Clinical features of women with chronic lower abdominal pain and pelvic congestion

1988 ◽  
Vol 95 (2) ◽  
pp. 153-161 ◽  
Author(s):  
R. W. BEARD ◽  
P. W. REGINALD ◽  
JANE WADSWORTH
Keyword(s):  
Abdominal Pain ◽  
Clinical Features ◽  
Lower Abdominal Pain ◽  
Pelvic Congestion

Chronic lower abdominal pain is commonly associated with pelvic congestion syndrome

2016 ◽  
Vol 76 (10) ◽  
Author(s):  
A Jurga-Karwacka ◽  
GM Karwacki ◽  
FD Schwab ◽  
A Schötzau ◽  
C Zech ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Lower Abdominal Pain ◽  
Pelvic Congestion Syndrome ◽  
Pelvic Congestion

scholarly journals Inflammatory Myofibroblastic Tumor of the Urinary Bladder with Atypical Clinical and Pathological Features: a Case Report

2021 ◽  
Author(s):  
Zhu Xingwang ◽  
Wang Yixiang ◽  
Liu Yili
Keyword(s):  
Abdominal Pain ◽  
Urinary Bladder ◽  
Clinical Features ◽  
Inflammatory Myofibroblastic Tumor ◽  
Lower Abdominal Pain ◽  
Partial Cystectomy ◽  
Ki 67 ◽  
Case Presentation ◽  
Anaplastic Lymphoma ◽  
Bladder Dome

Abstract Background: The inflammatory myofibroblastic tumor (IMT) of urinary bladder is very rare, this case and often misdiagnosed as bladder cancer. We report a patient with atypical clinical features with dysuria and lower abdominal pain. Case presentation: A 32-year-old man presented with dysuria and lower abdominal pain. Computed tomography (CT) demonstrated that a solitary non-papillary tumor was located at the wall of the bladder dome. Partial cystectomy was successfully managed. Immunohistochemically, positivity of the tumor cells for anaplastic lymphoma kinase (ALK), Actin (SM), vimentin, cytokine (CK), epithelial membrane antigen (EMA) and Ki-67. Based on the the above clinical features、histopathology and immunohistochemical, the tumor was definitively diagnosed as bladder’s IMT. After 24 months, there was no signs of recurrence and metastasis with CT and cystoscopy.Conclusion: A rare case of inflammatory myofibroblastic tumor of urinary bladder after partial cystectomy was reported. It is essential for urologists and scientists to entirely understand the characteristics of the inflammatory myofibroblastic tumor and make a better clinical guideline, to avoid over treatments.

scholarly journals A forgotten disease: Pelvic congestion syndrome as a cause of chronic lower abdominal pain

PLoS ONE ◽  
2019 ◽  
Vol 14 (4) ◽  
pp. e0213834 ◽  
Author(s):  
Agnieszka Jurga-Karwacka ◽  
Grzegorz M. Karwacki ◽  
Andreas Schoetzau ◽  
Christoph J. Zech ◽  
Viola Heinzelmann-Schwarz ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Lower Abdominal Pain ◽  
Pelvic Congestion Syndrome ◽  
Pelvic Congestion

scholarly journals CLINICOPATHOLOGIC FEATURES OF CERVICAL CANCER PATIENTS SEEN IN A COMPREHENSIVE CANCER CENTRE IN NORTH-WESTERN NIGERIA

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
M. A. Usman ◽  
S. A. Otene
Keyword(s):  
Cervical Cancer ◽  
Weight Loss ◽  
Squamous Cell Carcinoma ◽  
Abdominal Pain ◽  
Cell Carcinoma ◽  
Clinical Features ◽  
Squamous Cell ◽  
Vaginal Bleeding ◽  
Lower Abdominal Pain ◽  
North Western

The purpose of this study was to evaluate the socio-demographic and clinicopathological features of patients with cervical cancer seen in a comprehensive cancer center in North-western Nigeria. It was a six years retrospective study of patients with cervical cancer treated in the Department of Radiotherapy and Oncology, UDUTH, Sokoto. Data was obtained from the patients’ case notes using a semi-structured data extraction form. A total of 220 cases were reviewed for patients whose mean age was 49.9 years (SD ± 11.9); with the age range of 24-87 years. Results show that squamous cell carcinoma was the most common histological type seen in 182(82.7%) of the patients, followed by adenocarcinoma 22(10%) and clear cell carcinoma 9(4.1%). Vaginal bleeding 110(50%), foul-smelling vaginal discharge103 (46.8%), fatigue 67(30.5%), lower abdominal pain 65(20.5%) and weight loss 30(13.6%) were the commonest clinical features. 176(80%) patients presented late stages (IIB – IVB) of cervical cancer. Concluding, most of the women with cervical cancer presented with features of vaginal bleeding or foul-smelling vaginal discharge, weight loss, fatigue and lower abdominal pain, with commonest histological categorization being squamous cell carcinoma. Late presentation of the disease was obviously observed in most of the cases diagnosed. The clinical features of cervical cancer identified in the cases reviewed are indicators of advanced disease. Thus, it is imperative that advocacy for cervical cancer screening should be stepped up in order to ensure early detection and prevent the progression of the disease to advanced stages.

Local blood volume changes in women with pelvic congestion measured by applied potential tomography

1991 ◽  
Vol 81 (3) ◽  
pp. 401-404 ◽  
Author(s):  
D. Clive Thomas ◽  
Frank J. McArdle ◽  
Vera E. Rogers ◽  
Richard W. Beard ◽  
Brian H. Brown
Keyword(s):  
Abdominal Pain ◽  
Blood Volume ◽  
Lower Abdominal Pain ◽  
Applied Potential ◽  
Volume Changes ◽  
Control Subjects ◽  
Applied Potential Tomography ◽  
The Difference ◽  
Normal Women ◽  
Pelvic Congestion

1. Applied potential tomography is a new, noninvasive technology for observing changes in blood volume. We have used it to study 12 women with lower abdominal pain caused by pelvic congestion, and 15 control subjects. 2. A significant increase in blood volume of 1.8% was observed in the pelvis of women with congestion when changing from the supine to the erect position, and of 2.7% in the control subjects (P< 0.0002). The difference between the groups was not significant. 3. The distribution of the area over which blood volume changes took place was significantly different between the two groups (P< 0.002). More of the posterolateral part of the pelvis was involved in women with pelvic congestion than in the control subjects. 4. Applied potential tomography distinguishes between normal women and those having pelvic congestion with a specificity of 87% and a sensitivity of 75%.

scholarly journals Pyometra: An Atypical Cause of Abdominal Pain

2021 ◽  
Vol 9 ◽  
pp. 232470962110224
Author(s):  
Leonidas Walthall ◽  
Marc Heincelman
Keyword(s):  
Abdominal Pain ◽  
Vaginal Discharge ◽  
Elderly Women ◽  
Lower Abdominal Pain ◽  
Endometrial Biopsy ◽  
Laboratory Evaluation ◽  
Inpatient Service ◽  
Gynecologic Malignancy ◽  
Intravenous Contrast ◽  
Lower Quadrant

Pyometra, a purulent infection of the uterus, is a rare cause of a very common complaint—abdominal pain. Risk factors include gynecologic malignancy and postmenopausal status. The classically described presentation includes abdominal pain, fever, and vaginal discharge. In this article, we present an atypical presentation of nonperforated pyometra in an 80-year-old female who was admitted to the internal medicine inpatient service. She initially presented with nonspecific subacute right lower quadrant abdominal pain. Physical examination did not demonstrate vaginal discharge. Laboratory evaluation failed to identify an underlying etiology. Computed tomography scan of the abdomen and pelvis with oral and intravenous contrast demonstrated a 6.5 × 6.1 cm cystic containing structure within the uterine fundus, concerning for a gynecologic malignancy. Pelvis ultrasound confirmed the mass. Endometrial biopsy did not reveal underlying malignancy, but instead showed frank pus, leading to the diagnosis of pyometra. This report illustrates that pyometra should be considered in the differential diagnosis of lower abdominal pain in elderly women.

scholarly journals Successful treatment of recurrent volvulus in the afferent limb of the pouch following proctocolectomy for ulcerative colitis: a case report

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Michio Itabashi ◽  
Yoshiko Bamba ◽  
Hisako Aihara ◽  
Kimitaka Tani ◽  
Ryousuke Nakagawa ◽  
...  
Keyword(s):  
Ulcerative Colitis ◽  
Abdominal Pain ◽  
Lower Abdominal Pain ◽  
Anterior Wall ◽  
Middle Part ◽  
Presacral Space ◽  
Previous Surgery ◽  
Afferent Limb ◽  
Radiographic Findings ◽  
Oral Side

Abstract Background Pouch volvulus after proctocolectomy for ulcerative colitis is a very rare postoperative complication. The common site of pouch volvulus has been reported to be the ileal pouch–anal anastomosis and the middle part of the pouch, but no reports on pouch volvulus in the afferent limb of the pouch have been observed. Here, we report the case of a patient with afferent limb volvulus who underwent afferent limbpexy, but required reoperation 7 months later. Case presentation A 38-year-old man with refractory ulcerative colitis had undergone open proctocolectomy 10 years ago at another hospital. He had been aware of lower abdominal pain and bowel movement difficulty for 2 years. After repeated bowel obstruction, he was referred to our hospital for surgery. Based on the radiographic findings, we diagnosed a pouch volvulus and performed an operation. Laparoscopically, counterclockwise rotation of the afferent limb of the pouch was recognized. Moreover, the ileal mesentery was adhered and fixed to the presacral space 20 cm from the oral side of the pouch. The antimesenteric side of the afferent limb was fixed using interrupted stiches on the left peritoneal wall of the pelvis. He was discharged uneventfully 18 days after surgery, and defecation improved immediately. However, he was readmitted 7 months after surgery with the same abdominal pain and defecation difficulty. A similar finding was found and diagnosed as recurrent volvulus. Therefore, we performed a laparoscopic surgery. The same volvulus as in the previous surgery was confirmed. The site fixed during the previous surgery showed scars, but the afferent limb was free. The dilated ileum that contained the volvulus was excised only on the oral side of the pouch and an intraluminal anastomosis was performed on the anterior wall of the pouch. He had a good postoperative course and was discharged. Conclusion Proper diagnosis of volvulus based on the characteristic imaging findings is important. In principle, bilateral row fixation of the rotated ileum is the basic procedure for volvulus. However, fixation with this technique is sometimes difficult. Therefore, this procedure is one of the useful options for the fixation of difficult or recurrent cases.

scholarly journals Spontaneous Perinephric Urinoma Secondary to Drug Induced Acute Interstitial Nephritis: A Case Report

2021 ◽  
Author(s):  
Rajesh Kumar Varatharajaperumal ◽  
Rupa Renganathan ◽  
V Mangalakumar ◽  
Sriman Rajasekaran ◽  
Venkatesh Kasi Arunachalam
Keyword(s):  
Abdominal Pain ◽  
Interstitial Nephritis ◽  
Lower Abdominal Pain ◽  
Acute Interstitial Nephritis ◽  
Computed Tomography Scan ◽  
Drug Induced ◽  
Significant Deterioration ◽  
Loin Pain ◽  
Tomography Scan ◽  
Collecting System

AbstractUrinoma is defined as the extravasation of urine from any part of the urinary collecting system, which causes lipolysis of the surrounding fat, resulting in an encapsulated collection. The most common cause of urinoma is the direct obstruction of the urinary system. The other etiologies include trauma and postinstrumentation/surgery. Parenchymal cause for spontaneous urinoma is exceedingly rare. We present a case of a 30-year-old gentleman who presented with lower abdominal pain and was treated with a Diclofenac injection. The pain got better temporarily, but he presented again with right loin pain after 3 days. His computed tomography scan images revealed bilateral perinephric urinoma. As there was significant deterioration of renal function, he underwent a renal biopsy. The histopathology was reported as acute interstitial nephritis (AIN). Drug-induced AIN is very rarely presented with acute loin or abdominal pain due to spontaneous perinephric urinoma, as it was seen in our case.

scholarly journals Roberts uterus: a rare congenital anomaly

2017 ◽  
Vol 6 (12) ◽  
pp. 5657
Author(s):  
Nagendra Sardeshpande ◽  
Pratima Chipalkatti ◽  
Jainesh Doctor
Keyword(s):  
Congenital Anomaly ◽  
Abdominal Pain ◽  
Adnexal Mass ◽  
Lower Abdominal Pain ◽  
Uterine Horn ◽  
Transabdominal Ultrasound ◽  
Septate Uterus ◽  
Bicornuate Uterus ◽  
Rare Congenital Anomaly ◽  
Hysteroscopic Resection

A 23-year-old girl presented with severe cyclical lower abdominal pain during menstruation since menarche, which had increased since the last 4 years. Transabdominal ultrasound showed adnexal mass with no internal vascularity; MRI reported it as bicornuate uterus with one non-communicating right uterine horn with haematometra. On hysteroscopy there was evidence of septate uterus communicating only to the left ostia. Ultrasonography-guided hysteroscopic resection of septa with drainage of haematometra was done. Patient is presently asymptomatic.

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