Spontaneous rupture of mesenteric dermoid cyst: a rare cause of abdominal pain

2003 ◽  
Vol 14 (8) ◽  
Author(s):  
G. Verswijvel ◽  
F. Janssens ◽  
H. Vanboven ◽  
Y. Palmers
Keyword(s):  
Abdominal Pain ◽  
Dermoid Cyst ◽  
Spontaneous Rupture

scholarly journals Chemical Peritonitis Due to Spontaneous Ruptured Teratoma: A Case Report

2020 ◽  
Author(s):  
Atefeh Moridi ◽  
Hajar Abbasi ◽  
Athena Behforouz
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Dermoid Cyst ◽  
Spontaneous Rupture ◽  
Mature Teratoma ◽  
Reproductive Age ◽  
Benign Tumors ◽  
Reproductive Age Women ◽  
Chemical Peritonitis ◽  
Probable Diagnosis

One of the most common benign tumors in reproductive age women is mature Teratoma. We reported a 35-year-old woman who presented with abdominal pain, nausea, vomiting, and fever. The patient underwent laparotomy with the probable diagnosis of ovarian torsion. The evidence in the peritoneal cavity revealed chemical peritonitis due to the spontaneous rupture of the dermoid cyst.

scholarly journals Spontaneous Rupture of Urinary Bladder: Two Case Reports and Review of Literature

2021 ◽  
Vol 8 ◽  
Author(s):  
Yue Zhang ◽  
Shuo Yuan ◽  
Rami W. A. Alshayyah ◽  
Wankai Liu ◽  
Yang Yu ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Urinary Bladder ◽  
Antibiotic Therapy ◽  
Acute Abdomen ◽  
Spontaneous Rupture ◽  
Bladder Tumor ◽  
Bladder Rupture ◽  
Intraperitoneal Rupture ◽  
History Of ◽  
Ct Cystography

Objectives: Spontaneous rupture of the urinary bladder (SRUB) is extremely rare and might be misdiagnosed, leading to a high mortality rate. The current study aimed to identify the cause, clinical features, and diagnosis strategy of SRUB.Methodology: We presented a case report for two women (79 and 63 years old) misdiagnosed with acute abdomen and acute kidney injury, respectively, who were finally confirmed to have SRUB by a series of investigations and exploratory surgery. Meanwhile, literature from multiple databases was reviewed. PubMed, the Chinese National Knowledge Infrastructure (CNKI), the Chinese Biological Medical Literature Database (CBM), WANFANG DATA, and the Chongqing VIP database for Chinese Technical Periodicals (VIP) were searched with the keywords “spontaneous bladder rupture” or “spontaneous rupture of bladder” or “spontaneous rupture of urinary bladder.” All statistical analyses were conducted using SPSS 20.0 software.Results: A total of 137 Chinese and 182 English literature papers were included in this article review. A total of 713 SRUB patients were analyzed, including the two patients reported by us. The most common cause of SRUB was alcohol intoxication, lower urinary tract obstruction, bladder tumor or inflammation, pregnancy-related causes, bladder dysfunction, pelvic radiotherapy, and history of bladder surgery or bladder diverticulum. Most cases were diagnosed by exploratory laparotomy and CT cystography. Patients with extraperitoneal rupture could present with abdominal pain, abdominal distention, dysuria, oliguria or anuria, and fever. While the main symptoms of intraperitoneal rupture patients could be various and non-specific. The common misdiagnoses include acute abdomen, inflammatory digestive disease, bladder tumor or inflammation, and renal failure. Most of the patients (84.57%) were treated by open surgical repair, and most of them were intraperitoneal rupture patients. Overall, 1.12% of patients were treated by laparoscopic surgery, and all of them were intraperitoneal rupture patients. Besides, 17 intraperitoneal rupture patients and 6 extraperitoneal rupture patients were treated by indwelling catheterization and antibiotic therapy. Nine patients died of delayed diagnosis and treatment.Conclusions: SRUB often presents with various and non-specific symptoms, which results in misdiagnosis or delayed treatment. Medical staff noticing abdominal pain suggestive of peritonitis with urinary symptoms should be suspicious of bladder rupture, especially in patients with a history of bladder disease. CT cystography can be the best preoperative non-invasive examination tool for both diagnosis and evaluation. Conservative management in the form of urine drainage and antibiotic therapy can be used in patients without severe infection, bleeding, or major injury. Otherwise, surgical treatment is recommended. Early diagnosis and management of SRUB are crucial for an uneventful recovery.

scholarly journals Chemical peritonitis resulting from spontaneous rupture of a mature ovarian cystic teratoma: a case report

2020 ◽  
Vol 26 (4) ◽  
pp. 217-226
Author(s):  
Diana Bužinskienė ◽  
Matas Mongirdas ◽  
Saulius Mikėnas ◽  
Gražina Drąsutienė ◽  
Linas Andreika ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Dermoid Cyst ◽  
Ovarian Cyst ◽  
Transvaginal Ultrasound ◽  
Cystic Teratoma ◽  
Normal Vaginal Delivery ◽  
Ultrasound Scan ◽  
Presenting Symptoms ◽  
Abdominal Examination ◽  
Chemical Peritonitis

Background. Mature cystic teratomas (dermoid cysts) are the most common germ cell tumours with 10–25% incidence of adult and 50% of paediatric ovarian tumours. The aetiology of dermoid cysts is still unclear, although currently the parthenogenic theory is most widely accepted. The tumour is slow-growing and in the majority of cases it is an accidental finding. Presenting symptoms are vague and nonspecific. The main complication of a dermoid cyst is cyst torsion (15%); other reported complications include malignant transformation (1–2%), infection (1%), and rupture (0.3–2%). Prolonged pressure during pregnancy, torsion with infarction, or a direct trauma are the main risk factors for a spontaneous dermoid rupture that can lead to acute or chronic peritonitis. The diagnosis of mature cystic teratoma is often made in retrospect after surgical resection of an ovarian cyst, because such imaging modalities as ultrasound, computer tomography, or magnetic resonance imaging cannot yet accurately and reliably distinguish between benign and malignant pathology. Materials and methods. We present a report of a clinical case of a 35-years-old female, who was referred to the hospital due to abdominal pain spreading to her feet for three successive days. She had a history of a normal vaginal delivery one month before. Abdominal examination revealed mild tenderness in the lower abdomen; no obvious muscle rigidity was noted. Transvaginal ultrasound showed a multiloculated cystic mass measuring 16 × 10 cm in the pelvis. In the absence of urgency, planned surgical treatment was recommended. The next day the patient was referred to the hospital again, with a complaint of stronger abdominal pain (7/10), nausea, and vomiting. This time abdominal examination revealed symptoms of acute peritonitis. The ultrasound scan differed from the previous one. This time, the transvaginal ultrasound scan revealed abnormally changed ovaries bilaterally. There was a large amount of free fluid in the abdominal cavity. The patient was operated on – left laparoscopic cystectomy and right adnexectomy were performed. Postoperative antibacterial treatment, infusion of fluids, painkillers, prophylaxis of the thromboembolism were administered. The patient was discharged from the hospital on the seventh postoperative day and was sent for outpatient observation. Results and conclusions. Ultrasound is the imaging modality of choice for a dermoid cyst because it is safe, non-invasive, and quick to perform. Leakage or spillage of dermoid cyst contents can cause chemical peritonitis, which is an aseptic inflammatory peritoneal reaction. Once a rupture of an ovarian cystic teratoma is diagnosed, immediate surgical intervention with prompt removal of the spontaneously ruptured ovarian cyst and thorough peritoneal lavage are required.

Spontaneous Rupture of Ovarian Teratoid Tumor (Dermoid Cyst) into the Urinary Bladder

1955 ◽  
Vol 6 (6) ◽  
pp. 668-670 ◽  
Author(s):  
Leon M. Tancer ◽  
A. Orron ◽  
J. D. Baker ◽  
M. E. Greenberger
Keyword(s):  
Urinary Bladder ◽  
Dermoid Cyst ◽  
Spontaneous Rupture

An unusual cause of chronic abdominal pain in a child: thoracic spinal dermoid cyst

2015 ◽  
Vol 15 (11) ◽  
pp. e23-e24 ◽  
Author(s):  
Mustafa Koplay ◽  
Mesut Sivri ◽  
Alaaddin Nayman ◽  
Kazım Serhan Kelesoglu ◽  
Hasan Erdogan
Keyword(s):  
Abdominal Pain ◽  
Dermoid Cyst ◽  
Chronic Abdominal Pain ◽  
Thoracic Spinal

Acute abdominal pain due to spontaneous rupture of the right gastric artery

2014 ◽  
Vol 32 (5) ◽  
pp. 491.e3-491.e4 ◽  
Author(s):  
Seungwoon Choi ◽  
Seokyong Ryu ◽  
Taekyung Kang ◽  
Hyejin Kim ◽  
Sungchan Oh ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Spontaneous Rupture ◽  
Acute Abdominal Pain ◽  
Gastric Artery ◽  
Right Gastric Artery ◽  
The Right

scholarly journals Successful treatment for intra-abdominal bleeding due to spontaneous rupture of huge liver cyst using transcatheter arterial embolization: a case report

2021 ◽  
pp. 242
Author(s):  
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Ct Scan ◽  
Spontaneous Rupture ◽  
Lower Abdominal Pain ◽  
Arterial Embolization ◽  
Liver Cyst ◽  
Rare Presentation ◽  
Liver Cysts ◽  
Abdominal Bleeding

Background: Non-parasitic simple liver cysts are one of the most common benign hepatic lesions. Although most liver cysts are asymptomatic and remain silent throughout the patient’s life, extremely large cysts can become symptomatic by direct compression to adjacent organs. Herein, we report a case of a spontaneously ruptured simple liver cyst, which is a rare presentation of a benign liver cyst. The patient’s liver cyst re-ruptured and was treated with transcatheter arterial embolization (TAE). Case report: A 62-year-old man presented to our hospital complaining of acute-onset lower abdominal pain. He had undergone laparoscopic fenestration of a huge liver cyst in another hospital 2 years prior. Computed tomography (CT) scan showed spontaneous rupture of a large liver cyst. Laparoscopic exploratory laparotomy showed no signs of ongoing intra-abdominal bleeding from the liver cyst; therefore, the operation was completed with peritoneal lavage. The patient was discharged from our hospital on postoperative day 5. Twelve days after the initial presentation, the patient was re-admitted to our hospital complaining of recurrence of lower abdominal pain. CT scan showed an enlargement of the previously ruptured liver cyst, with intra-abdominal bleeding and massive hematoma in the cyst. Extravasation of the cyst’s wall was also detected. Under the diagnosis of intra-abdominal bleeding from the artery in the wall of the huge cyst, emergent TAE was performed. Although the exact spot of extravasation was not detected, the anterior segment branch of the right hepatic artery, which corresponds to extravasation shown on the CT scan, was embolized. The patient was discharged from our hospital after 7 days, and the liver cyst remained stable without abdominal pain for more than 2 months. Conclusions: This case highlights a rare presentation of spontaneous rupture of a liver cyst with massive bleeding and the efficacy of TAE for the conservative treatment of ruptured liver cysts.

scholarly journals A case of successful laparoscopic surgery for chemical panperitonitis following a spontaneous rupture of the ovarian dermoid cyst

2009 ◽  
Vol 25 (2) ◽  
pp. 408-413
Author(s):  
Shimpei Tohjo ◽  
Motofumi Yokoyama ◽  
Kazuko Takagi ◽  
Norihito Yuge ◽  
Yuhko Oshita ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Dermoid Cyst ◽  
Spontaneous Rupture ◽  
Ovarian Dermoid Cyst

scholarly journals Sorafenib, Risk of Bleeding and Spontaneous Rupture of Hepatocellular Carcinoma. A Clinical Case

2011 ◽  
Vol 54 (4) ◽  
pp. 177-179 ◽  
Author(s):  
Ferdinando Rombolà ◽  
Angelo Caravetta ◽  
Francesco Mollo ◽  
Antonio Spinoso ◽  
Lenino Peluso ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Liver Cirrhosis ◽  
Abdominal Pain ◽  
Spontaneous Rupture ◽  
Clinical Case ◽  
Multikinase Inhibitor ◽  
Advanced Hcc ◽  
Risk Of Bleeding ◽  
Good General Condition ◽  
History Of

Spontaneous rupture is a rare and dramatic complication of hepatocellular carcinoma (HCC), burdened by a high mortality. Here we describe a case of a 73-year-old man, who arrived at the ER because of syncope, and acute epigastric and right upper quadrant abdominal pain. He had a history of hepatitis C-related liver cirrhosis and HCC in treatment with sorafenib. The physical examination showed a state of hemorrhagic anemia with the presence of blood in the peritoneal cavity. The patient underwent an urgent liver resection. Thirty days after surgery, he was in good general condition. Sorafenib is a multikinase inhibitor recently introduced in the therapy of patients with advanced HCC. Among the various side effects reported in patients treated with sorafenib, there is a higher risk of bleeding. In conclusion, sorafenib may increase the risk of bleeding and rupture of HCC in susceptible individuals.

scholarly journals Spontaneous rupture of the ovarian vein in association with nutcracker syndrome: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Akihito Yamamoto ◽  
Seiryu Kamoi ◽  
Shunji Suzuki
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Renal Vein ◽  
Spontaneous Rupture ◽  
Left Renal Vein ◽  
Vena Cava ◽  
Vascular Network ◽  
Retroperitoneal Hematoma ◽  
Nutcracker Syndrome ◽  
Ovarian Vein

Abstract Background Nutcracker syndrome is a condition in which the left renal vein is pinched between the abdominal aorta and the superior mesenteric artery, resulting in an increase in renal vein pressure and certain symptoms. We report a very rare case of retroperitoneal hematoma caused by the rupture of varicose veins of the left ovary. Case presentation A 77-year-old Japanese woman, para 7, experienced sudden left lower abdominal pain. She had no history of trauma or treatment complications. Computed tomography revealed a left retroperitoneal hematoma, but her abdominal pain subsided quickly; thus, urgent treatment was not required. We then scheduled her for an assessment regarding the cause of her bleeding. However, 6 days after the pain onset, abdominal pain symptoms recurred, confirming hematoma regrowth. Magnetic resonance imaging and three-dimensional computed tomography revealed an abnormal vascular network from the left side of the uterus to the left adnexa. Subsequent angiography revealed that the retroperitoneal bleeding originated from rupture of the distended left ovarian vein, which caused blood reflux from the left renal vein to the left ovarian vein. Although angiography confirmed a passage between the left renal vein and inferior vena cava, computed tomography showed obvious stenosis in the left renal vein. In accordance with these findings, we diagnosed the cause of the distention and rupture of the left ovarian vein as nutcracker syndrome. She underwent embolization of the left ovarian vein as hemostasis treatment, and had a good course thereafter. Conclusions This is the first report of a spontaneous rupture of the left ovarian vein caused by nutcracker syndrome. Nutcracker syndrome is not yet well known to clinicians and should be considered as part of the differential diagnosis when an abnormal vascular network in the pelvis is found.

Sign in / Sign up

Export Citation Format

Share Document