1/9. A bicornuate uterus with a unilateral cornual adenomyosis.BACKGROUND: Few reports have described adenomyosis in association with congenital uterine abnormalities. The authors present a case involving unilateral adenomyosis in a bicornuate uterus. CASE: A 41-year-old married gravida 1, para 1, first became aware that she had a double uterus 14 years earlier at her first prenatal examination when the gestation was identified in the left uterine cavity because of intractable dysmenorrhea. The patient underwent laparoscopically assisted vaginal hysterectomy. Pathological examination confirmed that adenomyosis had affected only the left uterine myometrium. CONCLUSION: The right uterine cornua of a bicornuate uterus served as the control after a pregnancy in the left cornua. The subsequent development of adenomyosis in the left cornua lends weight to theories that suggest pregnancy or other acquired factors may be involved in the pathogenesis and development of adenomyosis.- - - - - - - - - - ranking = 1keywords = cavity (Clic here for more details about this article) |
2/9. Reactive nodular fibrous pseudotumor involving the pelvic and abdominal cavity: a case report and review of literature.There are several entities that can present with multiple nodular lesions within the peritoneal cavity, such as "disseminated peritoneal leiomyomatosis," "peritoneal fibrosis," "calcifying fibrous pseudotumor," and the recently described lesion of "reactive nodular fibrous pseudotumor of the gastrointestinal tract and mesentery." Here we present one such lesion in a 28-year-old woman with a history of dysmenorrhea and ergotamine use for migraine attacks. Intraoperative exploration of our patient disclosed numerous nodules located throughout the pelvic and abdominal peritoneum. Histopathologically, these lesions were fibrocollagenous nodules composed of sparse wavy spindle cells within hyalinized "keloid-like" collagen surrounded by an inflammatory infiltrate. Some of the nodules were associated with small foci of endometriosis. We believe this lesion is best described by the term "reactive nodular fibrous pseudotumor" and that endometriosis and the use of ergotamine derivatives may be contributing factors.- - - - - - - - - - ranking = 5keywords = cavity (Clic here for more details about this article) |
3/9. dysmenorrhea in unicornis with rudimentary uterine cavity.Two adolescents with a rare mullerian anomaly, uterus unicornis with a noncommunicating rudimentary uterine cavity, are presented because of clinical manifestations characterized by dysmenorrhea and pelvic pain requiring multiple hospitalizations and surgical procedures prior to the correct diagnosis. A high index of suspicion and proper diagnostic evaluation are essential for all adolescent patients presenting with dysmenorrhea associated with menarche and subsequent menstruation. The details of 2 cases and their diagnostic and therapeutic emphasis are presented.- - - - - - - - - - ranking = 5keywords = cavity (Clic here for more details about this article) |
4/9. Membranous dysmenorrhea: the forgotten entity.BACKGROUND: Membranous dysmenorrhea involves the spontaneous slough of the endometrium in one cylindrical or membranous piece that retains the shape of the uterine cavity. Because this entity is rarely mentioned in the medical literature, the purpose of this report is to describe two such cases. CASES: An 18-year-old nullipara with regular menstrual cycles presented with membranous dysmenorrhea after taking the contraceptive Gynera (Gestodene 0.075 mg, ethinyl estradiol 0.030 mg). Symptoms disappeared when the medication was discontinued. The second patient, a 26-year-old woman, gravida 1, para 1, was on a 10-day monthly regimen of Provera (medroxyprogesterone acetate) 2.5 mg/day for dysfunctional uterine bleeding. When the Provera dose was increased to 10 mg/day, the symptoms disappeared. CONCLUSION: Membranous dysmenorrhea is "a disease of theories" with various recommended medications. When this condition is caused by iatrogenic treatment, the best approach is to discontinue the offending drug or change its dosage.- - - - - - - - - - ranking = 1keywords = cavity (Clic here for more details about this article) |
5/9. Omental herniation after operative laparoscopy. A case report.Omental herniation through an 11-mm umbilical incision occurred 36 hours after operative laparoscopy. It was attributed to large amounts of residual irrigation fluid in the abdominopelvic cavity and failure to close the fascia of the umbilical incision. This case stresses the importance of closing the fascia of larger laparoscopic incisions, especially if irrigation fluid is left in the abdominal cavity postoperatively.- - - - - - - - - - ranking = 2keywords = cavity (Clic here for more details about this article) |
6/9. Endoscopic management of a case of 'complete septate uterus with unilateral haematometra'.endoscopy and ultrasound was used to diagnose a 13 year old virgin girl who presented with dysmenorrhoea and suspected right side adnexal tumescence. The girl was found to have a complete septate uterus with non-communicating right hemicavity and haematometra, an exceptional type of Mullerian anomaly. After pretreatment with buserelin, hysteroscopic metroplasty was successfully performed.- - - - - - - - - - ranking = 1keywords = cavity (Clic here for more details about this article) |
7/9. dysmenorrhea related to gallstone spilling after laparoscopic cholecystectomy.A 28-year-old woman is presented with severe dysmenorrhea since a previous laparoscopic cholecystectomy for cholelithiasis. Spilled gallstones were embedded in the Douglas cavity and the visceral peritoneum of the genitalia interna. dysmenorrhea was treated successfully by laparotomic hysterectomy and removal of all gallstones.- - - - - - - - - - ranking = 1keywords = cavity (Clic here for more details about this article) |
8/9. Intrauterine retention of fetal bone.A case of secondary infertility, dysmenorrhoea and menorrhagia due to retained fetal bone is presented. Retained fetal bones should be considered in all patients with infertility, dysfunctional uterine bleeding, dysmenorrhoea or other symptoms dating from a pregnancy or pregnancy termination. Ultrasound is an excellent modality for evaluating these patients. Ultrasound is also very useful for the follow-up of patients after surgical removal of the bony fragments. Some bony fragments may be embedded in the endometrium or myometrium and may not be identified at curettage. hysteroscopy is valuable in both establishing the diagnosis and the removal of bony fragments. A crucial aspect of the procedure involves reintroduction of the hysteroscope to document that the cavity is clear after attempts at bone removal are complete. After removal of bony fragments, restoration of fertility and improvement of symptoms are expected.- - - - - - - - - - ranking = 1keywords = cavity (Clic here for more details about this article) |
9/9. Noncommunicating accessory uterine cavity.OBJECTIVE: To report a case of a noncommunicating accessory uterine cavity. DESIGN: Case report. SETTING: University-affiliated reproductive endocrinology practice. PATIENT(S): A 15-year-old nulligravida with increasing dysmenorrhea. INTERVENTION(S): Pelvic ultrasound, intravenous pyelogram, hysterosalpingogram, laparoscopy, laparotomy, and resection of noncommunicating accessory uterine cavity. MAIN OUTCOME MEASURE(S): Results of imaging studies, surgical examination, and resection of anomaly. RESULT(S): Complete resection of accessory cavity and resolution of dysmenorrhea. CONCLUSION(S): The patient had a mullerian anomaly in which the uterus contained two uterine cavities. One normal uterine cavity with communication to both fallopian tubes was present along with a noncommunicating, accessory uterine cavity.- - - - - - - - - - ranking = 9keywords = cavity (Clic here for more details about this article) |