The Experts below are selected from a list of 324 Experts worldwide ranked by ideXlab platform
Michael Sarosi - One of the best experts on this subject based on the ideXlab platform.
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Uterine artery pseudoaneurysm after uterine Cervical Conization.
Obstetrics and gynecology, 2014Co-Authors: Joses Jain, Sharon O'leary, Michael SarosiAbstract:Uterine artery pseudoaneurysm is a rare postoperative complication. Several case reports describe this occurring after cesarean deliveries, typically presenting as delayed postoperative bleeding. A 26-year-old woman (gravida 1, para 0010) underwent a Cervical cold-knife Conization. She later presented three times over the subsequent 18 days with intermittent vaginal hemorrhage. After unsuccessful treatment with suture, prothrombotic agents, and ferric subsulfate, arteriography was performed with no abnormality identified. A bilateral iliac and uterine arteriography was repeated to facilitate prophylactic uterine artery embolization. A pseudoaneurysm of the right uterine artery was then visualized and embolized, resolving the symptoms. Injury to the uterine artery causing pseudoaneurysm formation can cause persistent vaginal hemorrhage after Cervical Conization and may elude diagnosis by arteriography.
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Uterine artery pseudoaneurysm after uterine Cervical Conization
Obstetrics & Gynecology, 2014Co-Authors: Joses Jain, Sharon O’leary, Michael SarosiAbstract:Background Uterine artery pseudoaneurysm is a rare postoperative complication. Several case reports describe this occurring after cesarean deliveries, typically presenting as delayed postoperative bleeding. Case A 26-year-old woman (gravida 1, para 0010) underwent a Cervical cold-knife Conization. She later presented three times over the subsequent 18 days with intermittent vaginal hemorrhage. After unsuccessful treatment with suture, prothrombotic agents, and ferric subsulfate, arteriography was performed with no abnormality identified. A bilateral iliac and uterine arteriography was repeated to facilitate prophylactic uterine artery embolization. A pseudoaneurysm of the right uterine artery was then visualized and embolized, resolving the symptoms. Conclusion Injury to the uterine artery causing pseudoaneurysm formation can cause persistent vaginal hemorrhage after Cervical Conization and may elude diagnosis by arteriography.
Joses Jain - One of the best experts on this subject based on the ideXlab platform.
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Uterine artery pseudoaneurysm after uterine Cervical Conization.
Obstetrics and gynecology, 2014Co-Authors: Joses Jain, Sharon O'leary, Michael SarosiAbstract:Uterine artery pseudoaneurysm is a rare postoperative complication. Several case reports describe this occurring after cesarean deliveries, typically presenting as delayed postoperative bleeding. A 26-year-old woman (gravida 1, para 0010) underwent a Cervical cold-knife Conization. She later presented three times over the subsequent 18 days with intermittent vaginal hemorrhage. After unsuccessful treatment with suture, prothrombotic agents, and ferric subsulfate, arteriography was performed with no abnormality identified. A bilateral iliac and uterine arteriography was repeated to facilitate prophylactic uterine artery embolization. A pseudoaneurysm of the right uterine artery was then visualized and embolized, resolving the symptoms. Injury to the uterine artery causing pseudoaneurysm formation can cause persistent vaginal hemorrhage after Cervical Conization and may elude diagnosis by arteriography.
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Uterine artery pseudoaneurysm after uterine Cervical Conization
Obstetrics & Gynecology, 2014Co-Authors: Joses Jain, Sharon O’leary, Michael SarosiAbstract:Background Uterine artery pseudoaneurysm is a rare postoperative complication. Several case reports describe this occurring after cesarean deliveries, typically presenting as delayed postoperative bleeding. Case A 26-year-old woman (gravida 1, para 0010) underwent a Cervical cold-knife Conization. She later presented three times over the subsequent 18 days with intermittent vaginal hemorrhage. After unsuccessful treatment with suture, prothrombotic agents, and ferric subsulfate, arteriography was performed with no abnormality identified. A bilateral iliac and uterine arteriography was repeated to facilitate prophylactic uterine artery embolization. A pseudoaneurysm of the right uterine artery was then visualized and embolized, resolving the symptoms. Conclusion Injury to the uterine artery causing pseudoaneurysm formation can cause persistent vaginal hemorrhage after Cervical Conization and may elude diagnosis by arteriography.
Heidi J. Gray - One of the best experts on this subject based on the ideXlab platform.
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Delayed hemorrhage after Cervical Conization unmasking severe Factor XI deficiency
Obstetrics & Gynecology, 2004Co-Authors: Sarah H. Kim, Stephen C. Rubin, Sindhu K. Srinivas, Louis J. Freedman, Heidi J. GrayAbstract:Background Factor XI deficiency, a rare bleeding disorder found most commonly in patients of Ashkenazi Jewish background, may be present in patients with a history of abnormal bleeding after elective surgery. Case A patient of Ashkenazi Jewish descent presented 12 days after Cervical Conization for adenocarcinoma in situ with severe vaginal bleeding requiring multiple transfusions and uterine artery embolization. After a thorough workup, a severe factor XI deficiency was found. The patient ultimately required modified radical hysterectomy for treatment of early Cervical cancer. With appropriate perioperative management, the patient underwent abdominal surgery without further bleeding complications. Conclusion Factor XI deficiency can present with severe bleeding episodes after elective surgery. Adequate preoperative assessment and perioperative management are necessary to prevent bleeding complications in these patients.
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Delayed hemorrhage after Cervical Conization unmasking severe factor XI deficiency.
Obstetrics and gynecology, 2004Co-Authors: Sarah H. Kim, Stephen C. Rubin, Sindhu K. Srinivas, Louis J. Freedman, Heidi J. GrayAbstract:Factor XI deficiency, a rare bleeding disorder found most commonly in patients of Ashkenazi Jewish background, may be present in patients with a history of abnormal bleeding after elective surgery. A patient of Ashkenazi Jewish descent presented 12 days after Cervical Conization for adenocarcinoma in situ with severe vaginal bleeding requiring multiple transfusions and uterine artery embolization. After a thorough workup, a severe factor XI deficiency was found. The patient ultimately required modified radical hysterectomy for treatment of early Cervical cancer. With appropriate perioperative management, the patient underwent abdominal surgery without further bleeding complications. Factor XI deficiency can present with severe bleeding episodes after elective surgery. Adequate preoperative assessment and perioperative management are necessary to prevent bleeding complications in these patients.
Aeli Ryu - One of the best experts on this subject based on the ideXlab platform.
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Pseudoaneurysm of uterine artery causing intra-abdominal and vaginal bleeding after Cervical Conization
Obstetrics & gynecology science, 2015Co-Authors: Gaeul Moon, Seob Jeon, Kyehyun Nam, Seung-do Choi, Jaegeun Sunwoo, Aeli RyuAbstract:Uterine arterial pseudoaneurysm is a very rare condition usually associated with postpartum hemorrhage. It almost never occurs after Cervical Conization; however, since ruptured pseudoaneurysm could be life threatening, we should consider the possibility of vascular injury such as pseudoaneurysm when we find a patient with vaginal bleeding after the process of surgical operation. Emergency arterial embolization is a well established therapeutic option to control the ruptured pseudoaneurysm. This is a case report of uterine arterial pseudoaneurysm causing intra-abdominal bleeding followed by Cervical Conization, which was successfully treated by uterine artery embolization.
Jens Kristensen - One of the best experts on this subject based on the ideXlab platform.
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Cervical Conization and preterm delivery low birth weight a systematic review of the literature
Acta Obstetricia et Gynecologica Scandinavica, 1993Co-Authors: Jens Kristensen, M. Wittrup, Jens Langhoffroos, J E BockAbstract:Objective. Evaluate the effect of Cervical Conization on preterm birth/low birth weight (LBW).Design. A systematic review of the literature using external or internal controls.Results. The typical odds ratio for preterm delivery in women with prior Cervical Conization using external controls was 3.23 (95% confidence interval 2.29–4.55). Using internal controls the typical odds ratio for LBW was 2.97 (95% confidence interval 1.09 8.05). Using external controls the typical odds ratio for LBW was 2.31 (95% confidence interval 1.33-3.99).Conclusion. Women with Cervical Conization are at higher risk for preterm birth than external controls, and the surgical intervention as such is a major determining factor.
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Increased risk of preterm birth in women with Cervical Conization.
Obstetrics and gynecology, 1993Co-Authors: Jens Kristensen, Jens Langhoff-roosAbstract:OBJECTIVE To determine the relation between Cervical Conization and preterm birth. METHODS All Danish women with singleton pregnancies who gave birth to their first infant in 1982 and second infant during the time period 1982-1987 were included in a register-based cohort study. Information on pregnancy outcome and Cervical Conization in 1977-1987 was obtained from the Medical Birth Register and the National Register of Hospital Discharges. RESULTS In a cohort of 14,233 women, 170 had Cervical Conization. Thirty-four had Cervical Conization before the first delivery, 62 between the first and the second, and 74 after the second delivery. Women with Cervical Conization had a significantly higher risk of preterm birth. In addition, women with subsequent Cervical Conization had a higher risk of preterm birth in previous pregnancies. However, the risk of preterm birth was higher in women with previous than with subsequent Cervical Conization. CONCLUSIONS Cervical Conization is correlated with preterm birth. Because women with subsequent Cervical Conization have an increased risk of preterm birth in preceding pregnancies, factors other than the surgical intervention may contribute to the significantly increased risk of preterm birth.
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Cervical Conization and preterm delivery/low birth weight. A systematic review of the literature.
Acta obstetricia et gynecologica Scandinavica, 1993Co-Authors: Jens Kristensen, Jens Langhoff-roos, M. WittrupAbstract:Objective. Evaluate the effect of Cervical Conization on preterm birth/low birth weight (LBW).Design. A systematic review of the literature using external or internal controls.Results. The typical odds ratio for preterm delivery in women with prior Cervical Conization using external controls was 3.23 (95% confidence interval 2.29–4.55). Using internal controls the typical odds ratio for LBW was 2.97 (95% confidence interval 1.09 8.05). Using external controls the typical odds ratio for LBW was 2.31 (95% confidence interval 1.33-3.99).Conclusion. Women with Cervical Conization are at higher risk for preterm birth than external controls, and the surgical intervention as such is a major determining factor.