1/5. Intermenstrual bleeding secondary to cesarean scar diverticuli: report of three cases.BACKGROUND: The differential diagnosis of intermenstrual bleeding includes structural lesions of the endometrium and cervix. CASES: Discrete diverticuli were noted in the endocervical canals of three women presenting with histories of multiple cesareans and chief complaints of intermenstrual bleeding. On ultrasound, diverticuli were diagnosed as cavities filled with heterogeneous material consistent with blood. In one case, the diverticulum was also visualized on hysterosalpingogram. hysterectomy specimens in two cases showed diverticuli lined with fibrous tissue in previous uterine scars; in one case, this also contained endometrium. CONCLUSION: Uterine scar diverticuli may cause intermenstrual bleeding in women with previous cesareans. When performing ultrasound in this clinical setting, physicians should look for these defects.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/5. Cyclical haematuria sequel to uterine myomectomy: a case report.A thirty-year old married nulliparous lady had a difficult myomectomy done by a general practitioner one year prior to presentation. Two months after the operation, she had her menstruation, but with a concurrent total, painless haematuria. This combination continued for nine months before her family physician referred her to the urological clinic. Full urological work-up revealed an iatrogenic vesico-uterine fistula, but the features were not consistent with those of the classical vesico-uterine fistula syndrome. Transabdominal fistulectomy not only controlled the haematuria but also helped the patient to achieve a viable pregnancy.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
3/5. An unusual cause of abdominal pain and shock in pregnancy: case report and review of the literature.A near fatal case of spontaneous uterine rupture resulting from placenta percreta is presented. placenta accreta refers to all conditions in which placental villi attach to, invade, or penetrate the myometrium. Placenta percreta is the most extreme form of morbid placental attachment and is said to exist when the uterine wall is completely breached by invading placental villi. Although uncommon, placenta percreta is an important entity of which the emergency physician should be aware because of its propensity to cause uterine rupture and catastrophic bleeding. This article reviews the pathophysiology, presentation, diagnosis, and emergency department management of placenta accreta, increta, and percreta.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
4/5. Hydrometrocolpos in Kaufman syndrome.A newborn infant presented with a large abdominal mass, urinary retention and postaxial polyaxial polydactyly. On the basis of intial information from the attending physician, this was at first thought to be a grossly distended bladder, whereas in fact it was a hydrocolpos. The association of hydrometrocolos and postaxial polydactyly is known as Kaufman syndrome.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
5/5. Postpartum pain due to thrombosed varicose veins of the round ligament of the uterus.Postpartum thrombosis of varicose veins of the round ligament may present in a clinical picture similar to an irreducible inguinal hernia. Two such unusual cases are reported. One patient underwent surgery while the other, with a presumptive diagnosis of the same condition, was observed, with no complications occurring in both patients. This condition has not to my knowledge been previously reported. The increased incidence of both varicose veins and thrombosis in the postpartum period should alert the physician to the diagnosis of such conditions.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |