A rare case of aggressive angiomyxoma of vulva since childhood

Aggressive angiomyxoma is a locally invasive benign mesenchymal tumour usually occurring in women of reproductive age and is rare in children. It carries a high risk of recurrence and hence needs to be differentiated from other masses. The diagnosis is difficult clinically and is almost always histological. Here is a rare case of aggressive angiomyxoma of vulva in a 15 year old female presented with presented with mass in vulva on left side since birth and increased to the present size since 3 years. The swelling was painless, no local rise of temperature, no visible veins. Attained menarche 2 years ago and cycles are regular with normal flow

“A Clinical Study Of Feto-Maternal Outcome In Relation To One Or More Than One Loops Of Cord Around Neck”

Nuchal cord, one or more loops is a common finding at delivery, but its clinical relevance is not entirely clear. Different results have been obtained from several studies that have analysed deliveries with nuchal cords1-5. Midwives have been taught, for over 200 years, that when the head is born in a vertex presentation, they should feel for the cord around the neck6, and, if found, loop it over the head, slip it over the shoulder or severe the cord. If the cord is loose, baby can be delivered normally7,8. If the cord is too tight to go over infant’s head, it can be slipped over the infant’s shoulder and deliver the body through the cord, the cord can then be unwrapped from around the baby after birth. If the cord is too tight to slip back over the shoulder, one may use the somersault manoeuvre to deliver the baby9,10. The cord can also be clamped and cut to allow for vaginal delivery if other methods of nuchal cord management are not feasible