Vaginal surgery for congenital anomalies.

Congenital anomalies of the vagina may be isolated to the vagina or be part of a more complex Mullerian tract anomaly with possible fertility concerns. Patient age, complete assessment of the anomaly before surgery, and the psychologic implications for the patient are important components of the initial evaluation and treatment planning. Imaging, including magnetic resonance imaging, should be used to assess the extent of the anomaly and possibly other organ systems involved.

Anti-Müllerian hormone and inhibin B variability during normal menstrual cycles.

Objective: To describe anti-Müllerian hormone (AMH) variation across normal menstrual cycles.

Design: Cohort study.

Setting: Academic environment.

Premenarchal ovarian torsion and elevated CA-125.

Background: Ovarian tumors are the most common gynecologic malignancy occurring in childhood, with germ cell tumors being most frequent. This contrasts with adults where epithelial tumors account for most ovarian neoplasms. Tumor markers are an integral part of the work-up and may guide management.

Delayed iliac artery thrombosis after blunt trauma during operative laparoscopy.

Major vascular injury during laparoscopic surgery is an uncommon but serious complication. A small number of earlier case reports describe delayed diagnosis of vascular lacerations. Herein we report a unique case of a robot-assisted laparoscopic resection of an obstructed uterine horn, complicated by delayed postoperative presentation of a common iliac artery thrombus without extravascular hemorrhage.