Necrotizing vasculitis in gynecological surgery

Wilansky, R.; MacLean, J.N.; Miro, R.; Mikhael, Nadia Z.; Vadas, G.; Campbell, J. S.; Hill, Dave; McLean, William T.

doi:10.1016/0028-2243(80)90026-x

Cited by 18 publications

(12 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Ilbery et al [7] reported necrotizing vasculitis of the ovary affecting small and medium-sized vessels in a patient who had recently undergone in vitro fertilization but who had no evidence of autoimmune disease [7]. Only two examples of vasculitis of the ovary were found in a review of gynecological pathology [8]. Non-vasculitic disease has been reported in a few patients with SLE.…”

Section: Discussionmentioning

confidence: 96%

Genitourinary complications of systemic lupus erythematosus

Meyers¹,

Pfieffer

et al. 2000

Pediatr Nephrol

View full text Add to dashboard Cite

A 14-year-old African-American girl was diagnosed with antiphospholipid-positive systemic lupus erythematosus (SLE) in July 1994. The course was complicated by nephrotic syndrome, sepsis, hemolytic anemia, acute renal failure, saphenous vein thrombosis, cutaneous vasculitis, mesenteric vasculitis, appendicitis, hemorrhagic cystitis, and avascular necrosis of the hips. In August 1997, she developed ovarian and fallopian tube complications secondary to SLE. Genitourinary complications of SLE, however, are uncommon, and ovarian vasculitis has not previously been reported as a complication of SLE. This report describes the course of an adolescent patient with SLE and focuses specifically on her genitourinary complications.

show abstract

Section: Discussionmentioning

confidence: 96%

Genitourinary complications of systemic lupus erythematosus

Meyers¹,

Pfieffer

et al. 2000

Pediatr Nephrol

View full text Add to dashboard Cite

show abstract

“…A single organ being involved was encountered in 88 (81.5%) cases, of which 71 (65.7%) cases involved the cervix [2, 5-7, 10, 12, 13, 20, 23, 32, 35, 38, 39, 41], 10 (9.3%) cases, the ovary [11-13, 18, 21, 39, 40], 10 (9.3%) cases, the myometrium [1,13,22,26,28,36,28], 4 (3.7%) cases, the isthmus [12,13], 2 (1.9%) cases, the fallopian tubes [13,39], and 1 (0.9%) case, the parametrium [13] ( Table 2). Furthermore, involvement of a single vessel was observed in 29 (26.9%) among the 108 cases of INVF.…”

Section: Resultsmentioning

confidence: 99%

Isolated vasculitis of the female genital tract: a case series and review of literature

et al. 2007

View full text Add to dashboard Cite

To provide a clinicopathologic review of vasculitis confined to the female genital tract, we describe three cases, and we searched PubMed from 1965 to 2006 with analysis of all relevant articles. We identified 118 additional cases in the literature of whom 108 had isolated necrotizing vasculitis similar to classical polyarteritis nodosa (PAN-type), and 10 presented isolated giant cell arteritis (GCA-type) of the female genital tract. In most cases, arteritis was discovered surprisingly. The mean age of these patients was 48.6 years for the PAN-type and 64.1 for the GCA-type. Vasculitis affected a single organ in 88 (81.5%) cases of which 71 (65.7%) involved the cervix in the PAN-type, whereas it was limited in the myometrium in five (50%) cases in the GCA-type. There was no progression to a systemic vasculitis in 99.1% of the cases. A comparable favorable outcome was reported after surgery in all cases with a mean follow-up of 40.8 months. We conclude that isolated vasculitis of the female genital tract is a distinct condition, with two different patterns but a similar favorable outcome after resection. Its knowledge is needed to avoid aggressive evaluation and therapy.

show abstract

“…Vascular features in isolated necrotizing arteritis involving arterioles and small muscular arteries may be confused with the histopathological findings of scleroderma. Besides vasculitis, there is also a predominantly lymphocytic infiltrate around the vessels 36 . Isolated vasculitis appears to be a disease of small vessels and to be generally very limited in extent even within the single involved site.…”

Section: Discussionmentioning

confidence: 99%

“…Besides vasculitis, there is also a predominantly lymphocytic infiltrate around the vessels. 36 Isolated vasculitis appears to be a disease of small vessels and to be generally very limited in extent even within the single involved site. Structural damage to the local tissues outside the vessel is not usually seen and inflammatory cell infiltration is limited.…”

Section: Discussionmentioning

confidence: 99%

Histopathological changes of cervical tissue in women with systemic sclerosis

Evrüke¹,

Ertunç

Doran³

et al. 2004

Pathology International

View full text Add to dashboard Cite

Systemic sclerosis is a connective tissue disease that can affect almost any organ of the body. The clinical aspects of systemic sclerosis on the reproductive system have been studied in large series, and an increased rate of cesarean section has been reported. For this reason, in the present study the histopathological features of cervical specimens of hysterectomyzed women with systemic sclerosis were evaluated. An increased frequency of vascular and stromal abnormalities in cervical specimens of women with systemic sclerosis were observed. Vascular medial hypertrophy, intimal thickening, and fibrosis were more often encountered in the cervical specimens of the patients with systemic sclerosis. Some of the histopathological features also showed correlation with the clinical profile of the disease. The patients with vascular medial hypertrophy in their cervical specimens were older, had a higher Rodnan score, and had longer duration of the disease. In contrast to vascular medial hypertrophy, periadventitial edema was found in the cervical specimens of the patients who were younger, had a lower Rodnan score, and had shorter duration of the disease. It was concluded that the problems that are seen in common obstetric and gynecological practices in patients with systemic sclerosis may be explained by these tissue abnormalities.

show abstract

Necrotizing vasculitis in gynecological surgery

Cited by 18 publications

References 9 publications

Genitourinary complications of systemic lupus erythematosus

Genitourinary complications of systemic lupus erythematosus

Isolated vasculitis of the female genital tract: a case series and review of literature

Histopathological changes of cervical tissue in women with systemic sclerosis

Contact Info

Product

Resources

About