Publications by authors named "Daniele DI Gennaro"
Endometrial osseous metaplasia (EOM) is an uncommon clinical entity with the presence of bone in the endometrium which requires clinical and therapeutic framework. It is also described by various other names such as endometrial ossification, ectopic intrauterine bone, and heterotopic intrauterine bone. Ossification could have various locations as the cervix the ovary, and the vagina.
View Article and Find Full Text PDFCornual pregnancy (CP) is a subtype of ectopic pregnancy that is implanted in the interstitial segment of the fallopian tube which is defined as the tubal section crossing uterine muscular tissue. Widely recognized risk factors for CP are endometriosis, uterine leiomyomata, or pelvic inflammatory disease; all these diseases can cause tubal anatomic changes and consequently alter embryo physiological implant process. Many treatment options are available for this condition each one must be tailored according to patient and operating scenario.
View Article and Find Full Text PDFUterine venous malformations in the puerperium: 2 Atypical cases and literature review.
Eur J Obstet Gynecol Reprod Biol X
September 2023
Article Synopsis
- Uterine arteriovenous malformations (AVMs) are a rare, high-risk cause of uterine bleeding that can be difficult to diagnose through ultrasound.
- Two cases during the postpartum period showed episodes of bright red blood loss linked to AVMs, which were confirmed via imaging techniques like transvaginal ultrasound and angiography.
- There are currently no established guidelines for managing AVMs, but the cases discussed opted for a conservative treatment approach to preserve the patients' fertility, aiming to contribute to the limited existing literature on the topic.
Office intrauterine morcellation for retained products of conception.
Minim Invasive Ther Allied Technol
December 2023
Objective: Proposing hysteroscopic morcellation (HM) as a surgical-therapeutic approach in the treatment of retained products of conception (RPOC) to prevent intrauterine adhesions (IUAs).
Design: Prospective analysis.
Setting: A teaching and university hospital.
Article Synopsis
- Cesarean scar pregnancy (CSP) is a rare but serious condition that requires different treatment approaches depending on its subtype, yet there’s no universal consensus on the best management strategies.
- A case series focused on a combined treatment using methotrexate (MTX) followed by vacuum aspiration or resectoscopy was conducted on 11 patients, with selection based on CSP type and myometrial thickness.
- Results showed that MTX followed by suction curettage was more effective than other methods, leading to significant decreases in hCG levels and better outcomes, especially for deeply embedded cases.
There are several variations of placental shape or implantation. Multilobed placentas are thought to arise due to implantation in areas of decreased uterine perfusion. An example is represented by lateral implantation in between the anterior and posterior walls of the uterus.
View Article and Find Full Text PDFCornual Pregnancy.
J Minim Invasive Gynecol
March 2022