Vulvar granular cell tumor.

Granular cell tumors are rare, usually benign, soft tissue neoplasms of neural origin. They occur more often in females than males, the peak age incidence is in the fourth through fifth decades. They can occur anywhere in the body with up to 15% situated in the vulva.

Intracystic hemorrhage in a non-endometriotic mullerian vaginal cyst.

The commonest type of simple vaginal cyst is the Mullerian cyst. These are typically lined by columnar epithelium and contain serous or mucinous fluid. If blood is found in the cyst, the source is usually due to the presence of endometrial elements in the cyst wall.

Incidence of vaginal cuff dehiscence after open or laparoscopic hysterectomy: a case report.

Background: The incidence of vaginal incision dehiscence after total hysterectomy has been reported to be higher with laparoscopic than with open surgery, but the data are limited. This report documents a case and reviews the literature in order to further estimate the differences in incidence by route of hysterectomy.

Case: A 45-year-old woman underwent successful vaginal repair of postcoital cuff dehiscence with small bowel evisceration 67 days after total laparoscopic hysterectomy and bilateral salpingo-oophorectomy for menometrorhagia.

Diagnostic imaging in uterine incisional necrosis/dehiscence complicating cesarean section.

Objective: To review the diagnostic imaging studies in patients with surgically proven uterine incisional necrosis/dehiscence complicating cesarean section and to compare these studies with the findings at surgery.

Study Design: Over a 6-year period, the records of 7 patients with imaging studies prior to surgery for uterine incisional necrosis/dehiscence complicating cesarean delivery were reviewed and compared with the findings at surgery.

Results: Four cases underwent computed tomography (CT) and sonography, 1 underwent CT only, and 2 underwent sonography only.

Infectious necrosis with dehiscence of the uterine repair complicating cesarean delivery: a review.

Unlabelled: The authors summarize current knowledge about infectious uterine incisional necrosis/dehiscence, an uncommon but serious complication of cesarean delivery. A MEDLINE search of the literature from 1966 to the present did not identify any previous review of this entity. From case reports, small case series, and textbook descriptions, the evidence regarding the definition of the disorder, its prevalence, etiology, pathogenesis, diagnosis, prognosis, and management is presented.

Tuboovarian abscess: a postoperative complication of endometrial ablation.

Background: Global endometrial ablation may be associated with serious complications.

Case: We present a case of bilateral tuboovarian abscesses that developed 50 days postoperatively after a thermal ablation. The patient underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy.

Conservative surgery for uterine incisional necrosis complicating cesarean delivery.

Background: Hysterectomy is the usual management of uterine incisional necrosis with dehiscence as a complication of cesarean delivery. Debridement with resuture of the uterine wound as an alternative therapy would conserve fertility at the risk of continued necrosis and infection. Unfortunately the literature provides few guidelines in deciding when to select conservative surgery and whether it is a safe option.

Uterine incisional necrosis complicating cesarean section.

Objective: To establish the clinical features of patients with necrosis of the uterine incision after cesarean delivery because of the paucity of modern reports in the literature.

Study Design: Over a 4-year period, the records of 6 patients with this complication were reviewed.

Results: Three patients presented within 48-72 hours of delivery with clinical features very similar to those of bowel perforation.