Endometrioza u ožiljku troakara

A 24-year-old patient had an 8-month history of intense cyclic pain at the suprapubic trocar scar region. Two years earlier, the patient underwent operative laparoscopy during which endometrioma of the left ovary was removed. We present a case of endometriosis at a suprapubic trocar scar, which, to our knowledge, has previously been described in literature only once. Another rarity involved in this case is that the scar endometriosis developed after the removal of ovarian endometrioma. The most probable source of the trocar scar endometriosis is remnants of the tissue that remained in the abdominal wall during extraction of endometrioma.Prikazujemo slučaj endometrioze koja se razvila u ožiljku insercije 10-milimetarskog suprapubičnog troakara. Takav slučaj je, prema našim saznanjima, dosad u literaturi opisan samo jednom. Dodatna rijetkost vezana uz ovaj prikaz slučaja jest da se endometrioza u ožiljku razvila nakon odstranjenja ovarijskog endometrioma. Vjerojatni mehanizam nastanka je vitalno endometriotično tkivo zaostalo u trbušnoj stijenci pri ekstrakciji endometrioma

EXTRAUTERINE PREGNANCY FOLLOWING LAPAROSCOPIC TUBAL STERILIZATION– A CASE REPORT

Prikazan je slučaj pacijentice koja se nakon devet trudnoća odlučila na laparoskopsku sterilizaciju tuba. Godinu dana nakon izvedene operacije zanijela je izvan maternice. Kod ponovne laparoskopske operacije primijećeno je da je zahvat sterilizacije godinu dana ranije učinjen kirurški korektno, to jest da obostrano nedostaje istmični dio jajovoda u dužini od oko 3 cm. Unatoč tomu, nađena je trudnoća u ampularnom dijelu desnog jajovoda.. The case of a patient who following nine pregnancies decided to undergo laparoscopic electrocoagulation of the tubes is presented. The patient subsequently became pregnant with an extrauterine pregnancy. At a new laparoscopic procedure it was prooved that laparoscopic electrocoagulation of the tubes a year ago was performed surgically correctly, with isthmic part of both tubes destroyed at a length of approximately 3 cm. This unfortunately did not prevent subsequent extrauterine pregnancy in the right ampular part of the tube

EXTRAUTERINE PREGNANCY IN A WOMAN USER OF ORAL CONTRACEPTIVE PILLS

Smatra se da oralna hormonska kontracepcija smanjuje rizik mnogih stanja u ginekologiji, na primjer zdjelične upalne bolesti, anemije i izvanmaternične trudnoće. U novije vrijeme nekoliko je autora preispitalo stav o manjem broju izvanmaterničnih trudnoća u korisnica oralne hormonske kontracepcije. Stav je moguće netočan te zato uz komentar prikazujemo slučaj izvanmaternične trudnoće koja je nastala uz redovitu uporabu oralnih kontracepcijskih tableta.Oral contraceptive pills are thought to lower the risk of numerous conditions in gynecology, for instance pelvic inflammatory disease, anemia and extrauterine pregnancy. Some of these standings are challenged nowadays, and therefore with the comment we present a case of a patient who became pregnant with an extrauterine pregnancy while regularly taking oral contraceptive pills

EXTRAUTERINE PREGNANCY IN A WOMAN USER OF ORAL CONTRACEPTIVE PILLS

Smatra se da oralna hormonska kontracepcija smanjuje rizik mnogih stanja u ginekologiji, na primjer zdjelične upalne bolesti, anemije i izvanmaternične trudnoće. U novije vrijeme nekoliko je autora preispitalo stav o manjem broju izvanmaterničnih trudnoća u korisnica oralne hormonske kontracepcije. Stav je moguće netočan te zato uz komentar prikazujemo slučaj izvanmaternične trudnoće koja je nastala uz redovitu uporabu oralnih kontracepcijskih tableta.Oral contraceptive pills are thought to lower the risk of numerous conditions in gynecology, for instance pelvic inflammatory disease, anemia and extrauterine pregnancy. Some of these standings are challenged nowadays, and therefore with the comment we present a case of a patient who became pregnant with an extrauterine pregnancy while regularly taking oral contraceptive pills

Ultrasound diagnostics of urogenital infectious diseases

Dostupnost, potvrđena neškodljivost i povoljan omjer cijene i efikasnosti ultrazvuka utvrdili su njegovu ulogu u dijagnostici u uogenitalnih infektivnih bolesti. Imperativ je da svi liječnici koji su uključeni u dijagnostiku urogenitalnih bolesti razumiju ultrazvučne manifestacije navedenih bolesti, zato jer rana dijagnostika i terapija predstavljaju temelj izbjegavanja dugotrajnog morbiditeta i mortaliteta. Ako su prednosti i ograničenja ultrazvuka ispravno shvaćene, liječnik će moći dobiti najbržu i najjeftiniju dijagnozu s minimalnim uključivanjem daljnjeg, invazivnog oslikavanja. Pojava novih ultrazvučnih tehnika omogućila je da ultrazvuk dostigne središnju ulogu u dijagnozi i karakterizaciji urogenitalnih infekcija.The growing ubiquity, well-established safety, and cost-effectiveness of ultrasound imaging have determined its role in the diagnosis of urogenital infectious diseases. It is imperative that all practitioners involved in the diagnostics of urogenital diseases understand the ultrasonographic manifestations of these diseases, as early diagnosis and treatment are the cornerstones of avoidance of long-term morbidity and mortality. If the strengths and limitations of ultrasonography are understood properly, a practitioner will be able to achieve the quickest and safest diagnosis with the minimal amount of further invasive imaging. The advent of new ultrasonographic techniques may allow it to serve a more central role in the diagnosis and characterization of urogenital infections

A REPORT OF SEVERE OVARIAN HYPERSTIMULATION SYNDROME CASE IN THE ASSISTED REPRODUCTION PROCEDURE

Prikazana je primarno neplodna pacijentica s dijagnosticiranim sindromom policističnih jajnika, koja je u postupku potpomognute oplodnje stimulirana GnRh agonistom i gonadotropinima, te koja je razvila teški oblik sindroma hiperstimulacije jajnika. Stanje pacijentice se dodatno pogoršalo nakon što je nastupila trudnoća. Na odjelu intenzivne njege provela je 21 dan, u bolnici ukupno 55 dana. Trudnoća je završila porodom zdravog djeteta carskim rezom u 38. tjednu trudnoće.We present a case of a primary infertile patient with diagnosed polycystic ovary syndrome, who in an assisted reproduction procedure was stimulated with GnRh agonists and gonadotropins, and who subsequently developed a severe ovarian hyperstimulation syndrome. The patient’s condition was further worsened after the pregnancy was confirmed. She spent 21 day at the intensive care unit and 55 days in the hospital. The pregnancy resulted in the birth of the healthy child, delivered by caesarean section at 38th week of pregnancy

Endometrioza u ožiljku troakara

A 24-year-old patient had an 8-month history of intense cyclic pain at the suprapubic trocar scar region. Two years earlier, the patient underwent operative laparoscopy during which endometrioma of the left ovary was removed. We present a case of endometriosis at a suprapubic trocar scar, which, to our knowledge, has previously been described in literature only once. Another rarity involved in this case is that the scar endometriosis developed after the removal of ovarian endometrioma. The most probable source of the trocar scar endometriosis is remnants of the tissue that remained in the abdominal wall during extraction of endometrioma.Prikazujemo slučaj endometrioze koja se razvila u ožiljku insercije 10-milimetarskog suprapubičnog troakara. Takav slučaj je, prema našim saznanjima, dosad u literaturi opisan samo jednom. Dodatna rijetkost vezana uz ovaj prikaz slučaja jest da se endometrioza u ožiljku razvila nakon odstranjenja ovarijskog endometrioma. Vjerojatni mehanizam nastanka je vitalno endometriotično tkivo zaostalo u trbušnoj stijenci pri ekstrakciji endometrioma

EXTRAUTERINE PREGNANCY FOLLOWING LAPAROSCOPIC TUBAL STERILIZATION– A CASE REPORT

Prikazan je slučaj pacijentice koja se nakon devet trudnoća odlučila na laparoskopsku sterilizaciju tuba. Godinu dana nakon izvedene operacije zanijela je izvan maternice. Kod ponovne laparoskopske operacije primijećeno je da je zahvat sterilizacije godinu dana ranije učinjen kirurški korektno, to jest da obostrano nedostaje istmični dio jajovoda u dužini od oko 3 cm. Unatoč tomu, nađena je trudnoća u ampularnom dijelu desnog jajovoda.. The case of a patient who following nine pregnancies decided to undergo laparoscopic electrocoagulation of the tubes is presented. The patient subsequently became pregnant with an extrauterine pregnancy. At a new laparoscopic procedure it was prooved that laparoscopic electrocoagulation of the tubes a year ago was performed surgically correctly, with isthmic part of both tubes destroyed at a length of approximately 3 cm. This unfortunately did not prevent subsequent extrauterine pregnancy in the right ampular part of the tube

Ultrasound diagnostics of urogenital infectious diseases

Dostupnost, potvrđena neškodljivost i povoljan omjer cijene i efikasnosti ultrazvuka utvrdili su njegovu ulogu u dijagnostici u uogenitalnih infektivnih bolesti. Imperativ je da svi liječnici koji su uključeni u dijagnostiku urogenitalnih bolesti razumiju ultrazvučne manifestacije navedenih bolesti, zato jer rana dijagnostika i terapija predstavljaju temelj izbjegavanja dugotrajnog morbiditeta i mortaliteta. Ako su prednosti i ograničenja ultrazvuka ispravno shvaćene, liječnik će moći dobiti najbržu i najjeftiniju dijagnozu s minimalnim uključivanjem daljnjeg, invazivnog oslikavanja. Pojava novih ultrazvučnih tehnika omogućila je da ultrazvuk dostigne središnju ulogu u dijagnozi i karakterizaciji urogenitalnih infekcija.The growing ubiquity, well-established safety, and cost-effectiveness of ultrasound imaging have determined its role in the diagnosis of urogenital infectious diseases. It is imperative that all practitioners involved in the diagnostics of urogenital diseases understand the ultrasonographic manifestations of these diseases, as early diagnosis and treatment are the cornerstones of avoidance of long-term morbidity and mortality. If the strengths and limitations of ultrasonography are understood properly, a practitioner will be able to achieve the quickest and safest diagnosis with the minimal amount of further invasive imaging. The advent of new ultrasonographic techniques may allow it to serve a more central role in the diagnosis and characterization of urogenital infections