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2.1
Cervix Stricture
Cervical Steis

Presentation

In presenting a summarized sketch of my subject, the pathology and clinical features of obstructions and strictures of the uterine cervix, it is my hope that I may suggest some new points for consideration. [jamanetwork.com]

Features 20 all new case presentations with expert commentary. [books.google.com]

The most common presenting clinical picture of the metastasic small bowel tumour is that of partial or complete small bowel obstruction, [1], [2] as seen in the present case also. [jpgmonline.com]

Ileocaecal Metastasis from Carcinoma Cervix presenting with bowel obstruction: A rare case report. Indian J Cancer 2015;52:179-80 How to cite this URL: Choudhury M, Singh S, Puri V, Nain M. [indianjcancer.com]

Gastrointestinal

  • Abdominal Pain

    She presented with primary amenorrhea and cyclic lower abdominal pain. She had undergone some surgery 5 years back, details of which were not available. [mjdrdypu.org]

    70-year-old female presents with a complaint of right knee pain with weight bearing activities. She is also developing pain at rest. She denies any recent injury. There is pain with stair climbing and start up pain. [quizlet.com]

    bowel obstruction, infection, fever or low back, side or abdominal pain and/or signs in the membrane that lines the abdominal cavity. [urology.wustl.edu]

    pain, faecal urgency, per-rectal bleeding and per-rectal mucus. [nature.com]

    Radiation enteritis The most common symptoms include colicky abdominal pain, bloody diarrhoea, steatorrhoea or weight loss. More acute presentations include obstruction, perforation, fistula or bleeding. [surgwiki.com]

Urogenital

  • Amenorrhea

    Cervical stenosis can cause amenorrhea, dysmenorrhea, abnormal bleeding, and infertility in premenopausal women; postmenopausal women may be asymptomatic for long periods of time. [merckmanuals.com]

    Here, we present a case of primary amenorrhea resulting from cervical agenesis in a 38-year-old woman. She presented with primary amenorrhea and cyclic lower abdominal pain. [mjdrdypu.org]

    Symptoms, when present, can include amenorrhea, dysmenorrhea, abnormal bleeding, and infertility in premenopausal women. Postmenopausal women may be asymptomatic for long periods. [msdmanuals.com]

    Müllerian agenesis is one of the most common causes of primary amenorrhea in patients with typical thelarche and adrenarche. [acog.org]

  • Dysmenorrhea

    Cervical stenosis can cause amenorrhea, dysmenorrhea, abnormal bleeding, and infertility in premenopausal women; postmenopausal women may be asymptomatic for long periods of time. [merckmanuals.com]

    Symptoms, when present, can include amenorrhea, dysmenorrhea, abnormal bleeding, and infertility in premenopausal women. Postmenopausal women may be asymptomatic for long periods. [msdmanuals.com]

    Dysmenorrhea is present in up to 50% of patients with cervical stenosis. [radiopaedia.org]

    Premenopausal women with cervical stenosis may have pelvic pain, dysmenorrhea, amenorrhea, infertility, or abnormal bleeding. In some cases retrograde menstrual flow may occur, causing endometriosis. [basicmedicalkey.com]

  • Pelvic Pain

    Pelvic pain Categorized as either acute or chronic, pelvic pain has a wide range of causes and treatments. [stanfordhealthcare.org]

    Pre-menopausal patients may have a build up of blood inside the uterus which may cause infection, sporadic bleeding, or pelvic pain. [en.wikipedia.org]

    Premenopausal women with cervical stenosis may have pelvic pain, dysmenorrhea, amenorrhea, infertility, or abnormal bleeding. In some cases retrograde menstrual flow may occur, causing endometriosis. [basicmedicalkey.com]

    In one study of 1,000 postmenopausal women without any abnormal symptoms (such as abnormal bleeding, pelvic pain or abnormal discharge) uterine fluid was found in 134, or 12% of these women. [womensvoicesforchange.org]

    In addition to presenting with primary amenorrhea, all these conditions may occur with symptoms of cyclic or persistent abdominal or pelvic pain and a pelvic mass due to the obstructed outflow tract. [acog.org]

  • Cervix Disorder

    (disorder) Atresia of cervix Atresia of cervix (disorder) Contracture of cervix Contracture of cervix (disorder) Occlusion of cervical os Occlusion of cervical os (finding) Major Diagnostic Categories M.D.C MDC Category : 13| MDC Type : Surgical Description [medicbind.com]

    […] of cervix Congenital anomaly of cervix Congenital anomaly of cervix (disorder) Congenital anomaly of cervix, NOS Congenital atresia of uterus Congenital atresia of uterus (disorder) Congenital imperforate cervix Congenital imperforate cervix (disorder [codelay.com]

    Code Classification Diseases of the genitourinary system ( N00–N99 ) Noninflammatory disorders of female genital tract ( N80-N98 ) Other noninflammatory disorders of cervix uteri ( N88 ) Version 2019 Billable Code Diagnoses For Females Only Information [icdlist.com]

  • Primary Amenorrhea

    Here, we present a case of primary amenorrhea resulting from cervical agenesis in a 38-year-old woman. She presented with primary amenorrhea and cyclic lower abdominal pain. [mjdrdypu.org]

    Müllerian agenesis is one of the most common causes of primary amenorrhea in patients with typical thelarche and adrenarche. [acog.org]

Workup

While awaiting pathological confirmation of the exact nature of this neoplastic lesion, the patient was investigated with computed tomography (CT) scans as part of pre-surgical workup. [link.springer.com]

Treatment

The cautery knife, so popular in modern times in the treatment of endocervicitis, may be useful in [jamanetwork.com]

Conceiving After Treatment Sometimes, cervical stenosis is the primary cause of infertility, in which case, you may be able to conceive on your own after treatment. [verywellfamily.com]

Contains a new section on painful and irritative voiding disorders, including a discussion of overactive bladder and the latest treatment options available. [books.google.com]

Treatment and prognosis In selected situations, gradual dilatation of the cervix, often performed with ultrasound guidance, can be an effective treatment. [radiopaedia.org]

Conization by carbon dioxide laser or cold knife in the treatment of cervical intra-epithelial neoplasia. Acta Obstet Gynecol Scand 1986;65:199-202 «PMID: 3090849»PubMed Kristensen GB, Jensen LK, Hølund B. [kaypahoito.fi]

Prognosis

Cervical cancer What is cervical cancer Risks Screening Signs and symptoms Diagnosis Grading Staging If cancer spreads Prognosis and survival Treatment Supportive care Research Statistics Female Reproductive System Diagram of the cervix The cervix connects [cancer.ca]

Treatment and prognosis In selected situations, gradual dilatation of the cervix, often performed with ultrasound guidance, can be an effective treatment. [radiopaedia.org]

The prognosis of these patients is extremely poor. » References 1. Mathur SK, Pandya GP. Solitary metastatic malignant stricture of the ileum: A rare cause of small bowel obstruction (a case report). J Postgrad Med 1984;30:186-8. [ PUBMED ] 2. [indianjcancer.com]

The prognosis is better than the cases where ileal involvement occurs as a part of generalised carcinomatosis. [1] 1. DeCastro, C. A., Dockerty, M. B. and Mayo, C. w.: Metastatic tumours of the small intestine. Surg. [jpgmonline.com]

The association between grade and prognosis is well established for adenocarcinomas. 12, 13, 14 In contrast, there is no evidence of an association between grade and prognosis for squamous cell carcinomas. [glowm.com]

Etiology

ETIOLOGY Cervical strictures in younger women occur most frequently in those who give a history of genital infection or instrumentation. [jamanetwork.com]

[…] are less likely to show evidence of hematometra than postmenopausal patients hydrometra pyometra hematosalpinges Other potential consequences include: infertility 2 impediment to assisted fertility techniques embryo transfer intrauterine insemination Etiology [radiopaedia.org]

The objective of this article is to discuss the incidence, etiology, diagnosis, therapy, and management outcomes of ureteral strictures. [emedicine.medscape.com]

[…] ses ) an abnormal narrowing or contraction of a body passage or opening; called also arctation, coarctation, and stricture. aortic stenosis obstruction to the outflow of blood from the left ventricle into the aorta; in the majority of adult cases the etiology [medical-dictionary.thefreedictionary.com]

Another etiology of pubertal delay with typical external female genitalia and absent cervix is CYP17A1 deficiency. [acog.org]

Epidemiology

Definition / general Radiation induced injury to anorectum Acute or chronic Epidemiology Over 100,000 American patients annually receive therapeutic pelvic radiation for malignancies of prostate, anus, rectum, uterine cervix, endometrium, urinary bladder [pathologyoutlines.com]

Splenic metastases − Not a frequent problem, but an underestimate location of metastases: epidemiology and course. Journal of Cancer Research and Clinical Oncology. 2008;135(5):667-671. Schön CA, et al. [appliedradiology.com]

Epidemiology Frequency The widespread use of upper tract endoscopy has led to an increased frequency of iatrogenic ureteral stricture. [emedicine.medscape.com]

[…] carcinoma from 25 epidemiological studies. [cancerinfo.tri-kobe.org]

"Epidemiology and causes of preterm birth". The Lancet. 371 (9606): 75–84. doi:10.1016/S0140-6736(08)60074-4. PMC 7134569. PMID 18177778. ^ a b <NICE (2007). Section 1.6, Normal labour: first stage ^ a b NICE (2007). [en.wikipedia.org]

Pathophysiology

[…] other sites Acute radiation proctitis occurs in nearly all patients but is generally self limited and not biopsied Only 5 to 15% develop chronic radiation proctitis, although with improving techniques for radiation therapy the incidence is decreasing Pathophysiology [pathologyoutlines.com]

Pathophysiology Ionising radiation generates free radicals from intracellular water, which in turn affect DNA synthesis. Cells with a high proliferation rate tend to be more susceptible to radiation injury. [surgwiki.com]

Pathophysiology of urinary tract obstruction. Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: WB Saunders; 2007. Vol 2: 1195-226. Weinberg JJ, Ansong K, Smith AD. [emedicine.medscape.com]

Prevention

/Avoidable - 0% Emergent - ED Care Needed - Not Preventable/Avoidable - 0% Primary diagnosis of injury 0% Primary diagnosis of mental health problems 0% Primary diagnosis of substance abuse 0% Primary diagnosis of Alcohol 0% Unclassified 100% The cervix [medicbind.com]

The abnormal cells are destroyed, preventing them from becoming cervical cancer. [webmd.com]

The IUD is meant to prevent scar tissue from reforming. If you want to get pregnant in the future, the IUD can be removed then. There are potential risks to cervical stenosis treatment. [verywellfamily.com]

Chapter 69 Surrogate Markers of Antiretroviral Efficacy 826 Overcoming Barriers to Providing ARV Therapy in ResourceLimited Settings 831 Chapter 71 Antiretroviral Drugs for HIV Prevention 836 Chapter 72 Acute HIV Infection 843 Chapter 73 Opportunistic [books.google.de]

The term cervical stenosis is clinically defined as cervical narrowing that prevents the insertion of a 2.5 mm wide dilator through the cervical os. One-fifth of patients have a history of exposure to diethylstilbestrol whilst in utero. [radiopaedia.org]

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