Copyright (c) 2013 University of Iowa All rights reserved. http://ir.uiowa.edu/pog_in_press Recent documents in POG In Press en-us Tue, 21 May 2013 17:19:06 PDT 3600 http://ir.uiowa.edu/pog_in_press/15 http://ir.uiowa.edu/pog_in_press/15 Wed, 08 May 2013 08:20:19 PDT Patients with hereditary retinoblastoma are at increased risk for second malignancies, most notably sarcomas, particularly after treatment with radiation. Malignant phyllodes tumor is a rare secondary malignancy in these patients. We present a review of the literature and report of a patient with hereditary retinoblastoma who developed two secondary malignancies, including malignant phyllodes tumor. The patient’s phyllodes tumor presented as a palpable breast mass with suspicious findings on mammogram and ultrasound. The mass was shown to be at least a borderline phyllodes tumor via sonographic percutaneous biopsy and confirmed malignant phyllodes tumor on final surgical excision.

]]> Damon D. Shearer et al. http://ir.uiowa.edu/pog_in_press/14 http://ir.uiowa.edu/pog_in_press/14 Mon, 15 Apr 2013 08:20:26 PDT Von Willebrand factor, the largest human plasma protein, is an adhesive multimeric glycoprotein that mediates platelet adhesion to both the subendothelial matrix and endothelial surfaces and acts as a carrier for coagulation factor VIII in the circulation. Von Willebrand disease (vWD) is the most common inherited bleeding condition that involves extended or excessive bleeding and is caused by the deficiency or defect of vWF. In this case report, we present vWD diagnosed after hemorrhage following hysteroscopic myoma resection and endometrial band excision. The importance of a detailed medical history is emphasized as even health care workers cannot spontaneously give this information. Further tests are recommended in patients who have a history of prolonged bleeding as bleeding time and other routine coagulation tests done preoperatively cannot always make a definite diagnosis.

]]> Murat Bozkurt et al. http://ir.uiowa.edu/pog_in_press/13 http://ir.uiowa.edu/pog_in_press/13 Mon, 15 Apr 2013 08:11:56 PDT Endometrial polyps are most commonly seen in the postmenopausal women with uterine bleeding, although the giant polyps which originate from the uterine cavity and protruding from the cervical os are rare. Several cases which have been described in the literature are usually developed secondary to tamoxifen use, and the polyps do not extend or protrude from the external cervical os. Most of the polyps protruded from the cervical os can mimic a cervical neoplasia or endocervical polyp. We report the case of a giant endometrial polyp (8x4x3 cm in size) which was protruding from the external cervical os and that developed spontaneously without tamoxifen use in a multiparous 73 -year-old woman presenting with vaginal bleeding. Hysteroscopic polypectomy was performed and no recurrence was seen at 6 months after surgery. Diagnosis, management and outcome of this rare entity have been discussed according to the literature.

]]> Ahmet Said Çil et al. http://ir.uiowa.edu/pog_in_press/12 http://ir.uiowa.edu/pog_in_press/12 Thu, 28 Mar 2013 10:36:34 PDT Postpartum cardiomyopathy (PPCM) is dilated cardiomyopathy seen in the postpartum period in women who no prior history of cardiac diseases. In this case study, coronary angiography was used to determine the etiology of the cardiomyopathy after the decompensated heart failure had regressed. A congenital single coronary artery anomaly was detected by coronary angiography. In this case, PPCM can mimic pneumonia, thus making diagnosis difficult. When there is no response to antibiotic therapy, the obstetrician must consider cardiac disease and appropriate consultation should be obtained as soon as possible. To the best of our knowledge, single coronary artery anomalies coexisting with PPCM has only been documented in one other case in the literature. An association of single coronary artery anomalies with PPCM may be random, or, alternative, might contribute to the composition of the PPCM.

]]> Murat Bozkurt et al. http://ir.uiowa.edu/pog_in_press/10 http://ir.uiowa.edu/pog_in_press/10 Mon, 11 Mar 2013 08:55:13 PDT Isolated torsion of the fallopian tube is an uncommon cause of acute lower abdominal pain. The lack of pathognomonic symptoms, clinical findings on physical examination, and specific imaging or laboratory characteristics makes this entity difficult to diagnose preoperatively, which can cause surgical intervention to be postponed. We report a case of isolated torsion of the right fallopian tube in a 58-year-old woman with a history of sexually transmitted infection. In most reported cases, there is no vascular flow on Doppler imaging modalities. We also detected high impedance of vascular flow around the cyst wall. Imaging modalities could not provide a definitive diagnosis. Tubal torsion was diagnosed upon laparotomy.

]]> Murat Bozkurt et al. http://ir.uiowa.edu/pog_in_press/7 http://ir.uiowa.edu/pog_in_press/7 Thu, 07 Feb 2013 12:50:13 PST Fetus papyraceous is defined as a compressed fetus, the mummified, parchment-like remains of a dead twin that is retained in-utero after intrauterine death in the second trimester. We report a case of fetus papyraceous (FP) in a diamniotic and dichorionic pregnancy with no maternal and fetal complications during pregnancy or the post-partum period.

]]> Murat Bozkurt et al. http://ir.uiowa.edu/pog_in_press/6 http://ir.uiowa.edu/pog_in_press/6 Mon, 28 Jan 2013 15:00:17 PST Uterine anomalies are congenital malformations caused by fusion or resorption defects during embryogenesis. Uterus didelphys, or a double uterus, is a rare condition that occurs in female fetuses as they develop in the womb. Here we report a case of a 46 year old virginal female with uterus didelphys along with multiple fibroids of both uteri and a right ovarian cyst. The patient underwent a total abdominal hysterectomy with adnexa removal. The specimen showed leiomyoma of uterus with ovarian endometriosis.

]]> Mohammed Khairy Ali et al.