Case Report
Struma Ovarii: A Case Report of a Rare Teratoma of the Ovary in Vietnam
Tuan Ho*
,
Yen Nguyen
Issue:
Volume 13, Issue 4, August 2025
Pages:
67-69
Received:
29 June 2025
Accepted:
14 July 2025
Published:
30 July 2025
Abstract: Struma ovarii is a rare type of ovarian teratoma, characterized by the predominance of thyroid tissue. The definitive diagnosis of struma ovarii is established by histopathology. The disease typically affects women between the ages of 40 and 50 and is often unilateral. Struma ovarii rarely presents before puberty and exhibits very slow growth. In most cases, the clinical presentation of struma ovarii is similar to mature teratoma. Preoperative diagnosis is difficult because the clinical symptoms, imaging findings, and serum markers are non-specific. In a few cases, struma ovarii can present with symptoms mimicking ovarian cancer. However, even with the presence of ascites and hyperthyroidism, the majority of cases are benign. Ovarian cystectomy or oophorectomy is appropriate for most cases. The majority of symptoms will resolve post-surgery. The prognosis is generally favorable.
Abstract: Struma ovarii is a rare type of ovarian teratoma, characterized by the predominance of thyroid tissue. The definitive diagnosis of struma ovarii is established by histopathology. The disease typically affects women between the ages of 40 and 50 and is often unilateral. Struma ovarii rarely presents before puberty and exhibits very slow growth. In m...
Show More
Research Article
Blood Transfusion Practices in Obstetrics & Gynecology - A 3-Year Retrospective Study at Ibri Regional Hospital, Oman
Issue:
Volume 13, Issue 4, August 2025
Pages:
70-75
Received:
14 July 2025
Accepted:
28 July 2025
Published:
13 August 2025
DOI:
10.11648/j.jgo.20251304.12
Downloads:
Views:
Abstract: Blood transfusion is a critical intervention in obstetrics and gynecology, particularly for managing postpartum hemorrhage (PPH), abnormal uterine bleeding (AUB), and anemia. Optimizing transfusion practices is essential to minimize risks and improve resource utilization. To evaluate transfusion patterns, indications, and appropriateness in the Obstetrics and Gynecology Department at Ibri Regional Hospital, Oman, over a 3-year period. This retrospective observational study analyzed 422 transfusion cases (226 obstetric, 196 gynecologic) from January 2020 to December 2022. Data on patient demographics, transfusion indications, hemoglobin levels, blood component use, crossmatch-to-transfusion (C/T) ratio, and adverse reactions were extracted from medical and blood bank records. Descriptive statistics were performed using IBM SPSS Statistics. The results showed overall transfusion rate was 3.28%. Obstetric hemorrhage (66.8%), primarily PPH (80.1%), and anemia (33.1%) were the leading obstetric indications. In gynecology, Abnormal uterine bleeding (AUB) (48.5%) and early pregnancy complications (27.0%) predominated. The C/T ratio was 7.98, indicating inefficient blood utilization. Single-unit packed red blood cell (pRBC) transfusions were common (51.2%), and adverse reactions occurred in 0.94% of cases. Senior physicians made 96% of transfusion decisions, with informed consent documented in 60% of cases. While transfusion practices align with international standards, the high C/T ratio suggests a need for improved blood ordering protocols. Enhanced anemia management, patient blood management (PBM) strategies, and mandatory consent documentation are recommended to optimize transfusion practices.
Abstract: Blood transfusion is a critical intervention in obstetrics and gynecology, particularly for managing postpartum hemorrhage (PPH), abnormal uterine bleeding (AUB), and anemia. Optimizing transfusion practices is essential to minimize risks and improve resource utilization. To evaluate transfusion patterns, indications, and appropriateness in the Obs...
Show More
