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Torsion of an Ovarian Endometrioma: About an Uncommon Case Report

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  GLOBAL JOURNAL OF REPRODUCTIVE MEDICINE -JUNIPER PUBLISHERS Endometrioma, when its size is ≥ 5 cm, can be complicated by a torsion of the ovary. In this case it is a diagnostic and therapeutic emergency with respect to the many complications of ovarian torsion including necrosis. We report a case of endometrioma diagnosed by a torsion of the ovary. The context clinic was dominated by acute pelvic pain; the ultrasound showed a huge left cystic ovary, and the laparotomy revealed a torsion of the left adnexa. A detorsion and cystectomy was performed and the confirmation of the endometrioma was provided by the histology of the surgical specimen. The difficulty lies in the diagnostic and therapeutic choice to preserve or not the ovary. The indications are therefore discussed on a case-by-case basis and depend on many parameters, the most important of which is the intraoperative viability of the ovary after its detorsion. Introduction Torsion of endometriomas is uncommon due to associa...
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A Case Study on PCOS

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  GLOBAL JOURNAL OF REPRODUCTIVE MEDICINE -JUNIPER PUBLISHERS Abstract Polycystic ovary syndrome (PCOS)is a condition in which the ovaries produce an abnormal amount of androgens, male sex hormones that are usually present in women in small amounts. Features of PCOS in this case are oligomenorrhoea and left ovary bulky (not meeting criteria of Rottadarm,10cm size, >10 follicles, >10 mm follicles). Her symptoms aggravated leading to hospitalization with hypoglycaemia. Initial work up showed decreased gonadtrotpins and raised insulin levels with raised prolactin and with behavioural therapy and small frequent meals there is no recurrence of hypoglycaemia. Initial work up showed decreased gonadtrotpins and raised insulin levels with raised prolactin and with behavioural therapy and small frequent meals there is no recurrence of hypoglycaemia and has normalization of FSH, LH, Estradiol and prolactin with normal insulin levels. Clinical and biochemical profile is suggestive of fun...
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Homocysteine as a Predictor of Preeclampsia

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  GLOBAL JOURNAL OF REPRODUCTIVE MEDICINE -JUNIPER PUBLISHERS Abstract Homocysteine is an amino acid that is a product of methionine metabolism, is related to preeclampsia in 20-30%, the increase of this or hyperhomocysteinemia may result from the genetic defect of the enzyme methylenetetrahydrofolate reductase involved in the synthesis of homocysteine. Maternal mortality due to preeclampsia is up to 44% and perinatal mortality is reported at up to 27.8%. The objective of this research was to determine homocysteine levels as a predictor of preeclampsia in pregnant women 12 to 20 weeks pregnant. This was an observational, longitudinal and prospective investigation. The study population were patients attending the first antenatal care consultation between 12 to 20ava. weeks, the sample was random that included 360 patients who determined serum homocysteine Sand excluded 48 patients whodid not meet the inclusion and exclusion criteria; they found homogeneity among the patients, 270 pa...
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Molar Twin Deliveries with Coexisting Fetus at Term: Concerning Two Uncomplicated Cases of Gestational Trophoblastic Tumor, From 2015-2021, In Conakry, Guinea

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  GLOBAL JOURNAL OF REPRODUCTIVE MEDICINE -JUNIPER PUBLISHERS Abstract The coexistence of a molar pregnancy with a live fetus is a rare entity of difficult diagnosis and treatment. Continuation of the pregnancy until full-term delivery is possible. We report two cases of twin molar deliveries observed empirically from 2015-2021, in the gynecology-obstetrics department of the Donka national hospital and in the maternity ward of the Jean Paul II hospital in Conakry. The discovery was made on ultrasound of the first trimester of pregnancy and macroscopic examination of the placenta. One of the neonates was alive, a healthy female and the other was polymal formed with facial dysmorphism, omphalocele and sexual ambiguity, fresh stillborn. There was no maternal complication towards a gestational trophoblastic tumor (T.T.G) in both cases. Efforts must be made in the prevention of T.T.G. by screening for twin molar pregnancies with healthy fetuses on transvaginal ultrasound in the first tr...
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