1.Etiology of vaginal hypersecretion syndrome in patients at Consulting Department of the Institute of Dermatology and Venereology from January to Septeber 2002
Journal of Medical and Pharmaceutical Information 2003;0(3):36-38
A study was carried out on 987 women with etiology of vaginal hypersecretion syndrome at Consulting Department of the Institute of Dermatology and Venerology from January to September 2002. The patients’ age was 18-25 and having sex previously. Results of the study: the rate of 24.4% infected with Candida fungi; 2.6% with gonococci, 2% with Trichomonas, 19.1% with Chlamydia trachomatis and 7.2% with anaerobic bacteria
Vaginal Discharge
;
Vaginal Discharge/etiology
2.Duplicated Ureter with an Ectopic Ureteral Orifice in a Middle Aged Female Who Complained of Vaginal Discharge.
Woong Ki JANG ; Jin Ha LEE ; Yong Kyu LEE ; Young Kwon HONG
Korean Journal of Urology 2007;48(11):1182-1185
Duplication is the most common type of congenital anomaly of the ureter. It occurs more frequently in females and it is often accompanied by an ectopic orifice. Ectopic ureter is usually derived from the upper pole of the ipsilateral kidney and its orifice is attached medial & inferior from the normal opening according to Weigert-Meyer's law. Thus, sometimes the ectopic ureteral opening is made at a distal part of the external sphincter or even out of the urinary system. These conditions may result in urinary incontinence in female patients, so they can be treated early at the mean age of 5 and it's not common that ectopic ureter accompanying complete duplication of the ureter is presented in adults. We report here on a case of ectopic ureter accompanying complete duplication of the ureter in a 44 year old female who presented with leukorrhea.
Adult
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Female*
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Humans
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Jurisprudence
;
Kidney
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Leukorrhea
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Middle Aged*
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Ureter*
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Urinary Incontinence
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Urogenital Abnormalities
;
Vaginal Discharge*
3.A Case of Primary Carcinoma of the Fallopian Tube.
Sun Young PARK ; Hae Hyeog LEE ; Tae Hee KIM ; Kye Hyun NAM ; Kwon Hae LEE ; Kye Won KWON
Korean Journal of Obstetrics and Gynecology 2004;47(8):1596-1600
Primary tubal carcinoma is a rare carcinoma of the female genital tract, comparising with only 0.3% to 1% of female genital tract malignancies. Its histologic appearance and clinical behavior resemble that of primary ovarian carcinoma, thus the evaluation and treatment are also essentially the same. Presenting symptoms are variable, so pre-operative diagnosis is rare. A postmenopausal women presented with pelvic mass and vaginal discharge. It was initially diagnosed as ovarian tumor but primary carcinoma of the fallopian tube was confirmed postoperatively on the basis of the pathologic examination of resected specimen. So, we reported a case with a brief review of the concerned literature.
Diagnosis
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Fallopian Tubes*
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Female
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Humans
;
Vaginal Discharge
4.The incidence of genital Mycoplasmas infection in premenopausal women with gynecologic symptoms.
Korean Journal of Obstetrics and Gynecology 2008;51(10):1142-1147
OBJECTIVE: This study was to evaluate the incidence of genital Mycoplasmas Infection in Korean premenopausal women with gynecologic symptoms METHODS: Between January 2006 and December 2006, vaginal specimens from 90 premenopausal patients with gynecologic symptoms were obtained for analysis of genital Mycoplasmas infection using multiplex PCR. RESULTS: The incidence of M. hominis, U. urealyticum, and M. genitalicum infection was 44.4%, 18.9% and 2.2% respectively. From patients with non-foul odored vaginal discharge, M. hominis, and, U. urealyticum were detected in 37.8% and 17.8% respectively. From patients with bacterial vaginosis who had foul odored vaginal discharge, M. hominis, U. urealyticum, and M. genitalicum were detected in 71.4%, 14.3% and 4.8% respectively. From patients with PID or FHC syndrome, M. hominis, U. urealyticum, and M. genitalicum were detected in 43.8%, 37.5% and 6.3% respectively. CONCLUSION: The incidence of Mycoplasmas infection from vaginal specimens of Korean premenopausal women with gynecologic symptoms was about 66%. Especially, 56% of patients with non-foul odored vaginal discharge, 90% with bacterial vaginosis, and 88% with PID or FHC syndrome showed Mycoplasmas infection, so we suggest the consideration of Mycoplasmas infection as cause of gynecologic symptoms.
Female
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Humans
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Incidence
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Mycoplasma
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Odors
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Vaginal Discharge
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Vaginosis, Bacterial
5.Updates on the evaluation of vaginal discharge
del Rosario Wilfredo ; Martinez Felicidad Claire S
The Filipino Family Physician 2011;49(4):159-169
To present a case of a patient complaining of vaginal discharge in the out-patient setting
To discuss an algorithm on evaluation of vaginal discharge
To discuss the differential diagnosis of patients presenting with vaginal discharge
To enumerate the recommended diagnostic procedures
To discuss the updated treatment recommendation
Female
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Aged
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Middle Aged
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Adult
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Young Adult
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Adolescent
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VAGINAL DISCHARGE
6.Prolapse of the Fallopian Tube into the Vaginal Vault after Abdominal Hysterectomy.
Jee Hyun PARK ; Jeong Rye LEE ; Sung Ook HWANG ; Seung Kwon KOH ; Moon Whan IM ; Byoung Ick LEE
Korean Journal of Obstetrics and Gynecology 2002;45(2):307-310
Prolapse of the fallopian tube into the vaginal vault after hysterectomy is a rare phenomenon and it occurs more frequently after vaginal hysterectomy than abdominal hysterectomy. The exact incidence of tubal prolapse is unknown, because most of cases remain undiagnosed and may resolve before detection. The tubal prolapse may be suspected when granulation tissue or tender friable tissue are detected in vaginal cuff in women complaining lower abdominal pain, dysparenunia, vaginal discharge, or postcoital spotting. The definitive diagnosis of fallopian tube prolapse is made only by histologic confirmation. Reported methods of treatment have included transvaginal excision or transabdominal excision, cautery, and combined vaginal and laparoscopic salpingectomy. We experienced a case of fallopian tube prolapse after abdominal hysterectomy in a 40-year-old woman. We present this case with a brief review of the literature.
Abdominal Pain
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Adult
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Cautery
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Diagnosis
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Fallopian Tubes*
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Female
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Granulation Tissue
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Humans
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Hysterectomy*
;
Hysterectomy, Vaginal
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Incidence
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Metrorrhagia
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Prolapse*
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Salpingectomy
;
Vaginal Discharge
7.Sterile Pyometra in Two Dogs.
Hun Young YOON ; Jae Young BYUN ; Kang Hyo PARK ; Byong Su MIN ; Jung Hyun KIM
Immune Network 2017;17(2):128-131
Two young dogs were referred to the Veterinary Medical Teaching Hospital of Konkuk University, one for examination of vaginal discharge and the other after being hit by a car. Dog 1 exhibited a high neutrophil count on Gram-stained vaginal smears, marked leukocytosis on a complete blood count, and uterine enlargement on ultrasonography. In dog 2, a markedly enlarged right uterine horn containing echogenic debris was found incidentally on ultrasonography. A tentative diagnosis of pyometra was made in both cases and ovariohysterectomy was performed. Purulent material was collected from each uterine horn and submitted separately for aerobic and anaerobic bacterial culture; all culture results were negative. The white blood cell count revealed normal limits 2 days post operation in dog 1 and 4 days post operation in dog 2. Positive bacterial cultures are usually obtained from dogs with pyometra, and antibiotic selection is based on the results of culture and sensitivity testing in the event of failure of empiric antibiotic therapy. However, in the cases reported here, no bacterial growth was identified from the uterine samples despite the presence of purulent material. A short course of empiric antibiotic therapy was administered. This is the first known report describing sterile pyometra in dogs.
Animals
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Blood Cell Count
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Diagnosis
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Dogs*
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Horns
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Hospitals, Teaching
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Leukocyte Count
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Leukocytosis
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Neutrophils
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Pyometra*
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Ultrasonography
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Vaginal Discharge
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Vaginal Smears
8.Colouterine Fistula Caused by Diverticulitis of the Sigmoid Colon.
Journal of the Korean Society of Coloproctology 2012;28(6):321-324
Colouterine fistula is an extremely rare condition because the uterus is a thick, muscular organ. Here, we present a case of a colouterine fistula secondary to colonic diverticulitis. An 81-year-old woman was referred to the emergency department with abdominal pain and vaginal discharge. Computed tomography showed a myometrial abscess cavity in the uterus adherent to the thick sigmoid wall. Upon contrast injection via the cervical os for fistulography, we observed spillage of the contrast into the sigmoid colon via the uterine fundus. Inflammatory adhesion of the distal sigmoid colon to the posterior wall of the uterus was found during surgery. The colon was dissected off the uterus. Resection of the sigmoid colon, primary anastomosis, and repair of the fistula tract of the uterus were performed. The postoperative course was uneventful. This case represents an unusual type of diverticulitis complication and illustrates diagnostic procedures and surgical management for a colouterine fistula.
Abdominal Pain
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Abscess
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Colon
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Colon, Sigmoid
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Diverticulitis
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Diverticulitis, Colonic
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Emergencies
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Female
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Fistula
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Humans
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Uterus
;
Vaginal Discharge
9.A comparative Study for morbidity and Compilication in Total AbdominalHysterectomy ; -Open Versus Closed Vaginal Cuff.
Woo Gyeong KIM ; Hyun Chan KIM
Korean Journal of Obstetrics and Gynecology 1997;40(3):627-632
Post-operative morbidity and complication, focused on open versus closed vaginal cuff, were compared. The patients were divided into two groups according to the method of cuff management(open cuff : n=53, closed cuff : n=52). From Jan, 1990 to Dec. 1994 one hundred five cases of total abdominal hysterectomy on the benign uterine disease were carried out by the same operator at the Dept. of Ob/Gyn. Pusan Paik Hospital. The vaginal cuff was opened during the first half periods(1990. 1~1993.3), and it was closed during the later peroids(1993.4 ~ 1994.12). As to the postoperative morbidity and complication(closed : open), urinary tract infection(9.4% : 5.8%), vaginal cuff infection(7.5% : 3.8%), febrile morbidity(3.8% : 3.8%), wound infection(1.9% : 3.8%), pelvic hematoma(0: 1.9%) developed but there were no statistical differences between the two groups. Granulation tissue formation on the vaginal cuff was found in 26 cases(49.1%) of the open cuff and in 18 cases(34.6%) of the closed cuff(p=0.134, X(2) test ) within 6 months after operation. Post operative increased vaginal discharge developed in 7 cases(13.2%) of the open cuff and in 10 cases (19.2%) of the closed cuff group(p=0.516, Fisher's Exact test).
Busan
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Granulation Tissue
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Humans
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Hysterectomy
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Urinary Tract
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Uterine Diseases
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Vaginal Discharge
;
Wounds and Injuries
10.Diagnosis of Bacterial Vaginosis with Relation to Isolation of Gardnerella vaginalis.
Nam Woong YANG ; Sung Heui SIN ; Jung Soo CHANG
Journal of Bacteriology and Virology 2002;32(1):109-114
Among 104 patients who visited a local clinic with increased, bad-smelling vaginal discharge, twenty-nine women (27.9%) were found to have bacterial vaginosis (BV) according to the Amsel's composite clinical criteria (homogeneous thin gray discharge, positive amine test, vaginal pH over 4.5, positivity of clue cell by Gram stain). The specificity, sensitivity and positive and negative predictive values of the Amsel's composite clinical criteria were estimated in relation to the G. vaginalis isolation rate. Fifty-two strains of G. vaginalis (50%) were isolated from vaginal swabs taken from 104 patients. The sensitivities of clue cells and G. vaginalis isolation were both 96.6% (28) in the 29 BV patients. The specificities of clue cells and the presence of G. vaginalis were 85.3% and 68.0%, respectively. But the sensitivity, specificity, and positive and negative predictive values of the combination of clue cells and morphotype of G. vaginalis were 93.1%, 92.0%, 81.8% and 97.2%, respectively. The sensitivity, specificity and positive and negative predictive values of amine test were 89.7%, 98.7%, 96.2% and 94.9% in the 29 BV patients. Among 52 strains of G. vaginalis, 34 strains (87.2%) were isolated from the 39 clue cell positive samples and the remaining 18 (27.7%) from the 65 clue cell negative cases. Twenty-four strains (92.3%) were isolated from 26 amine test positive samples and the remaining 28 (35.9%) from 78 amine test negative cases. According to these results, it seems that the amine test is a useful test for the diagnosis of BV. However, we propose the combination criteria of clue cells and G. vaginalis morphotype in vaginal discharge should give more objective results than the amine test for the diagnosis of BV. The sensitivity and specificity of vaginal pH over 4.5 were 86.2% and 57.3%, and those of homogeneous discharge 93.1% and 65.3%, respectively. These two criteria were not as specific as clue cells and amine test for the diagnosis of BV. These results suggest that BV could be diagnosed more simply and precisely with the finding of clue cells spotted with Gram variable polymorphic bacteria by means of Gram stain of vaginal wall swabs.
Bacteria
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Diagnosis*
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Female
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Gardnerella vaginalis*
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Gardnerella*
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Humans
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Hydrogen-Ion Concentration
;
Sensitivity and Specificity
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Vaginal Discharge
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Vaginosis, Bacterial*