Periurethral Mass: A Rare and Puzzling Entity Tunitsky, Elena; Goldman, Howard B.; Ridgeway, Beri Tunitsky, Elena; Goldman, Howard B.; Ridgeway, Beri Less Obstetrics & Gynecology. 120(6):1459-1464, December 2012. In Brief In Brief Favorite PDF Permissions In Brief: A case of leiomyoma presenting as a periurethral mass illustrates the approach to diagnose and manage masses in the region of the urethra. Buy
Trouble Voiding in an Adolescent Girl Kleinman, Jonathan T.; Chen, Bertha Kleinman, Jonathan T.; Chen, Bertha Less Obstetrics & Gynecology. 120(4):944-947, October 2012. In Brief In Brief Favorite PDF Permissions In Brief: Obstructed hemivagina and ipsilateral renal anomaly syndrome should be considered when an adolescent girl presents with lower abdominal pain, urinary retention, mucopurulent discharge, or spotting. Buy
Bilateral Spontaneous Adrenal Hemorrhage During Pregnancy Bockorny, Bruno; Posteraro, Anthony; Bilgrami, Syed Bockorny, Bruno; Posteraro, Anthony; Bilgrami, Syed Less Obstetrics & Gynecology. 120(2 Part 1):377-381, August 2012. In Brief In Brief Favorite PDF Permissions In Brief: Spontaneous adrenal hemorrhage is an uncommon entity with potentially catastrophic outcomes and should be considered in the differential diagnosis of flank pain during pregnancy. Buy
Gynecologic Surgery in the Geriatric Patient Erekson, Elisabeth A.; Ratner, Elena S.; Walke, Lisa M.; More Erekson, Elisabeth A.; Ratner, Elena S.; Walke, Lisa M.; Fried, Terri R. Less Obstetrics & Gynecology. 119(6):1262-1269, June 2012. In Brief In Brief Favorite PDF Permissions In Brief: Considering age, medical comorbidities, frailty, and functional status helps to facilitate preoperative discussions with older women about their individual risks of complications after surgery. Buy
Management of Obstructive Sleep Apnea in Pregnant Women Louis, Judette; Auckley, Dennis; Bolden, Norman Louis, Judette; Auckley, Dennis; Bolden, Norman Less Obstetrics & Gynecology. 119(4):864-868, April 2012. In Brief In Brief Favorite PDF Permissions In Brief: There are methods for managing sleep apnea in pregnant patients and suggestions to help avoid perioperative complications. Buy
Constipation During Pregnancy: When a Typical Symptom Heralds a Serious Disease Kim, Tae-Hee; Lee, Hae-Hyeog; Chung, Soo-Ho Kim, Tae-Hee; Lee, Hae-Hyeog; Chung, Soo-Ho Less Obstetrics & Gynecology. 119(2 Part 1):374-378, February 2012. In Brief In Brief Favorite PDF Permissions In Brief: Constipation is common in pregnant women, but clinicians must have heightened awareness for more serious conditions. Buy
Vaginal Delivery of the Second Nonvertex Twin: Avoiding a Poor Outcome When the Presenting Part Is Not Engaged Arabin, Birgit; Kyvernitakis, Ioannis Arabin, Birgit; Kyvernitakis, Ioannis Less Obstetrics & Gynecology. 118(4):950-954, October 2011. In Brief In Brief Favorite PDF Permissions In Brief: Vaginal delivery of vertex-first nonvertex second twins demands that the obstetrician is prepared to solve critical situations involving a nonengaged second twin. Buy
Prevention and Management of Keloid Scars Lutgendorf, Monica A.; Adriano, Elizabeth M.; Taylor, Bruce J. Lutgendorf, Monica A.; Adriano, Elizabeth M.; Taylor, Bruce J. Less Obstetrics & Gynecology. 118(2 Part 1):351-356, August 2011. In Brief In Brief Favorite PDF Permissions In Brief: Keloid scarring can be managed effectively with the use of surgical excision and adjuvant radiation therapy. Buy
Microscopic Hematuria in Women Erekson, Elisabeth A.; McMahon, Megan D.; Moule, Bernard A.; More Erekson, Elisabeth A.; McMahon, Megan D.; Moule, Bernard A.; Rardin, Charles R. Less Obstetrics & Gynecology. 117(6):1429-1434, June 2011. In Brief In Brief Favorite PDF Permissions In Brief: Bladder cancer is a rare cause of hematuria in the obstetric patient; however, adequate work-up is recommended, even in this low-risk population. Buy
Marfan Syndrome and Aortic Dissection in Pregnancy Houston, Laura; Tuuli, Methodius; Macones, George Houston, Laura; Tuuli, Methodius; Macones, George Less Obstetrics & Gynecology. 117(4):956-960, April 2011. In Brief In Brief Favorite PDF Permissions In Brief: It is mandatory to coordinate obstetric and cardiovascular management in pregnant women with Marfan syndrome. Buy
Difficult Intrauterine Contraception Insertion in a Nulligravid Patient Vickery, Zevidah; Madden, Tessa Vickery, Zevidah; Madden, Tessa Less Obstetrics & Gynecology. 117(2 Part 1):391-395, February 2011. In Brief In Brief Favorite PDF Permissions In Brief: Use of intrauterine contraception is appropriate in nulligravid patients. Buy
Understanding the Spectrum of the Female Athlete Triad Witkop, Catherine T.; Warren, Michelle P. Witkop, Catherine T.; Warren, Michelle P. Less Obstetrics & Gynecology. 116(6):1444-1448, December 2010. In Brief In Brief Favorite PDF Permissions In Brief: Women's health providers should be able to identify patients with the female athlete triad and understand how to treat the underlying energy imbalance. Buy
Painful, Swollen Hands in a Young Woman Raza, Syed Hasan; Pattanaik, Debendra; Egerman, Robert S. Raza, Syed Hasan; Pattanaik, Debendra; Egerman, Robert S. Less Obstetrics & Gynecology. 116(4):983-988, October 2010. In Brief In Brief Favorite PDF Permissions In Brief: Joint pain presenting preconceptionally is assessed, and a differential diagnosis of rheumatologic disease is considered, as well as the implications for pregnancy. Buy
Peripartum Hysterectomy Wright, Jason D.; Bonanno, Clarrisa; Shah, Monjri; More Wright, Jason D.; Bonanno, Clarrisa; Shah, Monjri; Gaddipati, Sreedhar; Devine, Patricia Less Obstetrics & Gynecology. 116(2 Part 1):429-434, August 2010. In Brief In Brief Favorite PDF Permissions In Brief: Because peripartum hysterectomy is associated with significant morbidity, understanding the indications, techniques, and complications of this procedure is essential. Buy
Recurrent Stress Urinary Incontinence After Synthetic Midurethral Sling Procedure Walsh, Colin A.; Moore, Kate H. Walsh, Colin A.; Moore, Kate H. Less Obstetrics & Gynecology. 115(6):1296-1301, June 2010. In Brief In Brief Favorite PDF Permissions In Brief: Because 10–20% of women have persistent or recurrent incontinence after a midurethral sling procedure, surgeons should be aware of further treatment options after failed initial surgery. Buy
Fertility and Uterine Artery Embolization Tulandi, Togas; Salamah, Kareemah Tulandi, Togas; Salamah, Kareemah Less Obstetrics & Gynecology. 115(4):857-860, April 2010. In Brief In Brief Favorite PDF Permissions In Brief: Uterine artery embolization for uterine leiomyomas should not be performed in women wishing to conceive. Buy
Syncope During Pregnancy Yarlagadda, Sirisha; Poma, Pedro A.; Green, Larry S.; More Yarlagadda, Sirisha; Poma, Pedro A.; Green, Larry S.; Katz, Vern Less Obstetrics & Gynecology. 115(2 Part 1):377-380, February 2010. In Brief In Brief Favorite PDF Permissions In Brief: Syncope during pregnancy is common and usually benign and self-limited. Buy
Acute Renal Failure Caused by Prolapsed Leiomyoma Barr, Susan; McLennan, Mary; Schmitz, Paul G. Barr, Susan; McLennan, Mary; Schmitz, Paul G. Less Obstetrics & Gynecology. 114(6):1349-1352, December 2009. In Brief In Brief Favorite PDF Permissions In Brief: Prolapsed uterine leiomyomas may cause urinary obstruction and subsequent acute renal failure. Buy
H1N1 Influenza in Pregnancy: Cause for Concern Saleeby, Erin; Chapman, Jocelyn; Morse, Jessica; More Saleeby, Erin; Chapman, Jocelyn; Morse, Jessica; Bryant, Allison Less Obstetrics & Gynecology. 114(4):885-891, October 2009. In Brief In Brief Favorite PDF Permissions In Brief: H1N1 influenza during pregnancy presents with a wide spectrum of severity, and an increased index of suspicion and early treatment are warranted. Buy
Paraneoplastic Anti–N-Methyl-d-Aspartate-Receptor Encephalitis From Mature Cystic Teratoma Kort, Daniel H.; Vallerie, Amy M.; DeMarco, Eileen F.; More Kort, Daniel H.; Vallerie, Amy M.; DeMarco, Eileen F.; Lobo, Rogerio A. Less Obstetrics & Gynecology. 114(2 Part 1):373-376, August 2009. In Brief In Brief Favorite PDF Permissions In Brief: Anti–N-methyl-d-aspartate-receptor mediated encephalitis is a newly characterized disease with high morbidity and mortality that is strongly associated with ovarian dermoid cysts. Buy
Psychosis in Pregnancy Watkins, Melanie Erin; Newport, D Jeffrey Watkins, Melanie Erin; Newport, D Jeffrey Less Obstetrics & Gynecology. 113(6):1349-1353, June 2009. In Brief In Brief Favorite PDF Permissions In Brief: Psychosis during pregnancy demands a careful evaluation because the differential diagnosis is wide. Buy
When Cultures Collide: Female Genital Cutting and U.S. Obstetric Practice Rosenberg, Leah B.; Gibson, Keri; Shulman, Joanna F. Rosenberg, Leah B.; Gibson, Keri; Shulman, Joanna F. Less Obstetrics & Gynecology. 113(4):931-934, April 2009. Abstract Abstract In Brief In Brief Favorite PDF Permissions In Brief: As more women with a history of female genital cutting deliver in the United States, obstetrician–gynecologists face ethical and practical issues, including requests for postpartum reinfibulation. Buy
Prevention and Management of Surgical Site Infections in Morbidly Obese Women Walsh, Christine; Scaife, Courtney; Hopf, Harriet Walsh, Christine; Scaife, Courtney; Hopf, Harriet Less Obstetrics & Gynecology. 113(2 Part 1):411-415, February 2009. In Brief In Brief Favorite PDF Permissions In Brief: Evidence-based strategies help to prevent and manage surgical site infections in obese women. Buy
Nonmenstrual Toxic Shock Syndrome Due to Methicillin-Resistant Staphylococcus aureus Andrews, Janet I.; Shamshirsaz, Alireza A.; Diekema, Daniel J. Andrews, Janet I.; Shamshirsaz, Alireza A.; Diekema, Daniel J. Less Obstetrics & Gynecology. 112(4):933-938, October 2008. In Brief In Brief Favorite PDF Permissions In Brief: Postpartum mastitis was associated with toxic shock and methicillin-resistant Staphylococcus aureus. Buy
Postpartum Sterilization: Small Incision, Big Complication Vallerie, Amy M.; Herzog, Thomas J.; Wright, Jason D. Vallerie, Amy M.; Herzog, Thomas J.; Wright, Jason D. Less Obstetrics & Gynecology. 112(2 Part 1):353-357, August 2008. In Brief In Brief Favorite PDF Permissions In Brief: A higher level of awareness of and increased index of suspicion for inadvertently retained surgical instruments will increase detection and decrease sequelae for patients and providers. Buy
Rapid Human Immunodeficiency Virus Testing on Labor and Delivery Rahangdale, Lisa; Cohan, Deborah Rahangdale, Lisa; Cohan, Deborah Less Obstetrics & Gynecology. 112(1):159-163, July 2008. In Brief In Brief Favorite PDF Permissions In Brief: Managing a positive rapid human immunodeficiency virus test in labor can be challenging, but with appropriate intervention, obstetricians can have a significant effect on the long-term health of an human immunodeficiency virus–infected woman and her newborn. Buy
Dyspareunia and Mesh Erosion After Vaginal Mesh Placement With a Kit Procedure Boyles, Sarah Hamilton; McCrery, Rebecca Boyles, Sarah Hamilton; McCrery, Rebecca Less Obstetrics & Gynecology. 111(4):969-975, April 2008. In Brief In Brief Favorite PDF Permissions In Brief: Mesh erosions and dyspareunia after vaginal mesh procedures may require difficult surgical excision. Buy
Postpartum Ovarian Vein Thrombosis Klima, David A.; Snyder, Thomas E. Klima, David A.; Snyder, Thomas E. Less Obstetrics & Gynecology. 111(2 Part 1):431-435, February 2008. In Brief In Brief Favorite PDF Permissions In Brief: Postpartum ovarian vein thrombosis is uncommon, usually presents with fever with or without abdominal pain, and requires treatment with antibiotics and anticoagulation. Buy
Peritoneal Tuberculosis Mimicking Advanced-Stage Epithelial Ovarian Cancer Elmore, R Geoffrey; Li, Andrew J. Elmore, R Geoffrey; Li, Andrew J. Less Obstetrics & Gynecology. 110(6):1417-1419, December 2007. In Brief In Brief Favorite PDF Permissions In Brief: Peritoneal tuberculosis may present with ascites and elevated serum CA 125, highly suggestive of advanced-stage epithelial ovarian cancer. Buy
Severe Menorrhagia Associated With Thrombocytopenia Levens, Eric D.; Scheinberg, Phillip; DeCherney, Alan H. Levens, Eric D.; Scheinberg, Phillip; DeCherney, Alan H. Less Obstetrics & Gynecology. 110(4):913-917, October 2007. In Brief In Brief Favorite PDF Permissions In Brief: Menorrhagia in the setting of thrombocytopenia poses significant challenges for clinicians. Buy
An Uncommon Cause of Vaginal Bleeding in a Child Swaim, Laurie S.; Zietz, Barry; Qu, Zhenhong Swaim, Laurie S.; Zietz, Barry; Qu, Zhenhong Less Obstetrics & Gynecology. 110(2 Part 1):416-420, August 2007. In Brief In Brief Favorite PDF Permissions In Brief: Children with vaginal bleeding should be evaluated for anatomic, infectious, traumatic, and hormonal causes. Buy
When a Pregnancy Seems Like an Ectopic… but Isn’t Savaris, Ricardo Francalacci; Braun, R Daniel; Gibson, Mark Savaris, Ricardo Francalacci; Braun, R Daniel; Gibson, Mark Less Obstetrics & Gynecology. 109(6):1439-1442, June 2007. In Brief In Brief Favorite PDF Permissions In Brief: Before medically treating a nonsurgically diagnosed ectopic pregnancy, consider the possibility that a live intrauterine pregnancy may rarely masquerade as ectopic pregnancy. Buy
Constipation: Will the Bowel Recipe Do the Trick? Hull, Amy; Whitehead, William Hull, Amy; Whitehead, William Less Obstetrics & Gynecology. 109(4):985-989, April 2007. In Brief In Brief Favorite PDF Permissions In Brief: Investigate underlying causes for constipation before surgically repairing a rectocele. Buy
Hypoactive Sexual Dysfunction in a Young Woman Laine, Hannele; Jones, Kirtly Parker Laine, Hannele; Jones, Kirtly Parker Less Obstetrics & Gynecology. 109(2 Part 1):415-418, February 2007. In Brief In Brief Favorite PDF Permissions In Brief: Hypoactive desire, a common concern among premenopausal women, can usually be addressed with psychosocial measures suggested by general obstetrician–gynecologists. Buy
Chronic Abdominal Pain After Laparoscopic Sterilization Clip Placement Daucher, James A.; Weber, Anne M. Daucher, James A.; Weber, Anne M. Less Obstetrics & Gynecology. 108(6):1540-1543, December 2006. In Brief In Brief Favorite PDF Permissions In Brief: Consider a displaced Filshie clip as a cause for persistent abdominal pain in women who have undergone laparoscopic sterilization. Buy
An Unusual Cause of Adolescent Dysmenorrhea Ryan, Ginny L.; Stolpen, Alan; Van Voorhis, Bradley J. Ryan, Ginny L.; Stolpen, Alan; Van Voorhis, Bradley J. Less Obstetrics & Gynecology. 108(4):1017-1022, October 2006. In Brief In Brief Favorite PDF Permissions In Brief: Imaging should be considered in adolescents with severe dysmenorrhea resistant to medical therapy because adenomyosis is a potential etiology in this age group. Buy
Stillbirth at Term Eller, Alexandra Grosvenor; Branch, D Ware; Byrne, Janice L. B. Eller, Alexandra Grosvenor; Branch, D Ware; Byrne, Janice L. B. Less Obstetrics & Gynecology. 108(2):442-447, August 2006. In Brief In Brief Favorite PDF Permissions In Brief: Thorough fetal autopsy and placental examination by a perinatal pathologist provide valuable information in determining the underlying etiology of term stillbirth. Buy
A Surprising Postnatal Diagnosis Shur, Natasha; Marion, Robert; Gross, Susan J. Shur, Natasha; Marion, Robert; Gross, Susan J. Less Obstetrics & Gynecology. 108(1):189-195, July 2006. In Brief In Brief Favorite PDF Permissions In Brief: Women should be made aware of the limitations of prenatal screening for fetal aneuploidy. Buy
House Calls at 30,000 Feet Williams, Richard D.; Strunk, Albert L.; Buckwalter, Joseph A. Williams, Richard D.; Strunk, Albert L.; Buckwalter, Joseph A. Less Obstetrics & Gynecology. 107(4):922-926, April 2006. In Brief In Brief Favorite PDF Permissions In Brief: Obstetrician- gynecologists who fly regularly may be called upon to render medical assistance in the air. Buy
Primary Amenorrhea in a Teenager Quint, Elisabeth H.; Smith, Yolanda R. Quint, Elisabeth H.; Smith, Yolanda R. Less Obstetrics & Gynecology. 107(2 Part 1):414-417, February 2006. In Brief In Brief Favorite PDF Permissions In Brief: Patients with primary amenorrhea should not be taken to the operating room until a clear diagnosis has been established. Buy
Arm Swelling in Pregnancy Casele, Holly; Mandel, Jess; Williams, Kyra C. Casele, Holly; Mandel, Jess; Williams, Kyra C. Less Obstetrics & Gynecology. 106(6):1388-1391, December 2005. In Brief In Brief Favorite PDF Permissions In Brief: Upper extremity pain and swelling in pregnant women should prompt evaluation for thrombosis, and thrombophilia must be considered if an upper extremity thrombus is diagnosed. Buy
Pregnancy and Changes in Melanocytic Nevi MacKelfresh, Jamie; Chen, Suephy C.; Monthrope, Yvette Miller MacKelfresh, Jamie; Chen, Suephy C.; Monthrope, Yvette Miller Less Obstetrics & Gynecology. 106(4):857-860, October 2005. In Brief In Brief Favorite PDF Permissions In Brief: Multiple melanocytic nevi may darken simultaneously during pregnancy and do not prompt the same alarm as do changes in a single nevus. Buy
Postpartum Urinary Retention Yip, Shing-Kai; Sahota, Daljit; Pang, Man-Wah; More Yip, Shing-Kai; Sahota, Daljit; Pang, Man-Wah; Day, Lori Less Obstetrics & Gynecology. 106(3):602-606, September 2005. In Brief In Brief Favorite PDF Permissions In Brief: Postpartum urinary retention is usually short-lived and can be managed with careful bladder care. Buy
Recurrent Vulvar Itching Boardman, Lori A.; Botte, Jennifer; Kennedy, Colleen M. Boardman, Lori A.; Botte, Jennifer; Kennedy, Colleen M. Less Obstetrics & Gynecology. 105(6):1451-1455, June 2005. In Brief In Brief Favorite PDF Permissions In Brief: This month's “In the Trenches” uses a practical question-based case series to assess the evaluation and management of a woman with vulvar itching thought to be due to recurrent vulvovaginitis. Buy
Abdominal Pain, Bloating, and Urgency Aaronson, Michael J.; Saltzman, John R.; Nygaard, Ingrid Aaronson, Michael J.; Saltzman, John R.; Nygaard, Ingrid Less Obstetrics & Gynecology. 105(4):889-892, April 2005. Abstract Abstract In Brief In Brief Favorite PDF Permissions In Brief: An overview of challenging clinical situations. Buy
Flushing and Papules in a Middle-Aged Woman Vanbeek, Marta J.; Strauss, John S.; Nygaard, Ingrid Vanbeek, Marta J.; Strauss, John S.; Nygaard, Ingrid Less Obstetrics & Gynecology. 105(2):397-401, February 2005. Abstract Abstract In Brief In Brief Favorite PDF Permissions In Brief: An overview of challenging clinical situations. Buy
