scholarly journals An Unusual Case of Anterior Vaginal Wall Cyst

2015 ◽  
Vol 7 (3) ◽  
pp. 227-230
Author(s):  
GS Anitha ◽  
M Prathiba ◽  
Mangala Gowri
Keyword(s):  
South Asian ◽  
Unusual Case ◽  
Histopathological Examination ◽  
Incidental Finding ◽  
Surgical Excision ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Blunt Dissection ◽  
Gynecological Examination ◽  
Unmarried Girl

ABSTRACT Vaginal cysts are rare and are mostly detected as an incidental finding during a gynecological examination. Gartner duct cysts, the most common benign cystic lesion of the vagina, represent embryologic remnants of the caudal end of the mesonephric (Wolffian) duct. These cysts are usually small and asymptomatic and have been reported to occur in as many as 1% of all women. A 17-year-old unmarried girl presented with mass per vagina since one and a half year. On examination, anterior vaginal wall cyst of 8 × 4 × 3 cm was detected. Surgical excision of the cyst was done under spinal anesthesia by sharp and blunt dissection. The cyst was filled with mucoid material and histopathological examination confirmed Gartner origin. This is a rare case of large Gartner cyst. How to cite this article Anitha GS, Prathiba M, Gowri M. An Unusual Case of Anterior Vaginal Wall Cyst. J South Asian Feder Obst Gynae 2015;7(3):227-230.

scholarly journals Vaginal Adenosis in a 40-year-old Lady: A Case Report and Review of Literature

2013 ◽  
Vol 5 (2) ◽  
pp. 80-82
Author(s):  
Shamsun Nahar Begum Hena ◽  
Nasrin Akhter ◽  
Sakti Das ◽  
Afroza Kutubi
Keyword(s):  
Case Report ◽  
South Asian ◽  
Vaginal Discharge ◽  
Histopathological Examination ◽  
Rare Condition ◽  
Vaginal Wall ◽  
Review Of Literature ◽  
History Of ◽  
Unclear Etiology ◽  
Diffuse Lesion

ABSTRACT Vaginal adenosis, without a history of diethylstilbestrol (DES) exposure, is a rare condition with an unclear etiology. A 40- year-old female presented with complaints of persistent excessive watery vaginal discharge. On examination, there was red, patchy, diffuse lesion all over the vaginal wall and cervix. Histopathological examination of the lesion revealed vaginal adenosis. This case is presented here for its rarity. How to cite this article Hena SNB, Akhter N, Das S, Kutubi A. Vaginal Adenosis in a 40-year-old Lady: A Case Report and Review of Literature. J South Asian Feder Obst Gynae 2013;5(2):80-82.

scholarly journals Atypical vaginal location of endometriosis following repeated urogynaecological surgery

2021 ◽  
Vol 14 (8) ◽  
pp. e244186
Author(s):  
Anna Elisabet Christensen ◽  
Jens Jorgen Kjer ◽  
Dorthe Hartwell ◽  
Signe Perlman
Keyword(s):  
Vaginal Surgery ◽  
Surgical Excision ◽  
Scar Tissue ◽  
Pelvic Organ ◽  
Urethral Diverticulum ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Urinary Flow ◽  
Prolapse Symptoms ◽  
One Year

We outline a case of vaginal endometriosis in scar tissue located in the distal part of the anterior vaginal wall close to the urethra following repeated urogynaecological surgery. Our case presents a 45-year-old woman diagnosed with pelvic endometriosis in her youth. She underwent several vaginal surgeries due to pelvic organ prolapse, symptoms of stress incontinence and decreased urinary flow. One year after her most recent vaginal surgery, she developed a tender lump in the lower part of the anterior vaginal wall. A urethral diverticulum was suspected, but a diagnostic puncture and biopsy unexpectedly showed histologically verified endometriosis. As the cyst recurred, surgical excision of all visible endometriosis tissue was performed. After 3 years of follow-up, the patient remained without recurrence. This case illustrates the risk of atypical implantation of endometriosis related to repeated urogynaecological surgery and that treatment requires surgery with thorough removal of all visible tissues.

scholarly journals Vaginal leiomyoma, post hysterectomy, mimicking vault prolapse: case report

2020 ◽  
Vol 9 (11) ◽  
pp. 4753
Author(s):  
Jharna Behura ◽  
Poonam Bagga ◽  
Anjali Mathur
Keyword(s):  
Previous History ◽  
Surgical Excision ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Careful Examination ◽  
Preoperative Imaging ◽  
Transvaginal Sonography ◽  
Vault Prolapse ◽  
Adjacent Structures ◽  
Vaginal Leiomyoma

Leiomyomas are common benign smooth muscle tumours of the uterus. Leiomyoma of the vagina are very rare with only about 300 reported cases. Correct diagnosis and differentiation from urethral lesions are important but is usually difficult on clinical examination alone. A 40-year P3L3, with a previous history of abdominal hysterectomy 5 years back, for multiple fibroids presented with complaints of a mass descending per-vagina since the last 2 years. Since the last 6 months she had dyspareunia, dysuria and perineal discomfort. On external appearance the mass looked like a vault prolapse. However, on vaginal examination, it appeared as a single well circumscribed mass arising from the anterior vaginal wall and the vault. Transvaginal sonography showed a hypoechoic mass arising from the anterior vaginal wall of dimension 50×54×63 mm pressing on the urethra. Contrast CT revealed a rounded homogeneous well-defined soft tissue density mass lesion measuring approximately 63×52 mm in the region of the vaginal vault interposed between the bladder base and the rectum. Bilateral ovaries and adnexa appeared normal. Surgical excision of the tumour through the vagina was done. Histopathology confirmed leiomyoma.  The diagnosis of vaginal leiomyoma is based on careful examination and preoperative imaging both by ultrasonography and a CT scan/MRI for ascertaining its location, extent, its relationship to adjacent structures and characterization before attempting surgical excision. The correct clinical diagnosis of a vaginal fibroid is frequently overlooked in favour of much more common urethral diverticulum.

scholarly journals Fast track sacrospinous ligament fixation: subjective and objective outcomes at 6 months

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Susanne Greisen ◽  
Susanne Maigaard Axelsen ◽  
Karl Møller Bek ◽  
Rikke Guldberg ◽  
Marianne Glavind-Kristensen
Keyword(s):  
Fast Track ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
University Hospital ◽  
High Rate ◽  
Sacrospinous Ligament ◽  
Sacrospinous Ligament Fixation ◽  
Gynecological Examination ◽  
Patient Global Impression ◽  
Objective Outcomes

Abstract Background Sacrospinous ligament fixation (SSLF) is a widely used vaginal procedure for correction of apical vaginal prolapse. The objective of this study was to evaluate subjective and objective outcomes of SSLF performed in a fast-track setting. Methods This was a prospective cohort study of sacrospinous ligament fixation performed using local anesthesia and light sedation in a fast-track setting at Aarhus University Hospital between April 2016 and December 2017. Objective signs of prolapse were assessed by gynecological examination preoperatively and at 6 months after the operation. Subjective symptoms were evaluated by questionnaires (the Pelvic Floor Distress Inventory (PFDI 20), and the Patient Global Impression of Improvement (PGI-I) supplemented with individual questions from the ICIQ-vaginal Symptoms (ICIQ-VS) and Sexual Questionnaire-IR (PISQ-12) questionnaires). Results One hundred and three women with a median age of 65 (36–84) years were included. Previous hysterectomy had been performed in 40% of the women, and 43% had a history of previous prolapse operations. At follow-up, 75% of the women had apical descent less than stage 2. However, 18% had anterior vaginal wall prolapse beyond the hymen, and 25% had recurrence of the apical prolapse stage 2 or more and were offered reoperation. Bladder and anal symptoms improved in most women after the operation, and the number of women reporting dyspareunia was halved. In the overall assessment by Patient Global Impression of Improvement (PGI-I) questionnaire, 76% reported improvement. No serious operative complications were reported, and 81% of the patients were discharged on the day of the surgery. Conclusion In this cohort with a high rate of previous prolapse surgery, sacrospinous ligament fixation performed in a fast-track setting showed subjective and objective results comparable to the results of apical native tissue repair reported in the literature. Furthermore, the complication rate was low. Trial registration This study was notified to The Central Denmark Region Committees on Health Research Ethics on July 7, 2015, and was approved by The Danish Data Protection Agency (1-16-02-442-15). All methods were performed in accordance with the relevant guidelines and regulations. An informed consent for participation in the study and acceptance of using data for scientific purposes and publication was signed by all patients.

scholarly journals Subpubic Cartilaginous Pseudocyst: Orthopedic Feature with Urological Consequences

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Fawzy Farag ◽  
Ingrid van der Geest ◽  
Christina Hulsbergen-van de Kaa ◽  
John Heesakkers
Keyword(s):  
Surgical Excision ◽  
Pubic Symphysis ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Cystic Mass ◽  
Mucoid Degeneration ◽  
Benign Lesions ◽  
Female Urethra ◽  
Voiding Function ◽  
Degenerative Lesion

Introduction. Masses arising from structures adjacent to the female urethra can cause obstructive urinary symptoms. Subpubic cartilaginous pseudocyst is a rare degenerative lesion of pubic symphysis that may cause these symptoms.Materials and Methods. A 61-year- and 57-year-old women presented with symptoms of difficult micturition and dyspareunia. Physical examination revealed a painless smooth, rounded, firm, and cystic mass, at the anterior vaginal wall of about 4 cm width. The mass caused inward deviation of the external urethral meatus. Cystoscopy and MRI were done.Results. Cystoscopy of case 1 (61 y) demonstrated anterior external urethral compression with normal urethral mucosa. Cystoscopy was not possible in case 2 (57 y) because the urethra could not be entered under local anesthesia. MRI showed almost the same findings in both cases: midline, rounded, and cystic mass~3×3×4 cm, anterosuperior to the urethra, and posteroinferior to the pubic symphysis, with normal features of the urinary bladder. Open surgical excision of theses lesions was performed in both patients. Histopathologic assessment of the specimen obtained from both patients showed degenerated hyaline with areas of fibrinous and mucoid degeneration, a picture suggestive of cartilaginous subpubic pseudocyst. After 11-month and 4-month followup of patients numbers 1 and 2, respectively, there is no evidence of local recurrence of the lesion, either clinically or radiologically and both patients void empty.Conclusions. Subpubic cartilaginous pseudocysts are rare benign lesions with only 13 cases were reported in the literature. Patients present with a spectrum of gynecological and/or urological manifestations. Sizable lesions severely compressing the urethra need surgical excision to restore the voiding function.

scholarly journals Vaginal Leiomyoma: A Case Report

2021 ◽  
Vol 59 (237) ◽  
Author(s):  
Miki Shah ◽  
Rachana Saha ◽  
Niranjan KC
Keyword(s):  
Histopathological Examination ◽  
Uterine Fibroids ◽  
Management Plan ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Reproductive Age ◽  
Benign Tumors ◽  
First Case ◽  
The Right ◽  
Vaginal Leiomyoma

Leiomyomas are common benign tumors of the uterus, affecting 20-30% of women of reproductive age group. But vaginal leiomyomas remain an uncommon entity with only about 300 reported cases. The first case was described in 1733. Only a few cases have been reported in Nepal to date. Tumors are thought to arise from Mullerian smooth muscle cells in the sub-epithelium of the vagina. Vaginal leiomyomas are usually situated in the anterior vaginal wall. Here, we report a case of a 48-year old multipara who presented the outpatient department with the ultrasonographic report showing multiple uterine fibroids but was asymptomatic. A physical examination showed a mass in the right vaginal wall. Pervaginal removal of the tumor was performed and subsequent histopathology revealed a vaginal leiomyoma. Removal of the tumor by the vaginal route, wherever possible, with the subsequent histopathological examination, appears to be the optimum management plan.

scholarly journals Capillary-Cavernous Hemangioma of Lymph Node: An Extremely Rare Case

2020 ◽  
Vol 5 (1) ◽  
pp. 22
Author(s):  
I Gede Surya Dinata ◽  
Made Jatiluhur
Keyword(s):  
Lymph Node ◽  
Cavernous Hemangioma ◽  
Histopathological Examination ◽  
Incidental Finding ◽  
Pathological Finding ◽  
Surgical Excision ◽  
Vascular Tumour ◽  
Oncological Surgery ◽  
First Case ◽  
Radical Therapy

Background: Hemangioma is a benign vascular tumour commonly found in young children. This tumor can grow within many organs, but occurring in the lymph node is extremely rare. The capillary-cavernous hemangioma (CCH) of the lymph node was mostly found as an incidental finding after histopathology confirmation of oncological surgery. Case: We presented the first case of intranodal CCH from the parietal region of the head in a 11-year-old boy. The easily-bleed lump was found above the head fascia and confirmed with histopathological examination. Conclusion: The capillary-cavernous hemangioma arising from the lymph node was an extremely rare pathological finding after oncological surgery. Treatment by surgical excision was curative. The awareness of this benign vascular tumour must be known to physicians so that it was not mistakenly diagnosed as a malignant disease with subsequent unnecessary radical therapy.

906: Pelvicol Implants for Prevention of Anterior Vaginal wall Prolapse: Randomized Multicenter Study

2006 ◽  
Vol 175 (4S) ◽  
pp. 293-293
Author(s):  
Ervin Kocjancic ◽  
Paolo Pifarotti ◽  
Fabio Magatti ◽  
Francesco Bernasconi ◽  
Diego Riva ◽  
...  
Keyword(s):  
Multicenter Study ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Anterior Vaginal Wall Prolapse

Treatment Methods Conditioned by the Gravity of Drug-Induced Gingival Hyperplasias

2017 ◽  
Vol 68 (11) ◽  
pp. 2618-2622
Author(s):  
Alina Mihaela Calin ◽  
Mihaela Debita ◽  
Raluca Dragomir ◽  
Ovidiu Mihail Stefanescu ◽  
Cristian Budacu ◽  
...  
Keyword(s):  
Dental Treatment ◽  
Histopathological Examination ◽  
Transplant Rejection ◽  
Surgical Excision ◽  
Channel Blockers ◽  
Gingival Hyperplasia ◽  
Drug Induced ◽  
Treatment Methods ◽  
Systemic Medication ◽  
Bacterial Plaque

The first drug discovered to be involved in the development of gingival hyperplasia is phenytoin, which is indicated in the treatment of epileptic patients. The other drugs are calcium channel blockers with vasodilating effect. The most important one is Nifedipine, while Ciclosporin A, which is used as an immunosuppressant in the prevention of transplant rejection, causes gingival hyperplasia as a secondary effect. Gingival hyperplasia can reach an impressive volume, completely covering the dental crown and affecting the masticatory and physiognomic functions. The elucidation of the mechanism, by which drug-induced gingival hyperplasia occurs, favoring factors and the choice of conservative or surgical treatment methods, emphasizing the prophylactic treatment. The study batch was subject to intraoral and extraoral clinical examinations and the data were included in the dental treatment sheet of each patient, 11 patients aged over 60 years, who came to the Clinic ... in the period 2014-2016. The diagnosis was based on the anamnesis, the clinical aspect of the lesions and the histopathological examination. After the surgical excision of the hyperplasia affected area, recurrence was prevented by dispensarizing the patients and controlling the bacterial plaque through rigorous oral hygiene. Treatment depends on the severity of the lesions, as well as on the physionomic and masticatory functions. Conservative etiological therapy is attempted, by removing the bacterial plaque and local irritant factors, by reducing the dose of drugs, or by changing the systemic medication.

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