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Journal of Medical Case Reports Feb 2018Labial fusion is defined as adhesions of the labia minora or majora. Labial fusion may cause urinary retention. Surgical treatment based on an accurate anatomic...
BACKGROUND
Labial fusion is defined as adhesions of the labia minora or majora. Labial fusion may cause urinary retention. Surgical treatment based on an accurate anatomic assessment may be needed, but the usefulness of endoscopic examination for this disease has not been reported.
CASE PRESENTATION
A 76-year-old Japanese woman undergoing chemoradiation treatment for esophageal cancer was referred to our department for evaluation of high accumulation in the vagina on a positron emission tomography scan. On physical examination, her labia were noted to be extensively fused with a pinhole opening at the midline. Endoscopic examination revealed that her vagina was filled with urine and there were no abnormalities in her urethral meatus and cervix. The adhesions were separated under anesthesia and there has been no recurrence during follow-up.
CONCLUSIONS
We present a case of a postmenopausal patient with labial fusion who underwent successful surgical management. An endoscopic examination enabled us to determine the precise anatomic position and adopt a safe surgical procedure.
Topics: Aged; Endoscopy; Esophageal Neoplasms; Female; Humans; Physical Examination; Tissue Adhesions; Treatment Outcome; Urinary Retention; Vulvar Diseases
PubMed: 29391072
DOI: 10.1186/s13256-018-1568-4 -
Journal of UOEH Dec 2014We report a case of keratocystic odontogenic tumor (KCOT) in a 21-year-old female patient. The patient was referred to our clinic from a dental clinic for the radical...
We report a case of keratocystic odontogenic tumor (KCOT) in a 21-year-old female patient. The patient was referred to our clinic from a dental clinic for the radical treatment of recurrent KCOT in the maxilla. She had undergone conservative drainage surgery twice at that clinic.The tumor was cystic and covered with a bony capsule, which extended high into the maxillary sinus. A pinhole fistula, which was created during a previous surgery, was identified in the gingivobuccal sulcus. The whole tumor was successfully removed using a bidirectional approach from the fistula and from the antrostomy in the middle meatus. This report shows that the intimate collaboration between an otorhinolaryngologist and an oral surgeon could provide a minimally invasive, and at the same time, radical surgical treatment for certain kinds of tumor in the head and neck region. We also recommend the introduction of endoscopic surgeries by the oral surgeon.
Topics: Drainage; Endoscopy; Female; Humans; Interdisciplinary Communication; Maxillary Diseases; Maxillary Sinus; Odontogenic Cysts; Oral Surgical Procedures; Otolaryngology; Otorhinolaryngologic Surgical Procedures; Patient Care Team; Physicians; Recurrence; Surgery, Oral; Treatment Outcome; Young Adult
PubMed: 25501756
DOI: 10.7888/juoeh.36.251