ABSTRACT
Rudimentary horn pregnancies are rare but are associated with high mortality and morbidity. The diagnosis can be difficult as it may be challenging to distinguish a rudimentary horn pregnancy from an intrauterine pregnancy on ultrasound. Magnetic resonance imaging can often be used to confirm a rudimentary horn pregnancy. When a second-trimester rudimentary horn pregnancy is diagnosed, surgical intervention should be performed to avoid uterine rupture and hemoperitoneum. The correct diagnosis and management of rudimentary horn pregnancies help to preserve the fertility of younger patients. This case report describes a second-trimester rudimentary horn pregnancy that was diagnosed by ultrasound and magnetic resonance imaging. It was then surgically resected via laparotomy. This patient maintained her fertility and was able to conceive naturally, leading to an uncomplicated term pregnancy.
ABSTRACT
The human papillomavirus (HPV) causes most cases of cervical cancer. Healthcare providers can help prevent this cancer by recommending HPV vaccination when appropriate, regularly screening women for cervical cancer, and following up on abnormal test results.
Subject(s)
Papillomavirus Infections , Papillomavirus Vaccines/therapeutic use , Preventive Health Services , Uterine Cervical Neoplasms , Early Detection of Cancer/methods , Female , Humans , Papillomavirus Infections/complications , Papillomavirus Infections/prevention & control , Practice Guidelines as Topic , Preventive Health Services/classification , Preventive Health Services/methods , Uterine Cervical Neoplasms/diagnosis , Uterine Cervical Neoplasms/etiology , Uterine Cervical Neoplasms/prevention & controlSubject(s)
Contraceptive Agents, Female/adverse effects , Device Removal/methods , Foreign-Body Migration/therapy , Radiography, Interventional , Ultrasonography, Interventional , Arm , Contraceptive Agents, Female/administration & dosage , Drug Implants , Female , Fluoroscopy , Foreign-Body Migration/diagnostic imaging , Foreign-Body Migration/etiology , Humans , Treatment OutcomeABSTRACT
As the reversible contraceptive arm implants grow more popular, there is an increasing need to recognize the complications resulting from implant migration and removal. This review summarizes the findings of imaging and removal methods. When an implant is lost, the axillary region should be investigated first. If the implant still cannot be found, visualization though different methods have been employed for non-radiopaque implants. Real-time fluoroscopic-guided localization and removal can be accomplished for radiopaque Nexplanon. Once the implant has been located, standard removal method and other modified techniques can be used to safely remove the implant depending on the implant's location.
ABSTRACT
In the United States, 12,000 women are diagnosed with cervical cancer each year, even though the screening for this disease is safe and effective. There are 3 types of screening options available: cervical cytology (Papanicolaou or "Pap" test), Pap/HPV (human papillomavirus) co-test, and HPV-only test. With simplified options such as HPV-only screening, providers who have been reluctant to incorporate cervical cancer screening into their primary care practice may feel more comfortable with offering these services to women. In this article we review the different cervical cancer screening options that are now available and summarize the various changes in guidelines over the last decade.
