PART 1

EDITORIALS:

Uterine Artery Embolization: What More Do We Need to Know?

Evan R. Myers
Obstet Gynecol 2002 100: 847-848. [Full Text] [PDF]  

Hormone Replacement Therapy: Developing a Strategy

John T. Queenan
Obstet Gynecol 2002 100: 849-850. [Full Text] [PDF]  

Are Doctors Next?

Frank H. Boehm
Obstet Gynecol 2002 100: 851-852. [Full Text] [PDF]  

ORIGINAL RESEARCH:

Bleeding Patterns of the Hormone Replacement Therapies in the Postmenopausal Estrogen and Progestin Interventions Trial

Analysis of the Postmenopausal Estrogen and Progestin Interventions Trial data shows highly significant differences in bleeding patterns between hormone therapy regimens.

Etta A. Lindenfeld, Robert D. Langer
Obstet Gynecol 2002 100: 853-863. [Abstract] [Full Text] [PDF]  

Comparison of Long-Term Outcomes of Myomectomy and Uterine Artery Embolization

Surgical intervention for myomas is more common in the 3–5 years after uterine artery embolization than in the 3–5 years after myomectomy.

Michael S. Broder, Scott Goodwin, Gary Chen, Linda J. Tang, Mary M. Costantino, Michael H. Nguyen, Tugce N. Yegul, Heike Erberich
Obstet Gynecol 2002 100: 864-868. [Abstract] [Full Text] [PDF]  

Complications After Uterine Artery Embolization for Leiomyomas

Short-term complications are infrequent after uterine embolization for uterine leiomyomas.

James B. Spies, Amy Spector, Antoinette R. Roth, Chandra M. Baker, Lauren Mauro, Kerry Murphy-Skrynarz
Obstet Gynecol 2002 100: 873-880. [Abstract] [Full Text] [PDF]  

Lubrication of the Vaginal Introitus and Speculum Does Not Affect Papanicolaou Smears

Vaginal lubrication before speculum insertion does not adversely affect Papanicolaou smears.

W. Benson Harer, Jr, Guillermo Valenzuela, Debra Lebo
Obstet Gynecol 2002 100: 887-888. [Abstract] [Full Text] [PDF]  

The Effect of Vaginal Speculum Lubrication on the Rate of Unsatisfactory Cervical Cytology Diagnosis

The application of water-soluble lubricant to the outside of the inferior vaginal speculum blade did not change the rate of unsatisfactory cervical cytology diagnosis.

Anne-Marie E. Amies, Leslie Miller, Shu-Kuang Lee, Laura Koutsky
Obstet Gynecol 2002 100: 889-892. [Abstract] [Full Text] [PDF]  

Tension-Free Vaginal Tape: Outcomes Among Women With Primary Versus Recurrent Stress Urinary Incontinence

Tension-free vaginal tape is an effective treatment for patients with recurrent stress urinary incontinence, including those with intrinsic sphincter deficiency or prolapse.

C. R. Rardin, N. Kohli, P. L. Rosenblatt, J. R. Miklos, R. Moore, W. C. Strohsnitter
Obstet Gynecol 2002 100: 893-897. [Abstract] [Full Text] [PDF]  

Release of Tension-Free Vaginal Tape for the Treatment of Refractory Postoperative Voiding Dysfunction

Persistent post–tension-free vaginal tape voiding dysfunction is effectively treated with a simple vaginal release procedure, without unduly compromising continence benefits.

C. R. Rardin, P. L. Rosenblatt, N. Kohli, J. R. Miklos, M. Heit, V. R. Lucente
Obstet Gynecol 2002 100: 898-902. [Abstract] [Full Text] [PDF]  

Antenatal Diagnosis of Single Umbilical Artery: Is Fetal Echocardiography Warranted?

The sonographic finding of isolated single umbilical artery is associated with a low risk of cardiac malformations, and fetal echocardiography may not be warranted.

Dana R. Gossett, Michael E. Lantz, Christian A. Chisholm
Obstet Gynecol 2002 100: 903-908. [Abstract] [Full Text] [PDF]  

Maternal Health in Sudden Intrauterine Unexplained Death: Do Urinary Tract Infections Protect the Fetus?

Maternal urinary tract infection during pregnancy protects the fetus against subsequent sudden intrauterine unexplained death, although the risk remains unaffected by maternal health in general.

J. Frederik Frøen, Randi A. Møyland, Ola Didrik Saugstad, Babill Stray-Pedersen
Obstet Gynecol 2002 100: 909-915. [Abstract] [Full Text] [PDF]  

Gestational Cocaine Exposure and Intrauterine Growth: Maternal Lifestyle Study

Cocaine exposure has a negative impact on birth measurements, independent of the effects of smoking, alcohol, marijuana, and maternal medical complications.

Henrietta S. Bada, Abhik Das, Charles R. Bauer, Seetha Shankaran, Barry Lester, Linda L. Wright, Joel Verter, Vincent L. Smeriglio, Loretta P. Finnegan, Penelope L. Maza
Obstet Gynecol 2002 100: 916-924. [Abstract] [Full Text] [PDF]  

Maternal Diabetes Mellitus and Infant Malformations

Women with pregestational diabetes or gestational diabetes plus fasting hyperglycemia have a three- to four-fold increased risk of infant malformations.

Jeanne S. Sheffield, Erin L. Butler-Koster, Brian M. Casey, Donald D. McIntire, Kenneth J. Leveno
Obstet Gynecol 2002 100: 925-930. [Abstract] [Full Text] [PDF]  

Differential Blood Flow in Uterine, Ophthalmic, and Brachial Arteries of Preeclamptic Women

Ultrasound evaluation of fetoplacental, uterine, and orbital circulation and flow-mediated vasodilation of the brachial artery help differentiate the degree and severity of preeclampsia.

Masayo Takata, Mikiya Nakatsuka, Takafumi Kudo
Obstet Gynecol 2002 100: 931-939. [Abstract] [Full Text] [PDF]  

Pregnancy After Classic Cesarean Delivery

In the first pregnancy after a classic cesarean delivery, uterine dehiscence occurred in 9% and uterine rupture occurred in 0.6% of patients.

Suneet P. Chauhan, Everett F. Magann, Christopher D. Wiggs, P. Scott Barrilleaux, James N. Martin, Jr
Obstet Gynecol 2002 100: 946-950. [Abstract] [Full Text] [PDF]  

Fetal Heart Rate Parameters Predictive of Neonatal Outcome in the Presence of a Prolonged Deceleration

The most significant factor predicting the development of pathologic neonatal acidemia in the presence of a bradycardia is decreased variability before the bradycardia.

Keith P. Williams, France Galerneau
Obstet Gynecol 2002 100: 951-954. [Abstract] [Full Text] [PDF]  

Medical Licensure Examination Scores: Relationship to Obstetrics and Gynecology Examination Scores

There are linear correlations between the United States Medical Licensure Examination Step 1 and Step 2 and the National Board of Medical Examiners Obstetrics and Gynecology final examination. Poor scores on any examination can predict poor performance on future examinations.

Thomas D. Myles, Robert C. Henderson, II
Obstet Gynecol 2002 100: 955-958. [Abstract] [Full Text] [PDF]  

Obesity as an Independent Risk Factor for Infectious Morbidity in Patients Who Undergo Cesarean Delivery

Obesity is an independent risk factor for post–cesarean delivery infectious morbidity.

Thomas D. Myles, Jason Gooch, Joaquin Santolaya
Obstet Gynecol 2002 100: 959-964. [Abstract] [Full Text] [PDF]  

Rate of Human Papillomavirus Clearance After Treatment of Cervical Intraepithelial Neoplasia

Most human papillomavirus infections are already cleared 3 months after surgical treatment for cervical intraepithelial neoplasia I–III, particularly among women with cervical intraepithelial neoplasia III treated with conization.

Kristina Elfgren, Marcel Jacobs, Jan M. M. Walboomers, Chris J. L. M. Meijer, Joakim Dillner
Obstet Gynecol 2002 100: 965-971. [Abstract] [Full Text] [PDF]  

Optimizing the Hybrid Capture II Human Papillomavirus Test to Detect Cervical Intraepithelial Neoplasia

Increasing the positive cutoff for hybrid capture II human papillomavirus test may improve prediction of cervical intraepithelial neoplasia.

Michelle Howard, John Sellors, Janusz Kaczorowski
Obstet Gynecol 2002 100: 972-980. [Abstract] [Full Text] [PDF]  

Pregnancy, Labor, Delivery, and Pelvic Organ Prolapse

Pelvic organ prolapse develops with similar frequency after vaginal delivery and cesarean delivery during active labor and in a comparable number of black and white women.

Eddie H. M. Sze, Gordon B. Sherard, III, Jeanette M. Dolezal
Obstet Gynecol 2002 100: 981-986. [Abstract] [Full Text] [PDF]  

The Effect of a Nitric Oxide Donor on Fetal Heart Rate Patterns in Patients With Hypertension

Short-acting donors of nitric oxide can be administered safely to women with pregnancy-associated hypertension.

Israel Thaler, Hagit Kahana
Obstet Gynecol 2002 100: 987-991. [Abstract] [Full Text] [PDF]  

Circulating Erythroblasts in Maternal Blood Are Not Elevated Before Onset of Preterm Labor

As opposed to fetal deoxyribonucleic acid in maternal serum, circulating erythroblasts in maternal blood are not increased before preterm labor.

Irene Hoesli, Milan Danek, Dexin Lin, Ying Li, Sinuhe Hahn, Wolfgang Holzgreve
Obstet Gynecol 2002 100: 992-996. [Abstract] [Full Text] [PDF]  

CASE REPORTS:

Pregnancy After Uterine Artery Embolization

Pregnancy complications after uterine artery embolization include malpresentation, preterm birth, cesarean delivery, and postpartum hemorrhage.

Jay Goldberg, Leonardo Pereira, Vincenzo Berghella
Obstet Gynecol 2002 100: 869-872. [Abstract] [Full Text] [PDF]  

Labial Necrosis After Uterine Artery Embolization for Leiomyomata

Nontarget labial embolization involving severe vulvar pain and necrotic-appearing skin changes after uterine artery embolization was successfully managed using conservative therapy.

Thomas J. Yeagley, Jay Goldberg, Thomas A. Klein, Joseph Bonn
Obstet Gynecol 2002 100: 881-882. [Abstract] [Full Text] [PDF]  

Embolic Microspheres Within Ovarian Arterial Vasculature After Uterine Artery Embolization

Embolic microspheres found within the ovarian arterial vasculature of a woman undergoing emergency hysterectomy after uterine artery embolization provide a mechanism for compromised blood flow and observed ovarian failure after uterine artery embolization.

John F. Payne, Stanley J. Robboy, A. F. Haney
Obstet Gynecol 2002 100: 883-886. [Abstract] [Full Text] [PDF]  

Bilateral Retinal Occlusion Progressing to Long-Lasting Blindness in Severe Preeclampsia

The presence of bilateral Purtscher-like retinopathy secondary to severe preeclampsia may cause permanent blindness.

Eduardo Lara-Torre, Michael S. Lee, Melissa A. Wolf, Dinesh M. Shah
Obstet Gynecol 2002 100: 940-942. [Abstract] [Full Text] [PDF]  

Permanent Blindness as a Complication of Pregnancy-Induced Hypertension

Blindness associated with pregnancy-induced hypertension may be secondary to numerous etiologies.

Cher P. Moseman, Stuart Shelton
Obstet Gynecol 2002 100: 943-945. [Abstract] [Full Text] [PDF]  

REVIEWS:

Expectant Management Versus Labor Induction for Suspected Fetal Macrosomia: A Systematic Review

Induction of labor for suspected fetal macrosomia appears to increase the cesarean delivery rate without improving perinatal outcomes.

Luis Sanchez-Ramos, Sara Bernstein, Andrew M. Kaunitz
Obstet Gynecol 2002 100: 997-1002. [Abstract] [Full Text] [PDF]  

Drug Therapy of Urinary Urge Incontinence: A Systematic Review

Anticholinergic drugs are effective for the treatment of urinary urge incontinence, with predictable side effects. The use of selected alternative drugs is supported by the available data.

Guenther Haeusler, Harald Leitich, Mick van Trotsenburg, Alexandra Kaider, Clemens B. Tempfer
Obstet Gynecol 2002 100: 1003-1016. [Abstract] [Full Text] [PDF]  

CURRENT COMMENTARY:

Successful Assisted Reproductive Technology: The Beauty of One

Advancing technology and rapidly increasing multiple births call for redefining clinical success from assisted reproduction to be the live birth of a singleton neonate.

Carol J. Rowland Hogue
Obstet Gynecol 2002 100: 1017-1019. [Abstract] [Full Text] [PDF]  

HIGH-RISK PREGNANCY SERIES: AN EXPERT'S VIEW:

The Management of Preterm Labor

Obstetric strategies used to prevent and arrest preterm labor as well as to reduce adverse neonatal outcomes associated with preterm birth are reviewed.

Robert L. Goldenberg
Obstet Gynecol 2002 100: 1020-1037. [Abstract] [Full Text] [PDF]  

DEPARTMENTS:

Letters to the Editor:

Vaginal Breech Delivery Is No Longer Justified

Ronald T. Burkman, Alex C. Vidaeff, Edward R. Yeomans, Michael F. Greene
Obstet Gynecol 2002 100: 1038-1040. [Full Text] [PDF]  

Who Was Caring for Mary?

Clovis Pierce
Obstet Gynecol 2002 100: 1040. [Full Text] [PDF]  

Risk of Warfarin During Pregnancy With Mechanical Valve Prostheses

Anne Regenstein, M. Cotrufo, M. De Feo, L. S. De Santo, G. P. Romano, A. Della Corte, A. Renzulli, C. Gallo
Obstet Gynecol 2002 100: 1040-a-1041-a. [Full Text] [PDF]  

Postoperative Neuropathies After Major Pelvic Surgery

James Honig, Richard J. Cardosi, Carol S. Cox, Mitchel S. Hoffman
Obstet Gynecol 2002 100: 1041-1042. [Full Text] [PDF]  

ACOG PUBLICATIONS:

Clinical Management Guidelines for Obstetrician–Gynecologists. Number 40, November 2002 (Replaces Practice Pattern Number 7, October 1997): Shoulder Dystocia

Obstet Gynecol 2002 100: 1045-1050. [PDF]  

ACOG Committee Opinion. Number 277, November 2002: Patents, Medicine, and the Interests of Patients: Applying General Principles to Gene Patenting

Obstet Gynecol 2002 100: 1051-1056. [PDF]  

ACOG Committee Opinion. Number 278, November 2002: Avoiding Inappropriate Clinical Decisions Based on False-Positive Human Chorionic Gonadotropin Test Results

Obstet Gynecol 2002 100: 1057-1059. [PDF]  

PART 2

CASE REPORTS:

Pelvic Umbrella Pack for Refractory Obstetric Hemorrhage Secondary to Posterior Uterine Rupture

The use of a pelvic umbrella pack can be lifesaving in the event of refractory obstetric hemorrhage.

Rebecca J. Howard, J. Michael Straughn, Jr, Warner K. Huh, Dwight J. Rouse
Obstet Gynecol 2002 100: 1061-1063. [Abstract] [Full Text] [PDF]  

Shigellosis Complicating Preterm Premature Rupture of Membranes Resulting in Congenital Infection and Preterm Delivery

Preterm premature rupture of membranes and congenital acquired infection can be caused by maternal shigellosis.

Andrei Rebarber, Brittany Star Hampton, Valerie Lewis, Samuel Bender
Obstet Gynecol 2002 100: 1063-1065. [Abstract] [Full Text] [PDF]  

Dysmenorrhea After Bilateral Tubal Ligation: A Case of Retrograde Menstruation

Retrograde menstruation and dilatation of proximal tubal segments with blood after bilateral tubal ligation can cause dysmenorrhea and pelvic pain that mimics the symptoms of endometriosis.

Kelly Morrissey, Nadine Idriss, Lynnette Nieman, Craig Winkel, Pamela Stratton
Obstet Gynecol 2002 100: 1065-1067. [Abstract] [Full Text] [PDF]  

Pain in the Foot: Calcaneal Metastasis as the Presenting Feature of Endometrial Cancer

Endometrial cancer presenting as a calcaneal metastasis is extremely rare, and aggressive treatment provided effective palliation of symptoms.

Tom P. Manolitsas, Jeffrey M. Fowler, Reinhard A. Gahbauer, Nilendu Gupta
Obstet Gynecol 2002 100: 1067-1069. [Abstract] [Full Text] [PDF]  

Placenta Accreta Postpartum

Sonohysterography is a useful tool in the diagnosis of placenta accreta postpartum.

Ginny L. Ryan, Timothy J. Quinn, Craig H. Syrop, Wendy F. Hansen
Obstet Gynecol 2002 100: 1069-1072. [Abstract] [Full Text] [PDF]  

Gastric Rupture Associated With Pregnancy

A woman presents with gastric rupture shortly after vaginal delivery.

Ae Seon Cha, Michael A. Krew, Todd Tamlyn, Prabhcharan Gill
Obstet Gynecol 2002 100: 1072-1074. [Abstract] [Full Text] [PDF]  

Uterine Necrosis After Arterial Embolization for Postpartum Hemorrhage

In the management of postpartum bleeding by arterial embolization, the use of particles of a small size must be avoided to prevent ischemic uterine necrosis.

J. P. Cottier, A. Fignon, F. Tranquart, D. Herbreteau
Obstet Gynecol 2002 100: 1074-1077. [Abstract] [Full Text] [PDF]  

Respiratory Distress in a Pregnant Woman With Congenital Vocal Cord Paralysis

Congenital vocal cord paralysis may result in life-threatening respiratory distress during pregnancy requiring tracheotomy.

Sherri Putterman, Reinaldo Figueroa, David Garry
Obstet Gynecol 2002 100: 1077-1079. [Abstract] [Full Text] [PDF]  

Primary Breast Lymphoma, Contralateral Breast Cancer, and Bilateral Brenner Tumors of the Ovary

We report the presence of primary breast lymphoma of the right breast, contralateral breast cancer, and bilateral Brenner tumors of the ovary.

K. A. Frei, H. M. Bonel, P. Forrer, J. Alleman, R. A. Steiner
Obstet Gynecol 2002 100: 1079-1082. [Abstract] [Full Text] [PDF]  

Pelvic Castleman Disease Presenting as Vaginal Occlusion

Recognition and surgical treatment of pelvic Castleman disease offer improvement for systemic manifestations, which may be mistaken for other benign conditions.

Glenn A. Gaunt, Bobbie S. Gostout, Ellen Remstein, William A. Cliby
Obstet Gynecol 2002 100: 1082-1085. [Abstract] [Full Text] [PDF]  

Treatment for Prolapse of the Sigmoid Neovagina in Mayer-Rokitansky-Kuster-Hauser Syndrome

Among two patients with prolapse of a sigmoid neovagina, one patient who underwent reconstruction surgery using a pudendal thigh flap has been making satisfactory progress.

Rei Yokomizo, Takashi Murakami, Hiroo Naitou, Atsushi Yamada
Obstet Gynecol 2002 100: 1085-1087. [Abstract] [Full Text] [PDF]  

Favorable Outcome in a Pregnancy With Complete Fetal Heart Block and Severe Bradycardia

Congenital heart block and severe fetal bradycardia, with a structurally normal heart, is managed successfully with standard fetal testing until documentation of fetal lung maturity.

Vatche A. Minassian, Allahyar Jazayeri
Obstet Gynecol 2002 100: 1087-1089. [Abstract] [Full Text] [PDF]  

Clitoral Priapism: A Rare Condition Presenting as a Cause of Vulvar Pain

Clitoral priapism is a rare condition causing pain that may develop with medications having alpha adrenergic blockade or in conditions altering clitoral blood flow.

Carlos A. Medina
Obstet Gynecol 2002 100: 1089-1091. [Abstract] [Full Text] [PDF]  

Thermal Balloon Endometrial Ablation for Management of Acute Uterine Hemorrhage

Reported is a case of acute uterine hemorrhage in a patient with end-stage liver failure and sepsis for which thermal balloon endometrial ablation was therapeutic.

Catherine Matthews Nichols, Edward J. Gill
Obstet Gynecol 2002 100: 1092-1094. [Abstract] [Full Text] [PDF]  

Coarctation of the Descending Thoracic Aorta Diagnosed During Pregnancy

Hypertension, a systolic murmur, and diminished lower extremity pulses led to diagnosis of extensive coarctation of the descending thoracic aorta at 21 weeks' gestation.

David M. Sherer
Obstet Gynecol 2002 100: 1094-1096. [Abstract] [Full Text] [PDF]  

Atrial Fibrillation in Pregnancy Associated With Oral Terbutaline

This is the first reported case of a pregnant woman developing atrial fibrillation on oral terbutaline.

Michael P. Carson, Allan J. Fisher, William E. Scorza
Obstet Gynecol 2002 100: 1096-1097. [Abstract] [Full Text] [PDF]  

Uterine Rupture at Term After Uncomplicated Hysteroscopic Metroplasty

Rupture of the uterus in early labor at term occurred in a woman with a prior uneventful hysteroscopic metroplasty.

Norman F. Angell, Josefina Tan Domingo, Naeem Siddiqi
Obstet Gynecol 2002 100: 1098-1099. [Abstract] [Full Text] [PDF]  

Androgen-Secreting Adrenal Adenomas

The possibility of adrenal adenomas must be considered in differential diagnosis as a cause of the hyperandrogenic syndrome.

K. Danilowicz, N. Albiger, M. Vanegas, R. M. Gómez, G. Cross, O. D. Bruno
Obstet Gynecol 2002 100: 1099-1102. [Abstract] [Full Text] [PDF]  

Successful Treatment of Extremely Severe Fetal Anemia Due to Kell Alloimmunization

Extremely severe Kell alloimmunization was successfully treated with plasmapheresis and intrauterine transfusions.

P. Collinet, D. Subtil, F. Puech, P. Vaast
Obstet Gynecol 2002 100: 1102-1105. [Abstract] [Full Text] [PDF]  

Invasive Squamous Cell Carcinoma of the Vagina During Pregnancy

Management of a young woman who presented at 20 weeks' gestation with a vaginal squamous cell carcinoma is described.

H. L. Steed, R. G. Pearcey, V. Capstick, L. H. Honore
Obstet Gynecol 2002 100: 1105-1108. [Abstract] [Full Text] [PDF]  

Rupture of Noncommunicating Rudimentary Uterine Horn Pregnancy

An unusual case of rupture of a noncommunicating rudimentary horn pregnancy, suspected antenatally by ultrasound, is presented.

George Daskalakis, Athanasios Pilalis, Katerina Lykeridou, Aris Antsaklis
Obstet Gynecol 2002 100: 1108-1110. [Abstract] [Full Text] [PDF]  

An Unusual Presentation of Struma Ovarii Mimicking a Malignant Process

An unusual case of struma ovarii is presented.

Vera Loizzi, Fabio Cappuccini, Michael L. Berman
Obstet Gynecol 2002 100: 1111-1112. [Abstract] [Full Text] [PDF]  

Modified Zavanelli Maneuver for the Alleviation of Shoulder Dystocia

The modified Zavanelli maneuver can be used to successfully alleviate shoulder dystocia.

Craig M. Zelig, Robert B. Gherman
Obstet Gynecol 2002 100: 1112-1114. [Abstract] [Full Text] [PDF]  

Rupture of the Symphysis Pubis During Vaginal Delivery Followed by Two Subsequent Uneventful Pregnancies

Rupture of the symphysis pubis during vaginal delivery is a rare but debilitating complication. There is a significant risk of repeat symphyseal rupture with subsequent vaginal delivery.

Patrick Culligan, Stephanie Hill, Michael Heit
Obstet Gynecol 2002 100: 1114-1117. [Abstract] [Full Text] [PDF]  

Triplet Cervical Pregnancy Treated With Intraamniotic Methotrexate

A case of triplet cervical pregnancy successfully treated by intraamniotic instillation of methotrexate is reported.

Eun-Hwan Jeong, Yong-Beom Kim, Ill-Woon Ji, Hak-Soon Kim
Obstet Gynecol 2002 100: 1117-1119. [Abstract] [Full Text] [PDF]  

Acute Renal Failure in Association With Severe Hyperemesis Gravidarum

Severe hyperemesis gravidarum can lead to acute renal failure requiring dialysis.

James B. Hill, Nicole P. Yost, George D. Wendel, Jr
Obstet Gynecol 2002 100: 1119-1121. [Abstract] [Full Text] [PDF]  

Uterine Leiomyosarcoma Metastatic to the Thyroid

A woman had stage IV leiomyosarcoma of the uterus metastatic to the thyroid.

Charles A. Leath, III, Warner K. Huh, J. Michael Straughn, Jr, Michael G. Conner
Obstet Gynecol 2002 100: 1122-1124. [Abstract] [Full Text] [PDF]  

Postmenopausal Intravenous Leiomyomatosis With High Levels of Estradiol and Estrogen Receptor

A case of intravenous leiomyomatosis with cardiac extension, which showed high levels of serum estradiol and tissue estrogen receptor, was treated with a one-stage operation.

Katsuji Kokawa, Mareo Yamoto, Chie Yata, Yasushi Mabuchi, Naohiko Umesaki
Obstet Gynecol 2002 100: 1124-1126. [Abstract] [Full Text] [PDF]  

Streptococcus bovis Bacteremia and Fetal Death

Severe intraamniotic infection is treated by supportive measures, administration of broad-spectrum antibiotics, and uterine evacuation, even when unusual organisms are implicated. Unusual organisms such as Streptococcus bovis can cause chorioamnionitis, fetal death, and maternal septic shock.

Benjamin A. White, S. A. Labhsetwar, Alec N. Mian
Obstet Gynecol 2002 100: 1126-1129. [Abstract] [Full Text] [PDF]  

Metastatic Endocervical Adenocarcinoma Presenting as a Virilizing Ovarian Mass During Pregnancy

Nearly all types of ovarian tumors, both primary and metastatic, have been reported to be associated with endocrine abnormalities. We report a case of metastatic endocervical adenocarcinoma that presented as a virilizing ovarian tumor discovered during pregnancy.

John L. Powell, Kimberly A. Bock, Jason K. Gentry, Warren C. White, Brigitte M. Ronnett
Obstet Gynecol 2002 100: 1129-1133. [Abstract] [Full Text] [PDF]  

Thrombotic Thrombocytopenic Purpura and Human Immunodeficiency Virus Complicating Pregnancy

We describe a case of thrombotic thrombocytopenic purpura in a pregnant human immunodeficiency virus–positive patient and discuss the implications of this combination for clinicians.

Angela C. Ranzini, Martin R. Chavez, Barbara Ghigliotty, Marcus Porcelli
Obstet Gynecol 2002 100: 1133-1136. [Abstract] [Full Text] [PDF]  

Spontaneous Disappearance of a Normal Adnexa Associated With a Contralateral Polycystic-Appearing Ovary

A subfertile patient with a unilateral-appearing ovary spontaneously lost a normal adnexa secondary to nonclinical torsion.

O. Olufowobi, O. Sorinola, M. Afnan, S. Papaioannou, J. M. McHugo, K. Sharif
Obstet Gynecol 2002 100: 1136-1138. [Abstract] [Full Text] [PDF]  

Spontaneous Twin Gestation After Vaginal Dilation in a Woman With Uterus Didelphys and Bladder Exstrophy

A woman with uterus didelphys and bladder exstrophy was managed with progressive vaginal dilation, resulting in successful conception and pregnancy.

Eliran Mor, Peyman Saadat, Rebecca Z. Sokol, Richard J. Paulson
Obstet Gynecol 2002 100: 1138-1141. [Abstract] [Full Text] [PDF]  

Placental Site Trophoblastic Tumor Presenting With a Pneumothorax During Pregnancy

Placental site trophoblastic tumor may present with a pneumothorax during pregnancy.

Jason D. Wright, Matthew A. Powell, Neil S. Horowitz, Phyllis C. Huettner, Frances White, Thomas J. Herzog
Obstet Gynecol 2002 100: 1141-1144. [Abstract] [Full Text] [PDF]  

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