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A Case of Leiomyoma of the Uterus and Vagina.

Soo Mi LEE ; Hee Gung SHIN ; Ho Sung KIM ; You Mee KANG ; Tae Il CHO

Korean Journal of Obstetrics and Gynecology.2001;44(4):830-832.

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*

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A Case of Hysteroscopic Removal of Intrauterine Device with Missing Tail during Early Pregnancy: Successful Ongoing Pregnancy.

Moon Young KIM ; Byeong Jun JUNG ; Hyung Min CHOI ; Eung Soo LEE

Korean Journal of Obstetrics and Gynecology.2001;44(4):826-829.

In case of intrauterine pregnancy with an intrauterine device(IUD), it is recommended, to remove the device because of the risk of abortions or septic complications. If the thread of the IUD is not visible, which often occurs because of growth of the uterus in pregnancy, it is advisible, to perform extraction with hysteroscopy and ultrasonic guidance. We report on one case with hysteroscopic IUD removal in early pregnancy, which pregnancy is continuing without complications.
Hysteroscopy ; Intrauterine Devices* ; Pregnancy* ; Ultrasonics ; Uterus

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A case of Wernicke-Korsakoff syndrome associated with severe hyperemesis gravidarum.

Dong Gyu LEE ; Jun Young SEO ; Sun Jung GU ; Ok Rang PARK ; Hang Jin KIM ; Byoung Young KIM

Korean Journal of Obstetrics and Gynecology.2001;44(4):822-825.

Hypermesis gravidarum is a complication defined as vomiting severe enough to require hospital admission during early pregnancy. Thiamine deficiency is known to lead to certain neurological seguelae including Wernicke-Korsakoff syndrome. Wernicke's encephalopathy is an illness of acute onset characterized by global confusion, paralysis of eye ball movements, and gate ataxia due to a deficiency of thiamine. The immediate administration of thiamine prevents progression of the disease and reverses brain lesions that have not yet progressed to the point of fixed structural change. We have experienced a case of Wernicke-Korsakoff syndrome associated with hyperemesis gravidarum, which seemed to be developed by prolonged thiamine-free fluid therapy. We emphasize the need for thiamine supplementation in hyperemesis gravidarum patients.
Ataxia ; Brain ; Female ; Fluid Therapy ; Humans ; Hyperemesis Gravidarum* ; Korsakoff Syndrome* ; Paralysis ; Pregnancy ; Thiamine ; Thiamine Deficiency ; Vomiting ; Wernicke Encephalopathy

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Two Cases of Cerebrovascular Diseases In The Puerperium.

Hyun Gu CHO ; Seon Woong YOON ; Dae Nam LEE ; Kyo Won LEE ; Jong Sul HAN ; Sung Do KIM ; Sang Joon LEE

Korean Journal of Obstetrics and Gynecology.2001;44(4):818-821.

Cerebrovascular disease refers to disorder of one or more blood vessels of the brain, and the majority of lesions that arise from these are from arterial diseases. The occurrence of cerebral venous thrombosis is clearly linked to the puerperal state, and pregnancy may increase the risk of subarachnoid hemorrhage. The most common cause is rupture of arterial aneurism. Hemodynamic, hormonal or other physiological changes of pregnancy may play a role in aneurysmal rupture. We report two cases of cerebrovascular diseases in the puerperium with a brief review of concerned literatures
Aneurysm ; Blood Vessels ; Brain ; Hemodynamics ; Postpartum Period* ; Pregnancy ; Rupture ; Subarachnoid Hemorrhage ; Venous Thrombosis

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A Case Report: Recurrent Intravenous Leiomyomatosis.

Seong Tae KIM ; Young Sub JUNG ; Dong Kyu LEE ; Bong Sik SHIN ; Yong Hwan JUNG ; Hyo Jin LEE

Korean Journal of Obstetrics and Gynecology.2001;44(4):808-811.

Intravenous leiomyomatosis is an uncommon uterine tumor characterized by the growth of histologically benign smooth muscle initially into venous channels within the broad ligament, intrauterine, and iliac vein, and can extend to inferior vena cava, and right side of the heart. Intravenous leiomyomatosis is always grossly visible as worm-like plugs within the involved vessels. A 41-year-old woman presented with lower abdominal mass, and she had undergone total abdominal hysterectomy and left salpingoophorectomy for leiomyoma of uterus. On pathological examination it was diagnosed as intravenous leiomyomatosis. 16 month later, She was admitted with lower abdominal mass on retroperitoneal cavity. The patient was successfully treated by resection of recurred mass and right salpingoophorectomy. A case of recurrent intravenous leiomyomatosis is presented with a brief review of literatures.
Adult ; Broad Ligament ; Female ; Heart ; Humans ; Hysterectomy ; Iliac Vein ; Leiomyoma ; Leiomyomatosis* ; Muscle, Smooth ; Uterus ; Vena Cava, Inferior

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Normal pregnancy recovered from ovarian failure after multiagent chemotherapy for ovarian carcinoma with positive second-look operation.

Mi Kyung KOO ; Sam Hyun CHO ; Su Hyun JO ; Seung Ryong KIM ; Hyung MOON ; Yoon Yoong HWANG

Korean Journal of Obstetrics and Gynecology.2001;44(4):804-807.

We report a successful pregnancy in a woman who at the age of 31years received chemotherapy for mucinous cystadenocarcinoma of the right ovary. She was treated with multiple chemotherapy including cis-platinum, cyclophosphamide, adriamycin, and oral melphalan. She had microscopic residual cancer at the opposite ovary at second-look laparotomy. She developed secondary amenorrhea with symptoms of menopause after commencing treatment which persisted on its completion. Biochemical investigations were consistent with ovarian failure, which was assumed to be chemotherapy-induced. She was given hormonal replacement therapy with a conjugated equine estrogen/medroxyprogesterone acetate combination, resulting in regular withdrawal bleeding. The patient conceived 5 years after completing chemotherapy and gave birth a normal infant at term.
Amenorrhea ; Cisplatin ; Cyclophosphamide ; Cystadenocarcinoma, Mucinous ; Doxorubicin ; Drug Therapy* ; Female ; Hemorrhage ; Humans ; Infant ; Laparotomy ; Melphalan ; Menopause ; Neoplasm, Residual ; Ovarian Neoplasms ; Ovary ; Parturition ; Pregnancy*

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Five Cases of Endometriosis at the Site of Abdominal Scar following Cesarean Section and Episiotomy Scar.

Keon JIN ; Yong Wook CHOI ; Jae Ho CHOI ; Choong Hak PARK

Korean Journal of Obstetrics and Gynecology.2001;44(4):798-803.

Endometriosis at the site of episiotomy scar following vaginal delivery and abdominal scar following cesarean section are rare conditions among the extrapelvic endometriosis implantation. We have experienced five cases of extrapelvic endometriosis : four cases at the site of abdominal scar following cesarean section, and one case at the site of episiotomy scar following vaginal delivery. We report the five cases with brief review of the concerned literature.
Cesarean Section* ; Cicatrix* ; Endometriosis* ; Episiotomy* ; Female ; Pregnancy

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Leiomyoma Arising in Ampulla of the Fallopian Tube: A Case Report.

Sang Hyun LEE ; Seung Yeon HA ; Chan Yong PARK ; Eui Don LEE ; Hyun Yee CHO

Korean Journal of Obstetrics and Gynecology.2003;46(8):1649-1652.

Leiomyoma of the fallopian tube is rare and very rarely found in the ampullary portion. A case of this exceedingly rare occurrence is herein reported. A 76-year-old woman presented with palpable abdominal mass. A huge mucinous cystadenoma of right ovary was noted at laparotomy and a small leiomyoma of ampulla of left fallopian tube was found, incidentally. The literature is briefly reviewed.
Aged ; Cystadenoma, Mucinous ; Fallopian Tube Neoplasms ; Fallopian Tubes* ; Female ; Humans ; Laparotomy ; Leiomyoma* ; Ovary

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A Case of Metastatic Malignant Melanoma of the Ovary.

Ho Jun LEE ; Su Kyung BAEK ; Kwang Sok KANG ; Sang Ki HONG ; Young Ho LEE

Korean Journal of Obstetrics and Gynecology.2003;46(8):1645-1648.

Malignant melanoma is a neoplasm of the skin and mucous membrane. Extragenital malignant melanoma that metastasizes to the ovary is seen rarely, and in only a few cases has the diagnosis been made before autopsy. The most common histologic feature that should raise the question of metastatic melanoma is the presence of numerous epitheloid cells with abundant eosinophilic cytoplasm. Despite advances in chemotherapy and immunotherapy the efficacy of treatment of advanced melanoma remains limited and the prognosis of metastatic disease remains guarded. We describe a case of malignant melanoma metastatic to the ovary and right axillae occurring one year and four months after diagnosis of cutaneous malignant melanoma on the patient's back.
Autopsy ; Axilla ; Cytoplasm ; Diagnosis ; Drug Therapy ; Eosinophils ; Female ; Immunotherapy ; Melanoma* ; Mucous Membrane ; Ovary* ; Prognosis ; Skin

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Struma Ovarii Asssociated with Pseudo-Meigs' Syndrome and Elevated Serum CA 125.

Hee Woong JEONG ; Yong Ho LEE ; Min Geong KEON ; Chang Woon KIM ; Sang Tak EUM ; Keong Do PARK

Korean Journal of Obstetrics and Gynecology.2003;46(8):1639-1644.

Meigs' syndrome is defined as serous ascites and hydrothorax in association with a benign ovarian fibroma, thecoma, granulosa cell tumor; the ascites and hydrothorax must resolve fully after removal of the tumor. Pseudo-Meigs' syndrome refers to the same clinical features associated with other ovarian or gynaecological tumors. Although struma ovarii is associated with ascites in up to one third of cases it has only rarely been reported to cause Pseudo-Meigs' syndrome. We have experienced a case of Pseudo-Meigs' syndrome with an elevated CA 125 resulting from struma ovarii with a brief review of the concerned literatures.
Ascites ; Female ; Fibroma ; Granulosa Cell Tumor ; Hydrothorax ; Meigs Syndrome ; Struma Ovarii* ; Thecoma

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