  
Heavy Menstrual Bleeding ◽  
Menstrual Bleeding ◽  
History Of ◽  
Flow Treatment

Abstract Abnormal uterine bleeding (AUB) is a frequent cause of visits to health care provider during adolescent period. Heavy menstrual bleeding is the most frequent clinical presentation of AUB. This condition particularly worrisome in this group not only when it occurs at menarche, but also anytime afterward when bleeding lasts longer than 7 days, blood loss is greater than 80 mL per cycle, or other warning signs that indicate a history of heavy bleeding such as anemia. Careful history and examination can help elucidate the best next steps for workup and management. The primary goal of treatment is prevention of hemodynamic instability. Therefore, assessing the severity and cause of bleeding is important. Therapeutic approach in the acute period should be established according to the degree of anemia and amount of flow. Treatment options for medical care of AUB generally include hormonal, nonhormonal and surgery. Additionally, long-term management with hormonal therapy in patients with severe uterine bleeding is known to be safe for developing HPO axis. Keyword: Abnormal uterine bleeding, adolescents, heavy menstrual bleeding

scholarly journals Case Report: Inflammatory myofibroblastic tumor causes formation of an ileal conglomerate in a patient previously treated for Wilms’ tumor

F1000Research ◽  
2017 ◽  
Vol 6 ◽  
pp. 677
Author(s):  
Julie Leganger ◽  
Rikke Raagaard Soerensen ◽  
Jacob Rosenberg ◽  
Jakob Burcharth
Keyword(s):  
Small Intestine ◽  
Case Report ◽  
Terminal Ileum ◽  
Inflammatory Myofibroblastic Tumor ◽  
Wilms Tumor ◽  
Pathology Report ◽  
Subsequent Formation ◽  
Meckel’S Diverticulitis ◽  
History Of ◽  
Small Intestinal

Introduction: Inflammatory myofibroblastic tumors (IMTs) are uncommon mesenchymal lesions classified by WHO as neoplasms of uncertain behavior. Morphologically, IMTs are composed of proliferating spindled myofibroblastic cells accompanied by a marked - usually chronic - inflammatory infiltrate. The etiology is unknown, but several theories have been suggested, including an association with Wilms’ tumor. IMTs are rarely diagnosed in adults and have been reported in various organs. IMTs are considered benign but with a potential to recur at their primary site. Case report: A 44-year-old female experienced intermittent severe abdominal pain, loose stools and a visible abdominal bulge. In early childhood the patient had been treated for a Wilms’ tumor. At admission Meckel’s diverticulitis was suspected, but during surgery a tumor in the terminal ileum, creating a conglomerate of small intestinal loops, was observed and completely resected.  The pathology report characterized the tumor as a histologically benign inflammatory myofibroblastic tumor. Postoperatively, the patient experienced several complications including an anastomotic leakage and subsequent formation of an abscess and transcutaneous fistula. Discussion: IMTs rarely arise in the small intestine, and to our knowledge the manifestation of a small intestine conglomerate has not been described previously. Making the diagnosis is difficult, and numerous differential diagnoses were possible in this case. Approximately 8-25% of IMTs in the gastrointestinal tract recur locally. Complete surgical resection is the treatment of choice, and re-excision is the preferred therapy for local recurrence.  To our knowledge, no guidelines concerning follow-ups are available. Conclusion: IMTs in the terminal ileum can mimic Meckel’s diverticulitis and present with symptoms of obstructive ileus due to the formation of a conglomerate of small intestinal loops. Furthermore, IMTs should be considered as a diagnostic possibility in patients with a past medical history of Wilms’ tumor.

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