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Steroid cell tumour is a rare sex cord-stromal tumor of the ovary. It may produce steroids and is associated with testosterone secretion which causes symptoms like hair loss, hirsutism, and oligomenorrhea/amenorrhea due to hormonal activity and virilizing properties of tumor. In this article, we reported a 27-year-old woman who presented with hirsutism, hoarseness of voice, scalp hair fall, and amenorrhea for 8 years. Clinical and diagnostic evaluation revealed a left adnexal mass and elevated serum levels of testosterone and she was diagnosed as having a Sertoli Leydig cell tumour of ovary. She underwent left salpingooophorectomy and both histopathological examination and immunohistochemistry confirmed the diagnosis. Her serum testosterone levels normalized 3 days after the surgery and her menses resumed spontaneously a few months after the operation. In addition, we reviewed the literature on the epidemiology, clinical presentations, imaging and histological findings, and the treatment options on this disease.

Background: Uterine torsion in a nongravid uterus is an extremely rare gynecologic emergency. Diagnosis is crucial as any delay could potentially lead to severe implications on future fertility or even life-threatening consequences. However, diagnosis remains extremely difficult and this condition is rarely diagnosed clinically. Case: A 37-year-old single lady, virgo intacta, presented with left iliac fossa pain for 2 days duration. Physical examination revealed a soft nontender abdomen with a firm left-sided abdominopelvic mass. Computed tomography (CT) scan showed a severely enlarged uterus measuring 26.0 × 14.1 × 26.1 cm, with suggestion of swirling of the adnexal vessels and uterine cervix. A presumed diagnosis of uterine torsion was made and she was counseled for surgical intervention. Results: This patient underwent a midline laparotomy, with the uterus, along with a large 22 cm fibroid, found to be rotated four times along its longitudinal axis. Detorsion of the uterus followed by myomectomy was performed and the large fundal fibroid was sent for frozen section, which revealed a infarcted but benign leiomyoma with no malignancy. The patient made an uneventful postoperative recovery. Conclusion: In view of the potential for significant morbidity and mortality as well as severe implications on fertility, uterine torsion should be considered among the differential diagnoses in a female patient with acute abdominal pain. The aid of imaging such as CT or magnetic resonance imaging scans has a significant role to play and should be interpreted with a high index of suspicion. Timely intervention, mainly through urgent surgical intervention, is crucial. [ABSTRACT FROM AUTHOR]

Steroid cell tumour is a rare sex cord-stromal tumor of the ovary. It may produce steroids and is associated with testosterone secretion which causes symptoms like hair loss, hirsutism, and oligomenorrhea/amenorrhea due to hormonal activity and virilizing properties of tumor. In this article, we reported a 27-year-old woman who presented with hirsutism, hoarseness of voice, scalp hair fall, and amenorrhea for 8 years. Clinical and diagnostic evaluation revealed a left adnexal mass and elevated serum levels of testosterone and she was diagnosed as having a Sertoli Leydig cell tumour of ovary. She underwent left salpingooophorectomy and both histopathological examination and immunohistochemistry confirmed the diagnosis. Her serum testosterone levels normalized 3 days after the surgery and her menses resumed spontaneously a few months after the operation. In addition, we reviewed the literature on the epidemiology, clinical presentations, imaging and histological findings, and the treatment options on this disease. [ABSTRACT FROM AUTHOR]

Background: Endometriosis is a condition in which endometrial glands and stroma grow outside the endometrial cavity. Although endometriotic deposits are most often found within the pelvis, implants may rarely occur at several other sites. Endometriotic implants in the vulva and Bartholin's gland are very unusual. Case: A 35-year-old parous woman presented to the urogynecology clinic of the KK Women's and Children's Hospital, Singapore, with a lump arising through her vagina since a normal vaginal delivery 4 years prior. On examination, a 4 × 4 cm fluctuant, nontender vaginal cyst was noted in the lower one-third of the vagina on the left lateral side, close to an episiotomy scar. She was counseled to undergo excision of the cyst and she consented to do so. The cyst wall was inadvertently ruptured during the procedure, and a thick chocolate-colored fluid poured out from within the cyst. The cyst wall was excised and the dead space and vulval skin were closed. Results: The patient recovered well. The histopathologic examination was consistent with a Bartholin's cyst with endometriotic foci. Conclusions: Vulvar endometriosis should be considered as a possible, although rare cause of cystic masses of the vulva, especially those associated with variability in size and tenderness during the menstrual cycle. Surgical excision and histopathologic examination is necessary to establish a definitive diagnosis. (J GYNECOL SURG XX:1) [ABSTRACT FROM AUTHOR]