ABSTRACT
Cases of intracranial complication following infections of head and neck have been reported rarely, but the case of intracranial complication following tubo-ovarian abscess has not been reported yet. In this case, the 35-year-old women patient with lower abdominal pain and mild headache that was diagnosed as pelvic inflammatory disease was admitted to our hospital and was cared. In the course of admission, headache was aggravated and lateral deviation of eyeballs occurred. She was diagnosed as intracranial abscess following tubo-ovarian abscess in the result of neurological surgery department consultation. So we report it with brief review of literatures.
Subject(s)
Adult , Female , Humans , Abdominal Pain , Abscess , Brain Abscess , Head , Headache , Neck , Ovary , Pelvic Inflammatory DiseaseABSTRACT
Cases of intracranial complication following infections of head and neck have been reported rarely, but the case of intracranial complication following tubo-ovarian abscess has not been reported yet. In this case, the 35-year-old women patient with lower abdominal pain and mild headache that was diagnosed as pelvic inflammatory disease was admitted to our hospital and was cared. In the course of admission, headache was aggravated and lateral deviation of eyeballs occurred. She was diagnosed as intracranial abscess following tubo-ovarian abscess in the result of neurological surgery department consultation. So we report it with brief review of literatures.
Subject(s)
Adult , Female , Humans , Abdominal Pain , Abscess , Brain Abscess , Head , Headache , Neck , Ovary , Pelvic Inflammatory DiseaseABSTRACT
I experienced a case of a congenital intramural cyst of the uterine fundus. It was composed of a single layer of non-ciliated low cuboidal epithelium without associated with endometrial stroma and was found to be derived from the mesonephric duct. This case is presented with a brief review of the literature.
Subject(s)
Epithelium , Uterus , Wolffian DuctsABSTRACT
OBJECTIVE: This study was to determine if placental histologic acute inflammation is related to maternal and fetal serum cytokine levels in preterm labor. METHODS: In 2003-2004, 32 consecutive patients at 20-36 weeks with progressive labor and tocolytic failure were recruited. Maternal serum sampled during the labor, and fetal serum of umbilical vein were assayed by ELISA for levels of soluble interleukin-1beta and interleukin-6. Acute placental inflammation was scored by two groups blinded to clinical data, and the average scores analyzed for relationships to serum cytokine levels. RESULTS: Fetal level of interleukin-1beta was higher with grade 3-4 acute amnionitis than with grade 0-2 (p=0.022 and p=0.023). Fetal levels of both cytokine were higher in grade 3-4 umbilical vasculitis (interleukin-1beta p=0.008 and interleukin-6 p=0.03). In contrast, maternal serum interleukin levels were not associated with presence or severity of histologic evidence of acute placental inflammation. CONCLUSION: We conclude that fetal serum, but not maternal serum interleukin levels, was correlated with histologic evidence of acute placental inflammation. This result may be used to detect acute placental inflammation as an indirect indicator.
Subject(s)
Female , Humans , Pregnancy , Amnion , Chorioamnionitis , Enzyme-Linked Immunosorbent Assay , Inflammation , Interleukin-1beta , Interleukin-6 , Interleukins , Obstetric Labor, Premature , Umbilical Veins , VasculitisABSTRACT
PURPOSE: Parathyroid cysts are rare clinical entities of the neck and superior mediastinum. These cysts often present a difficult diagnostic challenge. They often present as a solitary thyroid nodule and may be difficult to differentiate clinically. The objectives of this study were to review our 27 cases of parathyroid cyst and to suggest the method of diagnostic approach and treatment for parathyroid cyst. METHODS: A retrospective study was performed for a 24-year period (1981~2004), on 27 patients operated of parathyroid cyst. RESULTS: Most of these patients (22/27) complained asymptomatic anterior neck mass at presentation. Preoperative radiologic examinations included ultrasonography (70.4%), computed tomography (25.9%), and (99m)Tc thyroid scan (22.2%). Hypercalcemia was detected in 3 cases with high serum calcium (11.3 mg/dl) and intact PTH (158.1 pg/mL). Fine Needle Aspiration (FNA) was performed in nineteen cases. It revealed crystal clear aspirate in non-functioning cysts and hemorrhagic in functioning cysts. In the analysis of the aspirate, mean N-terminal PTH (n=10) and intact PTH (n=9) were 22.5 pg/mL (9.3~45.0) and 686.5 pg/mL (138.0~1500.0), respectively. Mean size of the cysts was 4.0 cm (1.0~9.2) and the left inferior parathyroid glands were most commonly involved (63.0%). All parathyroid cysts were surgically removed. CONCLUSION: Parathyroid cysts need to be differentiated from other cystic lesions in the neck and superior mediastinum. Aspiration of crystal clear fluid is highly suggestive of a parathyroid cyst. The aspirate should be analyzed for PTH levels as these are always elevated in parathyroid cysts, regardless of the function. Nonfunctioning cysts may be treated with aspiration alone or sclerosing agents. Surgical excision is indicated for functioning cysts and recurrent case of nonfunctioning cysts.