Articles Related to Uteri

Intrauterine devices are one of the most common and effective versions of contraceptive. There have been many reports in the past of these devices perforating the uterus and being found in the bladder, peritoneum, and colon to name a few. In this paper we present the case of a woman who presented to the emergency department with severe hydronephrosis and associated pyelonephritis as result of intrauterine device migration into the patient’s fallopian tube causing ureter compression. Interestingly, she had also given birth to two healthy infants since having intrauterine device placed and assumed that it had fallen out years prior. To the best of our knowledge there have been very few such cases reported in the literature

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By reporting a case series from a referral hospital we aimed to determine the treatment options and outcomes of one of the serious complications of the labour uterine atony refractory to the medical treatment. In this study, a total of 58 postpartum uterine atony cases refractory to uterotonic treatment and managed with intrauterine balloon tamponade, B-Lynch suture, internal iliac artery ligation or hysterectomy was a retrospectively analyzed. Initially, thirty two cases managed with intrauterine Bakri balloon tamponade and six B-Lynch compression sutures alone, in eight cases both procedures were done together. Eight cases managed with internal iliac artery ligation and four hysterectomies. Our success rate with intrauterine Bakri balloon tamponade, B-Lynch compression suture and internal iliac artery ligation were 84.4%, 83.3%, 75% respectively in stopping postpartum haemorrhage regarding uterine atony and the most successfull rate was obtained with the Bakri balloon tamponade in the combination with B-Lynch compression suture 87.5%. The median estimated blood loss was 2018ml, intraoperative median hemoglobin was 5.8 mg/dl and the median amount of blood transfused was five units, the median volume infused into balloon was 285ml; balloon was in place for a median duration of 36 hours. In 6 cases Bakri balloon tamponade with or without B-Lynch compression sutures failed to stop haemorrhage and hysterectomy required. In two patients Asherman’s syndrome and infertility, in two patients’ amenore were developed and uterine prolapse was observed in 2 patients, one of which was uterine necrosis. No maternal mortality was observed.

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The effects of the levonorgestrel-intrauterine system (LNG-IUS) on urinary and sexual functions of women with idiopathic menorrhagia were evaluated using two internationally validated questionnaire forms. This prospective study included (30-49) year-old women with idiopathic menorrhagia (n=91), who visited the Gynecology and Obstetrics Clinic of the hospital. The index of female sexual function (IFSF) questionnaire and the international consultation on incontinence modular questionnaire short form (ICIQ-UI) were used to evaluate sexual and urinary system functions, respectively, pre-, and 6 and 12 months post-LNG-IUS insertion. The IFSF scores were (mean ± SD) 27.1 ± 6.9, 30.0 ± 7.2, and 32.7 ± 7.5 at pre-, and 6 and 12 months post-LNG-IUS insertion, respectively (p<0.001). Compared with pre-LNG-IUS use among 91 patients, the IFSF score (symptoms improved) was increased in 47 and 60 patients and decreased (worsening symptoms) in 10 and 8 patients at 6 and 12 months post-LNG-IUS use, respectively. The ICIQ-UI scores were 4.9 ± 4.4, 3.7 ± 4.0, 2.8 ± 3.0 in pre-, 6, and 12 months post-LNG-IUS insertion, respectively (p<0.001). Compared with pre-LNG-IUS use, the ICIQ-UI score decreased (symptoms improved) in 33 women either in 6 or 12 months post-LNG-IUS use and increased (symptoms worsened) in 11 and 4 patients at 6 and 12 months post-LNG-IUS insertion, respectively.

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Thoracic ultrasonography has been used to evaluate pulmonary parenchyma and the macrocystis of the lung in a preterm with congenital cystic adenomatoid malformation type I. The images gained have been important for diagnosis and therapeutic strategies in our case. An infant was prematurely born with congenital cystic adenomatoid malformation type I. The chest X-ray and computerized tomography showed a great opaque area in the entire right lung, we considered performing a pneumonectomy. This opaque area hampered the expansion of left lung. After draining the macrocystis by ultrasonography-guided puncture, it was possible considering and performing the lobectomy due to the reduction of the volume of macrocystis. During follow up at 4 months, the infant did not show complications and the chest X-ray revealed the reduction of volume of the dense area in parenchyma of right lung.

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We investigated the histopathological changes observed in the brains, organs, and apoptotic changes in the brain of young rats born from rats with torsio uteri that survive. We divided 10 Sprague-Dawley rats with a gestational age of 18-19 days into two groups. The rats in group 1 (i.e., the control group; n=5) were given anesthesia only; the rats in group 2 (study group; n=5) underwent a 360-degree clockwise torsion in their uterus, and the torsion was corrected after 6 hours. The births of the offspring were followed, and 7 female and male offspring 1 month of age were selected in each group. The vaginal openings of the young female offspring were checked to determine the time to reach puberty. The 1-month-old male offspring and the mature young female rats were then decapitated. Tissue samples, including visceral organs, genital organs, and brains, were evaluated by histapathologically; we also investigated apoptosis via the TUNEL method. Although no abortion was observed in any of the pregnant rats in the control group, two abortions were observed in the study group after torsion/detorsion.

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The aim of this study was to identify the value of hysteroscopy in detection of the relationship between missed miscarriage and intrauterine pathologies. The study was held at the Department of Obstetrics and Gynaecology, Benha University. It included 90 women with 1st trimester missed miscarriage who were examined by diagnostic hysteroscopy immediately before dilatation and curettage (D&C) and 6-8 weeks after D&C (second look hysteroscopy).

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Submucous leiomyoma and endometrial polyps are the most challenging causes of heavy menstrual flow (menorrhagia) accompanied with infertility, and other clinical issues. There are different hysteroscopic modalities for management of heavy menstrual flow caused by submucous myomas and polyps including conventional hysteroscopic resectoscopy and a novel, recent uterine hysteroscopic morcellator.

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We report the case of a 52 year old man having no previous abdominal surgery who presented with small bowel obstruction. Computerised tomography showed mid jejunal obstruction, however, the cause of the obstruction could not be diagnosed radiologically. Laparotomy was performed and the obstruction was found to be due to a small annular jejunal tumour.

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Human epidermal growth factor receptor 2 (HER2) is responsible for the pathogenesis and poor outcomes of several types of cancers, including advanced gastric and gastroesophageal junction cancer. Molecular-targeted drugs on the other hand, such as trastuzumab, prolong overall survival and progression-free survival in HER2-positive gastric cancer. The purpose of the case report is to evaluate the impact of delivering trastuzumab in advanced gastric cancer with concomitant HER2 mutation and amplification.

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The aim of this study was to evaluate the survival rate, complications and marginal bone loss of single-tooth lockingtaper implants.

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To examine a group of 38 Japanese males and females (group matched by age and body mass index) for changes of the anterior tubercle of atlas region and the posterior parapharyngeal wall with increasing age and body mass index.

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There is a frequent association between renal insufficiency and patients with cardiovascular disease, suggesting a common pathogenic mechanism.

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Uterine atony is the first cause of haemorrhage at delivery. To prevent post partum major bleeding uterotonic prophylactic drugs are commonly used after caesarean section. Few studies showed an haemostatic activation after oxytocin infusion while no data are available on carbetocin.

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A study of the history of the dermoid cyst of the ovary suggests that the old masters were only conversant with large tumors. The relatively smaller dermoid cyst with its typical greasy matter and hairs only came into recognition during the second half of the 19th century. Therefore, the purpose of this paper is to document how the medical masters of yester years became acquainted with this distinct disease.

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To detect the outcome and changes in uterine arteries blood flow after hysteroscopic roller-ball endometrial ablation. 84 women with menorrhagia refused to continue or had failed medical treatment with uterine size <12 weeks were included in this study. Diagnostic hysteroscopy was done for women included in this study prior to endometrial ablation. A rigid operative hysteroscopy, with normal saline distention media and roller-ball electrode were used for endometrial ablation procedure. Preoperative findings of studied women including Doppler findings were compared to 3, 6 and 12 months post-operative findings to detect outcome and changes in uterine arteries blood flow after hysteroscopic roller-ball endometrial ablation.

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