Constipation with bloating: a clinical approach to evaluation and management.
Constipation and bloating are common bothersome gastrointestinal (GI) symptoms that frequently occur concurrently. It is important to recognize the underlying condition(s) and tailor therapeutic interventions appropriately. This review discusses the evaluation and management of patients with constip…
Postmenopausal ovarian torsion with intratumoral gas and markedly elevated CA-125/CA 19-9: A case report.
Adnexal masses in postmenopausal women represent a significant clinical challenge. This case report describes the clinical presentation, diagnostic evaluation, and surgical management of a large adnexal mass complicated by ovarian torsion in a postmenopausal woman. A 65-year-old postmenopausal woman…
Tuberculous pyosalpinx associated with serous tubal intraepithelial lesion: a case report on evidence of early tubal neoplastic transformation.
Serous tubal intraepithelial lesion (STIL) is an uncommon precursor lesion in the spectrum of tubal serous neoplasia, characterised by atypical epithelial proliferation, aberrant p53 expression and a low proliferative index. Chronic inflammatory conditions such as tuberculosis may contribute to carc…
Transvaginal Ultrasonography for Detection of PID-Related Adhesions: A Case Report.
Diagnosis of acute and chronic pelvic inflammatory disease continues to be a challenge despite advances in investigative procedures. Complications of PID include infertility, chronic pelvic pain and ectopic pregnancy. Currently, transvaginal ultrasonography is primarily used to detect tubo-ovarian a…
Are We Missing the Bladder? Reflections on Endometriosis and IC/BPS.
Endometriosis and interstitial cystitis/bladder pain syndrome (IC/BPS) frequently coexist in women with chronic pelvic pain, yet overlapping symptoms and non-standardized diagnostic pathways often delay recognition of dual pathology. We propose that a structured surgical approach combining laparosco…
Differential expression of microRNAs after induction of endometriosis in baboons.
Endometriosis is an inflammatory chronic gynecological condition that affects 10-15% of reproductive-age women which causes pelvic pain and infertility. The disease is characterized by the growth of endometrial tissue outside the uterine cavity. Currently, early diagnosis of endometriosis is difficu…
Differences in Pelvic Floor Morphometry for Women with Persistent Pelvic Pain and Deep Infiltrating Endometriosis-A Cross-Sectional Study.
This study is aimed at describing the morphometry of the pelvic floor for a large population of women with persistent pelvic pain (PPP) compared with those without pain. A prospective cross-sectional study was performed between January 2013 and November 2015, recruiting women attending a general gyn…