Vulval myiasis: a rare entity

Human myiasis refers to parasitic infestation of body tissues by larvae of several fly species. The entity has a simple management. It is well-documented in the literature however genital myiasis in females is scarcely reported in the literature. We hereby report this entity in a female who presented in postnatal period with ulceration and severe pain in her vulvar region

Yolk sac tumor in an antenatal patient: a challenging case

Pregnancy complicated with adnexal masses is a very common occurrence. However, most of these adnexal masses encountered in pregnancy are benign in nature and are found incidentally during routine antenatal ultrasound. Malignant ovarian neoplasms account for 1%-8% of all persistent adnexal masses diagnosed during pregnancy. Yolk sac tumor (YST) complicating pregnancy is very rare and has no proper guidelines for its diagnosis and management hence causing a therapeutic dilemma for the clinicians. Therefore, an individualised approach is preferred in such cases. It is very important to report such cases for better understanding and management of these cases. Here we present a case report of a 23-year-old primigravida at 30 weeks gestation with yolk sac tumor of right ovary, surgical stage IIIc who responded well to fertility sparing surgery with cisplatin-based combination chemotherapy. She has no evidence of disease post treatment and has been put on regular follow up

Rationale use of blood and its components in obstetric-gynecological practice

Appropriate and rational use of blood/components is essential for ensuring availability for the needy as well as preventing risks of transfusion-transmitted diseases and saving resources. Rational use means providing the right blood or products, in the right quantity, to the right patient and at the right time, bridging demand, and supply gap. The safety, adequacy, and effectiveness can only be achieved if unnecessary transfusions can be prevented. Further, risk can be reduced, but cannot be eliminated completely. Alternative to banked blood, autologous blood donation, normovolemic hemodilution, and intraoperative cell salvage should be considered as possible options. Recombinant factor VIIa is a new adjunct for treatment of massive hemorrhage and should be considered, if available

Vulval myiasis: a rare entity

Human myiasis refers to parasitic infestation of body tissues by larvae of several fly species. The entity has a simple management. It is well-documented in the literature however genital myiasis in females is scarcely reported in the literature. We hereby report this entity in a female who presented in postnatal period with ulceration and severe pain in her vulvar region