Cases reported "Uterine Prolapse"

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1/8. Uncomplicated erosion of polytetrafluoroethylene grafts into the rectum.

    Synthetic materials are frequently used in gynecologic surgical procedures to repair pelvic floor hernias and prolapse and to form barriers to adhesion formation. Mesh erosion into the vagina and lower urinary tract are known complications. We report 2 cases of polytetrafluoroethylene mesh erosion into the rectum.
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2/8. Acute renal failure from complete uterine prolapse: role of polycystic kidney disease.

    A 48-year-old female developed acute renal failure from obstruction caused by a complete uterine prolapse. She had polycystic kidney disease (ADPKD) with previously stable mild renal impairment. She presented with rapidly declining renal function and oliguria which reversed following manual reduction of the prolapse and insertion of a ring pessary. None of the usual risk factors for uterine prolapse were present, however ADPKD may have contributed to the prolapse. Rapid deterioration of renal function in female patients with ADPKD should prompt gynecological examination to exclude a uterine prolapse as a cause.
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3/8. melanosis of uterine cervix: a report of two cases.

    uterine prolapse is a common gynecological problem which is associated with complications like keratinisation, thickening and ulceration of cervical mucosal epithelium. Two cases of second degree uterine prolapse are being reported here showing heavy melanotic pigmentation of the basal layers of ectocervical epithelium. It appears to be a metaplastic change in response to local trauma or chronic irritation.
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4/8. pelvic organ prolapse after uterine artery embolization for uterine myoma.

    uterine artery embolization (UAE) is gaining popularity as a treatment modality in patients with symptomatic uterine fibroids who do not desire fertility. Complications of this procedure can be serious and disabling. A 50-year-old woman presented with stage II uterovaginal prolapse after UAE for symptomatic uterine fibroids. pelvic organ prolapse developed 16 months after the initial procedure. Surgical correction was performed. This is the first case report of pelvic organ prolapse after UAE. Normal prior gynecological examinations, and absence of pelvic pressure symptoms, indicate that pelvic organ prolapse had occurred subsequent to UAE.
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keywords = gynecologic
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5/8. Recurrent pelvic organ prolapse in a woman with bladder exstrophy: a case report of surgical management and review of the literature.

    Management of gynecologic issues in women with bladder exstrophy is challenging. Congenital pelvic organ prolapse and prolapse-associated pregnancy and delivery are common. The management of prolapse is complicated by the anatomic changes involving the bony pelvis, connective tissue support, pelvic floor, and the length and axis of the vagina. A case of recurrent pelvic organ prolapse successfully managed with a sacral colpopexy and a review of the literature are presented.
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6/8. Subtotal uterine prolapse and pregnancy.

    THE AIM: A successful reposition of a subtotal gravid uterus of an 29 year old patient and prevention of a spontaneous abortion is presented. methods AND RESULTS: An 29 year old patient was admitted to the clinic due to pains in the lower abdomen, miction difficulties and a subtotal uterine prolapse. During the examination in the gynecological position upon disinfection completed, a manual reposition of a gravid uterus was performed. During the reposition, we found the uterus in contraction and the cervical channel one-finger size opened up to the internal cervical os. We introduced Mikulitz tampon as a support while the patient undergone laboratory and anesthesiology pre-operative program. In a short OET anesthesia, the uterine reposition was performed by Smith-Hodge pessary 85 mm and cerclage sec. McDonald in order to prevent a spontancous abortion caused by cervical insufficiency. The postoperative status of the patient was regular/normal. We recommended a bed rest and diazcpam (Apaurin) tbl a 3 mg 3 x 1. CONCLUSION: Complete treatment was performed under the short OET anesthesia, and a recovery of the patient was successful. All parameters of the pregnancy were normal.
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7/8. life-threatening reaction to indigo carmine--a sulfa allergy?

    indigo carmine is commonly used during cystoscopy when evaluating for lower urinary tract safety after gynecologic surgery. We report a case of severe hypotension and bradycardia following intravenous indigo carmine injection in a patient with known sulfa allergy.
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keywords = gynecologic
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8/8. End-stage chronic renal failure due to total uterine prolapse.

    Upper urinary dilatation caused by a protracted total uterine prolapse and resulting in end-stage chronic renal failure in a 66-year-old women is described. A gynecological examination is advised in females with renal insufficiency of unknown etiology.
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keywords = gynecologic
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