11/56. actinomyces infection in female genital tract.OBJECTIVES: To analyze clinical and laboratory characteristics of patients with pelvic actinomyces. STUDY DESIGN: We studied five patients with pelvic actinomyces who were admitted between January 1, 2002 and December 31, 2002. The initial complaints, diagnostic methods, therapeutic alternatives and results of the therapies were examined. RESULTS: The ages of the cases varied between 32 and 52 years old. All five patients had been using an intrauterine device. Three cases had hydronephrosis due to infection. Two patients were diagnosed postoperatively while the other three cases were diagnosed with cervical smear and endometrial biopsy; penicillin g was administered to all. The patients are still under surveillance, and without any problems. CONCLUSION: In patients with an intrauterine device, actinomyces should be remembered in differential diagnosis of pelvic infections. Preoperative diagnosis is of the utmost importance in order to prevent morbidity of this infiltrative infection. Long-term penicillin therapy proved to be successful. Complicated or resistant cases to medical therapy should be candidates for surgical therapy.- - - - - - - - - - ranking = 1keywords = tract (Clic here for more details about this article) |
12/56. Genital tract actinomycosis caused by Actimyces israelii.We report a case of actinomycosis caused by actinomyces israelii, related to the removal of intrauterine device (IUD). Diagnosing actinomycosis is difficult but should be considered in the event of any acute abdominal problems in a woman carrying an IUD. All abdominal organs may be affected. Even with a disseminated infection, the combination of appropriate antibiotic therapy (penicillin g) and surgery ensures a full recovery in most cases.- - - - - - - - - - ranking = 1keywords = tract (Clic here for more details about this article) |
13/56. Gastrointestinal stromal tumor mimicking gynecological disease.gastrointestinal stromal tumors (GISTs) are common mesenchymal tumors of the digestive tract. These tumors occasionally present a pelvic mass and leading to the misdiagnosis of gynecologic diseases. Two patients with GIST in the small intestine giving an impression of an ovarian fibroma and a uterine leiomyoma respectively were diagnosed correctly at the surgery. In the patients with a pelvic mass, especially if unusual symptoms and laboratory data being not compatible with gynecological disease, the possibility of diseases other than a gynecologic disease has to be considered.- - - - - - - - - - ranking = 0.25keywords = tract (Clic here for more details about this article) |
14/56. spinal cord stimulation is an effective treatment for the chronic intractable visceral pelvic pain.OBJECTIVE: Recent studies have demonstrated significant involvement of dorsal column pathways in transmission of visceral pelvic pain. spinal cord stimulation (SCS) suppresses visceral response to colon distension in an animal model and therefore may be an effective therapy for chronic pelvic pain of visceral origin. We are reporting on the value of neurostimulation for chronic visceral pelvic pain in six female patients with the diagnosis of long-standing pelvic pain (history of endometriosis, multiple surgical explorations, and dyspareunia). DESIGN AND SETTINGS: Case-series report. All patients received repeated hypogastric blocks (in an average of 5.3 blocks) with a significant pain relief for a period ranging from 1 to 6 weeks. Three received neurolytic hypogastric block with the pain relief of 3, 8, and 12 months, respectively. Following psychological evaluation and clearance by our Multidisciplinary Committee on Implantable Devices, they all underwent SCS trial for 7-14 days. All patients received SCS systems with dual leads (Compact or Quad leads, Medtronic Inc., Minneapolis, MN, USA). RESULTS: The average follow-up was 30.6 months. Median visual analog scale pain score decreased from 8 to 3. All patients had more than 50% of the pain relief. Pain Disability Index changed from an average of 57.7 /- 12 to 19.5 /- 7. Opiate use decreased from an average 22.5 mg to 6.6 mg of morphine sulfate milligram equivalents per day. CONCLUSION: It appears that SCS may have a significant therapeutic potential for treatment of visceral pelvic pain.- - - - - - - - - - ranking = 1keywords = tract (Clic here for more details about this article) |
15/56. Malakoplakia of the female genital tract causing urethral and ureteral obstruction. A case report.Malakoplakia is an uncommon form of inflammatory response, initially described as occurring in the urinary bladder. Malakoplakia of the female genital tract is exceedingly rare. One such case was unusual in that it caused ureteral as well as urethral obstruction.- - - - - - - - - - ranking = 1.25keywords = tract (Clic here for more details about this article) |
16/56. Disseminated cytomegalovirus infection of the female genital tract.A woman with severe immunosuppression provoked by the acquired immunodeficiency syndrome developed a disseminated cytomegalovirus infection of the genital tract. Using in situ hybridization and the APAAP technique, cytomegalovirus was detected in epithelial and endothelial cells as well as in macrophages in the vulva, the vagina and the cervix uteri.- - - - - - - - - - ranking = 1.25keywords = tract (Clic here for more details about this article) |
17/56. Localized asymptomatic giant cell arteritis of the female genital tract.Three postmenopausal patients with giant cell arteritis involving the female genital tract are presented. None of these patients had a prior history of vasculitis. The giant cell arteritis was confined to the myometrium in one patient, involved the cervix and myometrium in another, and involved all the internal genital organs in the third patient. Based on follow-up of our patients and analysis of similar cases in the literature, we conclude that asymptomatic patients may best be managed by close follow-up and monitoring of erythrocyte sedimentation rate levels, but that treatment may be unnecessary.- - - - - - - - - - ranking = 1.25keywords = tract (Clic here for more details about this article) |
18/56. Gynecologic amyloidosis.amyloidosis is a generalized metabolic disorder characterized by deposition of insoluble protein in the extracellular space of various organs. We have treated a woman presenting with menorrhagia and anemia, who was subsequently diagnosed as having systemic amyloidosis. This represents the first known documentation of amyloid involvement of the female reproductive tract.- - - - - - - - - - ranking = 0.25keywords = tract (Clic here for more details about this article) |
19/56. sarcoidosis of the female genital tract: a case presentation and survey of the world literature.sarcoidosis of the female genital tract is a rare clinical entity with only 20 cases reported in the world literature to date. An additional case is presented with a review of the previously reported cases. The diagnostic and histologic aspects of the disease are also discussed. The presence of granulomatous diseases in the female genital tract should initiate a thorough investigation for potential etiologies by both the pathologist and clinician. Etiologies of granuloma fraction must include coccidiomycosis, foreign body reactions, lymphogranuloma inguinale, and tuberculosis. Bacteriologic proof is essential to differentiate these from sarcoidosis.- - - - - - - - - - ranking = 1.5keywords = tract (Clic here for more details about this article) |
20/56. Urinary symptoms in child sexual abuse.Many common genitourinary complaints may be related to sexual abuse. We report five patients referred to a Pediatric nephrology Clinic who demonstrate some of the symptoms and signs caused by abuse, such as dysuria, genital and urinary tract infections, voiding dysfunction, and genital trauma. Difficulties in eliciting histories are described. Although these genitourinary complaints may be due to a variety of etiologies, sexual abuse should not be overlooked. Suggestions for a management approach are made.- - - - - - - - - - ranking = 0.25keywords = tract (Clic here for more details about this article) |
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