scholarly journals FERTILITY PRESERVATION AND EARLY POSTOPERATIVE CHALLENGESIN MYOMECTOMY- CASE REPORT AND REVIEW OF THE LITERATURE

2016 ◽  
Vol 3 (1) ◽  
pp. 14-18
Author(s):  
Romina Marina Sima ◽  
Denisa Oana Balalau ◽  
Liana Pleș
Keyword(s):  
Case Report ◽  
Conservative Treatment ◽  
Blood Loss ◽  
Physical Examination ◽  
Benign Tumor ◽  
Ultrasound Examination ◽  
Anterior Wall ◽  
Intraoperative Blood Loss ◽  
Blood Products ◽  
Review Of The Literature

Myomas or fibroids represent the most frequent type of genital benign tumor in women. Abdominalmyomectomy was developed in the early 1900s as a conservative treatment for women with uterinemyomas. A 29-year-old woman was admitted in our clinic for menomethrorragia and lowerabdominal pain. She had no obstetrical past regarding abortions or deliveries but she desired toobtain a pregnancy in the future. The clinical and ultrasound examination revealed an enlargeduterus of about 10/9 cm with a 8/7 cm fibroid involving the entire anterior wall. We decided toperform myomectomy. Laparotomy was the choice instead of laparoscopy, considering the size andlocalization of the myoma. We succeeded to remove the fibroid, control the bleeding and let theuterus in place. Postoperative the patient presented anemia with hemoglobin levels between 6-8g/dl due to heavy intraoperative blood loss. She received blood products to correct the anemia. Shewas discharged 5 days after the surgery and made a check visit one month later. She had nocomplaints and there was no pathology according to her physical examination. We report the caseof a young woman with uterine large intramyometrial fibroid. The challenge of this case was topreserve uterus and fertility after myomectomy in consideration of the heavy operative hemorrhage.

scholarly journals Nasal Epithelial Myoepithelial Carcinoma: An Unusual Cause of Epiphora, a Case Report and Review of the Literature

2015 ◽  
Vol 6 (2) ◽  
pp. ar.2015.6.0127 ◽  
Author(s):  
Juliette O. Flam ◽  
Christopher D. Brook ◽  
Rachel Sobel ◽  
John C. Lee ◽  
Michael P. Platt
Keyword(s):  
Case Report ◽  
Physical Examination ◽  
Nasal Cavity ◽  
Surgical Excision ◽  
Myoepithelial Carcinoma ◽  
Review Of The Literature ◽  
Nasal Symptoms ◽  
First Case ◽  
Nasal Tumor ◽  
Epithelial Myoepithelial Carcinoma

Introduction Epithelial myoepithelial carcinoma (EMC) of the nasal cavity is a rare tumor, and here we describe the first case of EMC of the nasal cavity presenting with epiphora. A case presentation and review of the literature is provided. Methods A case report is described of a 63-year-old man who presented with unilateral epiphora and was found via a thorough history and physical examination to have a nasal tumor. The physical examination consisted of an ocular examination, including probing and irrigation, and a detailed nasal examination (anterior rhinoscopy, nasal endoscopy). The nasal examination was prompted by the patient's report of concurrent nasal symptoms during history taking. Immunohistochemistry subsequently identified the nasal tumor as EMC. A literature search was performed to gain insights into similar malignancies of the nasal cavity. Results Eight cases of EMC of the nasal cavity were identified in the literature, none of the patients presented with epiphora. The case presented here resulted in resolution of the patient's symptoms and no evidence of disease after surgical excision. Conclusion Epithelial myoepithelial is a rare salivary gland malignancy that can arise in the nasal cavity. Unilateral epiphora with concurrent nasal symptoms should prompt nasal cavity examination for the possibility of an obstructive tumor.

scholarly journals Turner Syndrome and Apparent Absent of Uterus : A Case Report

2010 ◽  
Vol 23 (1) ◽  
pp. 91-94
Author(s):  
Munira Ferdausi
Keyword(s):  
Case Report ◽  
Physical Examination ◽  
Normal Level ◽  
Ultrasound Examination ◽  
Cubitus Valgus ◽  
Primary Amenorrhoea ◽  
Gynecological Examination ◽  
Serum T3 ◽  
Axillary Hair ◽  
Systemic Examination

A 15 years young fair girl presented with primary amenorrhoea. Findings on her physical examination included short stature, cubitus valgus, slightly webbed neck, absent of secondary sexual characters, broad chest with widely spaced nipples and absence of pubic & axillary hair. Except for the above, her systemic examination was unremarkable. A gynecological examination failed to reveal any abnormality. Ultrasound examination of abdomen revealed absent uterus and ovaries. Serum T3, T4 were within normal level, but TSH level was in slightly raised. Plasma FSH & LH were high with low estradiol level suggestive of hypergonadotrophic hypogonadism. Karyotyping confirmed the diagnosis of Turner ’s syndrome (45, X0). TAJ 2010; 23(1): 91-94

Uterine-like Mass With Features of an Extrauterine Adenomyoma Presenting 22 Years After Total Abdominal Hysterectomy–Bilateral Salpingo-oophorectomy: A Case Report and Review of the Literature

2005 ◽  
Vol 129 (8) ◽  
pp. 1041-1043 ◽  
Author(s):  
Rachel Redman ◽  
Edward J. Wilkinson ◽  
Nicole A. Massoll
Keyword(s):  
Smooth Muscle ◽  
Case Report ◽  
Benign Tumor ◽  
Broad Ligament ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Hormonal Stimulation ◽  
Pelvic Organs

Abstract Adenomyoma is a benign tumor composed of smooth muscle and benign endometrium. These tumors typically originate within the uterus. An extrauterine adenomyoma is a rare entity. We report a uterine-like mass consistent with an extrauterine adenomyoma presenting 22 years following a total abdominal hysterectomy and bilateral salpingo-oophorectomy. The mass was pear-shaped with uterine-type smooth muscle and a cavity lined by functional endometrial glands and stroma. To our knowledge, only 4 other cases of an extrauterine uterine-like mass are reported in the literature. Three involved the ovary, while one was located adjacent to the broad ligament with normal pelvic organs. Although none of these other uterus-like masses were described as adenomyomas with uterine-like features, the histologic findings are strikingly similar. An understanding of the müllerian system suggests that either an embryologic malformation or a differential multipotentiality existing in the subcoelomic tissues in response to hormonal stimulation results in a supernumerary müllerian structure like a uterus, as observed in this case. The presence of endometrial glands and stroma in the mass confirms that the tissues in this mass are hormonally responsive. It is most likely that this uterine-like mass arose from the tissues of the secondary müllerian system in response to estrogenic stimulation.

scholarly journals Efficacy of tranexamic acid in reducing blood loss, blood and blood products requirements in Cesarian sections for patients with placenta accreta

2019 ◽  
Vol 11 (1) ◽  
Author(s):  
Tamer Hamed Ibrahim
Keyword(s):  
Platelet Count ◽  
Placebo Group ◽  
Blood Loss ◽  
Tranexamic Acid ◽  
Placenta Accreta ◽  
Controlled Study ◽  
Intraoperative Blood Loss ◽  
Blood Products ◽  
Coagulation Profile ◽  
Significant Difference

Abstract Background Placenta accreta is an obstetric emergency and the main cause of maternal morbidity and mortality due to the associated bleeding and coagulopathy. Tranexamic acid has been widely used to decrease blood loss in trauma patients and patients with postpartum hemorrhage. We aimed at studying the effect of tranexamic acid in reducing blood loss and blood transfusion in patients with placenta accreta. Methods In a double-blinded randomized controlled study, 46 patients were recruited and divided into two groups, Group A is the tranexamic group where patients received 10 mg/kg tranexamic acid after cord clamping and continued on tranexamic infusion 10 mg/kg/h till the end of the surgery. Group B is the placebo where patients received normal saline instead. Primary outcome was the amount of intraoperative blood loss, and other outcomes included the number of blood and blood products transfused intraoperative and in the first 24 h postoperative, the immediate postoperative Hb level, platelet count, and coagulation profile. Data were collected, coded, tabulated, and then analyzed using Minitab® 16.1.0 statistics software package. Variables were presented as mean and standard deviation and analyzed using unpaired t test. Any difference with p value < 0.05 was considered statistically significant. Results Amount of intraoperative blood loss was significantly less in the tranexamic group 2232 ± 1204 ml compared to the placebo group 3405 ± 1193 ml (p value 0.002), and patients in the tranexamic group received less units of packed red blood cells, fresh frozen plasma, and platelets compared to those in the placebo group (4.2 ± 1.9 vs 6.1 ± 2.2 with p value 0.003, 3.4 ± 1.3 vs 4.2 ± 1.2 with P value 0.036 and 4.8 ± 2.1 vs 6.2 ± 2.4 with p value 0.041, respectively). There was no statistically significant difference in the first postoperative Hb level, platelet count, and coagulation profile between the two groups; however, the amount of blood and products transfused in the first 24 h postoperative were significantly less in the tranexamic group Conclusion Tranexamic acid infusion was effective in reducing intraoperative blood loss and intraoperative and postoperative blood and blood products’ transfusion.

scholarly journals Laparoscopic Adrenalectomy for Adrenal Tumors

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Sun Chuan-yu ◽  
Ho Yat-faat ◽  
Ding Wei-hong ◽  
Gou Yuan-cheng ◽  
Hu Qing-feng ◽  
...  
Keyword(s):  
Blood Loss ◽  
Laparoscopic Adrenalectomy ◽  
Benign Tumor ◽  
Operating Time ◽  
Adrenal Tumors ◽  
Benign Tumors ◽  
Intraoperative Blood Loss ◽  
First Choice ◽  
Average Operating ◽  
Average Operating Time

Objective. To evaluate the indication and the clinical value of laparoscopic adrenalectomy of different types of adrenal tumor.Methods. From 2009 to 2014, a total of 110 patients were diagnosed with adrenal benign tumor by CT scan and we performed laparoscopic adrenalectomy. The laparoscopic approach has been the procedure of choice for surgery of benign adrenal tumors, and the upper limit of tumor size was thought to be 6 cm.Results. 109 of 110 cases were successful; only one was converted to open surgery due to bleeding. The average operating time and intraoperative blood loss of pheochromocytoma were significantly more than the benign tumors (P<0.05). After 3 months of follow-up, the preoperative symptoms were relieved and there was no recurrence.Conclusions. Laparoscopic adrenalectomy has the advantages of minimal invasion, less blood loss, fewer complications, quicker recovery, and shorter hospital stay. The full preparation before operation can decrease the average operating time and intraoperative blood loss of pheochromocytomas. Laparoscopic adrenalectomy should be considered as the first choice treatment for the resection of adrenal benign tumor.

scholarly journals Blood loss anemia due to adenocarcinoma of the jejunum: a case report and review of the literature

Cases Journal ◽  
2009 ◽  
Vol 2 (1) ◽  
pp. 139
Author(s):  
Joao Figueira-Coelho ◽  
Sofia Lourenco ◽  
Michele Costa ◽  
Paula Mendonca ◽  
Antonio Murinello ◽  
...  
Keyword(s):  
Case Report ◽  
Blood Loss ◽  
Review Of The Literature

scholarly journals Traumatic perineal injury in a 13-year-old female: Case report and review of the literature

2019 ◽  
Vol 11 (2) ◽  
Author(s):  
Dimitrios Godosis ◽  
Christos Kaselas ◽  
Charikleia Demiri ◽  
Kleanthis Anastasiadis ◽  
Theodora Tsiaprazi ◽  
...  
Keyword(s):  
Case Report ◽  
Physical Examination ◽  
Osseous Tissue ◽  
Review Of The Literature ◽  
Successful Management ◽  
Severe Injuries ◽  
Perineal Injury ◽  
Female Case

Traumatic perineal injury in children is a rather underestimated condition, in terms of occurrence. The rapid stretching of the soft perineal environment, combined with the surrounding osseous tissue of the pelvis, can cause severe injuries. The key to successful management of these injuries includes timely resuscitation, thorough physical examination and quick and safe repair of damages.

Conservative treatment of metanephric adenoma. A case report and review of the literature

2011 ◽  
Vol 7 (4) ◽  
pp. 399-403 ◽  
Author(s):  
R. Le Nué ◽  
L. Marcellin ◽  
M. Ripepi ◽  
C. Henry ◽  
J.M. Kretz ◽  
...  
Keyword(s):  
Case Report ◽  
Conservative Treatment ◽  
Review Of The Literature ◽  
Metanephric Adenoma
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