- Non-malignant Sequelae Following Unconfined Power Morcellation,,✰✰✰,✰✰✰✰,✰✰✰✰✰. [Journal Article]
- JMJ Minim Invasive Gynecol 2018 May 18
- CONCLUSIONS: Morcellation of non-malignant tissue is not without consequence. Pathology confirmed endometriosis was documented for the first time in 20.4% of patients who underwent a second surgery. This finding raises the suspicion that morcellation and dispersion of the uterine specimen may be associated in the development of endometriosis.
- The impact of concurrent pelvic organ prolapse reconstructive surgery on midurethral sling procedure outcome. [Journal Article]
- GPGinekol Pol 2018; 89(4):190-195
- CONCLUSIONS: Concurrent POP reconstructive surgery including anterior colporrhaphy, posterior colporrhaphy and vaginal hysterectomy have no affect MUS procedure outcomes.
- Successfully removed uterine angioleiomyoma by robot-assisted laparoscopic myomectomy. [Journal Article]
- OGObstet Gynecol Sci 2018; 61(3):425-429
- Angioleiomyoma is a rare type of leiomyoma variant and there are a few cases reported to date. Herein, we present a case of angioleiomyoma in a 36-year-old woman with lower abdominal pain, initially ...
Angioleiomyoma is a rare type of leiomyoma variant and there are a few cases reported to date. Herein, we present a case of angioleiomyoma in a 36-year-old woman with lower abdominal pain, initially diagnosed by degenerated uterine leiomyoma. The transvaginal ultrasonogram showed an ovoid-shaped heterogeneously hyperechoic lesion in left cornual site of uterus and pelvic magnetic resonance image showed an about 5.1 cm sized heterogenous T2 intermediate high mass with poor enhancement. The patient underwent a robot-assisted laparoscopic myomectomy, and final histopathologic diagnosis revealed uterine angioleiomyoma. This case is the first case of angioleiomyoma resected by robotic surgery. The patient is on follow up for over 1 year and shows no evidence of recurrence until now.
- [A Case of Seminal Vesicle Cyst Incidentally Diagnosed during Rupture of Abdominal Subcutaneous Abscess]. [Journal Article]
- HKHinyokika Kiyo 2018; 64(4):193-195
- Seminal vesicle cyst is a rare disease and is often asymptomatic. We present a case of huge seminal vesicle cyst connected to the abdominal wall and observed as a subcutaneous abscess. An 89-year-old...
Seminal vesicle cyst is a rare disease and is often asymptomatic. We present a case of huge seminal vesicle cyst connected to the abdominal wall and observed as a subcutaneous abscess. An 89-year-old man presented with asymptomatic spontaneous rupture of the left lower abdominal subcutaneous abscess. Computed tomography (CT) showed a relatively low intensity cystic mass located in the Retzius' space just below the abscess, surrounding the right bladder wall laterally and connecting to the right seminal vesicle posteriorly. Biopsy of the skin around the subcutaneous abscess and aspiration biopsy of the pelvic cystic fluid showed no evidence of malignancy. We diagnosed the lesion as a seminal vesicle cyst with bacterial infection. The patient was treated with antibiotics and there has been no relapse.
- [A Case of Renal Pelvic Cancer with Acquired Hemophilia and Leukemoid Reaction]. [Journal Article]
- HKHinyokika Kiyo 2018; 64(4):151-155
- A 71-year-old man was referred to us with a right renal mass that was discovered by computed tomography (CT) examination for acquired hemophilia and leukemoid reaction. He presented with persistent l...
A 71-year-old man was referred to us with a right renal mass that was discovered by computed tomography (CT) examination for acquired hemophilia and leukemoid reaction. He presented with persistent low-grade fever and purpura on the lower legs caused by acquired hemophilia. Contrastenhanced CT scan showed a right renal tumor 6.0×7.4 cm in diameterwith inhomogeneous enhancement. The result of his urine cytology was negative. After improvement of his coagulation by treatment with immunosuppressants and steroids, he underwent open nephrectomy. Histology of renal tissue revealed urothelial carcinoma (G3, pT4, N1). After surgery, his complete blood counts and coagulation improved without administration of immunosuppressants and steroids. Therefore, he was diagnosed with renal pelvic cancer with acquired hemophilia and leukemoid reaction.
- A Case of Thoracic Endometriosis Syndrome Presenting with Recurrent Catamenial Pneumothorax. [Journal Article]
- AJAm J Case Rep 2018 May 17; 19:573-576
- CONCLUSIONS: Thoracic endometriosis resulting in catamenial pneumothorax should be suspected in young women of child-bearing age. Treatment options still under debate include endoscopic resection and videothoracoscopic pleurodesis followed by gonadotrophin-releasing hormone (GnRH) therapy to reduce the rate of postoperative recurrence.
- Inflammatory myofibroblastic tumour: an unusual presentation including small bowel obstruction and palpable abdominal mass. [Journal Article]
- BCBMJ Case Rep 2018 May 15; 2018
- A 41-year-old man with no medical history presented with 2 weeks of nausea, vomiting, a new palpable abdominal mass, constipation and a 14kgweight loss. On admission, CT abdomen and pelvis demonstrat...
A 41-year-old man with no medical history presented with 2 weeks of nausea, vomiting, a new palpable abdominal mass, constipation and a 14kgweight loss. On admission, CT abdomen and pelvis demonstrated a 6.9×3.7 cm soft-tissue abdominal mass deep to and invading the lower anterior abdominal wall with tethering of the urinary bladder and potential involvement of the urachus. Subsequently, a biopsy demonstrated a low-grade spindle cell neoplasm compatible with inflammatory myofibroblastic tumour with immunostain positive for smooth muscle actin and desmin and negative for CD21, CD117, DOG-1, TKE-1, mdm2, CD34 and ALK. One week following admission, he underwent en bloc excision of the mass including abdominal wall (umbilicus, portions of rectus sheath and muscle), bladder dome, right colon and a segment of small bowel. Final pathology of the mass confirmed an inflammatory myofibroblastic tumour, and his postoperative course was uneventful.
- Acute blindness as a presenting sign of childhood endemic Burkitt's lymphoma in Cameroon: a case report. [Journal Article]
- JMJ Med Case Rep 2018 May 16; 12(1):129
- CONCLUSIONS: Acute blindness can be the presenting sign of Burkitt's lymphoma in a patient with neither jaw nor maxillary swelling. Primary healthcare providers in low income settings require a high index of suspicion when faced with such atypical presentations. This emphasizes the need for thorough physical examination, and when possible, the clinical utility of ultrasonography for suspicious abdominal masses in the absence of state-of the art diagnostic tools for early diagnosis and treatment, which is critical for survival and to improve quality of life.
- Peptidomic Analysis of Endometrial Tissue from Patients with Ovarian Endometriosis. [Journal Article]
- CPCell Physiol Biochem 2018 May 09; 47(1):107-118
- CONCLUSIONS: PDFV and its precursor protein VCAM-1 may be involved in the process of OvE formation by reducing the expression of E-cadherin. The peptidomics analysis provides new insight for future studies of the mechanisms of OvE development.
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- Nesting environment may drive variation in eggshell structure and egg characteristics in the Testudinata. [Journal Article]
- JEJ Exp Zool A Ecol Integr Physiol 2018 May 14
- Testudines exhibit considerable variation in the degree of eggshell calcification, which affects eggshell conductance, water physiology of the embryos, and calcium metabolism of embryos. However, the...
Testudines exhibit considerable variation in the degree of eggshell calcification, which affects eggshell conductance, water physiology of the embryos, and calcium metabolism of embryos. However, the underlying reason for different shell types has not been explored. Phylogenetically controlled analyses examined relationships between egg size, shell mass, and clutch size in ∼200 turtle species from a range of body sizes and assigned by family as laying either rigid- or pliable-shelled eggs. Shell type affected egg breadth relative to pelvic dimensions, egg mass, and relative shell mass but did not affect size, mass, or total shell mass of the clutch. These results suggest that calcium availability may be a function of body size and the type of shell may reflect in part the interplay between clutch size and egg size. It was further concluded that the eggshell probably evolved as a means of physical protection. Differences in shell calcification may not primarily reflect reproductive parameters but rather correlate with the acidity of a species' nesting environment. Low pH environments may have thicker calcareous layer to counteract the erosion caused by the soil and maintain the integrity of the physical barrier. Limited calcium availability may constrain clutch size. More neutral nesting substrates expose eggshells to less erosion so calcification per egg can be reduced and this allows larger clutch sizes. This pattern is also reflected in thick, calcified crocodilian eggs. Further research is needed to test whether eggshell calcification in the testudines correlates with nest pH in order to verify this relationship.