| ureteral obstruction and hydronephrosis are rare complications of pelvic inflammatory disease. A woman developed severe unilateral urinary tract obstruction caused by a tuboovarian abscess, requiring ureteral stent placement. ( info) |
| mumps virus was isolated from the cervico-vaginal secretions of a 31-year-old woman presenting with mild signs of oophoritis accompanied by xantholeucorrhoea. The serological finding of mumps-specific IgM antibodies was further evidence confirming the casual link between mumps virus and ovarian pathology. Rarely, ovarian involvement may be the only manifestation of mumps infection. The importance of this diagnosis and its relationship to the possible development of secondary oligomenorrhoea and early menopause is discussed. ( info) |
23/44. actinomycosis involving the liver. Computed tomography/ultrasound correlation. ( info) |
24/44. gonadal dysgenesis variants in sisters: a hitherto undescribed combination. The term "gonadal dysgenesis" covers a wide spectrum. This case report concerns two sisters with secondary amenorrhea who underwent systematic investigations, including karyotype analysis, tests for serum gonadotropins and laparoscopic gonadal biopsy. The diagnosis in each revealed a combination hitherto underscribed. ( info) |
25/44. Autoimmune oophoritis: a histopathologic study of involved ovaries with immunologic characterization of the mononuclear cell infiltrate. The ovaries from a patient with autoimmune oophoritis and premature ovarian failure were extensively evaluated by light microscopy and immunohistochemistry. A marked infiltrate of plasma cells and lymphocytes affected developing, cystic and atretic follicles but spared primordial follicles. Immunotyping of the ovarian mononuclear cell infiltrate revealed a mixture of B cells (including plasma cells) and T cells (both T4 and T8 ), as well as numerous macrophages and a few natural killer cells. These findings suggest that a complex immune process with an interplay of humoral and cellular mechanisms is involved in the pathogenesis of autoimmune oophoritis. ( info) |
26/44. Persistent progesterone production associated with autoimmune oophoritis. A case report. A woman with autoimmune oophoritis was found to have luteal phase progesterone levels throughout a six-month period of amenorrhea. The common presentation of amenorrhea or metrorrhagia, despite the presence of a corpus luteum, in women with autoimmune oophoritis might result from this chronic progesterone production. A clinical picture consistent with a persistent corpus luteum may be a very early sign of autoimmune oophoritis. ( info) |
| A previously healthy nulliparous caucasian female presented with lower abdominal pain and a history of diarrhoea and vomiting for 2 weeks. Repeated stool examinations and blood culture were negative. A lump in the lower abdomen became more apparent over the next 2 weeks and a subsequent laparotomy revealed bilateral tubo-ovarian abscess formation. One ovary which was endometriotic and both the tubes were excised and the pus yielded a heavy growth of salmonella stanley. ( info) |
28/44. Lymphocyte dysfunction in autoimmune oophoritis. Resumption of menses with corticosteroids. In a 32-year-old woman with secondary amenorrhea and biopsy-proven oophoritis, the circulating T lymphocytes were examined utilizing monoclonal antibody L243 to the nonpolymorphic region of the Ia antigen. The percentage of peripheral T cells expressing the Ia "immune-associated' antigen was 5.6 percent (normal 3 percent or less). With corticosteroid therapy, the percentage decreased to 2 percent and menses resumed after secondary amenorrhea of two years' duration. Following cessation of steroid administration, the percentage of Ia-positive T cells rose to 7.0 percent and secondary amenorrhea redeveloped in the patient. After corticosteroid therapy was reinstituted, menses resumed and the percentage of Ia-positive T cells fell to normal. This report represents additional new evidence of immune dysfunction in patients with "autoimmune" oophoritis. ( info) |
29/44. Postmenopausal tubo-ovarian abscess. Tubo-ovarian abscess in postmenopausal women is a distinct and rare entity. The disease is usually diagnosed on the operating table and its high rate of postoperative complications and mortality commands special attention. By presenting our experience with four cases of tubo-ovarian abscess in postmenopausal women, we would like to re-emphasize the importance of including this disease in the differential diagnosis of the surgeon and the gynecologist. Early laparotomy is essential to reduce morbidity and mortality. ( info) |
30/44. Oxyuris granulomas of pelvic peritoneum and appendicular wall. Infestation with enterobius (Oxyuris) vermicularis is very common but seldom produces lesions and even more rarely causes granulomas. Two cases of oxyuris granulomas/nodules), one in the serosa of ovaries and left fallopian tube in a female of 32-years and the other in the submucosa of the appendix in a 10-year old girl are identified by the presence of true necrotizing granulomas containing the parasite. The pathogenesis and differential diagnosis of abdominal granulomas is discussed. ( info) |