Case Report: Management of an Early Third Trimester Large Adnexal Mass in a Singleton Pregnancy

Uterine torsion is defined as a rotation of uterus more than 45 degrees along its long axis. However, a pathologic rotation of the uterus beyond 45 degrees-torsion of the entire uterus-is rarely seen in obstetrical practice, authors report a case of torsion of the uterus by 90 degrees. The patient, a 30-year-old gravida 3 para 2 at 37 weeks’ gestation with a singleton pregnancy, her prior obstetrical history included two uncomplicated term vaginal deliveries, and the current pregnancy had been uncomplicated until the date of presentation was admitted to the obstetrical unit with labour at 37 weeks 5 days ,on obstetric examination the patient was in labour with transversal presentation of the fetus so an emergency caesarean section (CS) was carried out for. At the time of CS, the diagnosis of uterine torsion of 90 degrees was made. After the delivery of the baby, uterus returned to anatomical position and the torsion corrected spontaneously. The patient recovered and was discharged home with her baby on the third postoperative day. Uterine torsion is an infrequently reported and potentially dangerous complication of pregnancy that occurs mainly in the third trimester.

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HYPERREACTIO LUTEINALIS IN A NORMAL SINGLETON PREGNANCY: A CASE REPORT

10.34117/bjdv7n5-472 ◽

2021 ◽

Vol 7 (5) ◽

Author(s):

João Eduardo Andrade Tavares de Aguiar ◽

Alessandra Aleixo Albuquerque ◽

Marcos Antônio Lima Carvalho ◽

Artime Alves Costa, Bárbara Rhayane Santos ◽

Marcella Andrade Tavares de Aguiar ◽

...

Keyword(s):

Case Report ◽

Conservative Treatment ◽

Transvaginal Ultrasound ◽

Clinical Signs ◽

Primiparous Woman ◽

Malignant Diseases ◽

Third Trimester ◽

Limited Disease ◽

Singleton Pregnancy ◽

Benign Condition

Hyperreactio luteinalis (HL) is a very rare and benign condition related to pregnancy, in which there is a massive and functional increase in ovaries, occupied by multiple benign theca lutein cysts. It generally does not affect pregnancy course and can be observed and diagnosed incidentally in third trimester. The cysts and, consequently, the ovaries regress spontaneously after delivery due to decrease in hCG. This report describes a case of HL in a 29-year-old primiparous woman with dyspnea, pelvic pain and clinical signs of hyperandrogenism, with the ovaries enlarged on transvaginal ultrasound. The conduct was expectant and, during delivery, a biopsy was performed, which confirmed the diagnosis. The knowledge of benign and self-limited disease defends a conservative treatment and helps in differentiation between HL and other malignant diseases. It is, therefore, essential that obstetricians are familiar with HL to guide the correct management and avoid unnecessary iatrogenic procedures.

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Multiple recurrence of granulosa cell tumor of the ovary: A case report and literature review

10.1055/s-0039-1685319 ◽

2016 ◽

Author(s):

Varkha Chandra ◽

Sandhya Jain ◽

Neerja Goel ◽

Bindia Gupta ◽

Shalini Rajaram

Keyword(s):

Case Report ◽

Granulosa Cell ◽

Adnexal Mass ◽

Malignant Tumors ◽

Abdominal Mass ◽

Pelvic Mass ◽

Granulosa Cell Tumor ◽

Cell Tumor ◽

Surgical Staging ◽

Granulosa Cell Tumors

Introduction: Granulosa cell tumors comprise approximately 5% of all ovarian malignancy and account for 70% of malignant sex cord stromal tumors. Granulosa cell tumors have been diagnosed from infancy, the peak incidence being perimenopausal age. The potential of malignancy of these tumors is low, recurrences are often late and found in 10-33% of cases. Case Report: A 32-year-old P1L1 presented with large abdominal mass for which she underwent staging laparotomy with debulking surgery. She was a known case of granulosa cell tumor in the past and had undergone three laparotomies, along with chemotherapy. At the age of 13 yrs, she was diagnosed with a stage IA granulosa cell tumor (GCT) of the ovary first time. She underwent surgical staging and removal of left sided adnexal mass, after which she was asymptomatic for 7 years. In 2003 she again presented with lump abdomen for which she underwent resection of adnexal mass, histopathology was consistent with recurrent GCT. After second surgery she also received two cycles of chemotherapy. Despite adjuvant chemotherapy, patient presented again after three years in 2006 with adnexal mass and was found to have a third recurrence. At that time, she received 6 cycles of chemotherapy and the mass regressed. Meanwhile she got married and had one child. After four year in 2010 she again presented with lump abdomen and she underwent surgical staging, total abdominal hysterectomy with right salphingo ophorectomy along with removal of mass. After five year in 2015 she again presented with lump abdomen; there was a large pelvic mass which was removed and patient referred for chemotherapy. Discussion: GCTS which a rare malignant tumors of ovary tend to be associated with late recurrences. Although most recurrences occurs within 10 years after initial diagnosis, there are occasional reports of recurrences after10 years. We experienced the rare case of a patient who relapsed multiple times over 20 years, despite surgical and targeted treatment. Conclusion: The long history of granulosa cell tumor highlights the importance of extended follow up of the patient.

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A RARE CASE REPORT ON EISENMENGER’S SYNDROME WITH PREGNANCY : A GLIMPSE OF LIFE IN OCEAN OF DEATH

10.36106/ijsr/1418072 ◽

2021 ◽

pp. 22-23

Author(s):

Tejal L. Patel ◽

Tushar M. Shah ◽

Niti Bhatia ◽

Hemaxi Kotadia ◽

Mohit Shah

Keyword(s):

Case Report ◽

Rare Case ◽

Neonatal Outcome ◽

Eisenmenger Syndrome ◽

Specialist Care ◽

Third Trimester ◽

Healthy Baby ◽

Eisenmenger’S Syndrome ◽

Fetal Wastage ◽

Rare Case Report

Pregnancy complicated with Eisenmenger syndrome is associated with high risk to the fetus as well as the mother. There is approximately 50% risk of sudden maternal death, frequently occuring a few days postpartum and the overall fetal wastage is reported to be up to 75%. Patients with Eisenmenger syndrome are advised to refrain from pregnancy or to terminate pregnancy by the end of rst trimester itself. Management of these patients requires a co- ordinated multi-specialist care when such pregnancies reach a stage where safe termination is not advisable. However, in spite of all the risks, a few patients deliver successfully with a good maternal and neonatal outcome. We present 2 cases reported till third trimester and delivered a healthy baby and were subsequently discharged on the 10th postpartum day without any serious complications.

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CHOREA GRAVIDARUM: A RARE CASE REPORT

10.36106/ijsr/7229729 ◽

2021 ◽

pp. 71-72

Author(s):

Aswini Viswanadh ◽

Sujata Singh ◽

Vinnisa N. V

Keyword(s):

Case Report ◽

Family History ◽

Gestational Age ◽

Postpartum Period ◽

Rare Case ◽

Third Trimester ◽

Detailed Evaluation ◽

Rare Case Report

Chorea gravidarum is the term given to chorea occurring during pregnancy. Here, we report a case of 24 year old primigravida at gestational age 38 weeks 3days ,without any signicant past & family history who presented with chorea gravidarum for the rst time in third trimester. On detailed evaluation no etiology was identied. On follow up in postpartum period, her choreiform movements have reduced in intensity, but is still persisting pointing towards an idiopathic origin.

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An unusual presentation of Gossypiboma associated with secondary infertility: a case report

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20212989 ◽

2021 ◽

Vol 10 (8) ◽

pp. 3236

Author(s):

Eshwarya J. Kaur ◽

Ganesh Saravagi

Keyword(s):

Case Report ◽

Unusual Case ◽

Adnexal Mass ◽

Perioperative Period ◽

Definitive Diagnosis ◽

Unusual Presentation ◽

Morbidity And Mortality ◽

Surgical Morbidity ◽

Secondary Infertility ◽

Abdominal Complications

Gossypibomas are a rare cause of surgical morbidity and mortality. When unrecognised in the perioperative period, they can present later with a myriad of abdominal complications. We present an unusual case of gossypiboma that was discovered as a cause of secondary infertility, misdiagnosed as a complex adnexal mass. After a definitive diagnosis was made, the removal of gossypiboma restored fertility in the patient successfully.

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Chondrosarcoma mimicking an adnexal mass: A very rare case report

Journal of Turkish Society of Obstetric and Gynecology ◽

10.4274/tjod.27096 ◽

2017 ◽

pp. 67-69 ◽

Cited By ~ 1

Author(s):

Hüseyin Çağlayan Özcan ◽

Aynur Mustafa ◽

Zehra Bozdağ ◽

Seyhun Sucu ◽

Özcan Balat

Keyword(s):

Case Report ◽

Rare Case ◽

Adnexal Mass ◽

Rare Case Report

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Aerobic physical exercise and prolactin levels in blood during breastfeeding in woman with Hashimoto’s thyroiditis: A case report

Vojnosanitetski pregled ◽

10.2298/vsp171017042b ◽

2020 ◽

Vol 77 (2) ◽

pp. 225-228

Author(s):

Ksenija Bubnjevic ◽

Dusan Ugarkovic ◽

Jelena Kovacevic

Keyword(s):

Case Report ◽

Physical Exercise ◽

Aerobic Exercise ◽

Hashimoto’S Thyroiditis ◽

Negative Impact ◽

Prolactin Secretion ◽

World Health ◽

Moderate Intensity ◽

Hashimoto's Thyroiditis ◽

Singleton Pregnancy

Introduction. The World Health Organization (WHO) exclusively recommends breastfeeding for the first six months of the newborn life. Many factors affect milk production. Physical exercise can significantly affect prolactin secretion in the blood. Case report. A respondent in this study was a primipara (33 years old) diagnosed with Hashimoto's thyroiditis and a singleton pregnancy. During pregnancy and after the childbirth, she continued with light to moderate physical exercise. During the first six months after the childbirth, the light to moderate intensity aerobic exercise had no negative impact on the blood level of prolactin and growth and development of the child. Conclusion. In this case study, light to moderate intensity aerobic exercise had no negative impact on the level of prolactin in the blood during the first six months after the childbirth in a woman with Hashimoto's thyroiditis.

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