1.A rare case of schizencephaly in a child
Narangerel M ; Tserenpurev E ; Batdulam B ; Tugs-Erdene B ; Buyanjargal L ; Dashjantsan G
Mongolian Medical Sciences 2025;213(3):40-42
Schizencephaly is an uncommon, congenital disorder showing developmental cerebral
malformation characterized by clefts in the cerebral cortex, which extends from the ependymal
surface of the ventricle through the white matter to the pial surface. Magnetic resonance
was more sensitive than computed tomography in detecting the clefts [1]. Yakovlev and
Wadsworth first coined the term “schizencephaly” in 1946, in their study on cadavers [2].
Schizencephaly is associated in some cases with microcephaly, hydrocephalus, or other
malformations such as septo-optic dysplasia [1, 3]. This disorder can be detected in vivo
by ultrasonography [4]. Here, we present a rare case of a 9-month-old female infant with
underdevelopment of the right cerebral hemisphere.
2.Uterine wall perforation anol subsequent bladder damage by T-shaped Intrauterine device
Nomin E ; Ganzorig B ; Munkhtsetseg E ; Mungunsukh U ; Dashjantsan G
Mongolian Medical Sciences 2025;214(4):68-71
Intrauterine devices (IUDs) are often considered a form of contraception by women of
reproductive age because of their reversible, effective, safe, and convenient nature. However,
its complications include bleeding, infection, displacement, and uterine perforation. Effective
contraception can minimize the risk of unintended pregnancy, particularly for women who
have additional health risks associated with unintended pregnancy. Intrauterine device (IUD)
is considered to be a highly effective and reversible method of contraception (long-acting
reversible contraceptives) that is suitable for most women, highly effective, affordable, and
requires minimum patient compliance [1]. Despite being infrequent, perforation constitutes
a significant complication associated with IUD insertion, with an estimated incidence of
0.8–2.2 per 1,000 insertions [2, 3]. Ultrasound is the preferred diagnostic modality in cases
where partial embedding of the IUD is suspected. However, when the IUD extends near or
beyond the uterine serosa, radiologists can more confidently diagnose embedding [4]. The
patient is a 44-year-old woman with four children. She gave birth for the first time in 1997.
A contraceptive device was inserted in 1999, and another was placed four months after her
2009 delivery. She does not recall the date when she had the latter device removed and
has no record of having seen it. This case represents a rare instance of secondary bladder
stone formation resulting from migration of an intrauterine device (T-shaped IUD) into the
bladder. Rapid diagnostic methods, including ultrasonography, CT, and cystoscopy, along
with endoscopic surgical intervention, proved to be the most effective approach for both
diagnosis and treatment.
3.Histopathological diagnosis of external genital epithelioid sarcoma
Munkhbat T ; Undarmaa E ; Saruul G ; Jigjidsuren A ; Dashjantsan G
Mongolian Medical Sciences 2025;214(4):72-74
Epithelioid sarcoma is a rare aggressive soft tissue sarcoma, which can be distal or proximal
types. The classic form (distal-type) of epithelioid sarcoma mainly occurs in teenagers and
young adults. A rarer form, called large-cell (proximal-type) epithelioid sarcoma, tends to
be more aggressive and mainly affects adults. The proximal subtype mostly arises from the
proximal pelvis, limbs, and genital tract. We report case of a 24 -year-old female, presented
the Uvurkhangai RDTC in 2024. The histological study showed a multinodular tumor was
seen comprising sheets of oval to polygonal cells with moderate amount of cytoplasm.
Interspersed were larger, rhabdoid cells with abundant eosinophilic cytoplasm and prominent
nucleoli.
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