scholarly journals Use of POCUS in undifferentiated abdominal pain in elderly adult revealing hydronephrosis and pelvic mass

2022 ◽  
Vol 26 ◽  
pp. 101197
Author(s):  
Margaret Schifano ◽  
Nathan Todd ◽  
Laura Chenevert ◽  
Jimmy Truong
Keyword(s):  
Abdominal Pain ◽  
Pelvic Mass ◽  
Elderly Adult

scholarly journals A rare presentation of benign Brenner tumor of ovary: a case report

2018 ◽  
Vol 7 (7) ◽  
pp. 2971
Author(s):  
Sumathi Periasamy ◽  
Subha Sivagami Sengodan ◽  
Devipriya . ◽  
Anbarasi Pandian
Keyword(s):  
Abdominal Pain ◽  
Ovarian Tumor ◽  
Ovarian Neoplasms ◽  
Pelvic Mass ◽  
Ovarian Tumors ◽  
Pathological Examination ◽  
Rare Presentation ◽  
Brenner Tumor ◽  
Benign Nature ◽  
Brenner Tumors

Brenner tumors are rare ovarian tumors accounting for 2-3% of all ovarian neoplasms and about 2% of these tumors are borderline (proliferating) or malignant. These tumors are commonly seen in 4th-8th decades of life with a peak in late 40s and early 50s. Benign Brenner tumors are usually small, <2cm in diameter and often detected incidentally during surgery or on pathological examination. Authors report a case of a large, calcified benign Brenner tumor in a 55-year-old postmenopausal woman who presented with complaint of abdominal pain and mass in abdomen. Imaging revealed large complex solid cystic pelvic mass -peritoneal fibrosarcoma. She underwent laparotomy which revealed huge Brenner tumor weighing 9kg arising from left uterine cornual end extending up to epigastric region. Myomectomy and hysterectomy with bilateral salphingo oophorectomy, omentectomy done and the specimen was sent for histopathological and immunohistochemistry study which revealed benign Brenner tumor. Brenner tumors are rare ovarian neoplasms accounting for 2-3% of all ovarian tumors. Benign Brenner tumors are usually small and solid whereas borderline and malignant Brenner tumors are usually larger and cystic with solid areas. But it is possible to have a completely benign large Brenner tumor. Therefore, benign nature of the lesion should not be excluded even when the ovarian tumor is very large.

Primary mixed large cell neuroendocrine and high grade serous carcinoma of the endometrium

2020 ◽  
Vol 13 (9) ◽  
pp. e234977
Author(s):  
Liesel Elisabeth Hardy ◽  
Zia Chaudry ◽  
King Wan ◽  
Chloe Ayres
Keyword(s):  
Abdominal Pain ◽  
Neuroendocrine Carcinoma ◽  
Pelvic Mass ◽  
Large Cell ◽  
Serous Carcinoma ◽  
High Grade ◽  
Second Line ◽  
Vaginal Mass ◽  
Loss Of Weight ◽  
Line Chemotherapy

Endometrial large-cell neuroendocrine carcinoma admixed with a high-grade serous (HGS) adenocarcinoma is extremely rare with only one reported case in the literature. We present the second reported case in a 47-year-old woman who presented with abdominal pain, distension and loss of weight. On examination she had a fixed pelvic mass and vascular left vaginal mass. Imaging confirmed a 13 cm solid cystic rectouterine pelvic mass, omental disease and retroperitoneal lymphadenopathy. She underwent a modified posterior exenteration, partial posterior vaginectomy, omentectomy and Hartmanns procedure with suboptimal debulking. Histopathology revealed a stage 4B mixed carcinoma with large cell neuroendocrine (70%) and HGS carcinoma (30%). Eight cycles of adjuvant cisplatin and paclitaxel were given with a complete radiological and biochemical response after 7 months. Unfortunately, she developed widespread recurrence at 9 month and was offered second line chemotherapy.

scholarly journals Giant Ovarian Tumor Presenting as a Huge Abdomino-Pelvic Mass in a Teenage Girl: A Case Report

2021 ◽  
Vol 39 (2) ◽  
pp. 137-141
Author(s):  
Muhammad Jamaluddin ◽  
Hajrah Hilal Ahmed
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Ovarian Tumor ◽  
Abdominal Cavity ◽  
Lower Abdominal Pain ◽  
Pelvic Mass ◽  
Interesting Case ◽  
Ovarian Cysts ◽  
Teenage Girl ◽  
Common Causes

Ovarian cysts are common causes of lower abdominal pain and abdominal distention in females. While most of them are benign and rarely grow immensely to achieve a huge size, they may be neoplastic in origin, reaching enormous dimensions with minimum or without raising any symptoms.Here, we present an interesting case of a 19-year-old female,who presented with huge abdominal swelling and pain in whole abdomen from whom a 9.1 kg borderline mucinous ovarian cyst, occupying the whole abdominal cavity was removed. J Bangladesh Coll Phys Surg 2021; 39(2): 137-141

Acute abdominal pain with a calcified pelvic mass

2003 ◽  
Vol 16 (4) ◽  
pp. 237-241 ◽  
Author(s):  
Jason D Wright ◽  
Matthew A Powell ◽  
Janet S Rader ◽  
John D Pfeifer ◽  
Phyllis C Huettner ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Pelvic Mass

scholarly journals The Rare, Unexpected Condition of a Twisted Leiomyoma in Mayer-Rokitansky-Küster-Hauser (MRKH) Syndrome: Etiopathogenesis, Diagnosis and Management. Our Experience and Narrative Review of the Literature

2021 ◽  
Vol 18 (11) ◽  
pp. 5895
Author(s):  
Federico Romano ◽  
Stefania Carlucci ◽  
Guglielmo Stabile ◽  
Giuseppe Mirenda ◽  
Mariateresa Mirandola ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Medical Practice ◽  
Immunohistochemical Study ◽  
Pelvic Mass ◽  
Narrative Review ◽  
Common Finding ◽  
Review Of The Literature ◽  
Mrkh Syndrome ◽  
Diagnosis And Management ◽  
Frequency Changes

Uterine leiomyomas are a common finding in medical practice, but their frequency changes drastically when contextualized in a syndrome, as in the following case. A 50-year-old woman with a known Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome presented at our clinic with abdominal pain located in the lower quadrants and scarcely responsive to analgesic therapy. A twisted gynecological pelvic mass was diagnosed, and management for prompt resolution was adopted. Histologically the mass was described as a leiomyoma. The aim of the present study is to share our experience and to review the literature to compare different manifestation of the disease and different approach used in the various centers. The additional novelty of the paper is the immunohistochemical study we carried out on the leiomyoma that is contrasted with the current etiopathogenetic theories.

scholarly journals Mitotically active cellular fibroma of the ovary diagnosis and treatment

2021 ◽  
Vol 17 (2) ◽  
pp. 160-166
Author(s):  
Rawan Ahmad Dawoud ◽  
Hind Hamad El-Malik ◽  
Haajra Fatima Fatima ◽  
Mohammed Elamin Faris Faris ◽  
Sanam Al Houda Brich ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Malignant Neoplasm ◽  
Pelvic Mass ◽  
Late Recurrence ◽  
Cystic Mass ◽  
Tumor Type ◽  
Mesenteric Lymph Nodes ◽  
Neoplastic Lesion ◽  
Fibrous Tumor ◽  
Mitotically Active Cellular Fibroma

Mitotically active cellular fibroma (MACF) of the ovary is a relatively newly recognized histological disease entity which explains its scarce reporting in literature and unknown prognosis [1]. In this tumor type, high mitotic activity is noticed without severe atypia. These tumors are categorized as benign ovarian tumors with late recurrence, if any. However, we herein report an unusual case of an ovarian mitotically active atypical fibrous tumor case which presented as recurrence within six months of being operated thereby raising suspicion of an element of malignancy. On presentation, the patient suffered from abdominal pain and abdomino-pelvic mass. After imaging confirmed an ovarian neoplastic lesion patient underwent bilateral salpingo-oophorectomy and hysterectomy. Histopathology defined the lesion as “ovarian mitotically active atypical fibrous tumor”. Six months later, abdominal pain recurred for which imagining was done and confirmed a newly developed well defined irregular complex solid cystic mass causing intestinal obstruction giving an impression of a malignant neoplasm, probably ovarian carcinoma. However, histopathology for the new lesion remained the same as was for the previous mass, i.e. mitotically active ovarian fibroma, but with lung and mesenteric lymph nodes metastases. Patient couldn’t be operated on due to her co-morbid conditions, and the mass was vascular. She was given supportive care with consideration to start hormonal therapy and during this period died due to sepsis. This case highlights the importance of having a high suspicion of the possibility of malignancy when mitotically active cellular fibroma manifests as a recurrence of mass as this tumor may tend to have an uncertain malignant potential. Thereby, stressing the importance of long term follow up even after the primary tumor is surgically treated without any surgical difficulty or tumor rupture [2]. Such tumors need to be followed and reported more often to help understanding the way they behave and their management.

scholarly journals An unusual appearance of the post-pubertal Herlyn-Werner-Wunderlich syndrome with acute abdominal pain: A case report

2019 ◽  
Author(s):  
Marzieh Ghasemi ◽  
Arezoo Esmailzadeh
Keyword(s):  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Pelvic Mass ◽  
Mullerian Duct ◽  
Early Puberty ◽  
Vaginal Septum ◽  
Müllerian Duct ◽  
Uterus Didelphys ◽  
Obstructed Hemivagina ◽  
One Year

Background: Herlyn-Werner-Wunderlich (HWW) syndrome is a rare congenital urogenital defect. It is detected by unilateral low vaginal obstruction, uterus didelphys, and ipsilateral kidney agenesis. It usually becomes apparent with pain, dysmenorrhea, and presence of a vaginal or pelvic mass. Purulent vaginal discharge may also happen rarely because of infective complications of the obstructed hemivagina. In this report, we describe a post-pubertal case with acute abdominal pain. Case: The patient was a 13-yr-old girl who was referred to us with acute abdominal pain one year after the onset of her menarche. In the pelvic examination, we detected hematocolpos. Abdominopelvic-computed tomography scan confirmed the presence of mullerian duct anomalies with uterus didelphys. This case of HWW syndrome along with pyocolpus was managed by vaginal septum resection, drainage of pus, and salpingectomy. Conclusion: The symptoms of HWW syndrome should be monitored in early puberty to prevent more complications. Key words: Herlyn-Werner-Wunderlich syndrome, Uterus didelphys, Kidney agenesis, Mullerian duct anomaly.

Child With Abdominal Pain and a Cystic Pelvic Mass

JAMA Surgery ◽  
2015 ◽  
Vol 150 (7) ◽  
pp. 679
Author(s):  
Matthew M. Boelig ◽  
Pablo Laje ◽  
William H. Peranteau
Keyword(s):  
Abdominal Pain ◽  
Pelvic Mass
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