A rare case of Nabothian cyst presenting as mass per vagina

Nabothian cysts are benign non neoplastic disorder rarely of any clinical significance usually appear as bumps on the surface of the cervix which may be single or in groups and they appear as a sequalae to chronic cervicitis, are asymptomatic unless they are sizeable presenting with rare and varied symptoms. Generally, Nabothian cysts do not require any therapy. The therapy is recommended when a patient becomes symptomatic with pain or when the lesion character is not clear and malignancy cannot be ruled out. Here we reported a case of 23-year young unmarried girl nulligravida with complaints of mass per vagina. On local examination an irregular polypoidal mass was seen protruding outside the introitus measuring about 4×4 cm soft to cystic in consistency. Ultrasound revealed a well-defined anechoic cyst of 3.6×5.7 cm noted in the right ovary with no evidence of internal septation/solid component and wall calcification suggestive of right ovarian simple cyst with left ovary and uterus being normal. Surgical management was planned. Diagnostic laparoscopy was performed which revealed right ovarian simple cyst of 6×4 cm which was punctured using cautery and drained. Following this vaginal exploration revealed a polypoidal structure of 5×4 cm cystic consistency seen arising from right upper anterolateral lip of cervix. Polyp was resected with cautery and haemostasis achieved. Post operative period was uneventful. Such rare presentations do pose a diagnostic dilemma and hence it should be kept in mind to ensure adequate treatment.

Pelvic actinomycosis associated with bilateral hydronephrosis developed in a nulligravida woman / 대한산부인과학회지

Pelvic actinomycosis is well-known to be associated with the longstanding use of intrauterine devices, sometimes related with a pregnancy history and an obstetric and/or gynecologic surgery. It can extend to the retroperitoneum and may also be associated with ureteral obstruction. In this case, pelvic actinomycosis in the form of bilateral tubo-ovarian abscess extending to the retroperitoneum resulting in bilateral hydronephrosis occurred in a nulligravida woman who had only few prior sexual intercourses. Apparently, pelvic actinomycosis can occur without any specific history. Moreover, such could possibly give rise to hydronephrosis by direct extension to the retroperitoneum.

Last 10 Year's Statistics of Newborn Babys Sex Ratio at Inchon Christian Hospital / 대한주산의학회잡지

PURPOSE: To solving the problems of unbalanced sex ratio through the last 10 year's and future problems. METHOD: This study was reviewed in last 10year's period in nulligravida, multigravida, cesarean section, season, year(odd, even), and month(odd, even), it's depend on the 11568 cases during the last 10 year's and average of yearly delivery is almost 1000 cases. RESULT: The following results were obtained, The total sex ratio in last 10 years were 100: 108. 5(female: male). The total monthly sex ratio in last 10 years were following. Febraury sex ratio was 100: 115.2(female:male), may sex ratio was 100: 97.0(female:male), Even month sex ratio 100: 112.1(female: male), odd month sex ratio 100: 104(female: male), seasonal sex ratio were following. Spring(100: 102.7), summer(100: 115.6), fall(100: 106.4), winter(100: 109.4). The total Normal Spontaneous Vaginal Delivery in nulligravida and multigravida were followed, nulligravida(which is one delivery only) was 100: 112.4(f: m), multigravida(which is more than one delivery, but not inclued abortion) was 100: 107.6(f: m). The total c/sec(Cesarean section) in 1st c/sec and 2nd and above c/sec were followed. 1st c/sec was 100: 113.6(female: male), 2nd and above c/sec was 100: 103(female: male). CONCLUSION: Our results suggest that the unbalance of newbom baby boy sex ratio in nulligravida is higher then multigravida and is problem in this contry. We will be concerned social problem in early 21th centry.