Cases reported "Ovarian Cysts"

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1/23. Ciliated bodies in gynecologic cytopathology: parasite or cellular debris?

    Ciliated bodies, similar to the ones described originally by Gaudefroy and Coliche, were discovered in fluid from an ovarian cyst and fluid in the Douglas pouch. These were reproduced experimentally by mucosal scraping of fallopian tubes. In fact, they were of cellular origin from desquamation of the ciliated apical portion of columnar cells.
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2/23. Laparoscopic excision of a mesenteric cyst diagnosed preoperatively as an ovarian cyst.

    Mesenteric cysts are uncommon benign, abdominal tumors usually managed by general surgeons. We encountered an unusual mesenteric cyst that was diagnosed preoperatively as an ovarian cyst. It was located in the pelvic cavity inside the mesoappendix. We excised the cyst and adjacent vermiform appendix by laparoscopy. Histopathologic examination revealed mucinous cystadenoma. To the best of our knowledge, this is the first reported case of a mesenteric cyst removed by a gynecologic laparoscopist.
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3/23. fibrosarcoma associated with a benign cystic teratoma of the ovary.

    OBJECTIVE: A case of ovarian fibrosarcoma associated with a benign cystic teratoma is described. methods: A 32-year-old patient with an ovarian tumor detected by routine gynecological examination was referred to our hospital. In addition to histopathological examination of the resected tumor, immunohistochemical studies as well as a cytogenetic analysis by comparative genomic hybridization were carried out. RESULTS: The 7-cm-sized tumor consisted of two different components: a fibrosarcoma and a benign cystic teratoma. The teratoma contained elements of all three germ layers and lacked any focus of immature teratoma. A fibrosarcoma was immediately connected to the teratoma. The sarcoma cells showed eight mitoses per 10 high-power fields on average and exhibited immunohistochemical reactivity for vimentin only. cytogenetic analysis of the fibrosarcoma using comparative genomic hybridization revealed imbalances of chromosomes 9, 12, and 16. After a 1-year follow-up, there were no signs of tumor recurrence or systemic disease. CONCLUSION: To the authors' knowledge, this is the second report of an association of ovarian fibrosarcoma and benign cystic teratoma, and the first including a cytogenetic analysis.
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4/23. Reduction in fatal pulmonary embolism and venous thrombosis by perioperative administration of low molecular weight heparin. Gynecological ward retrospective analysis.

    OBJECTIVES: To compare the frequency of deep vein thrombosis (DVT) and pulmonary embolism (PE) in patients undergoing gynecological operations without low molecular weight heparin (LMWH) prophylaxis and those receiving such prophylaxis. DESIGN: Retrospective, hospital record-based study. MATERIAL AND methods: About 1785 consecutive patients without LMWH prophylaxis and 1871 ones treated with nadroparin (Fraxiparine) 7500ICU s.c. 2h before the operation and repeated daily for 5-7 days or until the patient was fully mobile. DVT was diagnosed on the basis of clinical symptoms and ultrasound examination, and PE on clinical symptoms, gasometric data, electrocardiography and chest X-ray. RESULTS: Among the patients without prophylaxis, four cases of PE occurred (0.22%), two fatal (0.11%), 13 cases of proximal DVT (0.72%) and 41 distal DVT complications (2.3%). In LMWH, group 3 proximal DVT (0.16%) and 18 distal DVT (0.96%) developed but there were no clinically expressed pulmonary embolism. According to the Fisher's exact test, the difference between the complications in the analyzed groups is significant P<0.05. CONCLUSION: The perioperative applying of LMWH to prevent DVT in the patients operated on gynecologically is effective.
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5/23. Two episodes of hemoperitoneum from luteal cysts rupture in a patient with congenital factor x deficiency.

    The clinical manifestation of two episodes of hemoperitoneum from ruptured corpus luteum cysts, during the luteal phase of the cycle in a young patient with the rare congenital factor x deficiency, is reported for the first time in literature. The correct diagnosis of the underlying disorder, the gynecological management and the regular follow-up can minimize the risks of this potentially life-threatening hematological disorder.
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6/23. Anaestethic problems in Sanfilippo syndrome. A rare case of adult patient.

    The authors report the case of a female patient (41 years old) affected by mucopolysaccharidosis type III or Sanfilippo syndrome submitted to a gynecologic surgical procedure and describe the main anesthesiologic problems. A sub-arachnoid anesthesia with hyperbaric Bupivacain 0.5% was used. This technique proved to be safe and convenient without peri- and postoperative complications.
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7/23. Successful laparoscopic management of a huge ovarian tumor in the 27th week of pregnancy. A case report.

    BACKGROUND: Laparoscopic surgery in the second trimester is very rare. The enlarging uterus impedes surgical procedures and increases the risk of surgery. We report on a woman in the 27th week of pregnancy who developed a huge ovarian tumor. CASE: A woman underwent laparoscopic surgery in the 27th week of gestation because of a rapid growing ovarian tumor. After aspiration of its contents, the tumor was extracted, and cystectomy was performed extracorporeally. The postoperative course was uneventful and the woman delivered a healthy infant at 42 weeks. CONCLUSION: Laparoscopic gynecologic surgery can be performed through the 27th week of gestation, and extracorporeal manipulation makes the procedure much easier.
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8/23. Ovarian pregnancy torsion.

    INTRODUCTION: Ovarian-cyst torsion is often seen in early pregnancy due to progesterone stimulation. It is the fifth-most-common gynecological emergency, with a reported incidence of 3%. An ectopic pregnancy implanted in the ovary is rare, occurring in only 0.5-1% of such pregnancies. CASE REPORT: We presented a case of ovarian pregnancy with concomitant ipsilateral side tubal torsion managed by laparoscopy. DISCUSSION AND CONCLUSIONS: Varying density distribution in the ovary can predispose to ovarian torsion. Emergency surgery may offer the possibility of avoiding the ablation of functional ovarian tissue. Early detection and prompt management can preserve fertility and ovarian function. The etiology, presenting syndrome and management are discussed.
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9/23. Two dermoid cysts developing in an accessory ovary and an eutopic ovary.

    Accessory ovary is a rare gynecologic condition, and tumors arising in accessory ovaries are extremely rare. Accessory ovary may result from separation of migrating ovaries during embryogenesis and injuries such as inflammation and operation on normal ovary. Congenital malformations, most frequently malformations of the genitourinary organ, are seen in connection with the accessory ovary. We experienced the first case of two dermoid cysts developing in an accessory ovary located in the left infundibulopelvic ligament and another in the eutopic ovary at the same side concurrently. Here, we present this extremely rare case with a review of the literature.
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10/23. Primary ovarian hydatid disease in the Kingdom of saudi arabia.

    Human hydatid disease is caused by echinococcus granulosus. Its distribution is world wide and it affects mainly the liver, but other organs could be involved. Primary involvement of pelvic organs is very rare. This is a case report of primary ovarian hydatid disease in a postmenopausal woman, diagnosed postoperatively. Surgical excision was adequate. ultrasonography, particularly high frequency trans-vaginal, computed tomography scan and, more recently, magnetic resonance imaging are more frequently used in the diagnosis of Echinococcus cyst. They appear more reliable than many of the old tests of varying sensitivities. Whereas, there are anecdotal reports of obstetric and gynecological manifestations of echinococcosis from some Middle Eastern and North African countries, this is the first of such report from the Kingdom of saudi arabia. It is unclear why there is a lack of information about this condition among Saudi women, even though socio-cultural attitude to female involvement in sheep farming and animal husbandry is similar to that in other Arabic and Islamic countries. We endorse the recommendation that every gynecologist, radiologist and histopathologist should maintain a high index of suspicion for hydatid cyst, whenever a septate cystic pelvic mass is found.
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