A 29-year-old woman with an Implanon contraceptive device in situ presented with persistent and prolonged vaginal bleeding. The implant had been inserted 2 years previously; the patient had been happy with it and had been mainly amenorrhoeic with the occasional light period. She was concerned that the implant had broken during a game of 'rough and tumble' with her son in August 2000. Since the ...

A 59-year-old patient complaining of vaginal bleeding and puruloid discharge was admitted to our gynecology department. Speculum examination showed a vaginal fungating necrotic ulcerated mass. There was no palpable lymphadenopathy or hepato-splenomegaly on physical examination. Transvaginal ultrasound and abdominopelvic computed tomography demonstrated a bulky vaginal mass approximately 5x4x3 c...

We report a case of 28-year-old, primipara who presented with complaints of mass descending per vaginum along with excessive bleeding and foul smelling vaginal discharge for the past six months. Clinical examination revealed an inverted uterus, cervix and vagina with a large submucosal fundal fibroid. A diagnosis of non-puerperal uterine inversion was made. Surgical management included vaginal ...

Puerperal hematoma is a serious obstetric complication. We report case of large puerperal with an uncommon feeding vessel originating from inferior mesenteric artery. A 28-year-old primiparous woman was transferred to our hospital in the left vaginal wall following normal delivery. Contrast-enhanced CT revealed actively bleeding vulvovaginal 9 cm diameter, and transcatheter arterial embolizatio...

A 64-year-old female was admitted from the emergency department after experiencing profuse vaginal bleeding while on anticoagulation for atrial fibrillation. She had previously experienced intermittent vaginal spotting. Her medical history was also significant for cervical cancer treated with external beam radiation therapy, breast cancer treated with lumpectomy, hypertension, urinary incontine...

An amniocele is a herniation of the amniotic sac through a uterine defect. Uterine rupture during pregnancy may develop as a result of a pre-existing injury, uterine anomaly, or unscarred uterus. A 30-year-old patient, with a history of 2 vaginal deliveries, presented an amniocele complicated by left fundal perforation and was evaluated with 3-dimensional ultrasound at 23 weeks. Because of wors...

3 months and vaginal bleeding following amenorrhea of 3 months' duration and later again after six months. The patient had been married 6 years and had no pregnancy previously. Periods were regular before the last in December 1946. Following this she had amenorrhea for 3 months with usual symptoms of pregnancy (morning sickness, vomiting and frequency of micturition, etc.). Suddenly one day she...

Fanconi Anemia (FA) is an autosomal recessive disease characterized by chromosome instability, cellular hypersensitivity to DNA cross-linking agents, and increased predisposition to malignancies. We describe here a 28 year-old female with FA and vaginal squamous cell carcinoma treated by radiation therapy alone. The patient developed arm phlebitis, pulmonary fungal infection, and severe rectal ...

Examination.?General build was good, but she was extremely exhausted and her temperature was 100.4?F. Pulse 120 per minute. Abdominal examination showed classical signs of obstructed labour with a very big head at the lower part of uterus. Foetal heart sounds very faintly heard. Vaginal examination confirmed the diagnosis of hydrocephalus with a brow presentation. Os was fully dilated and there...