A 34-year-old black woman was being evaluated for vaginal bleeding as an outpatient when abnormal findings on chest roentgenogram were noted (Fig 1). She complained only of vague abdominal discomfort and had no respiratory complaint. Her past medical history was significant for menometrorrhagia in 1981 which resulted in an abdominal hysterectomy. The ovaries were left intact. She was receiving ...

OBJECTIVE To evaluate the efficacy and safety of vaginal misoprostol for cervical priming before diagnostic outpatient hysteroscopy (OH) without anesthesia. DESIGN Double-blind randomized controlled trial. SETTING University teaching hospital. PATIENT(S) One hundred fifty patients requiring diagnostic OH for investigation of infertility or abnormal uterine bleeding in the reproductive age...

There are many reported causes of abnormal uterine bleeding. We report an unusual case of uterine bleeding caused by tapeworm infestation, mimicking retained products of conception in a 35 year old multipara.

ObjectiveTo discuss the signs and symptoms of a cesarean section (C-section) scar defect, to describe techniques repair defect using vaginal approach.DesignA video review 32-year-old woman with abnormal bleeding C-section managed surgically by repair. The patient provided consent for recording publication. This surgical report, no identifying data, was exempt from institutional board approval.S...

The objectives of this video are to review important considerations for accurate diagnosis a prolapsing submucosal myoma, and highlight surgical techniques minimally invasive uterine-sparing vaginal myomectomy. Submucosal myomas have the potential prolapse through cervix as uterus attempts expel them from cavity. Symptoms include bleeding, pelvic pain, abnormal discharge. Thorough evaluation en...

OBJECTIVE Vaginal cancer is an uncommon cancer of the lower genital tract, and standardized screening is not recommended. Risk factors for vaginal cancer include a history of other lower genital tract neoplasia or cancer, smoking, immunosuppression, and exposure to diethylstilbestrol in utero. Although cervical cancer screening after total hysterectomy for benign disease is not recommended, man...

Preterm ovarian hyperstimulation syndrome (POHS) is an uncommon disorder characterized by prematurity, hypogastric and upper leg swelling of various intensities, high serum estradiol and gonadotropin levels, and ovarian follicular cyst/cysts. In this paper, we present the first case of POHS presenting with vaginal bleeding. A female infant was born via spontaneous vaginal delivery at 25 weeks o...

UNLABELLED To the best of the authors' knowledge, no previous study has compared the prevalences of Chlamydia trachomatis (CT) or Neisseria gonorrhoeae (NG) cervical infection among pregnant and non-pregnant patients presenting to the emergency department (ED) with vaginal bleeding. OBJECTIVES To determine the prevalence of these infections in a simultaneously assembled cohort, and to determi...