In order to assess the reliability of the echocardiogram in detecting valvular vegetations in patients with mitral valve prolapse (MVP), echocardiograms from 85 consecutive patients with mitral valve prolapse were reviewed. Eleven patients had thick shaggy echoes confined to the anterior mitral leaflet; eighteen patients had shaggy echoes on the posterior leaflet; and five had abnormal echoes o...

A 79-year-old man was being evaluated for possible mitral valve repair for increasing mitral regurgitation. Transesophageal echocardiography with color flow Doppler showed left atrial enlargement, mitral valve prolapse, and spontaneous changes in the direction and configuration of regurgitant jets (during the same imaging study) determined by which leaflet prolapsed into the left atrium during ...

through the anal canal. Precisely how a complete rectal prolapse develops is not thoroughly understood. Possible etiologies include a defect of the pelvic floor, redundant rectosigmoid colon, deep Douglas pouch, gender (female), psychiatric problems and nulliparity. Pathogenesis may involve a sliding hernia or a circumferential intussusception. Treatment of rectal prolapse can involve a variety...

BACKGROUND Rectal cancer with rectal prolapse is rare, described by only a few case reports. Recently, laparoscopic surgery has become standard procedure for either rectal cancer or rectal prolapse. However, the use of laparoscopic low anterior resection for rectal cancer with rectal prolapse has not been reported. CASE PRESENTATION A 63-year-old Japanese woman suffered from rectal prolapse, ...

Aim: To assess the role of Magnetic resonance imaging (MRI) and pelvic organ prolapse quantification (POPQ) system in the evaluation of female pelvic organ prolapse. Design: Prospective study. Setting: Tanta University Hospital. Patients: The study was carried out on 60 patients having clinical manifestations suggesting pelvic floor weakness. Intervention: All the patients were subjected to his...

Pelvic organ prolapse is a common medical problem in parous women that becomes particularly acute with advancing age. As life expectancy increases, this condition is acquiring greater significance: 20% of women on gynaecology waiting lists in the UK are awaiting prolapse surgery, which demonstrates the enormity of this virtual pandemic. Prolapse usually refers to a combination of deficiencies o...

UNLABELLED We present a case of uterine prolapse complicating a second trimester pregnancy which was managed successfully with a vaginal pessary. CASE A 19 year-old primigravid woman referred to the obstetric emergency unit at the 16th week of gestation complaining of uterine prolapse. A silicone ring-shaped middle-size vaginal pessary was placed into the vagina. On each control visit, when t...

Stress urinary incontinence (SUI) following surgery for urogenital prolapse remains a problem. Prolapse and SUI commonly co-exist. However, in patients with advanced prolapse, symptomatic SUI is rare owing to the obstructive effect of the prolapsed organ and/or urethral kinking. Terms used in the literature to describe this condition include occult, potential, masked, latent, hidden, iatrogenic...

BACKGROUND Female pelvic organ prolapse is common and generally thought to worsen over time. This assumption has recently become less plausible, as the author and others have been able to show that mild to moderate pelvic organ descent is common in young, nulligravid women. AIMS To investigate the relationship between age and pelvic organ prolapse. METHODS The records of 1110 women seen for...

INTRODUCTION Laparoscopic adjustable gastric banding (LAGB) is a reversible method of surgical gastric restriction. Following LAGB, the adverse event most commonly necessitating subsequent reoperation is prolapse of the gastric corpus or fundus above the band. A review of the medical literature reveals no reports of nonpancreatic pseudocysts being associated with this adverse event. Nonpancrea...