Struma Ovarii associated with Pseudo-Meigs Syndrome and elevated serum Ca 125: Case report and literature review

Struma Ovarii is a highly specialized monodermal teratoma in which the major component is thyroid tissue. Its relationship with Pseudo Meigs syndrome, hyperthyroidism and elevation of Ca 125 is a rare condition; this could mimic malignancy. Ultrasound and axial tomography may be useful in diagnosis; but histopathological criteria play a very important role in the definitive diagnosis. Our objective is to present a case report of Struma ovarii, ascites, pleural effusion (pseudo meigs syndrome), elevation of Ca 125, hyperthyroidism, and review the published literature in relation to epidemiology and diagnostic characteristics

Müller cyst: report of a case in pregnancy

Müller cysts are alterations in the development of sexual cords and remain as malformations associated with them. They can occur in many morphological varieties. In the case of pregnancy, vaginal tumors can complicate labor because they cause obstruc-tion of the canal. During labor, these alterations can complicate the diagnosis and proper management of pregnancy. A 22-year-old female, who came to the hospital at 30.1 weeks of gestation for the first time, due to obstetric pain, vaginal tumor was detected, the patient triggered preterm labor, which did not address medical management based on oral and intravenous uteroinhibitors, so a cesarean is decided, later in the puerperium magnetic resonance was performed finding a defect in the vaginal wall, compatible with probable Müller's cyst. Due to its low frequency but high impact on pregnancy, vaginal tumors are a diagnostic and therapeutic challenge, due to their embryological origin should be detected and advise on the consequences of them. As a result, some other alterations may coexist, which is why complementary studies are essential. In the pregnancy protocol, the proper location of the cysts guides us to a specific embryological origin, as well as a preventive intervention can be planned in cases like this. If these patients are asymptomatic, surgical intervention is not required, much less during pregnancy unless an obstetric indication for interruption is determined

Refractory hyperactive bladder treated with sacral neuromodulator: case report and literature review

The overactive bladder syndrome is a chronic medical condition that affects the quality of life of patients whether men or women, has a prevalence of 16.5%, however, it is known to increase with age, affecting up to 25% of women older than 65 years and up to 80% in the elderly. More than 90% of cases have no apparent cause.  The OAB (Overactive Bladder) It is a condition with characteristic symptoms of urinary urgency, usually accompanied by frequency and nocturia, with or without urge incontinence, in the absence of urinary tract infection or other obvious pathology. The different therapeutic steps are not always sufficient to restore the quality of life

Revista esencia y espacio

Arquitectur