Proliferating trichilemmal tumor of the vulva. Case report and review of the literature

A case of proliferating trichilemmal tumor, otherwise known as pilar tumor, occurring in the dermis of the left labium majus of a 65-year-old woman, is presented. To our knowledge, this is the second reported case of such a tumor occurring in this location. The origin of this neoplasm, the reasons for its rarity at this site, and the range of its biological behavior are discussed in relation to the clinical manifestations of this case.     

Giant chorioangioma and its perinatal complications. A report of a case

It is presented a clinical case of a pregnant patient, who attended to the hospital's emergency service because of the presence of transvaginal liquid. A polyhidramnios was diagnosed, due to a placental chorioangioma (of approximately 7 cm), which was confirmed by hystopatological examination, reporting placental chorioangioma with its three histological types: cellular, angioblastic and degenerative. The case and its complications, such as polyhidramnios, membranes rupture and preterm labor, are analized. Existing literature is reviewed.     

Recurrent leiomyoma of the vagina.

A rare case of huge vaginal leiomyoma recurrence is reported. Vaginal leiomyoma is a rare entity and recurrence after its removal is extremely rare. However, if recurrence occurs with intact ovarian function ovariectomy should also be done.     

Combined anomalies of the müllerian and wolffian systems.

Combined congenital anomalies of the Müllerian and Wolffian duct systems are a rare phenomenon. We report a case of bicornuate uterus and infected right Gartner duct cyst, associated with agenesis of the left kidney and a left ovarian cyst. The case is discussed in view of its unknown occurrence.     

An interesting case presentation: peripartum meningococcal meningitis.

Meningococcal disease during pregnancy is extremely rare. A single reported case occurred more than 20 years ago in England. We present the case of a young woman who just hours after delivery of her baby developed fulminant meningococcal meningitis with its classic findings. Our experience illustrates the importance of early diagnosis and appropriate therapy of meningococcal disease in the gravid as well as in the nongravid population.     

Normal pregnancy complicated by vaginal ectopic trophoblastic implantation; a case report.

We describe a rare case of ectopic placental tissue, presenting as a vaginal tumor during normal intra-uterine pregnancy. Its clinicopathological features, and its possible relation to placental site trophoblastic tumors are discussed. To the best of our knowledge, this is the first case to be reported in the English literature of such a lesion occurring at this site.     

Acute pancreatitis and hyperparathyroidism in pregnancy.

A case of acute pancreatitis associated with hyperparathyroidism in the third trimester of pregnancy is summarized, and the clinical findings are discussed. Emphasis is placed on recognition of pancreatitis and its etiology in the third trimester of pregnancy. The surgical approach to the parathyroid pathology is analyzed and its advantages espoused.     

Intraplacental smooth muscle tumor: a case report.

We present the second reported case of a smooth muscle neoplasm involving the placental parenchyma. On gross examination, the tumor easily separated from the uterus and had a whorled cut surface with finger-like extensions into the villous parenchyma, very similar to the previously described case. The differential diagnosis included a primary smooth muscle tumor of the placenta (placental leiomyoma), a primary uterine neoplasm incorporated into the placenta, and a metastatic sarcoma. In this case, the infant was male, and the polymerase chain reaction technique demonstrated the presence of Y chromosome gene in the placental parenchyma and its absence in the placental neoplasm. Thus, this neoplasm, despite its gross appearance of a primary placental tumor, actually represented an incorporated benign uterine leiomyoma.     

Cervical pregnancy. A report of two cases

Cervical pregnancy is a rarely occurring form of ectopic pregnancy. Given its rarity, the identification of risk factors is based on anecdotal case reports and occasional summarizing reviews. We managed two additional cases with a new, conservative approach. The trend is away from radical therapy and toward conservation of reproductive function.     

Giant broad ligament leiomyoma.

Giant fibroids are known to arise from the uterus, but occasionally from the broad ligament also. A case of giant broad ligament fibroid is reported for its rarity, and the diagnostic difficulties it posed are discussed.     

Neuroleptic malignant syndrome associated with metoclopramide antiemetic therapy.

A case of neuroleptic malignant syndrome in a 50-year-old woman with ovarian cancer is reported. The syndrome was associated with metoclopramide antiemetic therapy given for post-operative nausea and vomiting. Dantrolene, bromocriptine, and supportive measures were effective in obtaining a complete resolution of the syndrome. This potentially lethal syndrome is perhaps underreported in the gynecologic literature. Heightened awareness of its signs and symptoms may cause more cases to be recognized and help improve its outcome.     

Prenatal rectal perforation: an unsuspected cause of isolated ascites.

In fetal intestinal perforation, inflammation leads to production of ascites. Small bowel is usually involved by perforation with the distal ileum the most frequent site. We report the first case of prenatal perforation of the intraperitoneal part of the rectum, which presented as severe ascites at a 37 weeks' gestation antenatal ultrasonography. As none of the reported causes of intestinal perforation were identified in our case, its etiology remained idiopathic.     

Herpes simplex virus type 2 meningitis.

To date only 9 culture-proven cases of herpes simplex virus Type 2 meningitis have been recorded. Presented here is the 10th case with a review of the literature. Although generally a benign disease, its recognition in association with herpes progenitalis must be appreciated to avoid confusion in the treatment of this common veneral disease.     

Carcinosarcoma of the uterus. Clinical case and review of the literature]

The authors report a case of carcinosarcoma which occurred in the uterus of a 69 year old woman. The survey of literature shows that it is a scarce tumor (1-3% of the uterine cancers). Its definition and its classification are still debated. Its final diagnosis is anatomopathological. Its treatment is generally radio-chirurgical and its prognosis is bad.     

Lymphangioma of the uterus. Apropos of a case

Lymphangioma of the uterine corpus is a rare tumor and the authors report one case discovered per-operatively. A review of the literature permits to bring out its essential characteristics as far as clinic, etiopathogenesis, evolution and therapy are concerned. This completely benign tumor is more an anatomo-pathological curiosity than a true gynecological problem.     

Cystic fibrosis. Prenatal diagnosis]

The clinical case of heterozygote parents, both bearers of cystic fibrosis, whose three newborn infants died of this disease is presented. The authors describe the prevention of and the progress in its early prenatal diagnosis and management.     

A pure enterococcal abscess after cesarean section.

The pathogenic role of the enterococcus in pelvic infections is controversial. This case report of a pure enterococcal abscess developing after cesarean section supports the view that this organism can be a primary pathogen in obstetric and gynecologic infections. Because of its unusual sensitivity pattern, the enterococcus requires specific antibiotic therapy.     

Prune Belly syndrome. A case of recurrence]

Prune belly syndrome is rare. It involves a combination of muscular hypoplasia of the abdominal wall, marked dilatation of the bladder and ureters and, in its most severe form, bilateral testicular ectopia. Fetuses of both sexes may be affected, with a marked predominance of males. The prognosis is poor, with a mortality rate in excess of 50%, due essentially to renal and respiratory complications. The authors evaluate the prognosis of Prune Belly syndrome with regard to a case of recurrence and suggest a modern approach to its management.     

Antepartum fetal arrythmia. A case report.

On a number of occasions fetal heart arrythmias have been detected during the course of routine antepartum patient examination. A case is presented to illustrate the difficulty of making a definitive diagnosis of the nature of the arrythmia, and its significance in relation to fetal status. Investigation included stressed and nonstressed FHR monitoring, but a definitive diagnosis could not be made during the antepartum period and the patient could, therefore, not be assured of the essentially benign nature of the arrythmia until shortly after the birth of her child. The electrocardiogram obtained from external fetal electrocardiographic monitoring is not sufficiently refined to aid in the antepartum diagnosis of fetal cardiac arrythmias.     

Transverse vaginal septum.

Transverse vaginal septum, perhaps the most common congenital anomaly of the vagina, is nonetheless an unusual finding. A case report and its management and theories concerning the embryology of the vagina are presented. The varying presentations of imperforate versus perforate transverse septa are reviewed, as well as diagnostic tools and treatment modalities. Surgical excision of the septum is advocated.