Prenatal Diagnosis of Choledochal Cyst at 23 weeks by Sonography / 대한산부인과학회잡지

In the past few years a wide variety of fetal abnormalities have been successfully prenatal diagnosed by maternal sonography. Early excision of the choledochal cyst in the newborn is considered to be the optimal treatment and may pose less risk to the patient than delayed surgical exploration. We present a new case diagnosed a choledochal cyst at 23 weeks gestation by routine ultrasound scanning. At 38 weeks gestation a female infant was born by spontaneous delivery. At 7 weeks of age the patient underwent a laparotomy performed cyst excision with Roux-en-Y hepaticojejunostomy. We experienced a case of choledochal cyst at prenatal sonography and report our case with a brief review of literature.

A Clinical Study of Ectopic Pregnancy / 대한산부인과학회잡지

OBJECTIVE: Ectopic pregnancy is still a major health problem among women of childbearing age, causes major maternal morbidity and mortality with pregnancy loss, and its incidence is increasing worldwide. This study is an analysis of the clinical profile of ectopic pregnancy, the current status of the incidence and the management options. METHODS: One hundred and seventy six cases of ectopic pregnancies managed at the Daedong Hospital between January 1998 and December 2002 were analyzed. RESULTS: The overall incidence of ectopic pregnancy was 1 in 28 pregnanciies and the most common age group was 31-35 years of age (35%). Nullipara was 34.6% and the cases who experienced artificial abortion was 76%. Twenty four percentages of cases had a history of previous abdominal surgery and 20% of patients reported a history of pelvic inflammatory disease. Common complaints of ectopic pregnancy were fallopian tube (91%), interstitial (6.2%), ovary (0.05%) and in tubal pregnancies, the most frequent site was ampullar (74%). Laparotomy was done in 64%, pelviscopic operation was done in 32% and the most common operative procedure was salpingectomy in 76%. CONCLUSION: Early diagnosis and appropriate management of ectopic pregnancy will remain the most effective means of reducing the mortality and morbidity, increasing the fertility. Ectopic pregnancy must be excluded in a sexually active woman with a positive pregnancy test, abdominal pain and vaginal bleeding. treatment should be tailored to individual needs.

A Case of Adeno - Squamous Cell Carcinoma Arising in Mature Cystic Teratoma / 대한부인종양콜포스코피학회잡지

Teratoma is one of germ cell tumor, common neoplasm in women of reproductive age, but it can arise at any age. Its malignant transformation is rare, less than 2%, frequently at older age. Nearly all the cases are squamous, sarcomatous and adenomatous transformation. Here we present a case of mixed transformation, adeno-squamous cell carcinoma with brief review of the concerned literature.