〈Case Reports〉HELLP syndrome at 22 weeks of gestation with resulting stillbirth and a favorable outcome in a subsequent pregnancy: A case report

[Abstract]HELLP syndrome, characterized by hemolysis,elevated liver enzymes, and low platelets,is one of the diseases related to hypertension in pregnancy. If the pregnancy is not terminated soon after HELLP is diagnosed, liver failure or disseminated intravascular coagulopathy (DIC)may occur. HELLP syndrome occurs in 0.2%–0.9% of all pregnancies; Onset before 24 weeks of gestation is extremely rare but is more likely to result in stillbirth. Women who have had a stillbirth often hope for another pregnancy soon after,but there is little information about the risks and outcomes for subsequent pregnancy in women who developed HELLP syndrome in early pregnancy.Thus, it is important to accumulate data on these outcomes in this population. Here, we report a case in which severe HELLP syndrome developed at 22 weeks of gestation, resulting in stillbirth, and was followed six months later by a pregnancy that with early intervention, produced a live birth

A long-term follow-up case of intravenous leiomyomatosis treated with anticoagulant therapy following conservative surgery

An intravenous leiomyomatosis is a benign smooth muscle tumor that develops in a vein. Approximately 200 cases have been reported in the literature thus far ; however, no case has been reported to date of an intravenous leiomyomatosis treated conservatively with anticoagulant therapy that has received longterm follow-up. We here present a case report of patient a 44-year-old G2P2. Hysterectomy and adnexectomy were performed and the uterine vein and internal iliac vein were removed, but the superior-located masses were conserved. Currently, in the 6^<th> post-operative year, no changes have been detected in the location, size, and property of the remaining masses. In addition, thromboses in the deep vein and along the inferior vena cava were confirmed pre-operatively and anticoagulant therapy has been administered continuously post-operatively. Thus, a thorough pre-operative search for thrombi is required in patients with intravenous leiomyomatosis. Anticoagulant therapy may be necessary for patients with tumor conserved in the IVC following conservative surgery

A long-term follow-up case of intravenous leiomyomatosis treated with anticoagulant therapy following conservative surgery

An intravenous leiomyomatosis is a benign smooth muscle tumor that develops in a vein. Approximately 200 cases have been reported in the literature thus far ; however, no case has been reported to date of an intravenous leiomyomatosis treated conservatively with anticoagulant therapy that has received longterm follow-up. We here present a case report of patient a 44-year-old G2P2. Hysterectomy and adnexectomy were performed and the uterine vein and internal iliac vein were removed, but the superior-located masses were conserved. Currently, in the 6^ post-operative year, no changes have been detected in the location, size, and property of the remaining masses. In addition, thromboses in the deep vein and along the inferior vena cava were confirmed pre-operatively and anticoagulant therapy has been administered continuously post-operatively. Thus, a thorough pre-operative search for thrombi is required in patients with intravenous leiomyomatosis. Anticoagulant therapy may be necessary for patients with tumor conserved in the IVC following conservative surgery

Correction to: Quality of life after laparoscopic hysterectomy versus abdominal hysterectomy

An amendment to this paper has been published and can be accessed via the original article