Ovarian fibromas are the most common benign solid tumor of the ovary and usually are large and asymptomatic. It can mimic several conditions hence it can often be misdiagnosed pre-operatively. In this case the pre-operative diagnosis was bilateral ovarian tumor with endometrial hyperplasia. The final diagnosis was a torsion left ovarian fibroma with an area of hemorrhagic infarction and a benign endometrial polyp. The benefit of a multidisciplinary team approach and the challenges faced during the peri-operative period are discussed.
DiGeorge syndrome (DGS) is caused by a submicroscopic deletion on the long arm of chromosome 22 and affects approximately 1 in 4000 persons. This report describes a familial 22q11.2 deletion diagnosed during pregnancy using an emerging technology, Bacterial artificial chromosome on Beads (BoBs). We discuss the implications of prenatally detected DGS and future options to prevent the recurrence.
Ureteral endometriosis is a serious localization of disease that can lead to urinary tract obstruction, hydroureteronephrosis and potential kidney loss. We describe three cases of ureteral endometriosis where there was documented renal function loss with subsequent workup and surgical intervention. Clinical suspicion and preoperative assessment may help with diagnosis and allows for a multidisciplinary pre-consultation. Surgical technique to treatment varies, but the goal is to salvage renal function and decrease disease burden. Laparoscopic surgical approach can be carried out successfully in the hands of an experienced laparoscopic surgeon. These cases illustrate varying surgical approaches tailored to management of ureteral endometriosis. Women in reproductive age presenting with pelvic pain diagnosed to have hydronephrosis must be adequately evaluated for ureteral endometriosis.
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