Cases reported "vaginal discharge"

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1/30. rhabdomyosarcoma (RMS) of the uterine cervix in two Ethiopian patients: case report.

    Most rhabdomyosarcomas (RMS) of the female genital tract occur in infants and young children as sarcoma botryoides. To our knowledge, RMS of the cervix has never been reported in ethiopia. Two patients with RMS of cervix in their second and third decades of life were seen in a short period of time span at Tikur Anbessa Hospital in the first half of 1996. Difficulties were encountered in reaching a diagnosis and appropriately managing the patients which necessitated the revision of previous biopsy result especially in the first patient. Both presented clinically with bloody vaginal discharge and cervical mass. RMS of the cervix deserves attention in a young patient with cervical mass and bloody vaginal discharge. The excised tissue should be subjected to histopathologic study. Treatment with polychemotherapy and/or radiation in addition to aggressive surgical approach should be made available to obtain good results. ( info)

2/30. pemphigus vulgaris localized to the vagina presenting as chronic vaginal discharge.

    Involvement in pemphigus vulgaris of the female genital tract including the vulva, vagina and cervix has previously been described. In all these cases other cutaneous and mucosal sites have also been affected at some time. We describe a case of pemphigus vulgaris which only involved the vaginal mucosa. The patient presented with a persistent vaginal discharge and examination showed extensive vaginal erosions. histology of vaginal biopsies was non-diagnostic. The recognition that the vaginal changes may represent an immunobullous disease led to further vaginal biopsies on which direct immunofluorescence studies were performed. These biopsies showed IgG and C3 in the intercellular epidermis, suggesting a diagnosis of pemphigus vulgaris. During the 3-year period that the patient has been under review there have never been any other cutaneous or mucosal lesions. To our knowledge, this is the first case of pemphigus vulgaris localized exclusively to the vaginal mucosa. There was considerable delay in diagnosis and this case highlights how important it is to recognize that chronic mucosal lesions at genital sites may be caused by immunobullous diseases such as cicatricial pemphigoid and pemphigus, and to institute appropriate investigations. ( info)

3/30. Foreign body in vagina--an uncommon cause of vaginitis in children.

    An intravaginal foreign body of long duration can pose diagnostic dilemma in children. We present a case of eight and a half years old girl who was suffering from blood stained vaginal discharge for 3 years for which she was treated by few gynaecologists. A vaginal examination performed under general anaesthesia revealed a foreign body (lead pencil). In cases of pediatric vaginitis one should always look for foreign body in vagina. ( info)

4/30. Cervicovaginitis emphysematosa mimicking carcinoma of the cervix: a case report.

    Cervicovaginitis emphysematous is a rare self-limiting disease in which multiple gas-filled cysts are present in the submucosa of the upper vagina and ectocervix. We report a case in a 40 year-old trader who presented with clinical features suggestive of carcinoma of the cervix. It is hoped that this case report will heighten the awareness of clinicians and pathologists in the recognition of this unusual condition. ( info)

5/30. Transvaginal repair of postcystectomy peritoneovaginal fistulae.

    To our knowledge, peritoneovaginal fistula is a complication of cystectomy that has not been reported before. We describe 2 patients in whom a transvaginal approach using a Martius flap was utilized to repair persistent vaginal leakage after cystectomy. At a mean follow-up of 20 months, both patients are free from vaginal leakage and have no evidence of recurrent fistula. This approach offers a safe and effective way to repair a peritoneovaginal fistula in a cystectomy patient. ( info)

6/30. An unusual presentation of appendicitis: vaginal discharge.

    An unusual complication of appendicitis, perforation of pelvic appendicitis into the uterinal cavity in a 3-year-old girl, is presented in this report. ( info)

7/30. Primary lymphoedema associated with xanthomatosis, vaginal lymphorrhoea and intestinal lymphangiectasia.

    Primary lymphoedema associated with chylous reflux is a very rare clinical entity. We report a 3-year-old girl with unilateral lymphoedema, xanthomatosis and vaginal lymphorrhoea. biopsy also revealed intestinal lymphangiectasia. This paper also presents a brief review of the literature and draws attention to the significance of the xanthomatous eruption in the diagnosis of a chylous reflux. ( info)

8/30. negotiating care: reproductive tract infections in vietnam.

    Through case studies of two women, this paper uses a taskonomy approach to analyze rural Vietnamese women's narratives of prevention, treatment and management of vaginal discharge to illustrate care seeking, health practice and the pragmatism of their action. The research is based upon ethnographic research undertaken by the author between 1995 and 1997 in a rural district in northern vietnam. This exploration illustrates the complexities of women's rationalities and the web of influences upon their choices-the health seeking culture as practiced. The women's narratives are also placed within the broader context of gender, power and health systems that structure their decision making. The author discusses how social and economic resource factors influence the choices women make regarding when to begin treatment for vaginal discharge and where to seek care. She concludes that women use their understanding of the relationships between health, living conditions and diseases on a day-to-day basis and that the practice of managing vaginal discharge is mediated by concepts of body, self and the body politic in vietnam. ( info)

9/30. vaginal discharge due to undiagnosed bilateral duplicated collecting system with ectopic ureters in a three-year-old female: an initial high index of suspicion for sexual abuse.

    In prepubertal girls with vaginal discharge, consideration of the etiology must be given to respiratory pathogens (streptococcus pyogenes, haemophilus influenzae, staphylococcus aureus, streptococcus pneumoniae, and neisseria meningitidis), enteric pathogens (escherichia coli, shigella, and yersinia), poor hygiene, foreign body, nonabsorbent undergarments, irritants, vulvar skin disease, anatomic abnormalities (double vagina with fistula, pelvic abscess, and ectopic ureter), and sexual abuse. Prepubertal girls, outside the newborn period, with suspected gonococcal infection should be strongly considered to be victims of sexual abuse, once congenital and other newborn acquired forms of gonorrhea are excluded. We present a case of a three-year-old female with vaginal discharge and fever with a clouded social history, disproportionate distress on physical exam, and initial laboratory gram stain suggestive of gonococcus. ( info)

10/30. Sigmoid endometriosis in a postmenopausal woman.

    Bowel obstruction resulting from endometriosis is an infrequently observed phenomenon in postmenopausal women. A 69-year-old woman without hormone replacement had clinical and radiologic findings consistent with a pelvic tumor invasive into the wall of the sigmoid colon. The patient underwent resection of the sigmoid colon and total hysterectomy. Histologic examination revealed endometrioma. This case documents the possible occurrence of symptomatic bowel endometriosis after years of a hormonally castrated state. ( info)
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