Case reports in women's health

INTRODUCTION: Obstructed hemivagina ipsilateral renal agenesis (OHVIRA) is a rare anomaly of the urogenital system. The characteristic triad of this syndrome, which was initially reported in 1950, is didelphys uterus, obstructed hemivagina,…

INTRODUCTION: Minimally invasive gynecological surgery such as hysteroscopy has a small risk of complications. These include uterine perforation (with or without adjacent pelvic organ lesion), bleeding and infection, and are more common in …

BACKGROUND: We present a rare case of a dichorionic-diamniotic twin pregnancy in a noncommunicating rudimentary uterine horn diagnosed prior to rupture at 12 weeks of gestation. CASE: A 33-year-old woman with history of two prior spontaneo…

BACKGROUND: Multiloculated pelvic cysts are commonly misdiagnosed as ovarian tumors or malignancies. We report 2 patients diagnosed with subserosal adenomyotic cysts and peritoneal inclusion cysts, mimicking multiloculated pelvic tumors. We…

Isolated torsion of the fallopian tube is an unusual finding in a female patient presenting with acute lower abdominal pain. Left tubal torsion is considered to be a particularly rare condition. The patient presented with lower abdominal pa…

BACKGROUND: Menstrual cups are increasingly used as alternatives to tampons, collecting menstrual fluid with very few side-effects, as previously reported in the literature. CASE: We present the case of a 47-year-old woman with pain in her…

BACKGROUND: Adnexal torsion requires a high degree of suspicion in women presenting with pelvic pain. Polycystic ovaries are an infrequent cause of ovarian torsion but should be considered in cases without adnexal masses. CASE: A 25-year-o…

We report the case of a 39-year-old woman who presented in an acute setting with pelvic pain, an adnexal mass on imaging and a high CA19-9 level. She was taken for surgery, where a large dermoid cyst was found at the fimbrial end of a fallo…

Heterotopic pregnancy followed by ovarian hyperstimulation syndrome and paralytic ileus are rare and potentially fatal complications associated with assisted reproduction. A 37-year-old nulliparous woman, after in-vitro fertilization and em…

Torsion of the fallopian tube is when the tube twists on the axis created between the infundibulopelvic ligament and the utero-ovarian ligament. It most commonly presents with appendicitis-like symptoms, such as abdominal pain, nausea and v…

Spontaneous heterotopic pregnancies occur in about 1/30000 pregnancies, with the ovarian subtype comprising 2.3% of the total. We report the case of a healthy 32-year-old woman, gravida 4, para 3, who presented to the emergency room with se…

Cysts in the uterine wall are rare. They are detected by imaging or at pathological examination after myomectomy or hysterectomy. They encompass a range of underlying aetiologies. This is the first case series of myometrial cysts with a des…

Patients with peritoneal inclusion cysts (PICs) often suffer from progressive abdominal or pelvic pain. There is no established treatment. We present the case of a 42-year-old woman with PICs complaining of progressive abdominal pain and fu…

Pregnancy in a non-communicating rudimentary uterine horn is rare but presents a significantly increased risk of maternal and foetal morbidity due to uterine rupture. We describe a case of rudimentary horn pregnancy diagnosed in the first t…

Uterine incarceration is most often described as occurring in pregnancies. Presenting with severe pelvic pain, urinary retention, and in some cases spontaneous abortion, this complication often arises at 12-15 weeks of gestational age. Alth…

BACKGROUND: Vulvar mucinous cysts are rare, benign, noninvasive masses. They can be mistaken for cysts of Bartholin gland, Skene gland, vestibular, or canal of Nuck. Generally, they may be left untreated, but observed. However, if symptomat…

•Intravaginal culture (IVC) is not a new technology but is gaining in popularity•The INVOcell device is marketed as a lower cost treatment option to in-vitro fertilization (IVF)•Previous studies done by the INVOcell owned company have shown…

Rhabdomyolysis is a rare clinical condition resulting from severe muscle damage that can cause potentially life-threatening complications. Amongst other causes, muscle compression due to patient positioning during prolonged surgery may resu…

•Coelomic metaplasia is considered to be one of the mechanisms resulting in endometriosis.•Intense ceolomic metaplasia resulted in a uterine like mass (ULM) acquiring the structural integrity of a miniature uterus.•ULM might be considered a…

OBJECTIVE: To report a case of Fowler's syndrome after oocyte retrieval. DESIGN: Case report. SETTING: Tertiary referral center, King Fahad Medical City. PATIENTS: A 23-year-old nulligravida with polycystic ovarian syndrome and primary i…

OBJECTIVE: To study the composition of intracavitary deposits on Essure® hysteroscopic sterilization devices. DESIGN: Case report. SETTING: Reproductive Medicine and Gynecology department of a University Hospital. PATIENTS: A 39 years ol…

Endometrial ablation, first reported in the 19th century, has gained wide acceptance in the gynecologic community as an important tool for the management of abnormal uterine bleeding when medical management has been unsuccessful or contrain…

OBJECTIVE: To report a case of a habitual aborter that had a pregnancy reach near term and successfully delivered a viable female infant. DESIGN: Report of a unique case of a G10P1 that was successfully able to maintain a pregnancy by main…

BACKGROUND: Severe vulvar edema is a rare entity occurring with ovarian hyperstimulation syndrome. This edema can be incapacitating; causing pain and limited patient mobility. With the usual conservative approach, vulvar edema can take seve…

•Endometriosis may mimic other pathologic processes•Fertility preservation can be considered in young women with atypical endometriosis•Referral to experienced surgeons for maligancy is warranted in atypical endometriosis.