1.Mucinous cystadenocarcinoma of ovary with metastasis in 14-year-old girl.
Barkha GUPTA ; Prerna ARORA ; Nita KHURANA ; Anjali TEMPE
Obstetrics & Gynecology Science 2017;60(2):227-231
Ovarian mucinous tumors in <15 years old are rare with <50 cases reported till date in the literature. Majority of them are benign or borderline epithelial ovarian tumors with only 12 cases of cystadenocarcinomas reported at a young age. We report a case of mucinous cystadenocarcinoma in 14-year-old girl with metastasis to omentum at the time of presentation. Management of such cases is tricky as conservative approach sparing fertility of the patient is adopted. This case is presented for its rarity and unique presentation. To the best of our knowledge, this is the thirteenth case of ovarian cystadenocarcinoma being reported at a very young age and the first case being reported from Indian subcontinent. Extensive review of the previously published cases in the literature has been done in this study.
Adolescent*
;
Cystadenocarcinoma
;
Cystadenocarcinoma, Mucinous*
;
Female
;
Female*
;
Fertility
;
Humans
;
Mucins*
;
Neoplasm Metastasis*
;
Omentum
;
Ovary*
2.Umbilical cord ulceration: An underdiagnosed entity.
Barkha MAHESHWARI ; Maitrayee ROY ; Shipra AGARWAL ; S DEVI ; Ashu SINGH ; Nita KHURANA ; Sangeeta GUPTA
Obstetrics & Gynecology Science 2016;59(5):388-392
Umbilical cord ulceration is a rare condition presenting with sudden fetal bradycardia due to fetal hemorrhage and in most cases leading to intrauterine death. A strong association with intestinal atresia has been reported. Most cases present after 30 weeks of gestation, with preterm labor or rupture of membranes followed by sudden fetal bradycardia. We report two such cases of umbilical cord ulceration and review the available literature. One of the cases interestingly presented at 26 weeks, much earlier than what is reported in the world literature. In view of high perinatal mortality and morbidity, awareness of this condition is mandatory for timely and appropriate management to improve the fetal outcome.
Bradycardia
;
Female
;
Hemorrhage
;
Intestinal Atresia
;
Membranes
;
Obstetric Labor, Premature
;
Perinatal Mortality
;
Pregnancy
;
Rupture
;
Ulcer*
;
Umbilical Cord*
3.Umbilical cord ulceration: An underdiagnosed entity.
Barkha MAHESHWARI ; Maitrayee ROY ; Shipra AGARWAL ; S DEVI ; Ashu SINGH ; Nita KHURANA ; Sangeeta GUPTA
Obstetrics & Gynecology Science 2016;59(5):388-392
Umbilical cord ulceration is a rare condition presenting with sudden fetal bradycardia due to fetal hemorrhage and in most cases leading to intrauterine death. A strong association with intestinal atresia has been reported. Most cases present after 30 weeks of gestation, with preterm labor or rupture of membranes followed by sudden fetal bradycardia. We report two such cases of umbilical cord ulceration and review the available literature. One of the cases interestingly presented at 26 weeks, much earlier than what is reported in the world literature. In view of high perinatal mortality and morbidity, awareness of this condition is mandatory for timely and appropriate management to improve the fetal outcome.
Bradycardia
;
Female
;
Hemorrhage
;
Intestinal Atresia
;
Membranes
;
Obstetric Labor, Premature
;
Perinatal Mortality
;
Pregnancy
;
Rupture
;
Ulcer*
;
Umbilical Cord*