The leiomyoma of the vagina is relatively rare benign tumor, but most common mesencymal tumors in adult woman. There does not seem to be a correlation between the existence of vaginal leiomyoma and uterine or other leiomyomas. But, recently we experienced a case of vaginal leiomyoma arising in the lateral vaginal wall and concomitant uterine leiomyoma. Now we present it with a brief review of the case and its literatures.
Adult ; Female ; Humans ; Leiomyoma* ; Uterus* ; Vagina*

Tuboovarian abscess associated with pregnancy is not commonly reported. Diagnosis may be difficult if the obstetrician is not aware that this condition can occur during pregnancy. The diagnosis is often made at laparotomy by a physician expecting appendicitis or another inflam-matory condition. A case of ruptured tuboovarian abscess on 34 weeks' gestation of pregnancy was presented and reviewed briefly.
Abscess* ; Appendicitis ; Diagnosis ; Laparotomy ; Pregnancy*

OBJECTIVE: Our purpose of study was to investigate whether in vivo levels of tumor necrosis factor-alpha in plasma and peritoneal fluid (PF) differ in women with and without endometriosis.Design : Prospective and case-control study. METHODS: Fifty-seven women with laparotomy or laparoscopic findings of minimal to severe endometriosis, and forty-two women with no visual evidence of pelvic endometriosis and with benign gynecologic disease. Tumor necrosis factor-alpha levels in plasma and PF were determined using commercial ELISA. Tumor necrosis factor-alpha concentrations were compared among women with and without endometriosis, and then also were compared according to the revised American Fertility Society classification. RESULTS: Tumor necrosis factor-alpha concentrations were not significantly increased in the plasma and PF of women with endometriosis than in matched normal controls. Tumor necrosis factor-alpha concentrations in endometriosis stage III and IV were sightly increased, which were not increased statistically significant. CONCLUSIONS: Plasma and PF tumor necrosis factor-alpha levels were not different between women with and without endometriosis. Our RESULTS: do not rule out the hypothesis that tumor necrosis factor-alpha may be involved in the pathogenesis of some features of endometriosis.
Ascitic Fluid* ; Case-Control Studies ; Classification ; Endometriosis* ; Enzyme-Linked Immunosorbent Assay ; Female ; Fertility ; Genital Diseases, Female ; Humans ; Laparotomy ; Plasma* ; Prospective Studies ; Tumor Necrosis Factor-alpha*

OBJECTIVETo evaluate the changes of periprosthetic bone mineral density in femur after hip resurfacing arthroplasty.

METHODSFrom July 2002 to June 2005, a comparative study was carried out on 52 hips in 52 patients. Twenty-six patients (26 hips) who underwent Birmingham hip resurfacing arthroplasty (group BHR), and 26 patients (26 hips) who performed cementless total hip arthroplasty with Versys System stem (group THA). The periprosthetic bone mineral density of the femur was measured through dual energy X-ray absorptiometry of the Gruen zones at pre-operation, post-operation 3, 6, 12 and 24 months in patients from both group BHR and group THA. The bone mineral density of femoral neck in group BHR was measured too. Changes of bone mineral density ratio in proximal femur between pre-operation and post-operation were compared and analyzed.

RESULTSThe mean ratio of bone mineral density of the proximal femur in group BHR reduced by 5.8%, 4.9%, 2.6% and 0.4%, in group THA reduced by 7.0%, 10.6%, 1.0% and 4.1% at 3, 6, 12 and 24 months respectively. In group BHR, the mean ratio of bone mineral density in range of interest 1 decreased to 89.7% at 6 months and increased to 103.8% at 24 months, in range of interest 7 decreased to 95.1% at 6 months and increased to 103.7% at 24 months. In group THA, the mean ratio of bone mineral density in range of interest 1 decreased to 90.8% at 6 months, 94.4% at 24 months and in range of interest 7 decreased to 94.2% at 3 months, 96.7% at 24 months. In group BHR, the bone mineral density of femoral neck was restored to the pre-operation level at 6 months. The bone mineral density in superior-lateral zone of femoral neck decreased to 97.1% at 3 months and increased to 107.4% at 24 months respectively. The bone mineral density in inferior-medial zone of femoral neck increased to 117.9% at 24 months.

CONCLUSIONThe bone stock of proximal femur can be well preserved and recovered quickly after hip resurfacing arthroplasty.

Adult ; Arthroplasty, Replacement, Hip ; methods ; Bone Density ; physiology ; Female ; Femur ; physiopathology ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Postoperative Period