Non puerperal Total uterine inversion with cervical and vaginal inversion: An unusual complication of degenerated submucous fundal fibroid treated by vaginal hysterectomy

Publication date: Available online 13 August 2015 Source:The Egyptian Journal of Radiology and Nuclear Medicine Author(s): Ahmed Samy El-Agwany, El-Sayed El-Badawy Inversion of the uterus is a rare condition which is an obstetric emergency and a diagnostic challenge in gynecology. Nonpuerperal inversion usually results from a tumor implanted on fundus of the uterus as fibroid. Treatment depends on the associated pathology and the stage of the inversion. A rare case of nonpuerperal uterine inversion caused by a large fundal leiomyoma in a 45-year old woman resulting in profuse vaginal bleeding is reported which was successfully treated by vaginal l hysterectomy.
Source: The Egyptian Journal of Radiology and Nuclear Medicine - Category: Nuclear Medicine Source Type: research

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Publication date: Available online 30 January 2020Source: European Journal of Obstetrics &Gynecology and Reproductive BiologyAuthor(s): Meritxell Gracia, Francisco CarmonaAbstractUterine myomas (fibroids, leiomyomas) are the most common benign myometrial tumors in women of reproductive age. They are present in 5-70% of women (depending on different series), with at least one fibroid identified in 70% of women aged 40 to 60 years. Symptoms are present in 20-50% of women with uterine fibroids and include Abnormal Uterine Bleeding (AUB), pelvic pain, Bulk-pressure symptoms and fertility problems depending on the size and ...
Source: European Journal of Obstetrics and Gynecology and Reproductive Biology - Category: OBGYN Source Type: research
Uterine fibroids (UFs; leiomyoma) are the most common benign neoplastic threat that arise in the myometrium of women of reproductive age. These monoclonal tumors occur in about 77% of women by the age of 50 years and are clinically manifest in 25% –50% of women. Although benign, nonetheless these tumors are associated with significant morbidity including abnormal uterine bleeding, anemia, pelvic pain, subfertility, and obstetric complications. In addition, they are the primary indication for hysterectomy, and a major source of reproductive dysfunction.
Source: Fertility and Sterility - Category: Reproduction Medicine Authors: Tags: Reflections Source Type: research
(Abstracted from Obstet Gynecol 2019;134:261–269) One or more leiomyomas will be detected by abdominal or pelvic imaging by age 50 years in 70% of white women and more than 80% of African American women. Most leiomyomas are asymptomatic, but 25% to 30% of affected women will experience pelvic pain, heavy or prolonged menstrual bleeding, bulk symptoms (ie, pelvic pressure or genitourinary symptoms), and/or reproductive dysfunction.
Source: Obstetrical and Gynecological Survey - Category: OBGYN Tags: GYNECOLOGY: OPERATIVE GYNECOLOGY Source Type: research
Directive clinique No 389 - Prise en charge médicamenteuse des léiomyomes utérins symptomatiques - Addenda. J Obstet Gynaecol Can. 2019 Oct;41(10):1525-1528 Authors: Laberge PY, Murji A, Vilos GA, Allaire C, Leyland N, Sony S Abstract OBJECTIFS: Les directives du présent addenda visent à fournir aux cliniciens une mise à jour de la directive clinique de 2015 sur la prise en charge des fibromes utérins. Comme de nouveaux renseignements et de nouvelles données probantes ont vu le jour depuis 2015, le comité de pratique clinique - gyn&eac...
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research
Authors: Laberge PY, Murji A, Vilos GA, Allaire C, Leyland N, Singh SS Abstract OBJECTIVES: The aim of this guideline is to provide clinicians with an update to the 2015 Clinical Practice Guideline on the Management of Uterine Fibroids. As new information and evidence has become available since 2015, the Gynaecology Clinical Practice Committee of the Society for Obstetricians and Gynaecologists of Canada has determined that an addendum to that document was necessary to inform members about treatment modalities for uterine fibroids. OUTCOMES: Implementation of this guideline update should optimize the decision-m...
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research
Adenomyosis is a benign lesion within the myometrium associated with heavy menstrual bleeding (HMB) and dysmenorrhea, and commonly co-exists with uterine fibroids (UF). Adenomyosis is also present in 15-57% of hysterectomy specimens with leiomyoma (Genc M, et al, 2015; Taran FA, et al, 2010). This analysis evaluated the efficacy and safety of elagolix, an oral, gonadotropin-releasing hormone receptor antagonist, with add-back therapy in a subset of women with UF, HMB and co-existing adenomyosis.
Source: Fertility and Sterility - Category: Reproduction Medicine Authors: Tags: Prize paper session Source Type: research
The North American Menopause Society (NAMS) held the 2018 Utian Translational Science Symposium on October 2, 2018, in San Diego, California, to discuss new therapeutic approaches to uterine leiomyomas when surgery is not the optimal choice. Uterine leiomyomas arise from a single clonal cell and are the most common gynecologic disorder affecting reproductive and perimenopausal women worldwide. The prevalence of this disorder is approximately 40% to 70% in white women and 60% to 80% in black women. Recent research suggests that both estrogen and progesterone modulate the growth of leiomyomas, with progesterone being a majo...
Source: Menopause - Category: OBGYN Tags: NAMS Translational Science Symposium Report Source Type: research
ConclusionMultiple clinical features are associated with the presence of a uterine sarcoma, but when incorporated into a prediction model, they fail to provide significantly more information about women who may have an unrecognized sarcoma and only marginally improve the certainty about women who are not likely to have sarcoma.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
To develop a risk prediction model for occult uterine sarcoma using preoperative clinical characteristics in women undergoing hysterectomy for presumed uterine leiomyomata.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: Original Article Source Type: research
To develop a risk prediction model for occult uterine sarcoma using preoperative clinical characteristics in women undergoing hysterectomy for presumed uterine leiomyomata.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: ORIGINAL ARTICLE Source Type: research
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