Ovarian new growths are among the most common tumors in women. Their presentation at time of diagnosis vary and are often incidental findings on ultrasound examination. Complications of ovarian masses include torsion, rupture, infection, hemorrhage, and malignant degeneration. These masses have also been known to create fistulous tracts to other organs of the body. Entero-adnexal communications have been reported in literature. However, fistula formation to the skin has not yet been reported. Here, we present an adult woman diagnosed to have ovarian new growth and a one-year history of serous discharge from a skin lesion. Imaging studies show a fistulous connection to the abdominopelvic mass. She underwent excision of the mass with fistulectomy. This is the first reported case of an ovarian new growth which created a cutaneous fistula.

Human ; Female ; Adult ; Cutaneous Fistula ; Incidental Findings ; Skin ; Skin Diseases ; Ultrasonography ; Neoplasms

Ovarian new growths are among the most common tumors in women. Their presentation at time of diagnosis vary and are often incidental findings on ultrasound examination. Complications of ovarian masses include torsion, rupture, infection, hemorrhage, and malignant degeneration. These masses have also been known to create fistulous tracts to other organs of the body. Entero-adnexal communications have been reported in literature. However, fistula formation to the skin has not yet been reported. Here, we present an adult woman diagnosed to have ovarian new growth and a one-year history of serous discharge from a skin lesion. Imaging studies show a fistulous connection to the abdominopelvic mass. She underwent excision of the mass with fistulectomy. This is the first reported case of an ovarian new growth which created a cutaneous fistula.

Human ; Female ; Adult ; Cutaneous Fistula ; Incidental Findings ; Skin ; Skin Diseases ; Ultrasonography ; Neoplasms

A 4-year old female was admitted to the hospital for evaluation of an abdominal mass. Early appearance of secondary isosexual characteristics such as breast enlargement, axillary and pubic hair, and vaginal bleeding were noted. Pertinent laboratory examination results included a very much elevated serum estradiol, low LH and FSH titers and a negative 24-hour urine hCG. With an identifiable focus in the pelvis that would consolidate the clinical presentation and laboratory findings, our pre-operative diagnosis was: Pseudoprecocious puberty secondary to a functioning ovarian newgrowth probably granulosa cell tumor. The final histopathologic diagnosis unexpectedly was mixed germ cell tumor predominantly yolk sac (endodermal sinus tumor) with areas of dysgerminoma. This is the first locally documented case of ovarian endodermal sinus tumor with the symptomatology of precocity.
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OBJECTIVE: This study aimed to determine the efficacy of dinoprostone gel as a cervical priming agent when used prior to operative hysteroscopy.

METHODS: This is a double-blind randomized controlled trial. Forty five women for operative hysteroscopy were randomly allocated to either 500mcg dinoprostone gel or to no intervention. Baseline cervical dilatation, time and ease of cervical dilatation, side effects and complications were noted.

RESULTS: Twenty-four (24) and 21 patients were randomized to the dinoprostone and control group, respectively. Results show a statistically significant difference in baseline cervical dilatation [8.41 versus 4.61 mm (P
Human ; Female ; Hysteroscopy ; Uterine Perforation ; Dinoprostone ; Labor Stage, First ; Lacerations ; Iatrogenic Disease ; Uterine Cervical Diseases ; Uterine Hemorrhage ; Pain