OBJECTIVE To assess the incidence and type of laparoscopic complications. METHODS A series of 2140 operative laparoscopies were reviewed in a retrospective study of patient records. The setting was a tertiary-care university hospital. Operative laparoscopy included minor procedures (minimal adhesiolysis, destruction of minimal endometriosis foci, ovarian biopsy, ovarian puncture, tubal steril...

BACKGROUND Pseudocarcinomatous hyperplasia of the fallopian tube is a rare, benign disease characterized by florid epithelial hyperplasia. CASE PRESENTATION The authors present the history and details of a 22-year-old woman with bilateral pelvic masses and a highly elevated serum CA-125 level (1,056 U/ml). Ultrasonography and magnetic resonance imaging (MRI) of the pelvis showed bilateral adn...

In a study of 3794 consecutive women attending a gynaecological outpatient clinic with symptoms of lower genital tract infection (LGTI) 350 (9.2%) harboured Chlamydia trachomatis and 83 (2.2%) Neisseria gonorrhoeae. One hundred and ninety-five patients who were later found to have acute salpingitis and 109 other women in whom the chlamydial cultures were spoiled were excluded from the series. O...

Of these 11 women with perihepatitis or diffuse peritonitis, nine had excellent serological evidence of acute recent chlamydial infections. Five of the patients had no evidenceof gonococcal infection. The age, sexual activity, symptoms, and the laparoscopic findings typical of Fitz-Hugh-Curtis syndrome in three of the women suggested that a genital tract infection may have spread to the periton...

Genital symptoms in tropical countries and among returned travellers can arise from a variety of bacterial, protozoal, and helminthic infections which are not usually sexually transmitted. The symptoms may mimic classic sexually transmitted infections (STIs) by producing ulceration (for example, amoebiasis, leishmaniasis), wart-like lesions (schistosomiasis), or lesions of the upper genital tra...

www.turner-white.com G onorrhea and chlamydia are the 2 most commonly reported bacterial sexually transmitted diseases (STDs) in the United States.1 Early diagnosis is an important challenge with both gonorrhea and chlamydia because most patients do not exhibit symptoms. Neisseria gonorrhoeae can infect mucosal surfaces, including the urethra, endocervix, pharynx, and rectum. Disseminated gonoc...

Samples from 218 men with urethritis, 517 women with pelvic pain or pelvic pain and vaginal discharge, 218 women consulting for infertility, and 598 postpartal women were screened for Chlamydia trachomatis by culture and direct immunofluorescence. Chlamydiae were detected in 18% (39/218) of the men, 18% (45/252) of women with vaginal discharge, 14% (38/265) of those with pelvic pain, 10% (21/21...