1/17. Primary carcinoma of the fallopian tube. carcinoma of the fallopian tube is the least common of the gynecologic malignancies. Because of its rarity and the absence of typical symptoms, preoperative diagnosis is seldom made. Patient as well as physician delay in diagnosis is often considerable. There are no reliable laboratory aids available to enhance the discovery of this tumor. However, routine periodic pelvic examinations with laparoscopic examination of any significant adnexal enlargement in postmenopausal women should decrease the discovery time. Certainly, unexplained vaginal discharge or bleeding particularly when associated with a pelvic mass, should increase one's suspicion. Conventional surgical treatment can be curative if the tumor has not exceeded the confines of the tube and has not involved the serosa. Regardless, the prognosis for patients with primary carcinoma of the fallopian tube is grim. ( info) |
| We report two cases in which urologic anomalies presented with vaginal discharge and fever in young women, aged 9 and 18 years. Both patients were ultimately diagnosed as having duplicated collecting systems with ectopic upper-pole ureters opening into the introitus. Although congenital urologic anomalies are a rare cause of vaginal discharge in young women, they should be included in the differential diagnosis of patients presenting with these symptoms. ( info) |
| With the high prevalence of unprotected sexual activity among adolescents, health-care providers are frequently called upon to evaluate patients with abnormal vaginal discharges. Usually, thorough pelvic and laboratory examinations will identify offending organisms which can be promptly eradicated with the judicious use of antibiotics. Occasionally, however, an abnormal discharge may persist despite these interventions. Health-care providers need to be aware of the fact that anal intercourse may be a common practice among sexually active teenagers. Penile-vaginal contact after anal intercourse may cause vaginal discharge due to contamination. Health-care providers should make it a routine part of their history-taking of adolescent patients to inquire about anal intercourse. Not only might it reveal useful clinical information, but it may indicate the need for additional health education and counseling. ( info) |
4/17. Primary chylocolporrhea successfully managed by division and ligation of retroperitoneal lymphatics. Chylocolporrhea or chylous vaginal discharge is a rare manifestation of the primary chylous reflux syndrome. We describe its occurrence in a young child successfully treated by ligation of retroperitoneal, groin, and vaginal megalymphatics. ( info) |
5/17. The CT manifestations of the primary gynecological chylous reflux syndrome in the pediatric age. Gynecological chylous reflux syndrome (GCRS) is characterized by genital discharge of chyle, due to congenital lymphangiectasis and insufficiency of the pelvic lymphatic channels. A girl with genital chylous reflux is presented. The CT manifestations are described. ( info) |
6/17. Diagnostic aspects of primary tubal malignancy. Eleven cases of primary tubal malignancy are reported to characterize clinical symptoms and diagnostic procedures. The importance of a yellow vaginal discharge is emphasized as being a diagnostic sign. ( info) |
7/17. Chylous metrorrhea. A nine-year-old girl with primary (idiopathic) chylous metrorrhea is described. Extravasation from retroperitoneal lymphatics into the vaginal vault was seen on dorsal pedal lymphangiography. Bony abnormalities were also present in the lumbosacral vertebrae. Nineteen months after transperitoneal lymphangiectomy she is asymptomatic. ( info) |
8/17. Chylous metrorrhea. Chylous is an extremely unusual cause of leukorrhea. The diagnosis is established by verification of the chylous nature of the discharge, documentation of its uterine origin, and lymphangiographic demonstration of dilated pelvic lymphatics with uterine reflux. Surgical excision of the incompetent lymphatic channels is the treatment of choice. ( info) |
9/17. Group G streptococcal pneumonia and sepsis in a newborn infant. A case of neonatal pneumonia and sepsis caused by a group G streptococcus is described. Clinical and microbiological aspects of group G streptococci are compared with those of group B streptococci. ( info) |
10/17. Atypical presentation of female genital tract tuberculosis. Three patients with atypical presentation of female genital tract tuberculosis are reported. Tuberculous hydrosalpinx with abdominal peritonitis, concomitant ectopic gestation with active salpingitis and tuberculous endometritis presenting as postmenopausal vaginal discharge are uncommon clinical manifestations. The age distribution, the importance of careful histological examination and the available methods for follow-up are discussed in the appropriate cases. ( info) |