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.

scholarly journals Spontaneous Rupture of the Anterior Vaginal Wall during the First Stage of Labour

2012 ◽  
Vol 2012 ◽  
pp. 1-2 ◽  
Author(s):  
Meleesa Joy Schultz ◽  
Triveni Nanda
Keyword(s):  
Uterine Rupture ◽  
Spontaneous Rupture ◽  
Rare Case ◽  
Caesarean Delivery ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Multiparous Woman ◽  
Obstructed Labour ◽  
Trial Of Labor ◽  
Spontaneous Labour

The risk of uterine rupture during attempted trial of labor after caesarean delivery (TOLAC) is well documented. However, vaginal rupture (in the absence of obstructed labour) is exceptionally uncommon. Below is described the rare case of a 37-year-old multiparous woman attempting TOLAC, who suffered a vaginal—rather than uterine—rupture, during the first stage of spontaneous labour. This case is an important reminder to obstetricians that concealed ruptures of both the vagina and uterus do occur and must be considered in clinical situations where another explanation is not apparent.

scholarly journals A large and invasive pleomorphic adenoma of nasal cavity: a rare case report and review of literatures

2022 ◽  
Vol 38 (1) ◽  
Author(s):  
Kaoutar Cherrabi ◽  
Omar Maqboub ◽  
Najib Benmansour ◽  
Mohamed Noureddine El Alami
Keyword(s):  
Differential Diagnosis ◽  
Nasal Cavity ◽  
Pleomorphic Adenoma ◽  
Rare Case ◽  
Lateral Wall ◽  
Sinus Surgery ◽  
Surgical Approaches ◽  
Diagnostic Challenge ◽  
Complete Excision ◽  
Histological Aspect

Abstract Background Pleomorphic adenomas are common tumors of major salivary glands. However, the localization in nasal cavity originating from the lateral wall is exceptional. This work is a presentation of a very rare case that presents the diagnostic challenge, considering the multitude of malignant and benign differential diagnosis. A discussion of surgical approach, and the possible complications associated with it. Case presentation This is the case of an invasive nasal pleomorphic adenoma in a 48-year-old patient; the patient underwent complete excision through combined left lateral rhinotomy and functional endoscopic sinus surgery. Conclusion Pleomorphic adenoma is a very rare benign tumor of the nasal cavity. Clinical diagnosis is generally difficult regarding the multitude of differential diagnosis. Confirmation is established upon histological aspect. This is a case of a very rare large pleomorphic adenoma of nasal cavity originating from the lateral wall, associated with differential diagnosis, and surgical approaches, as well as perceivable complications. The strength of this work is to point out the importance of complete surgical extirpation and thorough follow-up to prevent recurrences and malignant transformation.

Evaluation of implant-associated complications after mesh-implants setting in pelvic floor reconstruction

GYNECOLOGY ◽  
2019 ◽  
Vol 21 (5) ◽  
pp. 69-73
Author(s):  
Alfiya G Yashchuk ◽  
Ilnur I Musin ◽  
Raisa A Naftulovich ◽  
Elena M Popova ◽  
Irina B Fatkullina ◽  
...  
Keyword(s):  
Pelvic Organ Prolapse ◽  
Pelvic Floor ◽  
Blood Circulation ◽  
Pelvic Organ ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Pelvic Floor Muscles ◽  
Reproductive Age ◽  
Doppler Flowmetry ◽  
Mesh Implant

Relevance. According to world data, nowadays prevalence of pelvic floor dysfunction and pelvic organ prolapsed reaches 28%. Most specialists relate pregnancy and delivery to main factors of pelvic prolapse development. Due to lifespan growth frequency of pelvic organ prolapse development increases. According to FDA data annually in the world is made more than 100 000 surgeries with synthetic implants, herewith heavy complications occur in 3.4% and mild complications occur in 14.8% of all cases. About 58% of surgeries are made to women under the age of 60, 13% of patients needs re-intervention during next 5 years. It should be noted that in cases of relapse more than 30% of women need re-intervention. Aim. Evaluate implant-associated complications after mesh-implants setting. Materials and methods. We have made retrospective analysis of mesh-implant use in 458 patients with pelvic organ prolapse in 2018-2018 yy. on the base of Bashkir State Medical University clinic. In order to assess quality of life after mesh-implant setting, we used the following questionnaires: Incontinence Questionnaire Short Form (ICIQ-SF), and also Female Sexual Function Index (FSFI). In order to assess blood microcirculation indices after surgery, we used laser Doppler flowmetry evaluation from anterior vaginal wall. Results. All in all, there were revealed 13 (2.84%) implant-associated complications. In 4 patients ICIQ-SF points were from 3 to 15, which indicates manifestation of urgent urine incontinence signs. According to FSFI questionnaire, sexually active women have 31.5 points. Basic factor, which provokes pelvic floor muscles dysfunction is delivery. Besides, in group of women of reproductive age, pelvic floor muscles dysfunction (PFMD) is associated with the presence of concomitant gynecologic diseases (uterine myoma, endometriosis, ovarian tumors). In the group of women older than 45 years with the presence of somatic pathology - obesity and impaired blood circulation. According to LDF data from anterior vaginal wall women with PFMD have low blood circulation indices, herewith the lowest indices are registered in the group of women older than 45 years.

scholarly journals A rare case of gartner duct cyst presenting as a genital prolapse: a case report

2019 ◽  
Vol 8 (8) ◽  
pp. 3395
Author(s):  
Tanu Bhati ◽  
Sunil Takiar ◽  
Kalpana Verma ◽  
Kalpna Kulshrestha
Keyword(s):  
Clinical Evaluation ◽  
Coming Out ◽  
Rare Case ◽  
Genital Prolapse ◽  
Urethral Diverticulum ◽  
Vaginal Wall ◽  
Uterovaginal Prolapse ◽  
Pelvic Examination ◽  
Duct Cyst ◽  
Mesonephric Duct

Mullerian cysts are usually small, ranging from 0.1 to 2 cm in diameter. Rarely, they may be enlarged and mistaken for other structures such as uterovaginal prolapse/cystocele/rectocele or urethral diverticulum. Posterior vaginal wall cyst is a very rare case. We present a case of patient presenting with mass coming out from vagina, which, after clinical evaluation and USG, was diagnosed as a Gartner’s cyst. Gartner’s duct cyst is a derivative of Wolffian duct (mesonephric duct) in females. Assessment of the lesion via history taking and pelvic examination is important to confirm both the lesion’s size and location, but appropriate clinical evaluation supported with investigations clinched the diagnosis easily.

scholarly journals Incidental para-ureteral aggressive angiomyxoma: a rare case report and literature review

BMC Urology ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ming Liu ◽  
Ting-Shuai Zhai ◽  
Xiao-Feng Zhao ◽  
Li-Jin Feng ◽  
Xin-Sheng Lyu ◽  
...  
Keyword(s):  
Literature Review ◽  
Rare Case ◽  
Reproductive Age ◽  
Aggressive Angiomyxoma ◽  
Case Presentation ◽  
Left Ureter ◽  
First Case ◽  
Rare Case Report

Abstract Background Aggressive angiomyxoma (AA) is a rare tumor that typically occurs in the pelvis and perineum, most commonly in women of reproductive age. However, no para-ureteral AA has been reported according to the literature. Case presentation We herein describe the first case of para-ureteral AA. A 62-year-old male presented to our institute in March 2017 with a para-ureteral mass that was 15 mm in diameter incidentally. No symptom was observed and laboratory analysis was unremarkable. Magnetic resonance and computed tomography imaging showed a non-enhancing mass abutting the left ureter without causing obstruction. Laparoscopic resection of the mass was performed without injury to the ureter. Pathologic and immunohistochemical results were consistent with AA. Till now, no recurrence was noticed. Conclusions We reported a rare case of para-ureteral AA, along with a literature review. Early diagnosis, proper surgical plan and long-term close follow-up is recommended for its high risk of recurrence and malignant potential.

scholarly journals Ureteric endometriosis masquerading as ureteric neoplasm

2020 ◽  
Vol 8 (9) ◽  
pp. 3377
Author(s):  
Shreya Goel ◽  
Teerthnath Srinivas ◽  
Shubha P. Bhat ◽  
Vartika Singh
Keyword(s):  
Renal Failure ◽  
Rare Case ◽  
Renal Colic ◽  
Reproductive Age ◽  
Pelvic Cavity ◽  
Pelvic Endometriosis ◽  
Diagnostic Challenge ◽  
Reproductive Age Women ◽  
Postmenopausal Female ◽  
Ureteric Stricture

Endometriosis is a disease seen in 10-15% of reproductive age women, which involves the pelvic cavity. The urinary tract is affected in 1% cases of pelvic endometriosis, while 0.1-0.4% of ureteric endometriosis which is extremely rare. Ureteric endometriosis poses a diagnostic challenge, as it can be asymptomatic or can present as renal colic. It can lead to a severe burden on kidneys like hydroureteronephrosis, renal atrophy, and irreversible renal failure. Authors report an extremely rare case of ureteric endometriosis in a postmenopausal female, who presented with complaints of lower backache. Radiologically diagnosed as neoplastic ureteric stricture.

scholarly journals Pediatric Cecal Volvulus: A Case Report

2020 ◽  
pp. 1-3
Author(s):  
Chukwubuike Emeka ◽  
Chukwubuike Emeka
Keyword(s):  
Intestinal Obstruction ◽  
Rare Case ◽  
Clinical Presentation ◽  
Chromosomal Abnormalities ◽  
Cecal Volvulus ◽  
Predisposing Factor ◽  
Case Presentation ◽  
Mobile Cecum ◽  
High Index Of Suspicion ◽  
Time Of Presentation

Introduction: Cecal volvulus (CV) is rare cause of intestinal obstruction especially in children. There is no established protocol for the treatment of CV due to its rarity. Case Presentation: We present a rare case of CV in a 9-year-old girl. Discussion: The spectrum of intestinal malrotation may give rise to a mobile cecum that may result to CV. Constipation could be a predisposing factor. The clinical presentation which may include abdominal pain, distension, constipation and vomiting depends on the time of presentation. There may be associations with chromosomal abnormalities. Conclusion: Although CV is a rare cause of intestinal obstruction, awareness and high index of suspicion is needed by clinician for early diagnosis and treatment.

scholarly journals Vesical Teratoma: A Rare Case Presentation

2017 ◽  
Vol 16 (1) ◽  
pp. 52-53
Author(s):  
Narayan Thapa ◽  
Bikash Bikram Thapa ◽  
Bharat Bahadur Bhandari ◽  
Bhairab Kumar Hamal
Keyword(s):  
Urinary Bladder ◽  
Dermoid Cyst ◽  
Endoscopic Resection ◽  
Rare Case ◽  
Diagnostic Dilemma ◽  
Rare Tumour ◽  
Complete Excision ◽  
Case Presentation ◽  
Tumour Diagnosis ◽  
Bladder Mass

Dermoid cysts are extremely rare in the urinary bladder and pose a diagnostic dilemma to both the Urologist and the Histopathologist. Only a few cases were found documented and published in literature. We present a case of dermoid cyst in the urinary bladder presenting as a bladder mass which is very rare tumour. Diagnosis of this case was made cystoscopically and confirmed by histopathologically. Complete excision of mass was possible by endoscopic resection.

scholarly journals A case report of visceral leishmaniasis and malaria co-infection with pancytopenia and splenomegaly - a diagnostic challenge

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Pragya Gautam Ghimire ◽  
Prasanna Ghimire ◽  
Jyoti Adhikari ◽  
Anurag Chapagain
Keyword(s):  
Case Report ◽  
Visceral Leishmaniasis ◽  
World Population ◽  
Risk Of Infection ◽  
Diagnostic Challenge ◽  
Endemic Region ◽  
Case Presentation ◽  
The World ◽  
History Of ◽  
High Index Of Suspicion

Abstract Background Leishmaniasis and malaria are tropical diseases with more than half of the world population at risk of infection resulting in significant morbidity and mortality. Co-infection of Leishmaniasis and malaria pose a great challenge in the diagnosis as well as overall management. Case presentation In this case report, we present a rare case of a 5 years old child hailing from non-endemic region of Nepal with history of fever for a period of 3 months who was diagnosed as co-infection of malaria due to Plasmodium vivax and visceral Leishmaniasis with pancytopenia that subsequently improved after a course of treatment. Conclusions A high index of suspicion for a possibility of co-infection with Leishmaniasis and malaria should be borne in mind when an individual hailing from or having history of travel to endemic countries presents with prolonged fever.

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