Subject(s)
Carcinoma, Squamous Cell/diagnosis , Retroperitoneal Neoplasms/diagnosis , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Carcinoma, Squamous Cell/pathology , Carcinoma, Squamous Cell/therapy , Constipation , Fallopian Tubes/surgery , Fatal Outcome , Female , Humans , Hysterectomy , Magnetic Resonance Imaging , Middle Aged , Ovariectomy , Pelvic Pain , Retroperitoneal Neoplasms/pathology , Retroperitoneal Neoplasms/therapy , Smoking , Tomography, X-Ray ComputedABSTRACT
A case of primary solitary umbilical endometriosis is presented. The presentation, differential diagnosis and work-up is discussed and the literature is reviewed.
Subject(s)
Endometriosis , Umbilicus , Adult , Endometriosis/pathology , Female , HumansABSTRACT
Uterine rupture is a serious and often tragic complication that is life threatening to both mother and child. It occurs at a frequency of around 1% in patients with a previously scarred uterus. Rupture of an unscarred uterus is an unexpected and devastating complication of pregnancy. With the increased use of misoprostol as a labor-inducing agent, cases of rupture of an unscarred uterus following its use have been published in the literature. We report a case of uterine rupture in a multigravid woman with an intrauterine fetal death at 29 weeks' gestation whose labor was induced with misoprostol. A review of all cases of uterine rupture with misoprostol induction is also included. Excessive doses of misoprostol should be used with extreme caution in multiparous women and in patients with a previously scarred uterus even in the context of intrauterine fetal death or termination of pregnancy.
