A Case of Spontaneous Autoamputation of Ovary in a 46-Year-Old Woman: An Uncommon Presentation (Painless Ovarian Torsion) with Unique Diagnostic and Therapeutic Challenges

This article presents a case of spontaneous autoamputation of ovary in a 46-year-old nulligravid woman with a history of rheumatoid arthritis and hypertension, who presented with secondary amenorrhea and white vaginal discharge. Despite an initial diagnosis of dermoid cyst based on ultrasound findings, subsequent laparoscopic surgery revealed a necrotized oval-shaped mass in the cul-de-sac, which was identified as the right ovary that had undergone torsion and autoamputation. This case highlights the diagnostic and therapeutic challenges associated with this uncommon presentation, which may be easily misdiagnosed. Clinicians should consider spontaneous autoamputation of ovary as a potential differential diagnosis in women presenting with adnexal masses, even if there is no prior history of abdominal pain

Palatal dimensions at different stages of dentition in 5 to 18-year-old Iranian children and adolescent with normal occlusion

Abstract Background This study was purposed to evaluate palatal width, height, and height index at various stages of dentition in Iranian children and adolescent with normal occlusion. Methods This cross-sectional study was conducted on a random sample of 237 children (45% male and 55% female, aged 5–18 years) with normal occlusion selected from kindergartens and elementary and high schools in Hamadan, Iran. The subjects were clinically examined and classified based on dentition to primary (21.5%), mixed (21.9%), and permanent (56.5%) stages. Dental casts were obtained from all subjects. Palatal width (inter-molar and -canine distances), and height (at molar and canine areas) were measured on the casts by Korkhaus’ compass and digital caliper. Palatal height index was calculated for each dentition stage. Data were analyzed by SPSS 15 using one-way ANOVA followed by Tukey’s post hoc test and t- test (p <  0.05). Results Palatal inter-molar and -canine width values were increased from primary to permanent dentition. Palatal height and palatal height index in mixed dentition were significantly lower than those in primary and permanent dentition. Palatal width at inter-molar and -canine distances was significantly higher in males than females. There was no significant difference in palatal height and palatal height index at molar area between males and females. However, palatal height and palatal height index at canine area were significantly higher in males compared to females. Conclusion These findings showed that palatal width increased from primary to permanent stage. Palatal height and palatal height index decrease from primary to mixed dentation, then increase from mixed to permanent dentition