Unicornuate uterus with a rudimentary horn diagnosed at scheduled third Cesarean Section

A unicornuate uterus with a rudimentary horn is an anomaly caused by defective fusion of the Mullerian duct, estimated to occur in one in 76,000 pregnancies. Life threateningly heavy bleeding is a highly expected clinical consequence of such pregnancies. According to the known literature, only two living twins and few living singleton pregnancies have been reported up to now. Here we report on an incidentally diagnosed unicornuate uterus with a communicating rudimentary horn, found during a cesarean section of a gravida 3, parity 2 [G3 P2] patient. This case is rather unique since the patient has had three full term pregnancies and three cesarean sections without significant fetal compromise. This delivery and the existing literature showed us that extensive uterine correction surgeries need not be automatically proposed when a unicornuate uterus is diagnosed in the preconception period. Such deliveries indicate that women with this uterine anomaly may have the potential to carry pregnancies to full term

Peripheral giant cell granuloma - a case report

Peripheral giant cell granuloma [PGCG] is an infrequent exophytic lesion of the oral cavity, also known as giant cell epulis, osteoclastoma, giant cell reparative granuloma, or giant-cell hyperplasia. The aim in publishing this report is to present the clinical, histopathological features and treatment of a PGCG case which was seen on gingiva and disturbed chewing functions due to its large size. A 21 years old female patient who complained about gingival enlargement and pain while chewing was admitted. Her intraoral examination revealed a raised, round, sessile, smooth-edged mass which was 2 cm in diameter and was located on the mandibular gingiva. After initial periodontal treatment, excisional biopsy was performed under local anesthesia. Biopsy specimen embedded in 10% formalin and sent to department of pathology for histopathological investigations. The lesion was diagnosed a PGCG after clinical and pathological examination. Two weeks after surgery, area of the lesion appeared completely healed. No recurrence of the lesion was found even six months after surgery. PGCG lesions when become large impair the functions of mastication. Recurrence is rarely seen when irritative factors are eliminated