1/10. Extramedullary hematopoiesis in the endometrium.Extramedullary hematopoiesis (EMH) in the endometrium is an extremely rare occurrence. Four of the eight previously reported cases were related to an underlying hematological disorder, although the remainder had no such relationship. We describe a case of endometrial EMH associated with retained products of conception after termination of pregnancy. Routinely and immunohistochemically stained slides revealed several collections of normoblasts and granulocytic precursors in the endometrium with synchronous chronic endometritis. Retained chorionic villi were also identified. The patient had no known history of a hematological disorder or systemic disease and no such abnormality was detected after detailed hematological work-up. Local effects of growth factors on circulating stem cells may play a pathogenetic role in this process, although an association with recent pregnancy in this case suggests that implantation of fetal hematopoietic elements from the fetus or yolk sac may be more likely.- - - - - - - - - - ranking = 1keywords = pregnancy (Clic here for more details about this article) |
2/10. Acute fatty liver of pregnancy.Acute fatty liver of pregnancy can produce a great variety of complications. Of these, infections are important. We describe two cases, one of them complicated with uterine sepsis. Both gave evidence of the necessity for multidisciplinary treatment, which reduces the maternal-fetal morbidity and mortality produced by this disease.- - - - - - - - - - ranking = 2.5keywords = pregnancy (Clic here for more details about this article) |
3/10. cytomegalovirus endometritis: report of a case associated with spontaneous abortion.Maternal cytomegalovirus infection is a relatively common, yet very often silent complication of pregnancy. The association between early gestational wastage and cytomegalovirus endometritis has been documented in recent tissue culture studies without the morphologic demonstration of the virus. This case study presents the clinical and pathologic findings of a young, secundigravida female with cytomegalovirus endometritis and spontaneous abortion. The intranuclear inclusions were restricted to the endometrial glands; Involvement of the endocervix by cytomegalovirus has been the only site in the female reproductive tract, excluding fetal tissues, affected by this virus which has been demonstrated histologically. The data are still incomplete regarding the etiologic role, if any, of cytomegalovirus and the occurrence of spontaneous abortion.- - - - - - - - - - ranking = 1.0103328038446keywords = gestation, pregnancy (Clic here for more details about this article) |
4/10. Successful pregnancy outcome after therapy for a mullerian anomaly with concomitant sex chromosomal mosaicism. A case report.Recurrent abortion associated with both a chromosomal abnormality and a mullerian anomaly has been reported previously only once. A 31-year-old woman was referred for secondary habitual abortion and found to have sex chromosome mosaicism, subseptate uterus and chronic endometritis. Following hysteroscopic resection of the subseptum and antibiotic therapy for the endometritis, a term pregnancy ensued. Complete evaluation and treatment of all correctable etiologies of recurrent pregnancy loss are essential in such cases.- - - - - - - - - - ranking = 3keywords = pregnancy (Clic here for more details about this article) |
5/10. Early successful pregnancy following tuberculous endometritis.Successful pregnancy following proven endometrial tuberculosis is rare. Such a case is reported where conception occurred within three months of finishing treatment. It is suggested that rifampin may offer a better prospect of subsequent fertility than other chemotherapuetic agents.- - - - - - - - - - ranking = 2.5keywords = pregnancy (Clic here for more details about this article) |
6/10. Maternal sepsis, uterine rupture and coagulopathy complicating cervical cerclage.A previously healthy woman with a Shirodkar cerclage for cervical incompetence had a spontaneous rupture of the membranes at the 37th week of pregnancy. Three days later after a short period of weak labor pains, she developed a severe sepsis, uterine rupture and coagulopathy leading to renal failure, beta-hemolytic streptococcus group B and peptostreptococcous could be cultured from the amniotic fluid immediately after rupture of the membranes and from the uterus and placenta.- - - - - - - - - - ranking = 0.5keywords = pregnancy (Clic here for more details about this article) |
7/10. Arias-Stella reaction with prominent nuclear pseudoinclusions simulating herpetic endometritis.We studied a pronounced Arias-Stella reaction in an incomplete abortion curettage specimen; the gestational age was 8 weeks by size. The majority of cells in this reaction showed ground glass, eosinophilic nuclear "inclusions" simulating herpetic Cowdry type B nuclear inclusions. This was coupled with a history of herpetic stomatitis of the patient and her husband 2 weeks prior to the curettage, raising the question of viremia and transplacental herpetic endometrial infection. Immunoperoxidase staining using the PAP technique directed against herpes simplex virus types 1 and 2 was negative. Ultrastructural analysis elucidated the true nature of the nuclear "inclusions" as pseudonuclear inclusions consisting of invaginations of cytoplasm within the nuclei. Viral particles were not found. We are unaware of any similar report, and present this case to suggest the possible differential diagnosis between herpetic endometritis with associated cytologic atypia and the Arias-Stella reaction.- - - - - - - - - - ranking = 0.51033280384462keywords = gestation (Clic here for more details about this article) |
8/10. Herpetic endometritis after pregnancy.A case of endometrial herpex simplex virus infection with severe uterine post-partum bleeding is reported. Histopathologic analysis of curettage samples revealed endometrial necrosis and diffuse herpes-type nuclear inclusions in the glandular epithelial cells. immunohistochemistry, in situ hybridisation, and electron microscopy confirmed the diagnosis.- - - - - - - - - - ranking = 2keywords = pregnancy (Clic here for more details about this article) |
9/10. Syphilitic endometritis causing first trimester abortion: a potential infectious cause of fetal morbidity in early gestation.This report describes a 30-year-old woman with a history of prostitution and "crack" cocaine use during pregnancy. After an incomplete abortion at 11 weeks' gestation, a suction dilatation and curettage of uterine contents was done. Histopathologic examination revealed lymphoplasmacytic deciduitis and decidual necrosis, as well as rare first trimester chorionic villi. silver staining using the Steiner technique showed numerous spirochetes, morphologically consistent with treponema pallidum, in the decidualized endometrial tissues. This case of syphilitic endometritis, which appears to be the first reported, suggests that treponemal infection can cause fetal morbidity during early gestation.- - - - - - - - - - ranking = 3.5619968230677keywords = gestation, pregnancy (Clic here for more details about this article) |
10/10. Postpartal endomyometritis in a case of unknown tertian malaria.A 28-year-old woman developed puerperal endomyometritis and tertian malaria simultaneously. She delivered her child by vacuum extraction during week 41 of pregnancy in September 1994. The peripartal period was uneventful. Nine days post partum the patient was readmitted to hospital with fever and pain in the area of the episiotomy. On day 13 post partum a hysterectomy was performed because of suspected abscess-forming endomyometritis. Two days after the hysterectomy the patient developed septic temperatures, which persisted for 10 days. Tertian malaria due to plasmodium vivax was found to be the cause of fever. The patient had been in indonesia without anti-malarial prophylaxis in 1991. Two years later she travelled to ghana, having taken mefloquine as prophylaxis. malaria was obviously caused by reactivated hypnozoites in the liver, although the patient had never had an episode of fever associated with malaria before. This case proves that tertian malaria may "recur" even without previous manifestation, years after a stay in a region endemic for malaria.- - - - - - - - - - ranking = 0.5keywords = pregnancy (Clic here for more details about this article) |
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