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Hysteroscopic Criteria for the Diagnosis of Chronic Endometritis: a Systematic Review and Diagnostic Test Accuracy Meta-analysis.
Am J Obstet Gynecol
March 2025
Division of Gynecology and Obstetrics, Department of Surgical Sciences, University of Cagliari, Cagliari, Italy.
Objective: To assess the diagnostic accuracy of current hysteroscopic criteria compared with histopathological analysis (with or without additional immunohistochemistry) for the detection of chronic endometritis.
Data Sources: MEDLINE, Scopus, SciELO, Embase, ClinicalTrials.gov, Cochrane Central Register of Controlled Trials, LILACS, conference proceedings, and international controlled trials registries were searched without date limit or language restrictions.
Association of endometrial thickness with lesions in postmenopausal asymptomatic women: risk factors and diagnostic thresholds.
BMC Womens Health
March 2025
Department of Obstetrics and Gynecology, Beijing Shijitan Hospital, Capital Medical University, No. 10 Tieyi Road, Yangfangdian Street, Haidian District, Beijing, China.
Purpose: This study aimed to explore the relationship between endometrial thickness and lesions in asymptomatic postmenopausal women and identify diagnostic thresholds for lesions.
Methods: A total of 279 postmenopausal asymptomatic women aged 40 years or older with endometrial thickness ≥ 4 mm were retrospectively selected in our hospital, from January 2018 to June 2023, there were 33 cases's operations which were failed due to the cervical stenosis, 8cases who used hormone replacement therapy within the past year, 7 cases with hysteromyoma that affect the shape of the uterine cavity line, and 5cases's hysteroscopic tissue acquisition were failed. Finally, A retrospective study was conducted on the endometrial thickness of 226 postmenopausal asymptomatic women measured by transvaginal ultrasound and those with thickening were subjected to hysteroscopy and pathological examination of endometrial biopsy tissues, and were divided into a normal group (80 cases), benign lesion group (143 cases), and malignant lesion group (3 cases) according to the pathology results.
Diagnostic challenge posed by an intriguing case of simultaneous bilateral ovarian torsion and synchronous endometrial adenocarcinoma.
Taiwan J Obstet Gynecol
March 2025
Department of Obstetrics and Gynecology, University of Arizona, Tucson, AZ, USA. Electronic address:
Objective: We present an intriguing case of simultaneous, bilateral, complete ovarian torsion with synchronous endometrial adenocarcinoma in a previously healthy patient with a reported history of unilateral oophorectomy. This unique case demonstrates the limitations of pelvic imaging and patient history.
Case Report: A 32-year-old woman with a history of unilateral oophorectomy, presented to the emergency department with worsening left lower abdominal pain concerning for ovarian torsion.
Hysteroscopic niche resection can effectively reduce the niche volume, increase residual myometrial thickness, and improve postmenstrual spotting symptoms.
Arch Gynecol Obstet
March 2025
Department of Gynecology and Obstetrics, International Peace Maternity and Child, Health Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Purpose: To compare the anatomical changes of the uterine niche in women before and after hysteroscopic niche resection (HNR) and to investigate the correlation between these changes and the improvement in postoperative spotting symptoms by thin-slice MRI.
Methods: This prospective observational study enrolled women with symptomatic uterine niches between June 2019 and February 2024. All participants underwent thin-slice magnetic resonance imaging (MRI) before and after HNR.
Cesarean Scar Ectopic Pregnancy: A Case Report.
Cureus
January 2025
Obstetrics and Gynecology, Medcare Royal Specialty Hospital, Dubai, ARE.
Cesarean scar ectopic pregnancies (CSEP) are a rare type of ectopic pregnancy. This condition occurs when a blastocyst is implanted in the scar left by a previous cesarean section (C-section). CSEP can lead to a risk of maternal hemorrhage, which in severe cases can lead to maternal mortality.
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