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Benign Reactive Xanthogranuloma of the Cervix, a Rare Tumor of the Female Genital Tract in a Case Report
Georges Wehbe,
Jessie Darido,
Mohammad Khaled Ramadan,
Rabih Chahine,
Ahmad Estaitieh,
Ahmad Lakis,
Omar Sheikh,
Khaled Habib,
Saad El Daou,
Nicolas Haddad
Issue:
Volume 7, Issue 5, September 2019
Pages:
125-129
Received:
11 July 2019
Accepted:
19 August 2019
Published:
2 September 2019
Abstract: Xanthogranuloma is a benign disorder that is considered to be a very rare event when it happens in the female reproductive organs. It can mimic adnexal tumors clinically and radiologically. The vulva, the vagina, the cervix or the endometrium can be involved. It is a process during which the tissues are infiltrated by lipid-laden histiocytes mixed with lymphocytes, plasma cells and polymorphonuclear leucocytes. In this article, we are reporting a rare case of an adult xanthogranulomatous inflammation of the uterine cervix with a detailed clinical, pathologic, radiologic and follow up data. A 46-year-old lady presented with vaginal bleeding, dysmenorrhea and pelvic heaviness. She underwent a diagnostic dilation and curetting at a peripheral hospital due to increased endometrial thickness on ultrasound. Then, she was misdiagnosed with a diffused large B cell lymphoma (Non-Hodgkin Lymphoma) and was treated with two cycles of chemotherapy. At our department, abdominopelvic ultrasound and CT scan showed a 10 x 9.4 cm round cervical mass associated with hydronephrosis. A cervical biopsy was also taken turned back with a pseudotumoral xanthogranulomatous cervicitis. Consequently, a hysterectomy with bilateral salpingo oophorectomy was decided and performed taking into consideration the possibility of a coexistent associated malignancy of the reproductive organs. In contrast with juvenile xanthogranuloma, we could not have expected from our case of adult xanthogranuloma to regress. Finally, more studies and reported cases are needed in order to assess the adequate management and utility of radiotherapy/chemotherapy in such cases of Xanthogranulomatous inflammation of the female genital tract.
Abstract: Xanthogranuloma is a benign disorder that is considered to be a very rare event when it happens in the female reproductive organs. It can mimic adnexal tumors clinically and radiologically. The vulva, the vagina, the cervix or the endometrium can be involved. It is a process during which the tissues are infiltrated by lipid-laden histiocytes mixed ...
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MRI Distinguish the Types of Placental Accrete Ability and Finding: 27 Patients Results
Tianran Li,
Xiaobin Huang,
Fayu Chen,
Beibei Zhang,
Zhijie Yang
Issue:
Volume 7, Issue 5, September 2019
Pages:
130-137
Received:
17 August 2019
Accepted:
16 September 2019
Published:
26 September 2019
Abstract: The placenta accrete is a kind of emergency and it leads to maternal postpartum hemorrhage, and one of the causes of death. Its aims is to evaluate diagnostic ability and findings of MRI in placental accrete of different types. This study included 27 pregnant women who were all histologically confirmed placental accrete after operation. According to the Maldjia diagnostic MRI criteria. The sensitivity and accuracy of MRI imaging were compared, and the MRI features of placental accrete were also described. The results showed a statistically significant difference among the three radiologists in MRI classification (P<0.05). For the type 0 and the type 3, there is a statistical difference between MRI diagnosis to the type 0 and the type 3 (P<0.05), and Kappa test also showed the difference (P<0.05). And for the type 1 and the type 2, especially for the type 1, there is a good consistency with the pathological results (P>0.05), chi square test (c2) showed no difference between the two types diagnostic capabilities (P>0.05). ADC and high b value DWI both showed slightly high signal of placental accrete. Residual placenta demonstrated "flower braid" or "mushroom" inhomogeneous enhancement. Comparison of MRI and US, 0 and 1 type are no obviously difference between US and MRI (P>0.05), but there are statistical difference (P<0.05) for distinguishing type 2 and type 3. MRI has a high diagnostic accuracy in placental implantation and the location, extent and depth of its invasion, displaying the condition of blood supply, and the drawing the typing diagnosis based on them. Moreover, MRI was more useful than US in distinguishing type 2 and type 3 of placental accrete.
Abstract: The placenta accrete is a kind of emergency and it leads to maternal postpartum hemorrhage, and one of the causes of death. Its aims is to evaluate diagnostic ability and findings of MRI in placental accrete of different types. This study included 27 pregnant women who were all histologically confirmed placental accrete after operation. According t...
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The Effect of Perinatal Maternal Health Knowledge Explaining Combined Full-time Nursing Staff Accompanying on Maternal Labor and Pregnancy
Liang Wenfei,
Zuo Li,
Gao Yujing,
Huang Xinke
Issue:
Volume 7, Issue 5, September 2019
Pages:
138-141
Received:
29 August 2019
Accepted:
16 September 2019
Published:
30 September 2019
Abstract: Objective: TO investigate the effect of perinatal maternal health knowledge explaining combined full-time nursing staff accompanying on maternal labor and pregnancy. Methods In our hospital from January 2016 to October 2018, 173 primiparas were randomly divided into control group (87 cases) and nursing group (86 cases). The control group was given perinatal routine care, the observation group was given perinatal maternal health knowledge explaining combined full-time nursing staff accompanying. The maternal psychological state, labor, pregnancy outcome and neonatal Apgar score were compared between the two groups. Results: Before the intervention, the scores of SAS (51.37±5.73) and SDS (63.32±6.17) in the nursing group were not significantly different from those in the control group (SAS 51.74±5.82 and SDS 63.47±6.21) (P>0.05). After the intervention, the SAS (37.51±3.51 points) and SDS (44.58±4.23 points) scores in the observation group were significantly lower than those control group (43.36±4.95 points, 52.46±4.51 points) (P<0.05). Besides, there was no significant difference between the nursing group (401.3±102.6 min) and the control group (404.2±104.5 min) in the first stage of labor (P > 0.05). However, the second (25.2±4.3min) and third (8.3±2.1min) labor time of nursing group was significantly less than those of the control group (46.8±6.7min, 11.4±2.6min) ((P < 0.05). And, the pregnancy outcomes of the nursing group were significantly better than the control group ((P < 0.05). Furthermore, the Apgar score in the nursing group (9.25±1.03) was significantly higher than that in the control group (8.24±1.35) ((P < 0.05). Conclusion: Perinatal maternal health knowledge and combined with full-time nursing staff can help reduce maternal anxiety and depression, shorten labor time, improve maternal pregnancy outcomes, and improve neonatal Apgar score, which is worthy of clinical application.
Abstract: Objective: TO investigate the effect of perinatal maternal health knowledge explaining combined full-time nursing staff accompanying on maternal labor and pregnancy. Methods In our hospital from January 2016 to October 2018, 173 primiparas were randomly divided into control group (87 cases) and nursing group (86 cases). The control group was given ...
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Female Hermaphroditism and Term Pregnancy: About a Case at the National Hospital of Pikine and Review of Literature
Taliana Stephie Gondjout,
Omar Gassama,
Soukaina El Alaoui,
Helene Chami,
Abdoul Aziz Diouf,
Alassane Diouf
Issue:
Volume 7, Issue 5, September 2019
Pages:
142-144
Received:
8 August 2019
Accepted:
16 September 2019
Published:
9 October 2019
Abstract: This case report, it’s about a patient I met during prenatal consultation, she was in the 2nd semester of her pregnancy, exactly at 25 weeks. During the physical examination, we found, she had a hypoplasia of minor labia, an incomplete vaginal diaphragm with a vaginal cup, and a hypertrophy of clitoris. We decide to make some biological and instrumental examinations. After getting the result, we concluded she has a pseudo hermaphroditism associated with malformation of 1/3 of vagina. Reason why the way of the delivery choose was a C-section. Female pseudo hermaphroditism is the most frequent (FPH) sexual ambiguity. It is characterized by the extension of abnormality of the sexual differentiation during the fetal life in the female fetus by a maternal or fetal hyper-genesis. The authors propose through a clinical case with a patient 46XX DSD pregnant. The main cause of this pathology is congenital adrenal hyperplasia, which we lead to deficits of 21-hydoxylase, 11-beta-hydroxylase, 3-beta-hydroxysteroid dehydrogenase, but 95% of the congenital adrenal hyperplasia is the deficiency of 21-hydoxylase. The treatment of congenital adrenal hyperplasia depend of the cause, hormone replacement therapy like (dexamethasone, hydrocortisone), most often the treatment for life is needed. From this we propose to make review of literature focusing on it.
Abstract: This case report, it’s about a patient I met during prenatal consultation, she was in the 2nd semester of her pregnancy, exactly at 25 weeks. During the physical examination, we found, she had a hypoplasia of minor labia, an incomplete vaginal diaphragm with a vaginal cup, and a hypertrophy of clitoris. We decide to make some biological and instrum...
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Laparotomy Myomectomy: Epidemiology, Indications and Prognosis at Loandjili General Hospital (Republic of Congo)
Eouani Levy Max Emery,
Mokoko Jules Cesar,
Buambo Gauthier Regis Jostin,
Potokoue Mpia Sekangue Samantha Nuely,
Itoua Clautaire,
Iloki Leon Herve
Issue:
Volume 7, Issue 5, September 2019
Pages:
145-148
Received:
15 August 2019
Accepted:
18 September 2019
Published:
9 October 2019
Abstract: To describe the epidemiological profile of patients, list myomectomy indications and report their prognosis at Loandjili General Hospital. A descriptive cross-sectional study conducted from 1 January 2016 to 31 December 2018 in the Gynecology Department of Loandjili General Hospital, including exhaustively all patients operated for myomectomy. The variables studied were pre (age, gestity, parity, indication), per (myoma measures, blood loss, intraoperative transfusion, complications and peroperative incidents) and postoperatively (hospital stay). Ninety-two patients had been received for surgical management of uterine fibroids out of a total of 1,455 gynecological procedures or 6.3%. The median age was 36.5 years [range 27 - 44] with a peak in the 36 to 40 age group (37%). The median gestity and parity were respectively 2 [range 0 - 12] and 1 [range 0 - 7]. More than half of the patients were nulliparous (51.1%). In 71.7% of cases (n = 66), myomectomy was performed in a context of desire for maternity. Indications for myomectomy were hemorrhage (46.7%), large uterus above the umbilicus (37%) and pelvic pain (16.3%). The polymyomectomy was performed in 64.1% of the cases (n = 59) with nuclei of size varying between 2 and 20 cm. The morbidity was marked on the one hand by anemia (n = 14 or 14%) secondary to an intraoperative haemorrhage which resulted in two cases in performing a hemostatic hysterectomy and in the other by rupture of the uterine cavity. Postoperative blood loss was estimated at 200 to 1400 ml, resulting in more than half of the patients receiving blood transfusions (58%). Myomectomy by laparotomy is often accompanied by significant blood spoliation thus increasing the postoperative morbidity. Techniques that minimize intraoperative blood loss should be used for laparotomy myomectomy.
Abstract: To describe the epidemiological profile of patients, list myomectomy indications and report their prognosis at Loandjili General Hospital. A descriptive cross-sectional study conducted from 1 January 2016 to 31 December 2018 in the Gynecology Department of Loandjili General Hospital, including exhaustively all patients operated for myomectomy. The ...
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Variation Trend of Vitamin D Status in Wintertime Among Infants: A Cross-sectional Study
Wei Li,
Qiong Dai,
Yongying Qiu,
Jianqiong Liu,
Yan Guo,
Bin Wang
Issue:
Volume 7, Issue 5, September 2019
Pages:
149-154
Received:
8 September 2019
Accepted:
25 September 2019
Published:
10 October 2019
Abstract: Background The requirement of vitamin D in different stage may be diverse, but research on the variation trend of vitamin D status during infancy is scarce. Objective This study aimed to explore the variation trend of vitamin D status and influencing factors of vitamin D deficiency and insufficiency during wintertime among infants. Methods A cross-sectional study was conducted. A total of 500 infants were included in our study during January to March 2017. The serum 25(OH)D was performed by chemiluminescent assay. Multivariate Logistic regression was conducted to evaluate the influencing factors of vitamin D deficiency and vitamin D insufficiency. Results The older infants had a higher concentration of vitamin D than younger infants (r=0.62, P<0.0001). And the overall prevalence of vitamin D deficiency and insufficiency were 33.80% and 18.00%, respectively. With the increase of month age, the risk of vitamin D deficiency (OR=0.63, 95%CI: 0.57-0.70) and insufficiency (OR=0.69, 95%CI: 0.62-0.77) were both declined. In addition, the infant with low birthweight, breastfed, living in rural area were correlated with a higher risk of vitamin D deficiency and insufficiency (P<0.05). Conclusion Vitamin D deficiency and insufficiency prevalence changed with month age, routine monitoring of vitamin D levels is necessary for infant.
Abstract: Background The requirement of vitamin D in different stage may be diverse, but research on the variation trend of vitamin D status during infancy is scarce. Objective This study aimed to explore the variation trend of vitamin D status and influencing factors of vitamin D deficiency and insufficiency during wintertime among infants. Methods A cross-...
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