[Show abstract][Hide abstract] ABSTRACT: Molar pregnancy found in a cesarean scar is exceedingly rare. It can be challenging to manage and can have potentially catastrophic consequences.
A 34-year-old multigravid woman presented with persistent symptoms of pregnancy after a surgical termination of pregnancy. Cesarean scar molar pregnancy was suspected on ultrasonography, and suction evacuation was performed under ultrasound guidance. This was followed by bimanual compression, oxytocin, and uterine artery embolization to reduce bleeding.
A high index of suspicion is needed for early diagnosis and management of cesarean scar molar pregnancy.
No preview · Article · Feb 2012 · Obstetrics and Gynecology
[Show abstract][Hide abstract] ABSTRACT: An accessory ovary is a rare congenital anomaly of the female reproductive tract. This report illustrates a case of a cyst arising from an accessory ovary complicated by torsion.
A 39-year-old nulliparous woman presented with lower abdominal pain and was found on physical examination to have an 8-cm mass anterior to the uterus. Ultrasonography of the pelvis showed a 9.3×6.7 cm cystic lesion with a solid component anterior to the uterus suggestive of a left ovarian cyst. Laparoscopy was performed for presumed ovarian torsion. Torsion of a tumor arising from an accessory ovary was found intraoperatively.
Patients suspected to have ovarian torsion should have emergency surgery for diagnosis and attempted ovarian preservation. Physicians should consider complications of paraovarian anomalies in the differential diagnosis.
No preview · Article · Feb 2011 · Obstetrics and Gynecology