scholarly journals Diagnostic laparoscopy in the management of lower abdominal pain in female patients presenting on an acute surgical take

2013 ◽  
Vol 11 (8) ◽  
pp. 708
Author(s):  
S.L. Lockwood ◽  
A. Zafar ◽  
B.P. Dromey ◽  
J.E. Hartley
Keyword(s):  
Abdominal Pain ◽  
Diagnostic Laparoscopy ◽  
Lower Abdominal Pain ◽  
Female Patients

scholarly journals LAPAROSCOPY;

2012 ◽  
Vol 19 (01) ◽  
pp. 033-039
Author(s):  
NAZIA MUSSARAT ◽  
SIAMA QURESHI ◽  
AWAIS SHUJA ◽  
Mehnaaz Roohi
Keyword(s):  
Abdominal Pain ◽  
Gold Standard ◽  
Open Surgery ◽  
Diagnostic Laparoscopy ◽  
Data Entry ◽  
Lower Abdominal Pain ◽  
Descriptive Study ◽  
Lower Abdomen ◽  
Patient Case ◽  
Polycystic Ovarian Disease

Introduction: Diagnostic Laparoscopy is considered to be the gold standard for the evaluation of the pelvis and is considered asafe procedure. Diagnostic Laparoscopy is a technique in the routine investigation and treatment of infertility as well as other gynecologicalproblems. Objectives: To determine, Laparoscopic findings in different gynecological conditions, different causes of infertility andcomplications of laparoscopy Design: Retrospective, descriptive study. Material And Methods: We reviewed case records of all patients whounderwent laparoscopy for their different Gynecological problems. Data were collected from patient case records in a data entry sheet Results:In our study a total of Thirty patients under went laparoscopy for investigation of different gynecological problems. There were 17 patients whohave primary infertility and 6 have secondary infertility while 7 presented with Lower abdominal pain. In our study the leading cause of primaryinfertility was Polycystic Ovarian Disease(29%).Other causes were bilateral tubal blockade (23.53 %) ,17% has PID and fibroid uteri, While onepatients shown Endometriosis as well as one patient had no obvious pathology.(5.88 %).On laparoscopic examination of secondaryinfertility 50% shown Tubal blocked while 16.67 shown Fibroid uterus and PID.One patient had normal pelvic findings(16.67). Regardingpatients presented with pain lower abdomen 57.15% has ovarian cyst,28.58% has Ectopic pregnancy while one case(14.29%) had hetrotropicpregnancy. In 24 patients had no complication and recovery was smooth. laparoscopy had to be converted into Laparotomy due to significanthemorrhage in two patient and wound infection was observed in two patients. One patient presented with post operative fever and onepresented with abdominal pain. Conclusions: Laparoscopy is a valuable diagnostic tool for females in different gynecological problems. Thebenefit of the laparoscopy to open surgery include less pain, less scarring, less disability and quicker recovery.

scholarly journals Erratum: Chronic Appendicitis: Diagnostic Dilemma in Female Patient for Recurrent Lower Abdominal Pain. J Shaheed Suhrawardy Med Coll Vol. 10 No. 1, June 2018 Page - 59-61

2019 ◽  
Vol 10 (2) ◽  
pp. 83-85
Author(s):  
Khairun Nahar ◽  
SM Amjad Hossain ◽  
Ashia Khatun
Keyword(s):  
Abdominal Pain ◽  
Female Patient ◽  
Lower Abdominal Pain ◽  
Clinical Feature ◽  
Pathology Report ◽  
Repeated Treatment ◽  
Diagnostic Dilemma ◽  
Chronic Appendicitis ◽  
Female Patients

Erratum: Chronic Appendicitis: Diagnostic Dilemma in Female Patient for Recurrent Lower Abdominal Pain J Shaheed Suhrawardy Med Coll Vol. 10 No. 1, June 2018 Page - 59-61 The author of this article brought attention to publishers that this is an original article an previous issue Vol. 10 No. 1, June 2018 Page - 59-61 it was published as a Case report. These error have been corrected to enhance credibility to readers and the article has been published in this issue of J Shaheed Suhrawardy Med Coll --------------------------------------------------------------------------------------------------------------------------------------------------------- Background: Many female patients presented to gynecologist with chronic lower abdominal pain, suspecting chronic PID or UTI, but found no improvement inspite of repeated treatment. It remains as diagnostic dilemma for gynaecologist. Proper diagnosis ultimately shows that it is a case of chronic appendicitis. The main purpose of this study was to evaluate the clinical feature of chronic appendicitis and its correlation with operative and histological findings & to create alertness of physicians and prevention of later complication. Methods: This cross-sectional study was carried out in female patients in private practice from January 2014 to December 2017.All patientswho complained frequent attacks of pain in their right lower abdomen were included in our study. The patient’s history, clinical and lab findings were closely evaluated. All the patients underwent appendectomy and all their appendices were histopathologically examined. Chronic appendicitis was ruled in with a positive pathology report confirming chronic inflammation. All the patients referred for their follow-up visits in a period of one year. Results: A total100 female patients were studied.66% patient were in age group 26 to35 years.87% patients were multiparous. Duration of pain varied from 2weeks to 2.5 years. Histopathology report confirmed chronic appendicitis in 96% cases. From them 94% cases expressed complete relief of pain following removal in the follow-up visit. Conclusion: Chronic appendicitis seems to be a cause of recurrent lower abdominal pain. The disease is easily cured by appendectomy. J Shaheed Suhrawardy Med Coll, December 2018, Vol.10(2); 83-85

scholarly journals Chronic Appendicitis: Diagnostic Dilemma in Female Patient for Recurrent Lower Abdominal Pain

2018 ◽  
Vol 10 (1) ◽  
pp. 59-65
Author(s):  
Khairun Nahar ◽  
SM Amjad Hossain ◽  
Ashia Khatun
Keyword(s):  
Abdominal Pain ◽  
Lower Abdominal Pain ◽  
Clinical Feature ◽  
Complete Relief ◽  
Pathology Report ◽  
Repeated Treatment ◽  
Diagnostic Dilemma ◽  
Chronic Appendicitis ◽  
Female Patients

Background: Many female patients presented to gynecologist with chronic lower abdominal pain, suspecting chronic PID or UTI, but found no improvement inspite of repeated treatment. It remains as diagnostic dilemma for gynaecologist. Proper diagnosis ultimately shows that it is a case of chronic appendicitis. The main purpose of this study was to evaluate the clinical feature of chronic appendicitis and its correlation with operative and histological findings & to create alertness of physicians and prevention of later complication.Methods: This cross-sectional study was carried out in female patients in private practice from January 2014 to December 2017.All patientswho complained frequent attacks of pain in their right lower abdomen were included in our study. The patient’s history, clinical and lab findings were closely evaluated. All the patients underwent appendectomy and all their appendices were histopathologically examined. Chronic appendicitis was ruled in with a positive pathology report confirming chronic inflammation. All the patients referred for their follow-up visits in a period of one year.Results: A total100 female patients were studied.66% patient were in age group 26 to35 years.87% patients were multiparous. Duration of pain varied from 2weeks to 2.5 years. Histopathology report confirmed chronic appendicitis in 96% cases. From them 94% cases expressed complete relief of pain following removal in the follow-up visit.Conclusion: Chronic appendicitis seems to be a cause of recurrent lower abdominal pain. The disease is easily cured by appendectomy.J Shaheed Suhrawardy Med Coll, June 2018, Vol.10(1); 59-61

A prospective observational study of the utility of early diagnostic laparoscopy for right lower abdominal pain: a safe and effective diagnostic and therapeutic tool

2019 ◽  
Vol 64 (2) ◽  
pp. 49-55
Author(s):  
Graeme JK Guthrie ◽  
Thomas Johnston ◽  
Anne Ewing ◽  
Russell Mullen ◽  
Stuart A Suttie ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Diagnostic Laparoscopy ◽  
Negative Impact ◽  
Iliac Fossa ◽  
Lower Abdominal Pain ◽  
Emergency Setting ◽  
Positive Finding ◽  
Therapeutic Tool ◽  
Surgical Trainees ◽  
Early Diagnostic

Background and aims Diagnostic laparoscopy is commonly performed for diagnosis of right lower abdominal pain and its use is increasing in the emergency setting. Some studies have reported that diagnostic laparoscopy and laparoscopic appendicectomy have advantages over conventional surgery. Many emergency surgeons now perform diagnostic laparoscopy for both clinically diagnosed appendicitis and when the diagnosis is in doubt. The aim of the present study was to assess whether the use of diagnostic laparoscopy is justified and safe for those admitted with right lower abdominal pain. Methods and results Data were collected prospectively on consecutive patients attending the acute surgical receiving unit with right iliac fossa pain or a suspected diagnosis of acute appendicitis. A total of 284 patients underwent diagnostic laparoscopy. Of them 233 (82%) had a positive finding at laparoscopy, 207 (88%) underwent appendicectomy, the majority of which were carried out laparoscopically. Surgical trainees performed the majority of operations and this did not have a negative impact on operative findings (p 0.856), operation performed (0.642), or operative duration (0.831). No intra-operative complications were sustained. Ultrasound examination was carried out in 49 patients, while CT was carried out in 24. Conclusion The results of the present study highlight the utility of early diagnostic laparoscopy as both a diagnostic and therapeutic tool in the acute setting.

scholarly journals Cryptomenorrhea Secondary to Past Childhood Pelvic Trauma in Young Adolescent Girls: Case Series

2019 ◽  
Vol 01 (03) ◽  
pp. 119-121
Author(s):  
Syeda Batool Mazhar ◽  
Javeria Mumtaz ◽  
Qurratulain Saeed ◽  
Farzana Nawaz
Keyword(s):  
Abdominal Pain ◽  
Urinary Retention ◽  
Adolescent Girls ◽  
Diagnostic Laparoscopy ◽  
Case Series ◽  
Lower Abdominal Pain ◽  
Pelvic Trauma ◽  
Young Adolescent ◽  
Primary Amenorrhea ◽  
Detailed History

Primary amenorrhea secondary to childhood pelvic trauma is very rare. We report two cases of adolescent girls with cryptomenorrhoea. Case 1 presented at 14 years of age with primary amenorrhea and cyclical lower abdominal pain for 1 year. She was run over by a tractor when she was three years old. Ultrasonography pelvis showed hematometra. Examination under anesthesia with diagnostic laparoscopy proceed laparotomy revealed uterine avulsion at level of isthmus. The second case presented at 13 years of age with urinary retention. Catheterization was not possible due to malpositioning of urethra so suprapubic catheterization was performed by urologists. Ultrasonography pelvis revealed hematocolpos. Detailed history revealed run over injury by a vehicle when she was two years old. Examination under anesthesia showed obstruction due to adhesions high up in vagina which were divided.

Lower abdominal pain in young women and diagnostic laparoscopy

2000 ◽  
Vol 70 ◽  
pp. E22-E22
Author(s):  
H. Yesilyurt ◽  
H. Yalçm ◽  
P. Moröy ◽  
T. Var ◽  
Z. Yilmaz ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Young Women ◽  
Diagnostic Laparoscopy ◽  
Lower Abdominal Pain

scholarly journals Concurrent ruptured endometrioma with appendiceal endometriosis: a case report

2017 ◽  
Vol 6 (6) ◽  
pp. 2611
Author(s):  
Priyanka Pipara ◽  
Ramna Banerjee
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Chronic Pelvic Pain ◽  
Diagnostic Laparoscopy ◽  
Acute Abdominal Pain ◽  
Histopathological Examination ◽  
Uterine Cavity ◽  
Lower Abdominal Pain ◽  
Reproductive Age ◽  
Common Cause

Endometriosis is an oestrogen dependent inflammatory disease characterised by presence of endometrial tissue outside the uterine cavity. It affects 15% of female patients in reproductive age. Endometriosis is a very common cause of chronic pelvic pain and subfertility in females. We present a case of a 26-year-old woman with chronic lower abdominal pain on medical management of endometriosis. She presented to us with acute abdominal pain and underwent diagnostic laparoscopy. During surgery, we observed minimal haemoperitoneum with frozen pelvis. The appendix appeared slightly inflamed and an appendicectomy with adhesiolysis was done. The histopathological examination showed endometriosis of appendix. Her postoperative period was uneventful. The patient has been followed up postoperatively and is currently doing well.

scholarly journals Torsion hematosalpinx concurrent with acute appendicitis

2021 ◽  
Vol 10 (10) ◽  
pp. 3973
Author(s):  
Vishwa G. Kanabar ◽  
Ravi N. Kotecha ◽  
Ramesh Thakan
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Fallopian Tube ◽  
Diagnostic Laparoscopy ◽  
Iliac Fossa ◽  
Lower Abdominal Pain ◽  
Acute Onset ◽  
Cystic Mass ◽  
Diagnostic Dilemma ◽  
Ovarian Pathology

Isolated fallopian tube torsion is very rare which is reported to be 1 in 1.5 million women. Fallopian tube torsion is commonly associated with hydrosalpinx, hematosalpinx or paratubal cysts such as hydatids of Morgagni. Fallopian tube torsion generally presents a diagnostic dilemma because symptoms and signs mimics ovarian torsion such as acute lower abdominal pain, vomiting, tenderness on palpation but ultrasound may show normal ipsilateral ovary. Right sided adnexal torsion may be difficult to differentiate from acute appendicitis clinically. In such cases ultrasound is helpful but diagnostic laparoscopy is gold standard. We encountered a rare case of torsion hematosalpinx concurrent with acute appendicitis. Patient was presented with acute onset severe lower abdominal pain associated with vomiting and tenderness in right iliac fossa. It was diagnosed as acute tip appendicitis and right adnexal cystic mass either hydrosalpinx/hematosalpinx in ultrasonography. Laparoscopy was done and it was found to be right sided torsion hematosalpinx along with inflamed tip of appendix. Right sided salpingectomy and appendicectomy was done laparoscopically. Fallopian tube torsion should be suspected and diagnostic laparoscopy should be considered in cases of acute onset lower abdominal pain in which ovarian pathology was not found in ultrasonography, that helps in earlier intervention and even in early cases fallopian tube can be salvaged.

scholarly journals A Case Series on Epiploic Appendagitis: An Underdog in Acute Abdomen

2021 ◽  
Author(s):  
Tharun Ganapathy Chitrambalam ◽  
Pradeep Joshua Christopher ◽  
Sudha Kanthasamy ◽  
Jeyakumar Sundaraj
Keyword(s):  
Abdominal Pain ◽  
Diagnostic Laparoscopy ◽  
Clinical Presentation ◽  
Acute Abdominal Pain ◽  
Case Series ◽  
Lower Abdominal Pain ◽  
Surgical Excision ◽  
Epiploic Appendagitis ◽  
Common Causes ◽  
Epiploic Appendage

Epiploic appendagitis is an uncommon yet a significant surgical diagnosis that every surgeon should be aware. It occurs due to the torsion of the epiploic appendage which gives rise to acute abdominal pain that can mimic other common causes of acute abdominal pain like appendicitis or cholecystitis. The treatment of epiploic appendagitis depend on clinical presentation, severity and it varies from conservative management to surgical excision. This case series is about eight patients presented with complaints of lower abdominal pain. After clinical examination they were initially diagnosed to have appendicitis or diverticulitis. The Computed Tomography (CT) -based diagnoses were appendicitis, omental infarct, diverticulitis or epiploic appendagitis. All of them were subjected to diagnostic laparoscopy and found to have an inflammed epiploic appendage which was excised laparoscopically.

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