The honeymoon is over.

Abstract:

BACKGROUND:The importance of a broad differential diagnosis is highlighted by a complex patient case. CASE:A young woman returned from her honeymoon complaining of activity-limiting pain. The evaluation revealed multiple constitutional symptoms, a breast mass, a large pelvic mass, pulmonary abnormalities, an external iliac venous thrombosis, and lytic bone lesions. Biopsies from several sites revealed no evidence of neoplasia. CONCLUSION:Consideration of potential etiologies outside of one's practice specialty may be necessary to make a correct diagnosis.

journal_name

Obstet Gynecol

authors

Kimball KJ,Estes JM

doi

10.1097/01.AOG.0000244102.38691.d3

subject

Has Abstract

pub_date

2006-11-01 00:00:00

pages

1232-3, 1301

issue

5

eissn

0029-7844

issn

1873-233X

pii

108/5/1232

journal_volume

108

pub_type

杂志文章
  • Interim guidance for the use of human papillomavirus DNA testing as an adjunct to cervical cytology for screening.

    abstract::Human papillomavirus (HPV) DNA testing was recently approved by the Food and Drug Administration for use as an adjunct to cytology for cervical cancer screening. To help provide guidance to clinicians and patients when using HPV DNA testing as an adjunct to cervical cytology for screening, a workshop was cosponsored b...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/01.AOG.0000109426.82624.f8

    authors: Wright TC Jr,Schiffman M,Solomon D,Cox JT,Garcia F,Goldie S,Hatch K,Noller KL,Roach N,Runowicz C,Saslow D

    更新日期:2004-02-01 00:00:00

  • Increased risk of preterm birth in women with cervical conization.

    abstract: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 cer...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Kristensen J,Langhoff-Roos J,Kristensen FB

    更新日期:1993-06-01 00:00:00

  • Body mass index and outcome of incontinence surgery.

    abstract:OBJECTIVE:To analyze the influence of body mass on the outcome of surgery for urinary incontinence. METHODS:Among 291 women operated on for stress incontinence, 187 (64%) were available for follow-up at 5 years. Eighty women had anterior colporrhaphy, 49 anterior colporrhaphy with needle suspension of the bladder neck...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(98)00513-4

    authors: Zivkovic F,Tamussino K,Pieber D,Haas J

    更新日期:1999-05-01 00:00:00

  • The implications of a false positive second-trimester serum screen for Down syndrome.

    abstract:OBJECTIVE:To investigate the genetic and obstetric implications of false positive Down syndrome serum screening results. METHODS:The study population comprised 162774 women underwent triple marker screening in the Ontario Maternal Serum Screening program between October 1995 and September 1998, with outcomes obtained ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(03)00235-7

    authors: Summers AM,Huang T,Meier C,Wyatt PR

    更新日期:2003-06-01 00:00:00

  • Preoperative vaginal preparation with povidone-iodine and the risk of postcesarean endometritis.

    abstract:OBJECTIVE:Postcesarean endometritis and wound infection remain significant morbidities, despite use of strategies to prevent these complications. We investigated the effect of preoperative vaginal preparation with povidone-iodine as a preventive intervention against postcesarean endometritis and wound infection. METHO...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/01.AOG.0000164032.16599.7e

    authors: Starr RV,Zurawski J,Ismail M

    更新日期:2005-05-01 00:00:00

  • Surgical cytoreduction for disseminated benign disease after open power uterine morcellation.

    abstract:BACKGROUND:Uterine morcellation is a technique used in gynecologic surgery to facilitate a laparoscopic approach to the removal of an enlarged uterus. The safety of this technique has been a source of recent debate, as uterine morcellation can result in the intraperitoneal dissemination of undiagnosed uterine malignanc...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000000549

    authors: Ramos A,Fader AN,Long Roche K

    更新日期:2015-01-01 00:00:00

  • Tranexamic acid treatment for heavy menstrual bleeding: a randomized controlled trial.

    abstract:OBJECTIVE:To assess the efficacy and safety of an oral formulation of tranexamic acid for the treatment of heavy menstrual bleeding. METHODS:Adult women with heavy menstrual bleeding (mean menstrual blood loss 80 mL or more per cycle) were enrolled in a double-blind, placebo-controlled study. After two pretreatment me...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/AOG.0b013e3181f20177

    authors: Lukes AS,Moore KA,Muse KN,Gersten JK,Hecht BR,Edlund M,Richter HE,Eder SE,Attia GR,Patrick DL,Rubin A,Shangold GA

    更新日期:2010-10-01 00:00:00

  • Antepartum diagnosis of fetal intracranial hemorrhage due to maternal Bernard-Soulier syndrome.

    abstract:BACKGROUND:Bernard-Soulier syndrome, a lack of glycoprotein IB/IX, is a rare autosomal recessive bleeding disorder characterized by platelet dysfunction. Women with Bernard-Soulier syndrome are at risk of being immunized against glycoprotein IB/IX, leading to severe isoimmune neonatal thrombocytopenia. CASE:A 26-year-...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(99)00253-7

    authors: Fujimori K,Ohto H,Honda S,Sato A

    更新日期:1999-11-01 00:00:00

  • Committee Opinion No. 677 Summary: Antenatal Corticosteroid Therapy for Fetal Maturation.

    abstract::Corticosteroid administration before anticipated preterm birth is one of the most important antenatal therapies available to improve newborn outcomes. A single course of corticosteroids is recommended for pregnant women between 24 0/7 weeks and 33 6/7 weeks of gestation, including for those with ruptured membranes and...

    journal_title:Obstetrics and gynecology

    pub_type: 共识发展会议,杂志文章

    doi:10.1097/AOG.0000000000001706

    authors:

    更新日期:2016-10-01 00:00:00

  • Maternal and neonatal outcomes after attempted suicide.

    abstract:OBJECTIVE:The purpose of this study was to describe identifiers and estimate maternal and neonatal outcomes in women who attempt suicide during pregnancy. METHODS:A linked Vital Statistics-Patient Discharge database of the State of California was used to identify cases of intentional injury during pregnancy. A retrosp...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000216000.50202.f6

    authors: Gandhi SG,Gilbert WM,McElvy SS,El Kady D,Danielson B,Xing G,Smith LH

    更新日期:2006-05-01 00:00:00

  • Histopathology of fallopian tubes with recurrent tubal pregnancy.

    abstract::Fifteen fallopian tubes in which a previous ipsilateral eccyesis was managed by conservative surgical techniques were examined. The condition of the tube relative to the previous surgical management and the resolution of the previous implantation sites were correlated with the recurrent tubal pregnancy. All previous i...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Stock RJ

    更新日期:1990-01-01 00:00:00

  • Conservative management of maternal cervical vertebral hemangioma complicating pregnancy.

    abstract:BACKGROUND:Although vertebral hemangiomas are found in 10% of the population, they rarely become symptomatic. We describe management of an enlarging cervical vertebral hemangioma during pregnancy. CASE:A primiparous woman at 33 weeks of gestation presented with neck pain and paresthesias. She had a known cervical hema...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000000507

    authors: Foster L,Davidson K,Egerman R

    更新日期:2015-03-01 00:00:00

  • Reversal of alcohol-induced learning deficits in the young adult in a model of fetal alcohol syndrome.

    abstract:OBJECTIVE:To evaluate whether treatment with neuroprotective peptides to young adult mice prenatally exposed to alcohol reverses alcohol-induced learning deficits in a mouse model of fetal alcohol syndrome, whether the mechanism involves the N-methyl-d-aspartate (NMDA) and gamma-aminobutyric acid type A (GABAA) recepto...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e3181cb59da

    authors: Incerti M,Vink J,Roberson R,Wood L,Abebe D,Spong CY

    更新日期:2010-02-01 00:00:00

  • Doppler umbilical artery studies in the twin-twin transfusion syndrome.

    abstract::Eleven patients with twin pregnancies were identified as having twin-twin transfusion syndrome on the basis of like-sex twins with monochorionic placentation and umbilical venous blood hemoglobin differences exceeding 50 g/L at delivery. Umbilical artery velocity-time waveform studies had been performed in these pregn...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Giles WB,Trudinger BJ,Cook CM,Connelly AJ

    更新日期:1990-12-01 00:00:00

  • A critical evaluation of transvaginal Doppler studies, transvaginal sonography, magnetic resonance imaging, and CA 125 in detecting ovarian cancer.

    abstract:OBJECTIVE:To evaluate whether transvaginal Doppler ultrasound is more valid than transvaginal sonography, magnetic resonance imaging (MRI), and CA 125 in differentiating malignant from benign ovarian tumors. METHODS:Sixty-three patients with ovarian tumors (36 benign and 27 malignant) were studied with transvaginal Do...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Hata K,Hata T,Manabe A,Sugimura K,Kitao M

    更新日期:1992-12-01 00:00:00

  • Macrosomia. A proposed indication for primary cesarean section.

    abstract::Fetal macrosomia (birthweight equal to or in excess of 4500 g) in a study of 110 affected infants was associated with excessive maternal weight, prolonged gestation, white race, multiparity, maternal diabetes, male fetus, and a previous macrosomic infant. The two most common obstetric complications associated with fet...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Parks DG,Ziel HK

    更新日期:1978-10-01 00:00:00

  • Antecedent history as a predictor of surgical cure of urgency symptoms in mixed incontinence.

    abstract:OBJECTIVE:To determine the cure rate of urge incontinence after Burch colposuspension in patients with mixed incontinence diagnosed urodynamically, to determine if cure rates were different when the onset of urge symptoms antedated or postdated the symptoms of stress incontinence, and to propose appropriate preoperativ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(97)00550-4

    authors: Scotti RJ,Angell G,Flora R,Greston WM

    更新日期:1998-01-01 00:00:00

  • Anaphylactoid syndrome after intrauterine pressure catheter placement.

    abstract:BACKGROUND:Anaphylactoid syndrome of pregnancy is a rare and poorly understood complication of pregnancy. Intrauterine pressure catheter placement is a procedure routinely performed in labor and delivery that is traditionally associated with few complications. CASE:A pregnant woman at term experienced anaphylactoid sy...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e3181b5c8cc

    authors: Harbison L,Bell L

    更新日期:2010-02-01 00:00:00

  • Development of a multiple marker test for ectopic pregnancy.

    abstract:OBJECTIVE:Many serum markers have been proposed to aid in the identification of an ectopic pregnancy, but few have been validated. Most studies have been limited by sample size and design. The goal of this study was to assess putative markers to identify which can be optimally combined. METHODS:We conducted a case-con...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章

    doi:10.1097/AOG.0b013e31820b3c61

    authors: Rausch ME,Sammel MD,Takacs P,Chung K,Shaunik A,Barnhart KT

    更新日期:2011-03-01 00:00:00

  • What is new in postpartum hemorrhage? Best articles from the past year.

    abstract::This month, we focus on current research in postpartum hemorrhage. Dr. Rouse discusses five recent publications, and each is concluded with a "bottom line" that is the take-home message. The complete reference for each can be found in on this page, along with direct links to the abstracts. ...

    journal_title:Obstetrics and gynecology

    pub_type: 评论,杂志文章

    doi:10.1097/AOG.0b013e3182a2c357

    authors: Rouse DJ

    更新日期:2013-09-01 00:00:00

  • Relationship of ultrasound findings after cesarean section to operative morbidity.

    abstract::Postcesarean section febrile morbidity remains a common problem on obstetric services. Although a few preliminary studies have reported on the use of ultrasound to assess the postcesarean section patient, they have not compared sonographic findings with either intraoperative or postoperative events. These reports have...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Faustin D,Minkoff H,Schaffer R,Crombleholme W,Schwarz R

    更新日期:1985-08-01 00:00:00

  • Immunologic thrombocytopenic purpura and pregnancy: six new cases.

    abstract::Six new cases of idiopathic thrombocytopenic purpura (ITP) associated with pregnancy are reported; one of these patients delivered triplets. In addition, 78 patients with 122 pregnancies and 124 fetuses have been reported previously. The maternal mortality rate was 4% and the fetal mortality rate was 18%. Prior recomm...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/00006250-197805000-00018

    authors: O'Reilly RA,Taber BZ

    更新日期:1978-05-01 00:00:00

  • Diagnosis of a supernumerary ovary with human chorionic gonadotropin.

    abstract::The preoperative diagnosis of ectopic ovarian tissue has been reported only once in the literature. In the present case, differential ovarian and adrenal testing was used to diagnose and aberrant ovarian source of persistently elevated plasma estrogen in a patient who had undergone bilateral oophorectomy and adrenalec...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Kosasa TS,Griffiths CT,Shane JM,Leventhal JM,Naftolin F

    更新日期:1976-02-01 00:00:00

  • Prenatal diagnosis of minute 5p- deletion: a cytogenetic problem in detection.

    abstract::An unbalanced translocation, 46,XX,der(5)t(5;11) (p15;q25)mat was ascertained by prenatal diagnosis. The mother previously had a liveborn child with cri du chat syndrome. The subtlety of the chromosome rearrangement in this case illustrates the need for the most detailed cytogenetic investigations in cri du chat cases...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Benn PA,Hsu LY,Verma RS,Alonso ML,Reich E,Wishnick M

    更新日期:1987-09-01 00:00:00

  • Uptake of a Guideline for the Administration of a Rescue Course of Antenatal Corticosteroids.

    abstract:OBJECTIVE:To evaluate use (both appropriate and inappropriate) of rescue corticosteroids before and after the implementation of a guideline for their use. METHODS:We conducted a retrospective cohort study using a pharmacy log to identify women who received an initial course of antenatal corticosteroids in the year bef...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000001934

    authors: Datkhaeva I,Dray D,Has P,Stifani B,Hughes BL,Rouse DJ

    更新日期:2017-04-01 00:00:00

  • Operative Vaginal Birth: ACOG Practice Bulletin Summary, Number 219.

    abstract::Despite significant changes in management of labor and delivery over the past few decades, operative vaginal birth remains an important component of modern labor management, accounting for 3.3% of all deliveries in 2013 (1). Use of obstetric forceps or vacuum extractor requires that an obstetrician or other obstetric ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,实务指引

    doi:10.1097/AOG.0000000000003765

    authors:

    更新日期:2020-04-01 00:00:00

  • Choice of second-trimester genetic sonogram for detection of trisomy 21.

    abstract:OBJECTIVE:To determine the utilization rate of second-trimester genetic sonogram and its role in influencing the decision for amniocentesis in women at increased risk for fetal trisomy 21. METHODS:From November 1, 1993, to December 31, 1996, a second-trimester genetic sonogram or only genetic amniocentesis (as a first...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/S0029-7844(97)00227-5

    authors: Vintzileos AM,Guzman ER,Smulian JC,McLean DA,Ananth CV

    更新日期:1997-08-01 00:00:00

  • Fetal cystic hygroma: prenatal diagnosis and management.

    abstract::Seventeen cases of fetal cystic hygroma detected during ultrasound examination are reported. In nine instances, associated abnormalities were recognized, such as fetal hydrops and a two-vessel cord. All diagnoses were confirmed at autopsy. Karyotyping revealed normal findings in six cases, Turner's syndrome in eight c...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:

    authors: Pijpers L,Reuss A,Stewart PA,Wladimiroff JW,Sachs ES

    更新日期:1988-08-01 00:00:00

  • Psychotherapy With Somatosensory Stimulation for Endometriosis-Associated Pain: A Randomized Controlled Trial.

    abstract:OBJECTIVE:To evaluate whether psychotherapy with somatosensory stimulation is effective for the treatment of pain and quality of life in patients with endometriosis-related pain. METHODS:Patients with a history of endometriosis and chronic pelvic pain were randomized to either psychotherapy with somatosensory stimulat...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/AOG.0000000000001691

    authors: Meissner K,Schweizer-Arau A,Limmer A,Preibisch C,Popovici RM,Lange I,de Oriol B,Beissner F

    更新日期:2016-11-01 00:00:00

  • Vaginal correction of pelvic organ relaxation using local anesthesia.

    abstract:OBJECTIVE:To describe the technique and complications of vaginal repair of advanced pelvic organ prolapse using intravenous sedation, pudendal nerve block, and local anesthesia. METHODS:A retrospective review of the gynecologic surgical records of 20 patients was performed. Patient demographics, surgical procedure, su...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0029-7844(95)00331-k

    authors: Miklos JR,Sze EH,Karram MM

    更新日期:1995-12-01 00:00:00