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A case with rare complication of chronic puerperal uterine inversion and underwent operation reduction.
Taiwan J Obstet Gynecol
September 2024
Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taiwan.
Article Synopsis
- Puerperal uterine inversion is a rare but serious condition that can occur after childbirth due to factors like short umbilical cord and uterine atony.
- A woman who had a normal delivery experienced severe complications including bleeding and shock, leading to a diagnosis of uterine inversion after persistent symptoms.
- The diagnosis was challenging due to non-specific symptoms, but laparoscopic surgery was successfully performed, using a fundus incision to minimize risks of injury to surrounding organs.
Submucous leiomyoma: an uncommon cause of heavy menstrual bleeding in early adolescence.
BMJ Case Rep
March 2024
Department of Gynecology, Centro Hospitalar e Universitário de Coimbra EPE, Coimbra, Portugal.
Uterine leiomyomas are rare in the paediatric population. This report describes a rare case of a submucous leiomyoma in an adolescent girl. The patient presented with a history of abnormal and painful period which was refractory to medical treatment.
View Article and Find Full Text PDFThe contradictive findings between ultrasound, hysteroscopy and cytokines in women with nonhormonal IUDs suffering from menorrhagia: a prospective study.
Arch Gynecol Obstet
May 2024
Department of Obstetrics and Gynecology, Chaim Sheba Medical Center, Tel-Hashomer, Israel.
Purpose: The objective of this study is to assess the correlation between bleeding irregularities and the accurate placement of the intrauterine device (IUD) device in the uterine cavity, determined through transvaginal ultrasonography and hysteroscopy. In addition, the study aims to examine the cytokine profile in the uterine cavity and serum of patients experiencing bleeding irregularities after the insertion of nonhormonal IUDs.
Methods: A prospective cohort study was conducted at a single tertiary medical center, wherein patients experiencing intermenstrual bleeding and spotting after the insertion of nonhormonal IUDs were enrolled.
Intramural ectopic pregnancy: An individual patient data systematic review.
Eur J Obstet Gynecol Reprod Biol X
March 2024
Drexel University College of Medicine, Allegheny Health Network, Pittsburg, PA 15237, USA.
Intramural pregnancies (IMP) are very rare and represent about 1% of ectopic pregnancies (EPs). Despite a few reported cases, there is limited awareness & knowledge among sonographers and physicians. Moreover, no established diagnostic or treatment protocol exists for such a condition.
View Article and Find Full Text PDFProcedural sedation and analgesia versus general anesthesia for hysteroscopic myomectomy (PROSECCO trial): A multicenter randomized controlled trial.
PLoS Med
December 2023
Department of Obstetrics & Gynecology, Alrijne Ziekenhuis, Leiden, the Netherlands.
Background: Hysteroscopic resection is the first-choice treatment for symptomatic type 0 and 1 fibroids. Traditionally, this was performed under general anesthesia. Over the last decade, surgical procedures are increasingly being performed in an outpatient setting under procedural sedation and analgesia.
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