1.A Case of Leiomyoma in the Female Urethra.
Sang Hoon BAICK ; Hee Jong JEONG
Journal of the Korean Continence Society 2007;11(2):189-192
Leiomyoma of the female urethra is exceedingly rare entity. Twenty-four year woman admitted to the hospital with a painless, gross hematuria and protruded mass outside the vaginal introitus. Vaginal examination revealed a mass arising from anterior urethral wall extending from meatus up to 1 cm proximally. Histopathological studies confirmed urethral leiomyoma. Surgery completely resolved the original symptoms and no evidence of complications after surgery. We report a case of leiomyoma of the female urethra and a review of the literature.
Female*
;
Gynecological Examination
;
Hematuria
;
Humans
;
Leiomyoma*
;
Urethra*
2.A Case of Leiomyoma of the Ovary.
Hwa Jeong SHIN ; Hee Jeong YU ; Cheol Hoon PARK ; Tae Eung KIM ; Jae Keun JUNG ; Duck Yeong RO ; Kyung Mi KIM
Korean Journal of Obstetrics and Gynecology 2005;48(3):784-787
Leiomyoma arising primarily in the ovary is a rare tumor, accounting for only 1% of benign ovarian neoplasms. About 50 cases have been reported in the literature to date. Most cases are asymptomatic and this benign neoplasm is usually found incidentally on routine pelvic examination, at surgery, or at autopsy. We present a case of ovarian leiomyoma in 39-year-old woman which has been experienced in our hospital with brief review of literature.
Adult
;
Autopsy
;
Female
;
Gynecological Examination
;
Humans
;
Leiomyoma*
;
Ovarian Neoplasms
;
Ovary*
3.A Case of Vaginal Tuberculosis presenting as Vaginal Cyst.
Chae Hyeong LEE ; Seung Soo HAN ; Chang Won JEONG ; Seung Ho LEE ; Jin Haeng CHUNG ; Yong Tark JEON ; Byung Chul JEE ; Yong Beom KIM ; Kyo Hoon PARK ; Chang Suk SUH
Korean Journal of Obstetrics and Gynecology 2005;48(12):3009-3012
A rare case of vaginal tuberculosis is reported. A 42-year-old woman referred to our hospital for surgical treatment of a cystocele presented with vaginal mass for 2 months. Pelvic examination revealed a cystic mass at anterior vagianl wall. Her initial diagnosis was urethral diverticulum. Surgical excision was performed and pathological analysis of the specimen revealed tuberculosis. She was treated with antituberculous drugs. We emphasize the need to maintain a high index of suspicion and to biopsy any suspicious vaginal lesion in the diagnosis of vaginal tuberculosis.
Adult
;
Biopsy
;
Cystocele
;
Diagnosis
;
Diverticulum
;
Female
;
Gynecological Examination
;
Humans
;
Tuberculosis*
4.A case of Laparoscopic Removal of Perforated Intrauteirne device.
Jong Ha HWANG ; Sung Hoon PARK ; Kweon Moon JO ; Jin Hwa HONG ; Yu A JUNG ; Tak KIM ; Hai Joong KIM ; Jin Woo SHIN
Korean Journal of Obstetrics and Gynecology 2002;45(9):1615-1618
Intrauterine devices (IUDs) have a low complication rate and minimal side effects and are pervaded contraceptive method. Perforation of the uterus by an IUD is very rare. But perforation of the uterus is one of the most serious complications associated with insertion of IUD. During the puerperium when the uterus is small and the uterine wall is thin the risk of perforation increase. The frequency has been estimated between 0.05 and 13 per 1000 insertions. When the IUD strings are not visible during pelvic examination, physicians make efforts to locate the IUD. We experienced a laparosopic removal of perforated intrauterine device, which had been inserted on postpartum 5 th week, at posterior lower segment of uterus with intrauterine pregnancy. So we report a case with a brief review of the literature.
Contraception
;
Gynecological Examination
;
Intrauterine Devices
;
Laparoscopy
;
Postpartum Period
;
Pregnancy
;
Uterus
5.Primary Ovarian Leiomyoma with Cystic Degeneration: A Case Report.
Journal of the Korean Radiological Society 2000;42(2):323-326
Leiomyoma of the ovary is a very rare benign tumor which is usually found incidentally on routine pelvic examination, or during surgery or autopsy. We report a case of ovarian leiomyoma in a 46-year-old woman in whom a lower abdominal mass was detected. A multiloculated and multiseptated mainly cystic mass in the left adnexa was revealed by computed tomography, and was thought to be an ovarian mucinous cystadenoma. Surgical pathology, however, demonstrated that the mass was a vascular leiomyoma originating from the left ovary.
Angiomyoma
;
Autopsy
;
Cystadenoma, Mucinous
;
Female
;
Gynecological Examination
;
Humans
;
Leiomyoma*
;
Middle Aged
;
Ovary
;
Pathology, Surgical
6.A Case of Neonatal Hydrocolpos due to Vaginal Atresia.
Young Jung JO ; Jong Hoon PARK ; Sang Youn KIM
Journal of the Korean Association of Pediatric Surgeons 2001;7(2):166-169
A 37-week gestation female neonatal infant presented with lower abdominal distension. Ultrasonography showed a hydrocolpos, measuring 8.3 cm x 6.9 cm x 6.1 cm in size and on perineal examination, vaginal atresia was noticed. On a follow-up ultrasonography performed 41 days after aspiration, the hydrocolpos was enlarged to 10 cm x 8 cm x 7 cm in size, and compressed adjacent small bowel significantly with concomitant bilateral hydronephrosis. Temporary tubed vaginostomy was carried out with the provision of excellent drainage and easy access for contrast studies to outline the pathologic anatomy. We are planning to perform vaginal reconstructive surgery on her age around 2 years, when her vaginal structure might grow sufficiently for reconstructive surgery.
Drainage
;
Female
;
Follow-Up Studies
;
Gynecological Examination
;
Humans
;
Hydrocolpos*
;
Hydronephrosis
;
Infant
;
Pregnancy
;
Ultrasonography
7.Vaginal adhesions in a woman with the history of dystocia.
Hyun Mi KIM ; Jin Young BAE ; Yoo Jin CHO ; Mi Ju KIM ; Hyun Wha CHA ; Won Joon SEONG
Obstetrics & Gynecology Science 2014;57(1):70-72
Postpartum genital tract adhesions are unusual, and their cause has not been evaluated. However, severe dystocia and numerous pelvic examinations have been suggested as possible causes. Here, we report a case of vaginal adhesions following a difficult labor that presented as dyspareunia for 5 months. Pelvic examination and ultrasonography revealed a transverse vaginal septum that obstructed the vaginal cavity, and fluid collection proximal to this septum. The patient was successfully treated with surgical resection and administration of antibiotics.
Anti-Bacterial Agents
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Dyspareunia
;
Dystocia*
;
Female
;
Gynecological Examination
;
Humans
;
Postpartum Period
;
Pregnancy
;
Tissue Adhesions
;
Ultrasonography
;
Vagina
8.A case of heterotopic pregnancy after ovulation induction and intrauterine insemination.
Seok JUNG ; Kum Ji JUNG ; Ho Ryong KIM ; Youn Jung CHOI ; Yong Pil KANG ; Jin Gyu SUN ; Kwang Soo KEE
Korean Journal of Obstetrics and Gynecology 2001;44(7):1341-1344
Heterotopic pregnancy is defined as simultaneous intrauterine and extrauterine pregnancy. The incidence of heterotopic pregnancy was about 1 to 30,000 pregnancies, but it has been increased. This increased incidence is explained by the rise in PID, pelvic surgery, IUD and assisted reproductive technologies-in vitro fertilization/gamate intrafallopian insemination/intrauterine insemination. Thus careful pelvic examination combined with serial beta-hCG determinations and transvaginal sonography to evaluate the adnexal region are necessary prerequisites for early diagnosis. We report a case of heterotopic pregnancy following in ovulation induction and intrauterine insemination with a brief review of literature.
Early Diagnosis
;
Female
;
Gynecological Examination
;
Incidence
;
Insemination*
;
Ovulation Induction*
;
Ovulation*
;
Pregnancy
;
Pregnancy, Ectopic
;
Pregnancy, Heterotopic*
9.Metastatic Choriocarcinoma with Negative Pelvic Examination.
In Young KIM ; Shin JUNG ; Sam Suk KANG ; Jong Geun PARK ; Jae Hyoo KIM ; Soo Han KIM ; Je Hyuk LEE
Journal of Korean Neurosurgical Society 1996;25(5):1058-1062
Apeculiar case of choriocarcinoma of the left parietal lobe of the brain with intracerebral hemorrhge is presented. Pelvic findings by physical and radiological examination were negative postoperatively, a thorough radiological study that included chest PA, chest CT, abdominal CT, pelvic CT and pelvic ultrasonography were performed for the detection of its primary focus. The level of urine and serum beta-HCG was above 100.000mlU and of CSF was 1,600mlU. This case is thus metastatic in nature, yet the primay focus of the tumor could not be demonstrated.
Brain
;
Choriocarcinoma*
;
Female
;
Gynecological Examination*
;
Parietal Lobe
;
Pregnancy
;
Thorax
;
Tomography, X-Ray Computed
;
Ultrasonography
10.The Inefficiency of Routine Performance of a Batch of Tests in the Clinical Staging Work-up of Cervical Carcinoma.
Soon Sup SHIM ; Jae Weon KIM ; Yong Beom KIM ; Ju Won RHO ; Chul Min LEE ; Noh Hyun PARK ; Yong Sang SONG ; Soon Beom KANG ; Hyo Pyo LEE
Journal of the Korean Cancer Association 2000;32(4):705-713
PURPOSE: This study was to evaluate the efficiency of routine performance of a batch of tests in the clinical staging work-up of cervical carcinoma. MATERIALS AND METHODS: The medical records were reviewed for 1,393 consecutive cervical carcinoma patients who underwent pretreatment staging work-up in Seoul National University Hospital from January 1988 to December 1997. The impression stage -which is designated ten tatively by the findings of pelvic examination and biopsy-, the results of staging work-up, and the finally allotted FIGO clinical stage were reviewed. The annual trend of stage distribution and the positive yields of tests were evaluated. RESULTS: Annual trend shows that Ia is increasing. The positive yield of chest x-ray was 0.22% (3/1, 379; Ib: 1, IIa: 1, IIb: 1), intravenous pyelography (IVP) 2.50% (31/1, 242; Ib: 2, IIa: 4, IIb: 17, IIIb: 8), cystoscopy 0.55% (6/1, 093; IIb: 4, IIIb: 2), and proctosigmoidoscopy 0.086% (1/1, 157; Ib: 1). After completing the staging work-up, 29 patients (2.08%) were upstaged. The routine performance of IVP in impression stage Ia and cystoscopy in impression stage IIa or less was considered inefficient. The routine performance of proctosigmoidoscopy was considered inefficient because of its very low yield. CONCLUSION: The selective performance of tests according to the impression stage during staging work-up is recommended to minimize the unnecessary treatment delay, cost, and patients' discomfort.
Cystoscopy
;
Gynecological Examination
;
Humans
;
Medical Records
;
Seoul
;
Sigmoidoscopy
;
Thorax
;
Urography
;
Uterine Cervical Neoplasms