scholarly journals The predicting factors for indication of surgery in patients with hemoperitoneum caused by corpus luteum cyst rupture

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Mi Ju Kim ◽  
Hyun Mi Kim ◽  
Won Joon Seong
Keyword(s):  
Corpus Luteum ◽  
Medical Records ◽  
Fluid Collection ◽  
Contrast Extravasation ◽  
Pocket Depth ◽  
Predicting Factors ◽  
Surgery Group ◽  
Cyst Rupture ◽  
Corpus Luteum Cyst ◽  
Total Fluid

AbstractThe aim of the study was to determine the risk factors for surgery in patients with hemoperitoneum caused by corpus luteum cyst rupture. A retrospective review of medical records of 155 patients diagnosed with hemoperitoneum caused by corpus luteum cyst rupture was conducted between January 2010 and March 2015. The patients were divided into two groups: surgical and conservative management. The differences in characteristics between the two groups were compared. The indicators that determine the need of a surgery at the initial visit were also compared between the two groups. Initial hemoglobin level was lower (11.3 ± 1.4 g/dL vs. 12.2 ± 1.2 g/dL; p = 0.007) in the surgery group. There were significant differences in posterior cul-de-sac (PCDS) fluid collection depth (6.2 ± 2.5 cm vs. 4.5 ± 1.6 cm, p = 0.000), total fluid collection depth (8.4 ± 1.8 cm vs. 6.5 ± 2.1 cm, p = 0.000), single deepest pocket depth (6.7 ± 2.2 cm vs. 5.1 ± 1.5 cm, p = 0.006), liver-dome fluid (78.9% vs. 35.6%; p = 0.002), and estimated intrapelvic bleeding amount (325 ± 250 cc vs. 206 ± 146.5 cc, p = 0.002). The extravasation over grade 2 was more often in surgery group (68.4% vs. 30.1%; p = 0.001). PCDS fluid collection depth, the presence of liver-dome fluid, and the severity of contrast extravasation through ultrasonography and computed tomography are good indicators for determining the management of hemoperitoneum resulting from corpus luteum cyst rupture in healthy women.

A Diskogenic Dural Defect is the Reason for the Ventral Location of the Epidural Spinal Fluid Collection Seen in Superficial Siderosis

2021 ◽  
pp. 10.1212/CPJ.0000000000001085
Author(s):  
Neeraj Kumar
Keyword(s):  
Fluid Collection ◽  
Initial Point ◽  
Spinal Fluid ◽  
Superficial Siderosis ◽  
Low Grade ◽  
Dural Defect ◽  
Dynamic Ct ◽  
Contrast Extravasation ◽  
Recent Developments ◽  
Dural Defects

AbstractPurpose of reviewSuperficial siderosis (SS) of the nervous system is often due to a dural pathology. This review focuses on recent developments related to the management of this subgroup of SS patients.Recent findingsThe presence of an epidural ventral spinal fluid collection in patients with SS is a clue to the presence of a diskogenic dural defect. The location of the defect is ascertained by a dynamic CT-myelogram which involves placing the patient in a prone position with hips elevated. This permits gravity assisted preferential ventral localization of the contrast and active scanning during contrast injection facilitates a precise delineation of the initial point of contrast extravasation which localizes the defect.SummaryDiskogenic dural defects are commonly the underlying etiology for SS in patients with a ventral spinal fluid collection. A dynamic CT-myelogram facilitates detection and subsequent repair of these defects which arrests the continued low-grade subarachnoid bleeding.

scholarly journals Effect of some Nigerian traditional alcoholic beverages on the estrous cycle and histological assessment of the ovaries and uterus of albino rats

2021 ◽  
Vol 14 (1) ◽  
pp. 027-036
Author(s):  
Olusayo Moritiwon ◽  
Timothy Olugbenga Ogundeko ◽  
James Bitrus ◽  
David Oyebode ◽  
Olufunmilayo Ibiyemi Abobarin
Keyword(s):  
Corpus Luteum ◽  
Estrous Cycle ◽  
Ovarian Follicle ◽  
Alcoholic Beverages ◽  
Albino Rats ◽  
Histological Image ◽  
Follicular Cyst ◽  
Regular Consumption ◽  
Alcoholic Drinks ◽  
Corpus Luteum Cyst

Alcohol related health challenges have lingered over the years. Such associated with locally brewed alcoholic beverages have received little attention. The urgency to explore this becomes imperative. This study aimed at evaluating the effect of regular consumption of local alcoholic beverages on the estrous cycle and histological image of the ovaries and uterus thus fertility of female albino rats. Thirty screened female albino rats weighing 180-220g were divided into five groups and daily administered each with 10ml/kg of pito, burukutu, ogogoro, goskolo and 0.5ml/kg normal saline respectively for 21 days. Effect of the beverages on the estrous cycle as well as histopathological evaluation was carried out on the isolated ovaries and uterus. Results showed significant increase proestrous phase of the estrous cycle with ingestion of pito, burukutu, ogogorogo and goskolo. Also the histology of the ovary was basically without obvious pathological changes with pito, while there was alteration of histological parameters by burukutu, marked with formation of fibrosis, corpus luteum cyst resulting immature ovarian follicle, ogogoro marked with formation of fibrosis, corpus luteum cyst resulting immature ovarian follicle and goskolo marked with formation of multiple follicular cyst resulting in complete collapse of the ovarian section. The effect of traditional alcoholic beverages revealed the classical effects of alcoholic drinks by way of significant alteration in the estrous cycle of albino rats with marked alteration of the histological architecture of ovarian tissues. Pito, burukutu, ogogoro, and goskolo have a reprotoxic effect on the ovaries and uterus thus a deleterious effect on fertility of female albino rats.

scholarly journals Analysis of Factors Associated with the Severity of Acute Pancreatitis according to Etiology

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Dae Bum Kim ◽  
Woo Chul Chung ◽  
Ji Min Lee ◽  
Kang-Moon Lee ◽  
Jung Hwan Oh ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Medical Records ◽  
Pancreatic Necrosis ◽  
Fluid Collection ◽  
Contributing Factors ◽  
Pancreatic Fluid Collection ◽  
Current Smoking ◽  
Factors Associated ◽  
Pancreatic Fluid ◽  
Index Of Severity

Background. The objective of this study was to determine the factors associated with severity of acute pancreatitis (AP) according to two major etiologies: alcohol and gallstones. Methods. We reviewed the medical records of consecutive patients who were admitted with AP between January 2003 and January 2013. A total of 905 patients with AP (660 alcohol-induced, 245 gallstone-induced) were enrolled. Among them, severe AP (SAP) occurred in 72 patients (53 alcohol-induced, 19 gallstone-induced). Contributing factors between patients with and without SAP were analyzed according to the etiology. Results. Multivariate analysis demonstrated that current smoking, pancreatic necrosis, and bacteremia were associated with AP severity in both alcohol- and gallstone-induced AP. Pancreatic fluid collection was significantly associated with alcohol-induced SAP (p=0.04), whereas dyslipidemia was significantly associated with gallstone-induced SAP (p=0.01). Body mass index was significantly correlated with the Bedside Index of Severity in Acute Pancreatitis score in both alcohol- and gallstone-induced AP (p=0.03 and 0.01, resp.). Conclusions. Current smoking, pancreatic necrosis, and bacteremia can aggravate the clinical course of AP. Pancreatic fluid collection and dyslipidemia were associated with AP severity according to the different etiologies. Obesity may also be associated with AP severity in both etiologies.

scholarly journals A new heterozygous mutation of the FOXL2 gene is associated with a large ovarian cyst and ovarian dysfunction in an adolescent girl with blepharophimosis/ptosis/epicanthus inversus syndrome

2005 ◽  
Vol 153 (3) ◽  
pp. 353-358 ◽  
Author(s):  
K Raile ◽  
H Stobbe ◽  
R B Tröbs ◽  
W Kiess ◽  
R Pfäffle
Keyword(s):  
Corpus Luteum ◽  
Premature Ovarian Failure ◽  
Adolescent Girl ◽  
Ovarian Failure ◽  
Clinical Aspects ◽  
Type I ◽  
Type Ii ◽  
Ovarian Dysfunction ◽  
Corpus Luteum Cyst ◽  
Large Corpus

Blepharophimosis/ptosis/epicanthus inversus syndrome (BPES), an autosomal dominant syndrome in which eyelid malformation is associated with (type I BPES) or without premature ovarian failure (type II BPES). Mutations of a putative winged helix/forkhead transcription factor FOXL2 account for both types of BPES. We report on a 16-year-old adolescent girl with blepharophimosis and ptosis. Subsequently she developed oligomenorrhea, secondary amenorrhea for 6 months, and an extremely large cyst of one ovary. The cyst contained 8 l of cyst fluid and histopathology displayed a large corpus luteum cyst. Following laparotomy, gonadotropin levels were elevated (LH 17.2 U/l, FSH 29.4 U/l) and estradiol levels decreased (67 pmol/l). Because of clinical aspects of BPES and abnormal ovarian function we suspected a mutation of her FOXL2 gene and found a new in-frame mutation (904_939dup36) on one allele, leading to a 12 alanine expansion within the polyalanine domain. We conclude that the FOXL2 mutation 904_939dup36 may account not only for blepharophimosis and ptosis but also for ovarian dysfunction and growth of the large corpus luteum cyst. In contrast to known FOXL2 mutations with polyalanine expansions and association with BPES type II, clinical aspects of our girl may indicate some degree of ovarian dysfunction that might finally lead to BPES type I with premature ovarian failure.

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