Vol. XXXV, n. 2, 2008 ISSN: 0390-6663


CLINICAL AND EXPERIMENTAL
OBSTETRICS & GYNECOLOGY

an International Journal


Editors-in-Chief
A. Onnis
Montréal (CND)
J.H. Check
Camden, NJ (USA)


Associate Editors
M. Marchetti
Montréal (CND)

Assistant Editor
J. Wilson
San Diego - CA (USA)
Editorial Board
Audet-Lapointe P., Montréal (Canada)
Axt-Fliedner R., Lübeck (Germany)
Basta A., Krakow (Poland)
Bender H.J., Dusseldorf (Germany)
Bhattacharya N., Calcutta (India)
Bonilla Musoles F., Valencia (Spain)
Charkviani T., Tbilisi (Georgia)
Dargent D., Lyon (France)
Dexeus S., Barcelona (Spain)
Di Paola G., Buenos Aires (Argentina)
Eskes T.K.A.B.,Nijmegen (The Netherlands)
Franchi M., Verona (Italy)
Friedrich M., Homburg (Germany)
Gomel V., Vancouver (Canada)
Gorins A., Paris (France)
Holub Z., Kladno (Czech Republic)
Jordan J.A., Birmingham, England (UK)
Kaplan B., Petach Tikva (Israel)
Kralj B., Ljubljana (Slovenia)
Lalonde A.B., Ottawa (Canada)
Markowska J., Poznan (Poland)
Marth C., Innsbruck (Austria)
Meden-Vrtovec H., Ljubljana (Slovenia)
Ohara N., Kobe (Japan)
Papadopoulos N., Alexandroupolis (Greece)
Rakar S., Ljubljana (Slovenia)
Sciarra J.J., Chicago, IL (USA)
Stelmachow J., Warsaw (Poland)
Varras M.N., Athens (Greece)
Vîrtej P., Bucharest (Romania)
Winter R., Graz (Austria)

Publishing Organization (M. Morsani):
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CLINICAL AND EXPERIMENTAL OBSTETRICS AND GYNECOLOGY (ISSN 0390-6663) publishes original work, preferably brief reports, in the fields of Gynecology, Obstetrics, Fetal Medicine, Gynecological Endocrinology and related subjects. (Fertility and Sterility, Menopause, Uro-gynecology, Ultrasound in Obstetrics and Gynecology, Sexually Transmitted Diseases).The Journal is covered by INDEX MEDICUS, MEDLINE, EMBASE/Excerpta Medica.

CLINICAL AND EXPERIMENTAL OBSTETRICS AND GYNECOLOGY is issued every three months in one volume per year by IROG CANADA Inc. Montréal. Printed in Italy by "La Garangola", Tipografia Editrice - Via E. Dalla Costa, 6 -35129 Padova (Italy).

 

Clinical and Experimental Obstetrics and Gynecology
http://www.irog.net/


General Information

CLINICAL AND EXPERIMENTAL OBSTETRICS AND GYNECOLOGY (ISSN 0390-6663) publishes original peer-reviewed work, preferably brief reports, in the fields of Gynecology, Obstetrics, Fetal Medicine, Gynecological Endocrinology, Fertility and Sterility, Menopause, Uro-gynecology, Ultrasound diagnosis in Obstetrics and Gynecology, Sexually transmitted diseases and related topics. It is indexed in INDEX MEDICUS, MEDLINE, EMBASE/ Excerpta Medica.

AIMS AND SCOPE
Since its inception, the CLINICAL AND EXPERIMENTAL OBSTETRICS AND GYNECOLOGY Journal has had the primary aim to assemble and diffuse scientific researches, particularly original researches, contributions, reviews, and proceedings of meetings in every field of the Discipline.
Today its large diffusion all over the world allows us to collect high quality papers and clinical reports on many interesting studies from every country, even from developing countries. This is the target goal of the Journal – aiming at the diffusion of knowledge and advances in female genital diseases.
This publication tries to cover all aspects of obstetrics and gynecology in an interdisciplinary approach among gynecologists, epidemiologists, pathologists, oncologists, radiologists, microbiologists, surgeons, urologists, neonatologists, genetists and so on.
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© By I.R.O.G. CANADA INC. - Publisher - Editorial office 4900 Côte St. Luc - Apt. 212 - Montréal Québec H3W 2H3 (Canada) - Tel. (514) 4893242-4893640 -Fax (514) 4854513 - Printed in Italy by "La Garangola" - Via E. Dalla Costa, 6 - 35129 Padua (Italy) - Responsible Director: Prof. Antonio Onnis M.D. - Authorization of Padua's Court n. 633 - 28-6-1979
 
Clinical and Experimental Obstetrics & Gynecology - Vol. XXXV, n. 2, 2008
CONTENTS  
EDITORIAL ARTICLES  
A 59-year-old woman gives birth to twins - when should a fertility specialist refuse treatment? 93
J.H. Check - Camden, NJ (USA)
Several successful cases are described where couples with low odds of successful outcomes were willing to subject themselves to personal risk or risks to the fetus to achieve their dream of having a baby.
 
REVIEW ARTICLES  
Placenta percreta presenting in the first trimester: Review of the literature 98
J.C. Papadakis, N. Christodoulou - Crete, GREECE
A review of all reported cases of placenta percreta presenting in the first trimester with emphasis on diagnosis and management is presented.
 
Intrauterine devices and extrauterine pregnancy. A literature review 103
C. Iavazzo, N. Salakos, N. Vitoratos, K. Bakalianou, E. Deligeoroglou, H. Dalainas, A. Kondi-Pafiti, A. Malamitsi-Puchner - Athens, GREECE
A literature review organized to clarify the relationship between the use of intrauterine devices and ectopic pregnancy is presented.
 
 
ORIGINAL ARTICLES  
Analysis of perioperative morbidity according to whether the uterine cavity is opened or remains closed during abdominal myomectomy - results of 423 abdominal myomectomy cases 107
M. Gavai, E. Berkes, T. Fekete, L. Lazar, Z.F. Takacs, Z. Papp - Budapest, HUNGARY
An analysis of perioperative morbidity according to whether the uterine cavity is opened or remains closed during abdominal myomectomy is presented.
 
Autofluorescence reveals menstrual phase in the endometrium 113
A.C.Y. Chen, H.K. Chiang,W.Y. Liang, C.C. Yuan - Taipei City, TAIWAN (R.O.C.)
The capability and reliability of autofluorescence phase determination in samples of human endometrium are explored..
 
Study of pubertal development in Abruzzo (Italy) and analysis of factors implicated in puberty variability 117
G. Mascaretti, C. Di Berardino - L’Aquila, ITALY
Changes in pubertal development and the relationship with age at menarche are analyzed..
 
An objective measurement to diagnose micrognathia on prenatal ultrasound 121
G. Palit,Y. Jacquemyn, M. Kerremans - Edegem, BELGIUM
The frontal naso-mental angle is described as a practical and objective tool to diagnose retrognathia in the foetus.
 
Laparoscopic treatment of ovarian dermoid cysts 124
P. Tsikouras, V. Liberis, G. Galazios, A. Savidis, A.T. Teichmann, T. Vogiatzaki, S. Zervoudis, G. Maroulis - Athens, GREECE
Laparoscopic dermoid cyst enucleation is the most commonly applied procedure and is a safe, effective method in the management of dermoid cysts.
 
Misoprostol use as a method of medical abortion 130
N. Salakos, C. Iavazzo, K. Bakalianou, O. Gregoriou, G. Paltoglou, K. Kalmantis, D. Botsis - Athens, GREECE
The effectiveness of misoprostol in medical abortions with the use of ultrasound screening is reported..
 
“Chromohysteroscopy” for evaluation of endometrium in recurrent miscarriage 133
T. Küçük, S. Deveci - Ankara, TURKEY
The efficacy of hysteroscopy in recurrent miscarriages is improved by chromohysteroscopy.
 
CA 19-9 can be a useful tumor marker in ovarian dermoid cysts 137

A. Coskun, G. Kiran, O. Ozdemir - Kahramanmaras, TURKEY
The importance of CA 19-9 as an aiding tool in the diagnosis of mature cystic teratomas is evaluated.

 
 
CASE REPORTS  
Neurofibroma of the vaginal wall 140
S. Baulies, M.T. Cusidó, P.J. Grases, B. Úbeda, M.A. Pascual, R. Fábregas - Barcelona, SPAIN
Periodical check-ups are recommended in asymptomatic vaginal neurofibroma whereas radical excision of a vaginal neurofibroma should be avoided as such surgery is highly aggressive.
 
Mucinous cystadenoma in a female patient with 45,X/46,XY karyotype 144
T. Bulakbasi, S. Erkanli, O. Ozer, F. Bolat, Z. Yilmaz, F.I. Sahin - Ankara, TURKEY
A case of mucinous cystadenoma with a mosaic karyotype of 45,X/46,XY is presented.
 
Secondary amenorrhea with normal ovulatory cycles in a young virgin with normal follicle stimulating hormone levels - a case report 147
B. Katsoff, J.H. Check - Camden, N.J. (USA)
A 17-year-old virgin with normal sexual development and secondary amenorrhea failed to menstruate despite proven ovulation, progesterone withdrawal and even exposure to pharmacologic levels of estrogen (oral contraceptives).
 
Tuberculosis of the cervix and infertility: report of a rare case 149
P. Guié, P. Iovenitti, K. N’guessan, J. Tegnan, K. Koffi, G. Carta, S. Anongba - L’Aquila, ITALY
A rare case of cervical tuberculosis in a young woman diagnosed in the Ivory Coast is presented.
 
Irregular dental structures in a benign ovarian cystic teratoma (dermoid cyst): case report 151
V. Liberis, P. Tsikouras, E. Sivridis, M. Dadidou, N. Koutlaki, G. Galazios - Thrace, GREECE
The simultaneous appearance of two teeth and dermoid cysts is a rare event.
 
Prenatal diagnosis of type I sacrococcygeal teratoma and its management 153
E.S. Saygili-Yilmaz, K.K. Incki, M. Turgut, S. Kelekci - Adana, TURKEY
A case of type I sacrococcygeal teratoma diagnosed prenatally and successfully managed surgically in the neonatal period is presented.
 
Uterus didelphys with blind hemivagina and ipsilateral renal agenesis complicated by pyocolpos and presenting as acute abdomen 11 years after menarche: presentation of a rare case with review of the literature 156
M. Varras, Ch. Akrivis, St. Karadaglis, G. Tsoukalos, Ch. Plis, I. Ladopoulos - Ioannina, GREECE
A unique clinical syndrome in a patient with uterine didelphys, blind hemivagina and ipsilateral renal agenesis presenting with acute abdomen secondary to pyocolpos 11 years after menarche is reported.