Introduction: Dense lower abdominal adhesions are known to cause urinary frequency by restricting expansion of the bladder. However, since preoperative diagnosis of adhesions has been difficult and there are multiple other causes of urinary frequency, such patients may go undiagnosed. With the improving resolution of ultrasound, ever smaller pathologic structures may be visualized, particularly if they are considered in the differential diagnosis.
View Article and Find Full Text PDFIntroduction: Epidermal inclusion cysts are common discrete nodules often formed in areas of previous trauma or surgery. A literature review indicated that large epidermal inclusion cysts of the pelvis are extremely rare. Accordingly, we present a case of a woman with a large pelvic epidermal inclusion cyst of the vaginal cuff, along with imaging studies and a review of the literature.
View Article and Find Full Text PDFBackground: Lactation results in dramatic bone resorption and decreased urinary calcium excretion due to rapidly falling estrogen levels and probably increased levels of parathyroid hormone-related protein.
Case: A healthy, 36-year-old woman developed severe hypercalcemia several days after beginning breast-feeding her second child. During and after this pregnancy, she supplemented a high calcium diet with moderate amounts of calcium carbonate in an attempt to avoid an osteoporotic fracture that occurred while she was breast-feeding her first child.
Background: Rapidly progressive hirsutism or virilization in the postmenopausal woman raises the suspicion of an androgen-secreting tumor. Hormonal testing and imaging studies usually rule out an adrenal tumor. However, small, androgenizing ovarian tumors may not be detectable by imaging studies.
View Article and Find Full Text PDFAn adolescent patient with a symptomatic, noncommunicating, rudimentary uterine horn is described. Diagnosis was suggested by ultrasonography and treatment was by laparoscopic resection. A review of other pediatric cases as well as the adult literature gives evidence that laparoscopic resection is worth considering in such cases.
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