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HEALTH AND SAFETY (532 journals)                  1 2 3 | Last

Showing 1 - 200 of 203 Journals sorted alphabetically
16 de Abril     Open Access  
A Life in the Day     Hybrid Journal   (Followers: 10)
Acta Informatica Medica     Open Access   (Followers: 1)
Acta Scientiarum. Health Sciences     Open Access  
Adultspan Journal     Hybrid Journal  
Advances in Child Development and Behavior     Full-text available via subscription   (Followers: 10)
Advances in Public Health     Open Access   (Followers: 23)
African Health Sciences     Open Access   (Followers: 2)
African Journal for Physical, Health Education, Recreation and Dance     Full-text available via subscription   (Followers: 6)
African Journal of Health Professions Education     Open Access   (Followers: 6)
Afrimedic Journal     Open Access   (Followers: 2)
Air Quality, Atmosphere & Health     Hybrid Journal   (Followers: 3)
AJOB Primary Research     Partially Free   (Followers: 3)
American Journal of Family Therapy     Hybrid Journal   (Followers: 11)
American Journal of Health Economics     Full-text available via subscription   (Followers: 13)
American Journal of Health Education     Hybrid Journal   (Followers: 31)
American Journal of Health Promotion     Hybrid Journal   (Followers: 24)
American Journal of Health Sciences     Open Access   (Followers: 6)
American Journal of Health Studies     Full-text available via subscription   (Followers: 11)
American Journal of Preventive Medicine     Hybrid Journal   (Followers: 26)
American Journal of Public Health     Full-text available via subscription   (Followers: 240)
American Journal of Public Health Research     Open Access   (Followers: 29)
American Medical Writers Association Journal     Full-text available via subscription   (Followers: 2)
Analytic Methods in Accident Research     Hybrid Journal   (Followers: 4)
Annals of Global Health     Open Access   (Followers: 9)
Annals of Health Law     Open Access   (Followers: 3)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 15)
Applied Biosafety     Hybrid Journal  
Applied Research In Health And Social Sciences : Interface And Interaction     Open Access   (Followers: 2)
Archive of Community Health     Open Access  
Archives of Medicine and Health Sciences     Open Access   (Followers: 3)
Arquivos de Ciências da Saúde     Open Access  
Asia Pacific Journal of Counselling and Psychotherapy     Hybrid Journal   (Followers: 8)
Asia Pacific Journal of Health Management     Full-text available via subscription   (Followers: 3)
Asia-Pacific Journal of Public Health     Hybrid Journal   (Followers: 8)
Asian Journal of Gambling Issues and Public Health     Open Access   (Followers: 3)
Association of Schools of Allied Health Professions     Full-text available via subscription   (Followers: 6)
Atención Primaria     Open Access   (Followers: 1)
Australasian Journal of Paramedicine     Open Access   (Followers: 3)
Australian Advanced Aesthetics     Full-text available via subscription   (Followers: 4)
Australian Family Physician     Full-text available via subscription   (Followers: 3)
Australian Indigenous HealthBulletin     Free   (Followers: 6)
Autism & Developmental Language Impairments     Open Access   (Followers: 6)
Behavioral Healthcare     Full-text available via subscription   (Followers: 6)
Best Practices in Mental Health     Full-text available via subscription   (Followers: 8)
Bijzijn     Hybrid Journal   (Followers: 2)
Bijzijn XL     Hybrid Journal   (Followers: 1)
Biomedical Safety & Standards     Full-text available via subscription   (Followers: 8)
BLDE University Journal of Health Sciences     Open Access  
BMC Oral Health     Open Access   (Followers: 5)
BMC Pregnancy and Childbirth     Open Access   (Followers: 20)
BMJ Simulation & Technology Enhanced Learning     Full-text available via subscription   (Followers: 8)
Brazilian Journal of Medicine and Human Health     Open Access  
Buletin Penelitian Kesehatan     Open Access   (Followers: 2)
Buletin Penelitian Sistem Kesehatan     Open Access  
Bulletin of the World Health Organization     Open Access   (Followers: 17)
Cadernos de Educação, Saúde e Fisioterapia     Open Access   (Followers: 1)
Cadernos Saúde Coletiva     Open Access   (Followers: 1)
Canadian Family Physician     Partially Free   (Followers: 12)
Canadian Journal of Community Mental Health     Full-text available via subscription   (Followers: 12)
Canadian Journal of Human Sexuality     Hybrid Journal   (Followers: 1)
Canadian Journal of Public Health     Full-text available via subscription   (Followers: 20)
Case Reports in Women's Health     Open Access   (Followers: 3)
Case Studies in Fire Safety     Open Access   (Followers: 13)
Central Asian Journal of Global Health     Open Access   (Followers: 2)
Central European Journal of Public Health     Full-text available via subscription   (Followers: 4)
CES Medicina     Open Access  
Child Abuse Research in South Africa     Full-text available via subscription   (Followers: 1)
Child's Nervous System     Hybrid Journal  
Childhood Obesity and Nutrition     Open Access   (Followers: 10)
Children     Open Access   (Followers: 2)
CHRISMED Journal of Health and Research     Open Access  
Christian Journal for Global Health     Open Access  
Ciência & Saúde Coletiva     Open Access   (Followers: 2)
Ciencia y Cuidado     Open Access   (Followers: 1)
Ciencia, Tecnología y Salud     Open Access  
ClinicoEconomics and Outcomes Research     Open Access   (Followers: 2)
CME     Hybrid Journal   (Followers: 1)
CoDAS     Open Access  
Community Health     Open Access   (Followers: 2)
Conflict and Health     Open Access   (Followers: 8)
Contraception and Reproductive Medicine     Open Access  
Curare     Open Access  
Current Opinion in Behavioral Sciences     Hybrid Journal   (Followers: 3)
Day Surgery Australia     Full-text available via subscription   (Followers: 2)
Digital Health     Open Access   (Followers: 3)
Dramatherapy     Hybrid Journal   (Followers: 2)
Drogues, santé et société     Full-text available via subscription  
Duazary     Open Access   (Followers: 1)
Early Childhood Research Quarterly     Hybrid Journal   (Followers: 16)
East African Journal of Public Health     Full-text available via subscription   (Followers: 3)
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity     Hybrid Journal   (Followers: 18)
EcoHealth     Hybrid Journal   (Followers: 4)
Education for Health     Open Access   (Followers: 5)
electronic Journal of Health Informatics     Open Access   (Followers: 6)
ElectronicHealthcare     Full-text available via subscription   (Followers: 4)
Elsevier Ergonomics Book Series     Full-text available via subscription   (Followers: 5)
Emergency Services SA     Full-text available via subscription   (Followers: 2)
Ensaios e Ciência: Ciências Biológicas, Agrárias e da Saúde     Open Access  
Environmental Disease     Open Access   (Followers: 2)
Environmental Sciences Europe     Open Access   (Followers: 2)
Epidemics     Open Access   (Followers: 4)
Epidemiologic Perspectives & Innovations     Open Access   (Followers: 5)
Epidemiology, Biostatistics and Public Health     Open Access   (Followers: 19)
Ethics, Medicine and Public Health     Full-text available via subscription   (Followers: 3)
Ethiopian Journal of Health Development     Open Access   (Followers: 8)
Ethiopian Journal of Health Sciences     Open Access   (Followers: 7)
Ethnicity & Health     Hybrid Journal   (Followers: 13)
European Journal of Investigation in Health, Psychology and Education     Open Access   (Followers: 2)
European Medical, Health and Pharmaceutical Journal     Open Access  
Evaluation & the Health Professions     Hybrid Journal   (Followers: 10)
Evidence-based Medicine & Public Health     Open Access   (Followers: 6)
Evidência - Ciência e Biotecnologia - Interdisciplinar     Open Access  
Expressa Extensão     Open Access  
Face à face     Open Access   (Followers: 1)
Families, Systems, & Health     Full-text available via subscription   (Followers: 8)
Family & Community Health     Partially Free   (Followers: 12)
Family Medicine and Community Health     Open Access   (Followers: 6)
Family Relations     Partially Free   (Followers: 11)
Fatigue : Biomedicine, Health & Behavior     Hybrid Journal   (Followers: 2)
Food and Public Health     Open Access   (Followers: 11)
Frontiers in Public Health     Open Access   (Followers: 7)
Gaceta Sanitaria     Open Access   (Followers: 3)
Galen Medical Journal     Open Access  
Geospatial Health     Open Access  
Gesundheitsökonomie & Qualitätsmanagement     Hybrid Journal   (Followers: 9)
Giornale Italiano di Health Technology Assessment     Full-text available via subscription  
Global Health : Science and Practice     Open Access   (Followers: 5)
Global Health Promotion     Hybrid Journal   (Followers: 16)
Global Journal of Health Science     Open Access   (Followers: 9)
Global Journal of Public Health     Open Access   (Followers: 12)
Global Medical & Health Communication     Open Access   (Followers: 1)
Global Security : Health, Science and Policy     Open Access  
Globalization and Health     Open Access   (Followers: 5)
Hacia la Promoción de la Salud     Open Access  
Hastings Center Report     Hybrid Journal   (Followers: 3)
HEADline     Hybrid Journal  
Health & Place     Hybrid Journal   (Followers: 16)
Health & Justice     Open Access   (Followers: 5)
Health : An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine     Hybrid Journal   (Followers: 7)
Health and Human Rights     Free   (Followers: 9)
Health and Social Care Chaplaincy     Hybrid Journal   (Followers: 7)
Health and Social Work     Hybrid Journal   (Followers: 55)
Health Behavior and Policy Review     Full-text available via subscription   (Followers: 2)
Health Care Analysis     Hybrid Journal   (Followers: 14)
Health Inform     Full-text available via subscription  
Health Information Management Journal     Hybrid Journal   (Followers: 16)
Health Issues     Full-text available via subscription   (Followers: 2)
Health Notions     Open Access  
Health Policy     Hybrid Journal   (Followers: 41)
Health Policy and Technology     Hybrid Journal   (Followers: 3)
Health Professional Student Journal     Open Access   (Followers: 2)
Health Promotion International     Hybrid Journal   (Followers: 21)
Health Promotion Journal of Australia : Official Journal of Australian Association of Health Promotion Professionals     Full-text available via subscription   (Followers: 10)
Health Promotion Practice     Hybrid Journal   (Followers: 15)
Health Prospect     Open Access   (Followers: 1)
Health Psychology     Full-text available via subscription   (Followers: 49)
Health Psychology Research     Open Access   (Followers: 19)
Health Psychology Review     Hybrid Journal   (Followers: 41)
Health Renaissance     Open Access  
Health Research Policy and Systems     Open Access   (Followers: 12)
Health SA Gesondheid     Open Access   (Followers: 2)
Health Science Reports     Open Access  
Health Sciences and Disease     Open Access   (Followers: 2)
Health Services Insights     Open Access   (Followers: 2)
Health Systems     Hybrid Journal   (Followers: 3)
Health Voices     Full-text available via subscription  
Health, Culture and Society     Open Access   (Followers: 13)
Health, Risk & Society     Hybrid Journal   (Followers: 11)
Healthcare     Open Access   (Followers: 1)
Healthcare in Low-resource Settings     Open Access   (Followers: 1)
Healthcare Quarterly     Full-text available via subscription   (Followers: 9)
Healthy-Mu Journal     Open Access  
HERD : Health Environments Research & Design Journal     Full-text available via subscription  
Highland Medical Research Journal     Full-text available via subscription  
Hispanic Health Care International     Full-text available via subscription  
HIV & AIDS Review     Full-text available via subscription   (Followers: 11)
Home Health Care Services Quarterly     Hybrid Journal   (Followers: 6)
Hong Kong Journal of Social Work, The     Hybrid Journal   (Followers: 2)
Hospitals & Health Networks     Free   (Followers: 4)
IEEE Journal of Translational Engineering in Health and Medicine     Open Access   (Followers: 3)
IMTU Medical Journal     Full-text available via subscription  
Indian Journal of Health Sciences     Open Access   (Followers: 2)
Indonesian Journal for Health Sciences     Open Access   (Followers: 1)
Inmanencia. Revista del Hospital Interzonal General de Agudos (HIGA) Eva Perón     Open Access  
Innovative Journal of Medical and Health Sciences     Open Access  
Institute for Security Studies Papers     Full-text available via subscription   (Followers: 5)
interactive Journal of Medical Research     Open Access  
International Health     Hybrid Journal   (Followers: 5)
International Journal for Equity in Health     Open Access   (Followers: 7)
International Journal for Quality in Health Care     Hybrid Journal   (Followers: 34)
International Journal of Applied Behavioral Sciences     Open Access   (Followers: 2)
International Journal of Behavioural and Healthcare Research     Hybrid Journal   (Followers: 8)
International Journal of Circumpolar Health     Open Access   (Followers: 1)
International Journal of Community Medicine and Public Health     Open Access   (Followers: 5)
International Journal of E-Health and Medical Communications     Full-text available via subscription   (Followers: 2)
International Journal of Environmental Research and Public Health     Open Access   (Followers: 20)
International Journal of Evidence-Based Healthcare     Hybrid Journal   (Followers: 8)
International Journal of Food Safety, Nutrition and Public Health     Hybrid Journal   (Followers: 16)
International Journal of Health & Allied Sciences     Open Access   (Followers: 3)

        1 2 3 | Last

Journal Cover Case Reports in Women's Health
  [SJR: 0.103]   [H-I: 1]   [3 followers]  Follow
  This is an Open Access Journal Open Access journal
   ISSN (Print) 2214-9112
   Published by Elsevier Homepage  [3120 journals]
  • Colorectal cancer presenting as tuboovarian abscess in a 40year old
           patient with previous tubal occlusion

    • Authors: Joy Anderson; Clyde Ellis; Jonathan Lugo
      Pages: 1 - 3
      Abstract: Publication date: January 2016
      Source:Case Reports in Women's Health, Volume 9
      Author(s): Joy Anderson, Clyde Ellis, Jonathan Lugo
      Background Although pelvic inflammatory disease can be seen after tubal occlusion, tuboovarian abscess is rare, with only 38 cases reported since 1975 [1]. The differential diagnosis of tuboovarian abscess after tubal occlusion should include non-infectious and non-gynecologic etiology, particularly as women age [2]. Case A 40year old multiparous woman with a distant history of tubal occlusion, presented with pelvic pain and suspected right tuboovarian abscess with air on CT scan. A colonic stricture was also seen, warranting further evaluation, which revealed a left tuboovarian abscess which had fistulized from a bowel perforation secondary to colorectal cancer. Conclusion Tuboovarian abscess is rare after tubal occlusion. These patients should be evaluated specifically for nongynecologic etiology, including colorectal cancer. Radiologic studies can be misleading, and surgical exploration should be strongly considered if a woman with a history of tubal occlusion presents with a presumptive tuboovarian abscess, particularly if the abscess contains air.

      PubDate: 2017-10-02T15:16:46Z
      DOI: 10.1016/j.crwh.2015.11.001
      Issue No: Vol. 9 (2017)
  • Ulcus vulvae acutum — A case of genital ulcers in adolescent girl

    • Authors: Daniela Visentin; Lorenza Driul; Cinzia Buligan; Ayuna Angarkhayeva; Caterina Pinzani; Monica Della Martina; Ambrogio Londero; Giuseppe Stinco
      Pages: 4 - 6
      Abstract: Publication date: January 2016
      Source:Case Reports in Women's Health, Volume 9
      Author(s): Daniela Visentin, Lorenza Driul, Cinzia Buligan, Ayuna Angarkhayeva, Caterina Pinzani, Monica Della Martina, Ambrogio Londero, Giuseppe Stinco
      Ulcus vulvae acutum is a rare clinical condition characterized by the presence of multiple acute painful genital ulcers of non-venereal origin associated with systemic symptoms in young women. The aetiopathogenesis of the disease is not fully understood, although recent reports have associated it with the Epstein–Barr virus. Diagnosis is difficult and generally made by exclusion after venereal diseases, and autoimmune, inflammatory, traumatic, and neoplastic causes. We describe a case of adolescent female with an episode of ulcus vulvae acutum associated with infectious mononucleosis. The diagnosis was supported by the clinical symptoms, elevated circulating levels of liver enzymes, positive EBV serology, cervical and inguinal lymphadenomegaly, and hepatosplenomegaly. The patient presented a history of aphthous stomatitis. Negative Pathergy test and the absence of any other related symptoms allowed us to exclude the Behçhet syndrome. Lesions healed with no sequelae or recurrences.

      PubDate: 2017-10-02T15:16:46Z
      DOI: 10.1016/j.crwh.2015.11.002
      Issue No: Vol. 9 (2017)
  • Wound haematoma: The first sign in a case of late postpartum HELLP

    • Authors: Natasha Louise Pritchard; Jodi Leanne Keane
      Pages: 1 - 3
      Abstract: Publication date: October 2015
      Source:Case Reports in Women's Health, Volume 8
      Author(s): Natasha Louise Pritchard, Jodi Leanne Keane
      HELLP syndrome, a severe manifestation of preeclampsia characterised by haemolysis, elevated liver enzymes, and thrombocytopaenia, occurs in 0.5–0.9% of pregnancies and is associated with significant maternal and fetal morbidity and mortality. We present the case of a 30year old primigravida (RL) who developed a wound haematoma nearly 72h after an emergency caesarean section for failure to progress, with no prior hypertension or proteinuria documented. Although RL remained completely asymptomatic, investigations for delayed bleeding revealed severe class I HELLP syndrome with a platelet count of <50,000μL, significant haemolysis (haptoglobin <0.06, LDH 1585), acute renal failure (eGFR 64, creatinine 103), fulminant hepatic failure (AST 2539, ALT 3200) and significant autoanticoagulation (INR 3.2, activated prothrombin time 46, fibrinogen 3.0). Paracetamol had been administered for post-operative analgesia and a paracetamol level was in the toxic level. Multidisciplinary input was sought from anaesthetics, intensive care, toxicology, general medicine, haematology and gastroenterology, with care subsequently coordinated in an intensive care unit. Blood pressure was strictly controlled with a sodium nitroprusside infusion. In addition to supportive care, vitamin K, a N-acetyl cysteine infusion, lactulose and mechanical thromboprophylaxis were administered. Eight weeks postpartum there were no residual biochemical abnormalities, the patient was well, and had a normal blood pressure. Our case reinforces the importance of a high level of clinical suspicion for the HELLP syndrome in women, irrespective of blood pressure in the first 48h postpartum.

      PubDate: 2017-10-02T15:16:46Z
      DOI: 10.1016/j.crwh.2015.08.001
      Issue No: Vol. 8 (2017)
  • The path of least resistance: A case of cervical stenosis and
           uterocutaneous fistula

    • Authors: Steven Neil Shephard; Sunday Jenner Lengmang
      Pages: 4 - 5
      Abstract: Publication date: October 2015
      Source:Case Reports in Women's Health, Volume 8
      Author(s): Steven Neil Shephard, Sunday Jenner Lengmang
      Uterocutaneous fistula is exceedingly rare, and uniformly follows some type of operative procedure. In this case, a young woman underwent a cesarean delivery at an outlying clinic in rural Nigeria, following which she developed amenorrhea and cyclic pelvic pain. In attempts to resolve her condition, a second laparotomy was performed at the same medical center. She presented to us 2weeks later, at which time an opening was present at the healing laparotomy scar, severe vaginal scarring and cervical stenosis were present, and marked hematometra was seen on ultrasound. Following a procedure to open her cervix, she began menstruating through a fistulous tract in her abdomen, which we subsequently excised and closed with no further problems for the patient. This case highlights the challenge in developing countries of surgical complications resulting from a lack of appropriately trained physicians in rural medical centers. We suggest that focus on excellent training of our young physicians and the creation of incentives to place and keep fully qualified physicians in such hospitals will improve this situation.

      PubDate: 2017-10-02T15:16:46Z
      DOI: 10.1016/j.crwh.2015.08.002
      Issue No: Vol. 8 (2017)
  • Migration of a contraceptive subcutaneous device into the pulmonary
           artery. Report of a case

    • Authors: Pierre-Marie Heudes; Valerie Laigle Querat; Eric Darnis; Claire Defrance; Frederic Douane; Eric Frampas
      Pages: 6 - 8
      Abstract: Publication date: October 2015
      Source:Case Reports in Women's Health, Volume 8
      Author(s): Pierre-Marie Heudes, Valerie Laigle Querat, Eric Darnis, Claire Defrance, Frederic Douane, Eric Frampas
      Graphical abstract image

      PubDate: 2017-10-02T15:16:46Z
      DOI: 10.1016/j.crwh.2015.09.002
      Issue No: Vol. 8 (2017)
  • Approach to the management of rare clinical presentations of
           macroprolactinomas in reproductive-aged women

    • Authors: Ana Espinosa De Ycaza; Alice Y. Chang; Jani R. Jensen; Zaraq Khan; Dana Erickson
      Pages: 9 - 12
      Abstract: Publication date: October 2015
      Source:Case Reports in Women's Health, Volume 8
      Author(s): Ana Espinosa De Ycaza, Alice Y. Chang, Jani R. Jensen, Zaraq Khan, Dana Erickson
      Objective To describe 2 cases of macroprolactinomas with atypical presentation in women desiring pregnancy that illustrate important considerations in the management approach for macroprolactinomas in reproductive-aged women. Patient(s) Case 1 was a 26-year-old woman referred to our institution for possible tumor resection after pituitary apoplexy during her first pregnancy. Instead, she underwent treatment with cabergoline for a year with goals of normalization of prolactin and decrease in tumor size to <1cm before trying to conceive. Case 2 was an 18-year-old woman with a macroprolactinoma intolerant to dopamine agonists. She underwent stereotactic radiosurgery, with marked reduction in tumor size and normalization of prolactin levels. She conceived and delivered a healthy infant 3years after radiosurgery. Conclusion Management of macroprolactinomas in women desiring pregnancy requires careful consideration of alternatives to surgery which could impair pituitary function and fertility and awareness of treatment goals that can minimize the risks for pituitary apoplexy and vision loss during pregnancy. It is important to increase awareness of these options prior to initiation of treatment and conception.

      PubDate: 2017-10-02T15:16:46Z
      DOI: 10.1016/j.crwh.2015.09.001
      Issue No: Vol. 8 (2017)
  • Successful management of the recurrent uterine rupture after the uterine
           septum resection

    • Authors: Taner Kasapoglu; Dila Kasapoglu; Ozgur Deren
      Pages: 13 - 16
      Abstract: Publication date: October 2015
      Source:Case Reports in Women's Health, Volume 8
      Author(s): Taner Kasapoglu, Dila Kasapoglu, Ozgur Deren

      PubDate: 2017-10-02T15:16:46Z
      DOI: 10.1016/j.crwh.2015.10.001
      Issue No: Vol. 8 (2017)
  • Chorioamnionitis due to Lactococcus lactis cremoris: A case report

    • Authors: F. Azouzi; C. Chahed; M. Marzouk; A. Ferjani; N. Hannechi; M. Fekih; Y. Ben Salem; J. Boukadida
      Pages: 1 - 2
      Abstract: Publication date: July 2015
      Source:Case Reports in Women's Health, Volume 7
      Author(s): F. Azouzi, C. Chahed, M. Marzouk, A. Ferjani, N. Hannechi, M. Fekih, Y. Ben Salem, J. Boukadida
      Lactococcus lactis cremoris is rarely involved in human pathology. A thirty two-year old pregnant woman with premature rupture of membrane history presented with chorioamnionitis due to L. lactis cremoris. She underwent an emergency caesarian section and was treated with antibiotics including the association of amoxicillin and clavulanic acid. She was completely recovered. This is the first case to our knowledge of chorioamnionitis due to this organism.

      PubDate: 2017-10-02T15:16:46Z
      DOI: 10.1016/j.crwh.2015.07.002
      Issue No: Vol. 7 (2017)
  • Finding a needle in a haystack: Ultrasound guided extraction of a sewing
           needle from the perineum

    • Authors: Edward Wang; Taylor Brueseke; Robert E. Bristow
      Pages: 3 - 4
      Abstract: Publication date: July 2015
      Source:Case Reports in Women's Health, Volume 7
      Author(s): Edward Wang, Taylor Brueseke, Robert E. Bristow

      PubDate: 2017-10-02T15:16:46Z
      DOI: 10.1016/j.crwh.2015.07.001
      Issue No: Vol. 7 (2017)
  • Discordance for Cri du Chat Syndrome in a dichorionic–diamniotic
           twin pregnancy

    • Authors: Mireia González-Comadran; José Luís Hernández Sánchez; Carolina Rueda; Elena Ferriols; Maria Prat; Ricardo Rubio; Ramón Carreras
      Pages: 5 - 7
      Abstract: Publication date: July 2015
      Source:Case Reports in Women's Health, Volume 7
      Author(s): Mireia González-Comadran, José Luís Hernández Sánchez, Carolina Rueda, Elena Ferriols, Maria Prat, Ricardo Rubio, Ramón Carreras

      PubDate: 2017-10-02T15:16:46Z
      DOI: 10.1016/j.crwh.2015.07.003
      Issue No: Vol. 7 (2017)
  • Ectopic pregnancy after hysterectomy may not be so uncommon: A case report
           and review of the literature

    • Authors: Donald L. Fylstra
      Pages: 8 - 11
      Abstract: Publication date: July 2015
      Source:Case Reports in Women's Health, Volume 7
      Author(s): Donald L. Fylstra
      Background Ectopic pregnancy after hysterectomy is a very uncommon event, but its frequency is increasing. Since first reported by Wendler in 1895, 71 cases of post-hysterectomy have been reported. Case A woman, 2years after an abdominal supracervical hysterectomy, presented with a ruptured fallopian tube ectopic pregnancy. Conclusion Any woman, even after hysterectomy but with ovaries in situ, who presents with an acute abdomen or abdominal–pelvic pain should be screened for pregnancy.

      PubDate: 2017-10-02T15:16:46Z
      DOI: 10.1016/j.crwh.2015.04.001
      Issue No: Vol. 7 (2017)
  • A case of bladder endometriosis that became symptomatic during the third

    • Authors: Emrah Töz; Onur Ince; Nesin Apaydın; Tutku Gürbüz; Nihat Dayanıklı; Duygu Ayaz
      Pages: 1 - 3
      Abstract: Publication date: April 2015
      Source:Case Reports in Women's Health, Volume 6
      Author(s): Emrah Töz, Onur Ince, Nesin Apaydın, Tutku Gürbüz, Nihat Dayanıklı, Duygu Ayaz
      Background The urinary tract endometriosis is observed in 1–2% of the patients and in 90% of these cases, there are endometriotic nodules in the bladder. With respect to knowledge, it is generally believed that pregnancy cures endometriosis. However in this case, symptoms developed during the third trimester of pregnancy. Case report We report a case of 31year old, 30week pregnant woman with a vegetative mass with 33×33×21 mm dimensions and irregular borders on the posterior wall of the bladder. After the cesarean section, the vegetative and superiorly localized mass on the internal wall of the bladder was excised with partial bladder excision. The patient had no other apparent findings of pelvic endometriosis at operation but the pathology result indicated endometriosis. Conclusion Although this case shows that endometriosis may become symptomatic during pregnancy, it has to be underlined that it cannot be discerned whether it is consequent to progress of the disease or to pregnancy-mediated modifications of a pre-existing lesion.

      PubDate: 2017-10-02T15:16:46Z
      DOI: 10.1016/j.crwh.2015.02.001
      Issue No: Vol. 6 (2017)
  • The role of fibrinogen in massive postpartum haemorrhage, a case report

    • Authors: M.R.C. van Minde; A.W.M.M. Koopman-van Gemert; S. Rombout-de Weerd
      Pages: 4 - 5
      Abstract: Publication date: April 2015
      Source:Case Reports in Women's Health, Volume 6
      Author(s): M.R.C. van Minde, A.W.M.M. Koopman-van Gemert, S. Rombout-de Weerd

      PubDate: 2017-10-02T15:16:46Z
      DOI: 10.1016/j.crwh.2015.02.002
      Issue No: Vol. 6 (2017)
  • Ovarian thrombosis and uterine synechiae after arterial embolization for a
           late postpartum haemorrhage

    • Authors: Françoise Vendittelli; Denis Savary; Brigitte Storme; Virginie Rieu; Pascal Chabrot; Cécile Charpy; Didier Lémery; Bernard Jacquetin
      Pages: 1 - 4
      Abstract: Publication date: January 2015
      Source:Case Reports in Women's Health, Volume 5
      Author(s): Françoise Vendittelli, Denis Savary, Brigitte Storme, Virginie Rieu, Pascal Chabrot, Cécile Charpy, Didier Lémery, Bernard Jacquetin
      Background We report two unusual separate complications after uterine artery embolization for a late postpartum haemorrhage. This report appeared important to us in view of the apparent absence of any other publications on this topic. Case presentation We report the case of a 25-year-old woman, gravida 3, para 1, admitted for uterine bleeding 7days after a spontaneous delivery at term, in our university hospital. A suction curettage and then, after persistent bleeding, uterine artery embolization were necessary. Immediately after the embolization, a bilateral ovarian thrombosis occurred, subsequently followed by amenorrhea, due to uterine synechiae, and depression. Hysteroscopic surgery was performed to remove the adhesions. A complete work-up for thrombophilia showed a heterozygous mutation of the factor V gene R506Q. The pathology examination found subinvolution of the placental bed. One month after treatment of the synechiae (and insertion of a copper IUD for contraception), the woman's menstrual cycle returned to normal. Her clinical examination 19months later was normal. Conclusions This case teaches us that one rare complication can hide another! It is important to consider the diagnosis of subinvolution of the placental bed in cases of late PPH and to know the complications associated with vascular artery embolization in order to provide the most rapid and least invasive treatment.

      PubDate: 2017-10-02T15:16:46Z
      DOI: 10.1016/j.crwh.2014.10.001
      Issue No: Vol. 5 (2017)
  • Nonimmune hydrops fetalis due to autosomal recessive hereditary

    • Authors: Dawn M. Hannah; Terry B. Tressler; Claudia D. Taboada
      Abstract: Publication date: October 2017
      Source:Case Reports in Women's Health, Volume 16
      Author(s): Dawn M. Hannah, Terry B. Tressler, Claudia D. Taboada
      Background Hereditary spherocytosis is the most common form of inherited hemolytic anemia and is characterized by a structural defect in the RBC membrane. The disorder is commonly inherited in an autosomal dominant fashion and leads to a mild to moderate anemia. The autosomal recessive form of hereditary spherocytosis is rarely reported in association with fetal anemia and hydrops fetalis. Case A 25year old G5 P2112 at 25 2/7weeks gestation presents with severe fetal anemia and nonimmune hydrops fetalis requiring multiple fetal intrauterine transfusions. After delivery, the neonate required several double volume exchange transfusions and ultimately was diagnosed with autosomal recessive hereditary spherocytosis weeks after birth. The neonate was identified to have a rare homozygous genetic mutation, SPTA1c.6154delG, which leads to absent production of normal α-spectrin. Conclusion The case highlights the importance of considering less common genetic mutations involving the RBC structural proteins when patients present with severe fetal anemia and nonimmune hydrops fetalis.

      PubDate: 2017-10-10T18:15:05Z
      DOI: 10.1016/j.crwh.2017.09.003
      Issue No: Vol. 16 (2017)
  • A case of uterus-like mass of the ovary associated with endometriosis

    • Authors: Yee Jeong Kim; Joeng Hae Kie; Jae Eun Chung
      Pages: 1 - 3
      Abstract: Publication date: October 2017
      Source:Case Reports in Women's Health, Volume 16
      Author(s): Yee Jeong Kim, Joeng Hae Kie, Jae Eun Chung

      PubDate: 2017-09-14T06:22:48Z
      DOI: 10.1016/j.crwh.2017.08.001
      Issue No: Vol. 16 (2017)
  • Uterine rupture in a primigravid patient with an unscarred bicornuate
           uterus at term

    • Authors: Brad Nitzsche; Maggie Dwiggins; Susan Catt
      Pages: 1 - 2
      Abstract: Publication date: July 2017
      Source:Case Reports in Women's Health, Volume 15
      Author(s): Brad Nitzsche, Maggie Dwiggins, Susan Catt
      Background Uterine rupture of an unscarred primigravid uterus is an exceedingly rare event. Cases of spontaneous rupture of an unscarred bicornuate uterus have been reported, but typically occur in the first or second trimester. Case A 28-year-old primigravida at 37weeks gestation with a known bicornuate uterus and no prior surgery underwent an emergent cesarean section after presenting with severe abdominal pain and signs of fetal compromise. She was found to have a uterine rupture with the fetus free in the abdomen accompanied by a large hemoperitoneum. Both mother and baby did well postoperatively. Conclusion Bicornuate uterus may be an independent risk factor for uterine rupture, which can occur in primigravid patients and at any gestation.

      PubDate: 2017-04-16T17:05:20Z
      DOI: 10.1016/j.crwh.2017.03.004
      Issue No: Vol. 15 (2017)
  • Late-onset endometrial ablation failure

    • Authors: Morris Wortman
      Pages: 11 - 28
      Abstract: Publication date: July 2017
      Source:Case Reports in Women's Health, Volume 15
      Author(s): Morris Wortman
      Endometrial ablation, first reported in the 19th century, has gained wide acceptance in the gynecologic community as an important tool for the management of abnormal uterine bleeding when medical management has been unsuccessful or contraindicated. The introduction of global endometrial ablation (GEA) devices beginning in 1997 has provided unsurpassed safety addressing many of the concerns associated with their resectoscopic predecessors. As of this writing the GEA market has surpassed a half-million devices in the United States per annum and has an expected compound annual growth rate (CAGR) projected to be 5.5% from 2016 to 2024. While the short term safety and efficacy of these devices has been reported in numerous clinical trials we only recently are becoming aware of the high incidence of late-onset endometrial ablation failures (LOEAFs) associated with these procedures. Currently, about a quarter of women who undergo a GEA procedure will eventually require a hysterectomy while an unknown number have less than satisfactory results. In order to reduce these suboptimal outcomes physicians must better understand the etiology and risk factors that predispose a patient toward the development of LOEAF as well as current knowledge of patient and procedure selection for EA as well as treatment options for these delayed complications.

      PubDate: 2017-10-02T15:16:46Z
      DOI: 10.1016/j.crwh.2017.07.001
      Issue No: Vol. 15 (2017)
  • Trauma-induced delivery: A case report

    • Authors: Ryan D. Brown; Coralee Toal; Sarah Mashburn; Paige Pasquali
      Pages: 29 - 30
      Abstract: Publication date: Available online 1 August 2017
      Source:Case Reports in Women's Health
      Author(s): Ryan D. Brown, Coralee Toals, Sarah Mashburn, Paige Pasquali
      The term “birth trauma” is one that is well ingrained into the lexicon of medical providers. There is ample information of the types of injuries that are incurred during the birth process. However, there is no uniformed term for the process of an unforeseen act that leads to a precipitous birth. We would like to show a case report of such an act. The infant's injuries were sustained while in utero and the trauma induced a medical team to deliver the infant due to non-reassuring heart tones. Also, we would like to introduce the term of “trauma-induced delivery” into the medical literature as a way to describe similar types of deliveries that are influenced by factors related to physical forces applied to the mother's body, either intentional or unintentional.

      PubDate: 2017-08-04T11:20:13Z
      DOI: 10.1016/j.crwh.2017.07.003
      Issue No: Vol. 15 (2017)
  • Fowler's syndrome post oocyte retrieval for intracytoplasmic sperm

    • Authors: Gamar Salim; Mohammed Agdi; Jawharah Al-Zebeidi; Ashraf Dawood; Dania Al-Jaroudi
      Pages: 4 - 5
      Abstract: Publication date: April 2017
      Source:Case Reports in Women's Health, Volume 14
      Author(s): Gamar Salim, Mohammed Agdi, Jawharah Al-Zebeidi, Ashraf Dawood, Dania Al-Jaroudi
      Objective To report a case of Fowler's syndrome after oocyte retrieval. Design Case report. Setting Tertiary referral center, King Fahad Medical City. Patient(s) A 23-year-old nulligravida with polycystic ovarian syndrome and primary infertility underwent oocyte retrieval for intracytoplasmic sperm injection (ICSI), and developed Fowler's syndrome (FS). Intervention(s) Intermittent self-catheterization, insertion of sacral neuromodulator (SNM). Main outcome measure(s) Restoration of normal voiding. Result(s) Immediate resolution of patient's symptoms after installation of SNM. Conclusion(s) Fowler's syndrome, although rare, may occur post routine oocyte retrieval; Successful restoration of voiding and resolution of symptoms is possible with SNM installation in similar patients.

      PubDate: 2017-04-16T17:05:20Z
      DOI: 10.1016/j.crwh.2017.03.002
      Issue No: Vol. 14 (2017)
  • Postoperative care of symphysiotomy performed for severe shoulder dystocia
           with fetal demise

    • Authors: Joy Anderson; R. Moss Hampton; Jonathan Lugo
      Pages: 6 - 7
      Abstract: Publication date: April 2017
      Source:Case Reports in Women's Health, Volume 14
      Author(s): Joy Anderson, R. Moss Hampton, Jonathan Lugo
      Background Shoulder dystocia is an obstetric emergency which occurs in 0.2–3% of all births ACOG Committee on Practice Bulletins-Obstetrics and The American College of Obstetrician and Gynecologists (2002) . Symphysiotomy is a treatment option reserved primarily for developing countries where mortality rates of Cesarean delivery are 1–2% Monjok et al. (2013) . Case A G3P2002 with a history of two prior vaginal deliveries had a term delivery complicated by a severe shoulder dystocia. She underwent emergent symphysiotomy at an outside institution, with delivery of a dead macrosomic infant. She was transferred to our tertiary care center for further care. Conclusion Symphysiotomy is rarely performed in the United States. We submit our postoperative management to add to the literature of this rarely performed obstetric intervention. Précis Symphysiotomy for severe shoulder dystocia is rarely utilized in the United States. We describe a case of symphysiotomy done for severe shoulder dystocia at an outside institution, and the patient's subsequent care at our institution.

      PubDate: 2017-10-02T15:16:46Z
      DOI: 10.1016/j.crwh.2017.03.001
      Issue No: Vol. 14 (2017)
  • Successful pregnancy located in a uterine cesarean scar: A case report

    • Authors: Shoko Tamada; Hisashi Masuyama; Jota Maki; Takeshi Eguchi; Takashi Mitsui; Eriko Eto; Kei Hayata; Yuji Hiramatsu
      Pages: 8 - 10
      Abstract: Publication date: April 2017
      Source:Case Reports in Women's Health, Volume 14
      Author(s): Shoko Tamada, Hisashi Masuyama, Jota Maki, Takeshi Eguchi, Takashi Mitsui, Eriko Eto, Kei Hayata, Yuji Hiramatsu
      Cesarean scar pregnancy (CSP) is a rare form of ectopic pregnancy. Because CSP carries a high risk of uterine rupture and life-threatening bleeding, the pregnancy should be terminated upon confirmation of diagnosis. There have been few reports of CSP with successful delivery. We present a case of CSP under expectant management, with delivery via planned cesarean section at 35weeks of gestation. This report suggests that successful pregnancy outcome can be achieved in some women with uterine cesarean scar, but further analysis and additional studies are required in order to describe the optimal protocol of expectant management in CSP.

      PubDate: 2017-04-16T17:05:20Z
      DOI: 10.1016/j.crwh.2017.03.003
      Issue No: Vol. 14 (2017)
  • Rare successful pregnancy in a patient with Swyer Syndrome

    • Authors: Jyoti Taneja; David Ogutu; Michael Ah-Moye
      Pages: 1 - 2
      Abstract: Publication date: October 2016
      Source:Case Reports in Women's Health, Volume 12
      Author(s): Jyoti Taneja, David Ogutu, Michael Ah-Moye
      Objective To report a rare successful pregnancy after fertility treatment in a patient with Swyer syndrome. Design Case report. Setting Herts & Essex Fertility Centre, Cheshunt, UK. Patient(s) A 36-year-old patient with 46, XY gonadal dysgenesis. 31year old husband with normal sperm analysis. Intervention(s) Chromosomal analysis, Saline infusion sonography, Pipelle endometrial scratch, ICSI using donor eggs, Embryo Transfer, and Caesarean delivery. Main Outcome Measure(s) Successful pregnancy and live birth. Result(s) Successful treatment with donor eggs, pregnancy, and delivery. Conclusion(s) A patient with 46, XY gonadal dysgenesis in a specially tailored fertility program, can maintain a normal pregnancy and delivery.

      PubDate: 2017-10-02T15:16:46Z
      DOI: 10.1016/j.crwh.2016.10.001
      Issue No: Vol. 12 (2017)
  • Endometriosis inflammation mimicking pseudomyxoma peritonei: A case report

    • Authors: Erin E. Medlin; Claire Flanagan; Kathryn Zavala; Stephen Rose
      Pages: 3 - 4
      Abstract: Publication date: October 2016
      Source:Case Reports in Women's Health, Volume 12
      Author(s): Erin E. Medlin, Claire Flanagan, Kathryn Zavala, Stephen Rose

      PubDate: 2017-10-02T15:16:46Z
      DOI: 10.1016/j.crwh.2016.10.005
      Issue No: Vol. 12 (2017)
  • Coccidioidomycosis in pregnancy: Case report and literature review of
           associated placental lesions

    • Authors: Heloise Labuschagne; C. Burns; Stacy Martinez; Maira Carrillo; Melissa Waggoner; Irene Schwanninger; James Maher; Moss Hampton; Javier Flores-Guardado; Natalia E. Schlabritz-Loutsevitch
      Pages: 5 - 10
      Abstract: Publication date: October 2016
      Source:Case Reports in Women's Health, Volume 12
      Author(s): Heloise Labuschagne, C. Burns, Stacy Martinez, Maira Carrillo, Melissa Waggoner, Irene Schwanninger, James Maher, Moss Hampton, Javier Flores-Guardado, Natalia E. Schlabritz-Loutsevitch
      Background Coccidioidomycosis is an endemic fungal infection found most commonly in the Southwestern United States, Northwestern Mexico, and parts of Central and South America. Although infection is relatively uncommon during pregnancy, it is imperative to have an index of suspicion in order to diagnose and begin timely treatment to prevent dissemination and dire consequences. Case report A 33-year-old Hispanic female was evaluated after she was involved in an automobile accident. Radiographic evaluation showed a 3.2×3.2cm cavitary thick-walled lesion. A biopsy was negative for malignancy. Evaluation was positive for coccidioidomycosis by complement fixation reaction. Four months later, the patient presented 7weeks into a pregnancy with massive hemoptysis. Bronchoscopy revealed bleeding from the right upper lobe and emergency embolization was performed. The patient had a spontaneous abortion 9days after admission. The right upper and middle lobes of the lung were resected due to continuous bleeding. A subsequent pregnancy was un-eventful. Coccidioidomycosis titers remained negative throughout the second pregnancy. Discussion This case demonstrates the potential for severe pulmonary coccidioidomycosis and vascular strain of pregnancy-associated vascular expansion in the first trimester of pregnancy and the possibility of a favorable pregnancy outcome in subsequent pregnancies after appropriate treatment. The route of feto-maternal transmission and placental lesions in coccidioidomycosis are discussed.

      PubDate: 2017-10-02T15:16:46Z
      DOI: 10.1016/j.crwh.2016.10.004
      Issue No: Vol. 12 (2017)
  • Complete molar pregnancy with transformation to choriocarcinoma of the
           liver: A case report

    • Authors: Danielle Eagan; Natashia Jeter
      Pages: 11 - 14
      Abstract: Publication date: October 2016
      Source:Case Reports in Women's Health, Volume 12
      Author(s): Danielle Eagan, Natashia Jeter
      Objective Highlight a complete molar pregnancy with possible complications and pertinent clinical information to aid doctors in recognizing the disease quickly to provide treatment to limit adverse outcomes. Context Complete molar pregnancy is rare and compromises 1:500–1:2000 pregnancies [1-4]. As technology has improved, the presentation of complete molar pregnancy has changed [1,5-6]. Summary A 19-year old African American female presented to the emergency room (ER) three times within 14days for abdominal pain. A pregnancy test was positive and on the third visit quantitative β-human chorionic gonadotropin (HCG) was elevated without signs of an intrauterine pregnancy (IUP). Dilation and curettage (D&C) was done with small perforation of the uterus. Pathology report indicated a complete molar pregnancy. The patient failed to follow-up and returned to ER 22days later where an abdominal mass was found prompting surgery. Hematomas and abdominal adhesions were removed and again pathology showed a complete molar pregnancy. Follow-up HCG levels failed to decrease appropriately so the patient was referred to oncology where metastatic choriocarcinoma of the liver was diagnosed. Chemotherapy was initiated and HCG monitored. Patient was readmitted for infections and complications, but did eventually have her HCG return to zero. Data sources Clinical Key, Purdue Library, and UpToDate were used to search for literature. Conclusion Prompt recognition of a complete mole may lead to a less extensive disease process. Presentation has recently changed so it is important to know signs. Patient compliance likely results in fewer complications and costs.

      PubDate: 2017-10-02T15:16:46Z
      DOI: 10.1016/j.crwh.2016.10.002
      Issue No: Vol. 12 (2017)
  • Intrapartal resection of the double cervix and longitudinal vaginal septum
           after hysteroscopic resection of the complete uterine septum, resulting in
           a term vaginal delivery: A case report

    • Authors: Ingrid Marton; Dubravko Habek; Matija Prka; Iva Marffy; Milan Pavlovic
      Pages: 1 - 4
      Abstract: Publication date: July 2016
      Source:Case Reports in Women's Health, Volume 11
      Author(s): Ingrid Marton, Dubravko Habek, Matija Prka, Iva Marffy, Milan Pavlovic
      Objective To report a rare uterine anomaly of a septate uterus, double cervix and double vagina in patient who conceived spontaneously and delivered vaginaly. Design Case report. Setting Department of Obstetrics and Gynecology, Zagreb University School of Medicine, Clinical Hospital “Sveti Duh”, Zagreb, Croatia. Patient(s) A 34-year-old nulligravida who underwent clinical, radiological, surgical and intrapartal workup. Intervention(s) Clinical examination and intrapartal surgical resection of vaginal septum followed by vaginal delivery. Main Outcome Measure(s) Description and treatment for a rare Müllerian anomaly and a subsequent literature search. Result(s) Successful intrapartal resection of longitudinal vaginal septum and double cervix followed by vaginal delivery without complication. Conclusion(s) Reconstructive surgical procedures may be considered for providing spontaneous pregnancies and intrapartal surgical technique could be taken into consideration in order to prevent unnecessary cesarean sections, upon strict estimation of the obstetrician.

      PubDate: 2017-10-02T15:16:46Z
      DOI: 10.1016/j.crwh.2016.08.001
      Issue No: Vol. 11 (2017)
  • Giant cystic degeneration of a uterine leiomyoma in a patient with
           autosomal dominant polycystic kidney disease

    • Authors: Katrin Arnolds; Emily Senderey; Michael L. Sprague; Rodolfo Blandon; Diane L. Carlson; Stephen Zimberg
      Pages: 1 - 3
      Abstract: Publication date: April 2016
      Source:Case Reports in Women's Health, Volume 10
      Author(s): Katrin Arnolds, Emily Senderey, Michael L. Sprague, Rodolfo Blandon, Diane L. Carlson, Stephen Zimberg
      Objective To report the management of a large uterine leiomyoma with diffuse cystic degeneration in a patient with autosomal dominant polycystic kidney disease (ADPKD). Design Case Report. Setting Cleveland Clinic Florida, Department of Gynecology, Section of Minimally Invasive Gynecologic surgery, Weston Florida. Patient(s) A 52-year old woman with ADPKD with a large abdominal mass, abnormal uterine bleeding and symptomatic anemia. Imaging revealed a giant intramural cystic lesion of the uterus compressing the inferior vena cava. Intervention(s) Uterine artery embolization and blood transfusion followed by a computed tomography guided cyst aspiration were performed on admission to alleviate anemia and abdominal pain and distension. Total laparoscopic hysterectomy with bilateral salpingectomy was performed in an outpatient setting. Main Outcome Measure(s) Management of large cystic degeneration of leiomyoma. Results Normal recovery from definitive surgery. Surgical pathology confirmed a benign, cystically dilated leiomyoma. Conclusion This case demonstrates the management of giant intramural cyst lesion of the uterus using a minimally invasive surgical approach, as opposed to emergency surgery via laparotomy. Capsule Large uterine leiomyoma with diffuse cystic degeneration in a patient with autosomal dominant polycystic kidney disease, in which step-wise treatments allows successful minimally invasive hysterectomy.

      PubDate: 2017-10-02T15:16:46Z
      DOI: 10.1016/j.crwh.2016.04.001
      Issue No: Vol. 10 (2017)
  • Vaginal evisceration as rare but a serious obstetric complication: A case

    • Authors: Anadeep Chandi; Shaveta Jain; Sakshi Yadav; Jaiprakash Gurawalia
      Pages: 4 - 6
      Abstract: Publication date: April 2016
      Source:Case Reports in Women's Health, Volume 10
      Author(s): Anadeep Chandi, Shaveta Jain, Sakshi Yadav, Jaiprakash Gurawalia
      Introduction Gut prolapse through vagina is rare complication with only few cases reported in the literature. This article highlights untrained professionals induced obstetrical trauma as a cause of vaginal evisceration leading to serious but preventable complications. Presentation of Case Case 1: A 27years old female, P2L0, had full term vaginal delivery of an IUD baby and presented 4days later with small bowel evisceration through posterior vaginal wall. Case 2: A 24years old female, P1A1 had underwent unsafe abortion and presented in shock, with small bowel evisceration through anterior uterine wall. Case 3: A 26years female, P2A1, underwent evacuation for incomplete abortion and presented with omental prolapse through anterior uterine wall. Discussion Obstetrical trauma with associated evisceration of intraabdominal contents is a potentially serious complication that requires surgical intervention. General awareness may decrease these unsafe practices and thus would have impact in reducing maternal morbidity and mortality.

      PubDate: 2017-10-02T15:16:46Z
      DOI: 10.1016/j.crwh.2016.05.001
      Issue No: Vol. 10 (2017)
  • Snake bite in third trimester of pregnancy with systemic envenomation and
           delivery of a live baby in a low resource setting: A case report

    • Authors: Adebayo A. Adewole; Osadolor A. Ugiagbe; Temitope G. Onile; Gabriel A. Joseph; Oluwamayowa D. Kassim; Patricia F. Medupin; Abiodun S. Adeniran
      Abstract: Publication date: Available online 16 October 2017
      Source:Case Reports in Women's Health
      Author(s): Adebayo A. Adewole, Osadolor A. Ugiagbe, Temitope G. Onile, Gabriel A. Joseph, Oluwamayowa D. Kassim, Patricia F. Medupin, Abiodun S. Adeniran
      Background Snake bite in the third trimester of pregnancy with late presentation, systemic envenomation; disseminated intravascular coagulopathy and delivery of a live neonate is uncommon in a low resource setting. Case We present a 22year old unbooked Gravida 3 Para 1+1 1alive lentiviral positive woman at 32weeks gestation with snake bite, leg swelling, vaginal bleeding and labour pains. At presentation, there were anemia, tachycardia, hypotension; a gravid uterus with a single fetus in longitudinal lie, cephalic presentation, regular fetal heart rate and cervical dilatation of 3cm. Preterm labour with antepartum hemorrhage due to venomous snake bite was diagnosed. Multidisciplinary management instituted led to the survival of both mother and baby. Conclusion In resource constrained setting, disseminated intravascular coagulopathy arising from systemic envenomation due to snake bite in pregnancy could be challenging. Obstetric outcome depends on the degree of envenomation, gestational age at presentation, timing, duration and quality of treatment.

      PubDate: 2017-10-16T21:29:21Z
      DOI: 10.1016/j.crwh.2017.10.001
  • Obstetric management of delayed-interval delivery

    • Authors: Maria Inês Raposo; Mariana Cardoso; Mariana Ormonde; Sarah Stokreef; Laura Correia; Andrea Pereira
      Abstract: Publication date: Available online 30 September 2017
      Source:Case Reports in Women's Health
      Author(s): Maria Inês Raposo, Mariana Cardoso, Mariana Ormonde, Sarah Stokreef, Laura Correia, Andrea Pereira
      The delayed-interval delivery is a rare, flexible and complex procedure. In light of these facts, there is no consensus on the best approach to achieve it successfully. This case report is of an asynchronous delivery, in a twin pregnancy, with a 32-day interval between births of siblings. Our obstetric management, at a critical gestational age, improved the outcome of the second newborn. The probability of success of delayed-interval delivery depends on the proper selection of the candidates, the appropriate active management and the continuous monitoring for early detection of complications.

      PubDate: 2017-10-02T15:16:46Z
      DOI: 10.1016/j.crwh.2017.09.002
  • Urinary ascites in late onset of bladder injury post laparoscopic

    • Authors: Josette C. Dawkins; Gregory K. Lewis; Benjamin Christensen; Morris Wortman
      Abstract: Publication date: Available online 22 September 2017
      Source:Case Reports in Women's Health
      Author(s): Josette C. Dawkins, Gregory K. Lewis, Benjamin Christensen, Morris Wortman
      Urinary tract injuries are unfortunate complications of pelvic surgery. With the increasing popularity of minimally invasive surgery, a thorough understanding of electrosurgical instrumentation and their thermal spread is important to reduce patient injuries. The index patient was a 50year old woman who underwent a supracervical hysterectomy 5years prior to her presentation with pelvic pain and dysuria. When her symptoms failed to improve despite antibiotic and analgesic therapy, an abdominal CT scan revealed an ovarian cyst and ascites. A subsequent laparoscopy disclosed the presence of a bladder fistula and a diagnosis of urinary ascites was made. The patient then underwent a subsequent bladder fistula repair. Vesico-peritoneal fistulae (VPF) are rare and should be included in the differential diagnosis of the patient with acute onset ascites following gynecologic surgery. This case is the first case report of a VPF occurring 5years following surgery.

      PubDate: 2017-09-26T09:16:02Z
      DOI: 10.1016/j.crwh.2017.09.001
  • Publication of medical case reports and consent

    • Authors: Margaret Rees; Stephen L. Corson
      Abstract: Publication date: Available online 26 July 2017
      Source:Case Reports in Women's Health
      Author(s): Margaret Rees, Stephen L. Corson

      PubDate: 2017-08-04T11:20:13Z
      DOI: 10.1016/j.crwh.2017.07.002
  • Hereditary leiomyomatosis and renal cell cancer: Cutaneous lesions
           &amp; atypical fibroids

    • Authors: Pietro Bortoletto; Jennifer L. Lindsey; Liping Yuan; Bradley J. Quade; Antonio R. Gargiulo; Cynthia C. Morton; Elizabeth A. Stewart; Raymond M. Anchan
      Abstract: Publication date: Available online 23 June 2017
      Source:Case Reports in Women's Health
      Author(s): Pietro Bortoletto, Jennifer L. Lindsey, Liping Yuan, Bradley J. Quade, Antonio R. Gargiulo, Cynthia C. Morton, Elizabeth A. Stewart, Raymond M. Anchan
      Objective To report a diagnosis of hereditary leiomyomatosis and renal cell cancer (HLRCC) syndrome following initial presentation with multiple cutaneous lesions. Design Case report. Design classification N/A. Setting Academic tertiary care center. Patient(s) 27-year-old nulligravid woman who presented with multiple red-brown lesions on her skin found to have cutaneous and uterine leiomyoma. Intervention(s) Biopsy of cutaneous lesions and fertility sparing robot-assisted laparoscopic myomectomy (RALM). Main outcome measures(s) Histological assessment of uterine leiomyoma. Results(s) Pathologic examination of uterine leiomyoma revealed diffuse atypia and fumarate hydratase loss phenotype concerning for genetic syndrome. Follow-up DNA sequencing via Sanger sequencing confirmed a pathogenetic R2333H mutation consistent with HLRCC. Conclusion(s) Consideration of HLRCC on differential diagnosis when patients present with cutaneous nodules and atypical or early onset uterine leiomyoma provides opportunity for early surveillance, family member testing, and more thoughtful surgical planning. Precis 27-year-old woman with multiple cutaneous lesions is found to have uterine leiomyomas and undergoes robotic myomectomy. Genetic testing of uterine leiomyomas reveals mutation in fumarate hydratase, etiologic in hereditary leiomyomatosis and renal cell cancer (HLRCC).

      PubDate: 2017-06-29T04:58:05Z
      DOI: 10.1016/j.crwh.2017.06.004
  • Myrrh for treatment of severe vulvar edema in ovarian hyperstimulation

    • Authors: Ayah Hijazi; Dania Al-Jaroudi
      Abstract: Publication date: Available online 15 June 2017
      Source:Case Reports in Women's Health
      Author(s): Ayah Hijazi, Dania Al-Jaroudi
      Background Severe vulvar edema is a rare entity occurring with ovarian hyperstimulation syndrome. This edema can be incapacitating; causing pain and limited patient mobility. With the usual conservative approach, vulvar edema can take several days to resolve. Aim The aim of this case report is to describe the use of local myrrh for the management of severe vulvar edema associated with ovarian hyperstimulation syndrome. Case Presentation 29-year-old female with severe vulvar edema associated with ovarian hyperstimulation syndrome. Conclusion Local myrrh application for severe vulvar edema in ovarian hyperstimulation syndrome resulted in substantial improvement, and with further studies, myrrh could be used as an option for the management of vulvar edema.

      PubDate: 2017-06-21T03:35:08Z
      DOI: 10.1016/j.crwh.2017.06.002
  • Intracavitary deposits on Essure® hysteroscopic sterilization
           devices: A case report

    • Authors: L.W. Maassen; D.M. van Gastel; E.G.W.M. Lentjes; M.Y. Bongers; S. Veersema
      Abstract: Publication date: Available online 13 June 2017
      Source:Case Reports in Women's Health
      Author(s): L.W. Maassen, D.M. van Gastel, E.G.W.M. Lentjes, M.Y. Bongers, S. Veersema
      Objective To study the composition of intracavitary deposits on Essure® hysteroscopic sterilization devices. Design Case report. Setting Reproductive Medicine and Gynecology department of a University Hospital. Patient(s) A 39years old patient presenting with a request for surgical removal of Essure® sterilization devices. Diagnostic hysteroscopy showed a crystal like white deposit attached to one of the devices. Intervention Diagnostic hysteroscopy and surgical removal of Essure® devices was performed. The deposits were collected and infrared spectroscopy analysis was performed. Main Outcome Measure Chemical composition of the deposits attached to the device. Result(s) Infrared spectroscopy of the material showed patterns conclusive with calcite (calcium carbonate, CaCO3). Conclusion Until now, it is not clear if there is a relationship between reported complaints and formation of calcite deposits on Essure®. Capsule Infrared spectroscopy of deposits on Essure® devices showed a pattern conclusive with calcite. The relationship between reported complaints and the formation of calcite deposits on Essure® remains unclear.

      PubDate: 2017-06-15T02:16:07Z
      DOI: 10.1016/j.crwh.2017.06.003
  • Fetal primary hydrothorax with spontaneous resolution

    • Authors: Vera Trocado; J.P. Coutinho-Borges; Mariana Carlos-Alves; Joaquim Marinho Santos; Paula Pinheiro
      Abstract: Publication date: Available online 10 June 2017
      Source:Case Reports in Women's Health
      Author(s): Vera Trocado, J.P. Coutinho-Borges, Mariana Carlos-Alves, Joaquim Marinho Santos, Paula Pinheiro
      Fetal primary hydrothorax is a rare congenital anomaly with an estimated incidence of 1:10.000–15.000 pregnancies, with an unpredictable clinical course, ranging from spontaneous resolution to fetal death. We present a case of a unilateral fetal pleural effusion identified at 35th gestational week. A 37year-old woman (G2P1) presented to our routine term pregnancy evaluation. The pregnancy had been otherwise uneventful. At ecographic evaluation a large anechogenic fluid collection was identified in the right fetal hemithorax, with atelectasis of right lung, displacing the heart and mediastinal structures to the contralateral hemithorax. Hydramnios was also identified. No other structural abnormalities were detected, as no signs of hydrops. Fetal biometry was compatible with gestational age. Fetal ecochardiogram was structurally and functionally normal. Doppler evaluation of the peak systolic velocity in the middle cerebral artery was normal. Screening for congenital infections was negative. Complete blood cell count, blood type and antibody screening rulled-out immune hydrops. Karyotype analysis was not performed as family decision. Serial ecographic re-evaluations showed a progressive volume decrease and at the 38th week there was total resolution of the effusion. A C-section was performed at the 39th week. A live female infant was born weighing 3205g, with no need of ventilatory support. One year post-partum follow-up evaluation confirmed the child was healthy. Spontaneous regression has been reported to occur in 9–22% of primary fetal hydrothoraxes, but the features predicting a better prognosis remain difficult to define. Unilateral effusion, spontaneous resolution and absence of hydrops at the age of diagnosis seem to be indicators of better outcome.

      PubDate: 2017-06-11T01:35:24Z
      DOI: 10.1016/j.crwh.2017.06.001
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