Clin Exp Obstet Gyn
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Clin Exp Obstet Gyn · Jan 2008
Case ReportsUterus didelphys with blind hemivagina and ipsilateral renal agenesis complicated by pyocolpos and presenting as acute abdomen 11 years after menarche: presentation of a rare case with review of the literature.
Congenital anomaly of the Müllerian duct system can result in various urogenital anomalies including uterus didelphys with blind hemivagina and ipsilateral renal agenesis. The diagnosis of this condition is usually made after menarche, but its rarity and variable clinical features may contribute to a diagnostic delay for years after menarche. ⋯ We demonstrated the difficulty in making a correct diagnosis of this rare congenital anomaly of the female genital tract, especially after many years since menarche. This condition should be considered to prevent misdiagnosis or suboptimal treatment and decrease morbidity and unnecessary surgical procedures.
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Clin Exp Obstet Gyn · Jan 2008
Case ReportsSpontaneous uterine rupture during preterm labor in the second trimester of a twin IVF pregnancy without any apparent risk factor.
Uterine rupture is a rare complication of pregnancy. It can cause severe problems for the mother and child if not immediately diagnosed and treated. ⋯ Multiple pergnancies, grand multiparity, previous cesarean sections or myomectomy operations, hysteroscopic manipulations and corrective uterine surgery, etc. are the main predisposing factors. In this case we report the successful management of a spontaneous uterine rupture in a primigravid female an the 29th week of a twin pregnancy after IVF treatment.
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Clin Exp Obstet Gyn · Jan 2008
Editorial Case ReportsA 59-year-old woman gives birth to twins--when should a fertility specialist refuse treatment?
To review cases of infertility where despite extremely low odds of success and potential risks to the woman if she became pregnant or to the fetus, the couples elected to take a chance to fulfill their dreams of having a baby. ⋯ If a couple understands the potential risks and the low odds of success, they should be given the opportunity to fulfill their dreams of having a baby. However, treating physicians are under no obligation to take malpractice risks.
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Clin Exp Obstet Gyn · Jan 2007
Review Case ReportsUnscarred uterine rupture--case report and literature review.
Spontaneous uterine rupture is a life threatening event, and the diagnosis is difficult in an unscarred uterus. Many factors can help prevent the catastrophic consequences. ⋯ The association of multiparity, uterine distension and active labor could be considered as risk factors of uterine rupture in cases of unexplained anomalies in an unscarred uterus, making a catastrophic event preventable.
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This study retrospectively evaluates the laparoscopic treatment of acute abdominal pain in 120 young girls aged 13 to 25 years from 1990 to 1995. Seventy-two (60%) of all operations were emergency procedures. ⋯ In the rest of the 48 patients (40%), 31 (26.67%) cases had pelvic inflammatory disease, three (2.5%) benign ovarian tumors, two (1.6%) ectopic pregnancies, one (0.8%) a paraovarian cyst and 11 (5%) endometriosis. Laparoscopy appeared to be a safe and effective surgical procedure.