Tag Archives: Case reports

Clinical presentations that may be followed by evaluative studies that eventually lead to a diagnosis.

Overactive bladder after female genital mutilation/cutting (FGM/C) type III.

BMJ Case Rep. 2013 Oct 4;2013. pii: bcr2012008155. doi: 10.1136/bcr-2012-008155.

Overactive bladder after female genital mutilation/cutting (FGM/C) type III.

Abdulcadir J, Dällenbach P.

Department of Obstetrics and Gynecology, University Hospitals of Geneva, Geneva, Switzerland.

ABSTRACT

A 27-year-old Somali woman with type III a-b female genital mutilation/cutting, consulted because of slow micturition, voiding efforts, urgency and urge incontinence (overactive bladder). She also referred primary dysmenorrhoea and superficial dyspareunia making complete sexual intercourses impossible. We treated her by defibulation and biofeedback re-educative therapy. We also offered a multidisciplinary counselling. At 5 months follow-up, urgency and urge incontinence had resolved and she became pregnant.

This article can be accessed in this LINK

Health care of refugee women.

Aust Fam Physician. 2007 Mar;36(3):151-4.FREE

Health care of refugee women.

Costa D.

Womens Health Statewide, North Adelaide, Australia. danielac@chariot.net.au

ABSTRACT

BACKGROUND: Women refugees have endured major discrimination and poverty in their countries of origin or countries of displacement. This has had a major impact on their physical and psychological health. The experience of resettlement places a further burden on their health.

OBJECTIVE: This article aims to provide a simple approach to the health assessment and management of women refugees, taking into account specific issues related to migration and resettlement.

DISCUSSION: Because of the complexities of their realities related to gender, social and economic status, and premigration and resettlement experiences, women refugees need a multiplicity of health interventions. The identification of the major physical and psychological health issues with consideration of gender issues and premigration and resettlement experiences, represents more adequate basis for the assessment and management of the health care of women refugees.

This article can be accessed in this LINK

Egypt tightens ban on female genital mutilation after 12 year old girl dies.

BMJ. 2007 Jul 7;335(7609):15.FREE

Egypt tightens ban on female genital mutilation after 12 year old girl dies.

Meleigy M.

EXTRACT

Egypt has announced that it is imposing a complete ban on female genital mutilation. The ban was imposed last week by the Ministry of Health after a public outcry over the death of a 12 year old girl, Budour Ahmad Shaker, who died from an overdose of anaesthetic while being circumcised.

After the much publicised death of the girl, the Egyptian Center for Women’s Rights appealed to the government for a law that would criminalise the practice and that would “punish doctors who commit this crime, and close clinics and hospital that continue to practise it.” The doctor who had carried out the circumcision on the girl has been arrested, and the clinic where it took place has been closed down.

In Egypt 75% of female genital mutilation is carried out by doctors and nurses, and 25% are carried out by birth attendants, or …

This article can be accessed for free in this LINK

A large clitoral epidermoid inclusion cyst first presenting in adulthood following childhood circumcision.

J Obstet Gynaecol. 2007 May;27(4):445-8.

A large clitoral epidermoid inclusion cyst first presenting in adulthood following childhood circumcision.

Rizk DE, Mohammed KH, Joshi SU, Al-Shabani AY, Bossmar TR.

Department of Obstetrics and Gynaecology, Faculty of Medicine and Health Sciences, United Arab Emirates University, United Arab Emirates. rizk.diaa@uaeu.ac.ae PMID: 17654217

There is no ABSTRACT available for this article

This article can be purchased in this LINK

Unprohibited crimes.

CMAJ. 2007 Nov 20;177(11):1345. FREE

Unprohibited crimes.

Jassam J.

EXTRACT

A few years ago, when I was working in one of the Middle East countries …

It was a summer day, I was sitting in my office … waiting for the coming patient … somebody knocked the door. … Come in, I said.

Hello, doc … He embarrassingly sat in front of me … moving his head to the ceiling, then to the floor for a minute … He wanted to say something.

Okay, Akram, how can I help? Obviously, you have some embarrassing thing … Just say it … No worries … I said that, trying to break the ice.

I don’t know, doc, what to say. But I really need your help. … He forced himself …

And said: My wife is cold….

This article can be accessed in this LINK

[Epithelial inclusion cyst of the clitoris as a late complication of childhood female circumcision]

Ugeskr Laeger. 2008 Jan 7;170(1):59.

[Epithelial inclusion cyst of the clitoris as a late complication of childhood female circumcision]. [Article in Danish]

Kristensen IB.

Baagøes Allé 8A, 2. th, DK-5700 Svendborg. idabk@dadlnet.dk.

ABSTRACT

Two cases of epithelial inclusion cyst as a late complication of childhood female circumcision in patients aged 39 and 27 years are reported. Symptoms were interference with sexual intercourse and discomfort during sitting. Surgical treatment of the condition is known to be effective with few complications and gave correct aesthetic and functional results. Histology confirmed the diagnosis of epithelial inclusion cyst.

There is no LINK to view this article online.

Vaginal calculus following severe form of female genital mutilation: a case report.

Ethiop Med J. 2008 Apr;46(2):185-8.

Vaginal calculus following severe form of female genital mutilation: a case report.

Yusuf L, Negash S.

Department of Gynecology, Medical Faculty, Addis Ababa University, Ethiopia.

ABSTRACT

We present a case of vaginal calculus formation following an initial insult of female genital mutilation (FGM) and crocodile bite to the external genital. A literature review made with regards to acute and late complication of female genital mutilation. Female genital cutting existed as early as the 5th century B.C. This ritualistic practice has affected the physical, mental, and social well being of women and undermined the basic reproductive and sexual health rights of the female population. Worldwide, 85-114 million girls and young women are subjected to this dreadful practice. It is mostly practiced in Africa and Middle East. Various authors classify female genital cutting differently. The World Health Organization classifies FGM in to FOUR types. Female genital mutilation is associated with immediate, intermediate and long-term complications (1-4). The complications are strongly related to the variant of the mutilation, especially of the third and the fourth types where introcision or vaginal scraping is performed. Vaginal calculus formation is a rare phenomenon. Our patient had a total obliteration of the introitus, vaginal calculus formation and urethra-vaginal fistula, which were surgically managed and corrected.

There is no LINK to view this article online.

Epidermoid cyst of the clitoris: an unusual cause of clitoromegaly in a patient without history of previous female circumcision.

J Pediatr Adolesc Gynecol. 2009 Oct; 22(5): e130-2. doi: 10.1016/j.jpag.2008.10.006. Epub 2009 Jul 3.

Epidermoid cyst of the clitoris: an unusual cause of clitoromegaly in a patient without history of previous female circumcision.

Anderson-Mueller BE, Laudenschlager MD, Hansen KA.

Department of Obstetrics and Gynecology, Sanford School of Medicine of the University of South Dakota, Sioux Falls, South Dakota, USA.

STUDY OBJECTIVE: To describe a rare cause of clitoromegaly. SETTING: University Medical Center. PARTICIPANTS: Patient. INTERVENTION: Magnetic resonance imaging, surgical resection of the cyst, clitoroplasty. RESULTS: Clitoroplasty with removal of the intradermal cyst and resolution of pain. CONCLUSIONS: A 17-year-old immigrant female presented with clitoral pain associated with clitoromegaly. Epidermoid cysts are usually solitary, asymptomatic, slow-growing, proliferations of epidermal cells that are commonly present on the neck, scalp, face, or trunk. There have only been four reported cases of epidermoid cysts of the clitoris not associated with female genital mutilation. The cyst in this case was removed by local excision, and the patient’s pain has resolved.

This article can be purchased in this LINK

[Diagnostic image. A woman with a vulvar swelling]

Ned Tijdschr Geneeskd. 2009;153:A115.

[Diagnostic image. A woman with a vulvar swelling]. [Article in Dutch]

Lashley LE, Feitsma HA.

Leids Universitair Medisch Centrum, afd. Gynaecologie, Leiden, The Netherlands. lisalashley@hotmail.com

A 25-year-old woman presented with a tumour above the labia minora, due to an epidermal cyst.

There is no link to view this article online.

Infertility from female circumcision

Fertil Steril. 2004 81(6): 1692-1694

Infertility from female circumcision

Chen G, Dharia SP, Steinkampf MP, Callison S

ABSTRACT

OBJECTIVE: To present a case report of a patient with primary infertility from female circumcision, the management of the patient, and a review of the literature. DESIGN:Case report and literature review. SETTING: University hospital. PATIENT(S): A 31-year-old woman referred for a history of primary infertility. INTERVENTION(S): Complete history and physical exam of the patient and subsequent deinfibulation. MAIN OUTCOME MEASURE(S): Diagnosis, surgical management, and postoperative sexual function and pregnancy. RESULT(S)Resolution of dyspareunia, satisfactory postoperative sexual function, and pregnancy. CONCLUSION(S): Awareness of this type of female circumcision and familiarity with its surgical management may prevent delays and any subsequent complications.

This article can be purchased in this LINK