1/26. hernia uterus inguinale in a 46,XX female. A case report.BACKGROUND: hernia uterus inguinale, a rare congenital anomaly, is usually found in hermophrodites. CASE: A case of lateral fusion defect associated with mullerian duct development in a young woman with primary amenorrhea and normal karyotype occurred. In our patient, bilateral mullerian duct systems were rudimentary and failed to fuse in the midline. The left horn of the uterus and ipsilateral ovary lay in the left inguinal canal. The right horn of the uterus, along with the tube and ovary, was intraabdominal. CONCLUSION: In the operative management of this rare anomaly, care must be taken to preserve and reposition the ovary in the abdominal cavity.- - - - - - - - - - ranking = 1keywords = tube (Clic here for more details about this article) |
2/26. Torsion of the pregnant uterus.A 31-year-old woman, with a history of previous cesarean section and right oophorectomy, was admitted for a repeat cesarean section. After the commencement of surgery uterine torsion was diagnosed because of the anterior position of the remaining left ovary and tube, the absence of normal uterovesical peritoneum, and extremely engorged vessels in the lower uterine surface. Posterior classical hysterotomy was performed and a healthy female baby was delivered. Following delivery of the baby and suturing the incision site of the uterus, the contracted uterus was detorted and put back in the pelvic cavity. Extreme uterine torsion of 180 degrees at term is a rare obstetric event. This paper presents a case of uterine torsion at full term pregnancy in which the delivery and repositioning of the uterus was successful.- - - - - - - - - - ranking = 1keywords = tube (Clic here for more details about this article) |
3/26. Cutaneous tuberculosis of the penis and sexual transmission of tuberculosis confirmed by molecular typing.A case of culture-positive primary cutaneous mycobacterium tuberculosis infection of the penis was diagnosed in a male patient; 1 year later, endometrial tuberculosis was diagnosed in the patient's wife. These organisms were confirmed to be indistinguishable by use of molecular techniques.- - - - - - - - - - ranking = 10keywords = tube (Clic here for more details about this article) |
4/26. Genital tuberculosis in a menopausal woman. A case report.We have analysed the role played by genital tuberculosis (TBC) in italy today, and in particular in L'Aquila, in the light of a worrying recrudescence. We report the case of a 64-year-old patient, in menopause for the past 11 years or so, referred to the gynecology and obstetrics Clinic of the University of L'Aquila, with an anamnesis of menometrorrhagia since the age of 55. The patient was studied from a gynecological and internist profile including the following procedures: gynecological examination and pap-test, colposcopy, transvaginal scan, chest X-ray, abdominal and pelvic CAT, laboratory tests and Mantoux reaction. The uterus was found to be fibromatous during the gynecological examination and scan, whereas colposcopy revealed a small ectropion and the presence of very adherent yellowish mucus. The Mantoux test was positive. CAT showed cicatricial sequelae in the pulmonary parenchyma. It was decided to perform curettage, but this was prevented by the presence of pyometra. The patient was treated with specific chemotherapy and then underwent total laparohysterectomy with bilateral adnexectomy. The histological findings confirmed genital TBC. Genital TBC is now undergoing a worrying recrudescence. We need to have a full knowledge of the pathology, the diagnostic means with which to discover it and the correct therapeutic instruments to overcome it.- - - - - - - - - - ranking = 5keywords = tube (Clic here for more details about this article) |
5/26. Hydatid of morgagni with torsion diagnosed during cesarean delivery. A case report.BACKGROUND: Hydatids of Morgagni are benign, pedunculated, cystic structures arising from mullerian vestiges below the fallopian tube near the fimbria. They usually are of no clinical significance unless the pedicle becomes twisted and infarction occurs. CASE: A 39-year-old primigravida at 41 weeks and 5 days' gestation underwent primary cesarean delivery for macrosomia and failure to descend during labor. A 4 x 3-cm hydatid of Morgagni with torsion of the pedicle was found on the left fallopian tube. ligation of the pedicle and excision of the infarcted cyst were performed. histology of the specimen demonstrated cuboidal epithelium with extensive hemorrhage and necrosis, consistent with an infarcted hydatid of Morgagni. All pain and symptoms experienced by the patient during the previous day were associated with the onset of labor. No specific left lower quadrant pain was reported. CONCLUSION: Hydatids of Morgagni are common findings at pelvic surgery and usually of no clinical significance. Torsion of a hydatid of Morgagni is rarely reported and most likely is a rare occurrence. In this patient, torsion of the hydatid of Morgagni was possibly pregnancy related, and symptoms associated with torsion were probably masked by labor pain.- - - - - - - - - - ranking = 334.48233127101keywords = fallopian tube, tube (Clic here for more details about this article) |
6/26. cytodiagnosis for pelvic tuberculosis.A 25 yr old married woman with complaints of lower abdominal pain for 2 months, was found to have a irregular nontender mass in pelvis, adherent to uterus. Her Papanicolaou smear was inflammatory. To confirm the diagnosis of either ovarian malignancy or pelvic tuberculosis made on the basis of observations during exploratory laparotomy, ovarian biopsy was taken. The imprint cytodiagnosis was tuberculosis. The patient was then managed surgically and the previous diagnosis was reconfirmed by histopathology. Imprint cytodiagnosis appears to be a valuable technique whenever facilities for frozen section are not available.- - - - - - - - - - ranking = 6keywords = tube (Clic here for more details about this article) |
7/26. Benign mullerian type cyst of the uterus in a perimenopausal woman.A perimenopausal patient presented with a history of irregular vaginal bleeding. Clinical examination revealed lower abdominal mass, and the pre operative diagnosis was an ovarian cyst. At laparotomy the ovaries and tubes were normal, and the cyst was anatomically attached to the uterus with a short pedicle. There was no obvious sign of malignancy at laparotomy. The histopathology of the cyst was a benign Mullerian type cyst. Bilateral tubal ligation performed at the same time revealed normal fallopian tubes. The patient was followed up 6 weeks and 6 months later, and she remains symptom free. The unusual anatomical location of the cyst is discussed.- - - - - - - - - - ranking = 168.2411656355keywords = fallopian tube, tube (Clic here for more details about this article) |
8/26. Endometrial and pulmonary sarcoidosis.A 33 year old woman with irregular menses due to endometrial sarcoidosis and a family history of sarcoidosis is described. Its relative increase in importance in the wake of the decline in the incidence of genital tract tuberculosis in ireland is discussed.- - - - - - - - - - ranking = 1keywords = tube (Clic here for more details about this article) |
9/26. Preoperative diagnosis of colouterine fistula secondary to diverticulitis by sonohysterography with contrast medium.Colouterine fistulae secondary to sigmoid diverticulitis are unusual. methods for diagnosis remain to be established. We report a case with a colouterine fistula in which sonohysterography detected the flow of ultrasound contrast medium between the uterine cavity and the sigmoid colon through the posterior uterine wall, thus confirming the diagnosis. The diagnosis was further substantiated by a charcoal challenge test. The patient underwent en bloc resection of the uterus, fallopian tubes, ovaries and sigmoid colon, the organs involved with diverticulitis. This is the first report to describe a colouterine fistula successfully diagnosed by sonohysterography using ultrasound contrast medium.- - - - - - - - - - ranking = 1keywords = tube (Clic here for more details about this article) |
10/26. Endometrial tuberculosis acquired by a health care worker in a clinical laboratory.I describe a case of endometrial tuberculosis acquired by a microbiologist while she was working in a clinical laboratory. Granulomatous endometritis was found, and mycobacterium tuberculosis was isolated. Respiratory tract exposure from a faulty exhaust hood is the likely source of infection. Endometrial tuberculosis and laboratory-acquired infections are briefly discussed.- - - - - - - - - - ranking = 7keywords = tube (Clic here for more details about this article) |
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