scholarly journals Tube-ovarian abscess caused by Rothia aeria

2019 ◽  
Vol 12 (8) ◽  
pp. e229017
Author(s):  
Yusuke Taira ◽  
Yoichi Aoki
Keyword(s):  
Abdominal Pain ◽  
Surgical Treatment ◽  
Conservative Treatment ◽  
Ribosomal Rna ◽  
Space Station ◽  
Uterine Cavity ◽  
Lower Abdominal Pain ◽  
Contraceptive Device ◽  
Intrauterine Contraceptive ◽  
Ovarian Abscess

Rothia aeria is a gram-positive amorphous bacillus and was discovered in the Russian space station ‘Mir’ in 1997. It shows phylogenetic similarity to Actinomyces israelii, and as determined using 16 s ribosomal RNA gene analysis R. aeria is classified as a bacteria of the genus Actinomyces. It was found to colonise in the human oral cavity, and there are some infectious reports but none specifies gynaecological infection. A 57-year-old woman, who had been continuously using intrauterine contraceptive device, presented with fever and lower abdominal pain. She was suspected tube-ovarian abscess caused by A. israelii, but the uterine cavity culture revealed R. aeria infection. Considering surgical treatment, conservative treatment by intravenous benzylpenicillin and subsequently oral ampicillin for 6 months improved the abscess, and she has no recurrence for over 1 year.

scholarly journals Laparoscopic retrieval of misplaced copper T

2018 ◽  
Vol 6 (4) ◽  
pp. 1457
Author(s):  
Nishi Gupta ◽  
Sukriti Chandra
Keyword(s):  
Abdominal Pain ◽  
Lower Abdominal Pain ◽  
Uterine Wall ◽  
Pelvic Cavity ◽  
Contraceptive Device ◽  
Family Planning Services ◽  
Intrauterine Contraceptive ◽  
And Migration ◽  
One Year ◽  
Laparoscopic Removal

Intrauterine contraceptive device is important part of family planning services in India. These can be inserted post menstrually, post abortal, post-delivery or in post puerperal period. Associated complications include bleeding, pain, infection, expulsion and most serious complication as perforation of uterine wall and migration to adjacent organs. We present a case of successful laparoscopic retrieval of a misplaced cuT. A 30-year-old female para 2 live 1 presented in SDMH outpatient department with right sided lower abdominal pain since one year. NCCT scan of pelvis showed IUCD in pelvic cavity anteriorly just above urinary bladder. Laparoscopic removal of cuT was done along with tubal recanalization.

scholarly journals Postpartum intrauterine contraceptive device (PPIUCD) insertion: practices and aftermath at tertiary care centre

2018 ◽  
Vol 7 (11) ◽  
pp. 4742 ◽  
Author(s):  
Kanchan Rani ◽  
Nirmal Kumar Pangtey ◽  
Garima Khanna ◽  
Mahima Rani
Keyword(s):  
Abdominal Pain ◽  
Family Planning ◽  
Tertiary Care ◽  
Unmet Need ◽  
Lower Abdominal Pain ◽  
Postnatal Period ◽  
Technical Committee ◽  
Contraceptive Device ◽  
Tertiary Care Centre ◽  
Expulsion Rate

Background: According to USAID/ ACCESS 2009 survey, in India, 65% of women in first year postpartum have an unmet need for family planning. Recommended spacing between birth to next pregnancy is at least 24 months and between abortion to next pregnancy is at least six months (WHO Technical Committee,2006). Pregnancy before 24 months of previous birth increase maternal and perinatal morbidity and mortality. So, during this postnatal period woman must be offered any form of reversible contraceptive. IUCD is most frequently use reversible method of family planning in the world. The aim of present study is to evaluate acceptability safety efficacy and complication of PPIUCD in tertiary care center.Methods: This is a retrospective study conducted at Government Medical College and Hospital in northern India over a period of 1 year from January 2016 to December 2016. Patients were followed up to 6 months period and their complaints and various parameters were analyzed.Results: 219 patients were inserted PPIUCD during 1-year period. Acceptance rate was higher in P2 (51.6%), between 20 to 25 years of age (47.49%) followed by 26 – 30 years of age (38.8%). On follow up 44.3% had no complaints. Most common complaints were lower abdominal pain (15%), missing thread (14.6%) and vaginal discharge (8.2%). 5.48% women came for removal of IUCD. Main cause of removal was pressure from family and lower abdominal pain. Expulsion rate was low (2.74%). There was no case of perforation or failure (pregnancy).Conclusions: During present study authors found that PPIUCD is highly effective, acceptable, safe and with fewer side effects. PPIUCD is especially beneficial in Indian population where accessibility for contraception is lower during interval period and women do not come for contraception during postpartum period.

scholarly journals Successful Reduction of Acute Puerperal Uterine Inversion with the Use of a Bakri Postpartum Balloon

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Akinori Ida ◽  
Koichi Ito ◽  
Yoko Kubota ◽  
Maiko Nosaka ◽  
Hiroshi Kato ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Postoperative Period ◽  
Placenta Accreta ◽  
Uterine Cavity ◽  
Lower Abdominal Pain ◽  
Physiological Saline ◽  
Uterine Inversion ◽  
Successful Induction ◽  
Ultrasonographic Guidance ◽  
Successful Reduction

Uterine inversion is a state wherein the endometrial surface is inverted. Although this condition may be observed in nonpregnant women, it most commonly develops at the time of delivery. In the present case, a 37-year-old woman without any remarkable history developed acute puerperal uterine inversion after the successful induction of labor. Following the delivery, she complained twice of severe lower abdominal pain; subsequently, hemorrhage was noted at the site of partial detachment of the placenta. These findings led to a diagnosis of placenta accreta, and the patient developed a state of shock. A Bakri postpartum balloon was inserted into the uterine cavity under ultrasonographic guidance and was filled with physiological saline for treatment of this condition. With this procedure, the uterine inversion was completely reduced and the hemorrhage was stopped. Moreover, no reinversion was observed in the postoperative period. These findings suggest that a Bakri postpartum balloon can be used to noninvasively reduce uterine inversion and prevent its recurrence.

scholarly journals Haematometra in one half of the uterus or rudimentary horn?

1970 ◽  
Vol 2 (1) ◽  
pp. 59-62
Author(s):  
Suniti Rawal ◽  
Josie Baral ◽  
Meeta Singh ◽  
Samira Khan ◽  
Beemba Shakya ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Key Words ◽  
Uterine Cavity ◽  
Lower Abdominal Pain ◽  
Rudimentary Horn ◽  
Unicornuate Uterus ◽  
Post Operative Period ◽  
Endometriotic Cyst

A unicornuate uterus with functioning and non communicating rudimentary horn is a rare Mullerian abnormality, difficult to diagnose at times usually low in the list of differential diagnosis for pelvic pain and dysmenorrhea. A 22 years P1 presented with severe lower abdominal pain and dysmenorrhoea, following laparotomy that was done for endometriotic cyst of left ovary 7 months back. Radiographic studies revealed the haematometra in the rudimentary horn with normal uterus, right ovary and the tube. Laparotomy with drainage of haematometra and excision of septum along with the reconstruction of uterine cavity was performed thus anatomizing it with the cavity of the rudimentary horn. Both the intra and the post operative period were uneventful. She was discharged on OCP along with the advice to follow up regularly. She is asymptomatic till date. Key words: Endometriosis, haematometra, rudimentary horn doi:10.3126/njog.v2i1.1480 N. J. Obstet. Gynaecol Vol. 2, No. 1, p. 59 - 62 May -June 2007

Ischaemic colitis diagnosed by sigmoidoscopy during pregnancy

2021 ◽  
Vol 14 (5) ◽  
pp. e239975
Author(s):  
Tsubasa Ito ◽  
Kazuki Takasaki ◽  
Minori Takada ◽  
Akira Tomioka
Keyword(s):  
Abdominal Pain ◽  
Conservative Treatment ◽  
Clinical Presentation ◽  
Lower Abdominal Pain ◽  
Good Recovery ◽  
Ischaemic Colitis ◽  
Endoscopic Findings ◽  
Pregnancy And Postpartum ◽  
Intravenous Hydration ◽  
Multidisciplinary Teamwork

A 21-year-old woman visited out hospital for lower abdominal pain and bloody diarrhoea at 19 weeks of pregnancy. Endoscopic findings revealed longitudinal ulcerations with hyperaemia and oedema in the sigmoid colon. These findings and clinical presentation confirmed the diagnosis of ischaemic colitis. Conservative treatment, including fasting and intravenous hydration, was administered, and the patient made a good recovery. After discharge, there was no recurrence during pregnancy and postpartum period. It is important to make early diagnosis and treatment, and multidisciplinary teamwork between obstetricians, gastroenterologist and endoscopist is required.

scholarly journals Bacteriological colonisation of uterine cavity: role of tailed intrauterine contraceptive device.

BMJ ◽  
1981 ◽  
Vol 282 (6271) ◽  
pp. 1189-1191 ◽  
Author(s):  
R A Sparks ◽  
B G Purrier ◽  
P J Watt ◽  
M Elstein
Keyword(s):  
Uterine Cavity ◽  
Intrauterine Contraceptive Device ◽  
Contraceptive Device ◽  
Intrauterine Contraceptive

scholarly journals Study of diagnosis and management of ectopic pregnancy

2019 ◽  
Vol 8 (6) ◽  
pp. 2465
Author(s):  
Seema Patel ◽  
Ajesh Desai
Keyword(s):  
Abdominal Pain ◽  
Surgical Treatment ◽  
Ectopic Pregnancy ◽  
Clinical Presentation ◽  
Lower Abdominal Pain ◽  
Age Group ◽  
Obstetrics And Gynaecology ◽  
Beta Hcg ◽  
Adnexal Pathology ◽  
A Prospective Study

Background: Diagnosis of ectopic pregnancy was frequently missed. Aim of the study was to determine the clinical presentation, and treatment associated with ectopic pregnancy.Methods: This is a prospective study which was carried out at Obstetrics and Gynaecology department, GMERS SOLA civil hospital from August 2017 to October 2018. Total 416 patients were admitted during study period out of them 50 patients diagnosed with ectopic pregnancy were enrolled in the study and information was collected and analysed.Results: 80% patients were between the age group of 21-30 years. 56% patients were nulliparous. Amenorrhea (92%) with lower abdominal pain (94%) is the most common presenting symptom. 26% of patients show typical triad of amenorrhea, abdominal pain and bleeding per vagina. UPT and USG were most commonly performed investigations. 96% cases showed UPT positive. 100% USG showed adnexal pathology. Serum beta-hCG was done in 37 patients as an aid for diagnosis and to decide the line of management. Conservative medical management with Injection MTX was done in 4 patients of which 1 patients required laparotomy later on. Surgical management was done in 90% of patients. Laparoscopic management was done in 54% of cases.Conclusions: Early diagnosis and timely intervention in the form of conservative or surgical treatment will help in reducing the morbidity and mortality associated with ectopic pregnancy.

Tubo-ovarian abscess in non sexually active adolescents

2017 ◽  
Vol 29 (2) ◽  
Author(s):  
Jawaher A. Alsahabi ◽  
Lateefa O. Aldakhil ◽  
Abdulaziz S. Alobaid
Keyword(s):  
Abdominal Pain ◽  
Conservative Treatment ◽  
Conservative Management ◽  
Percutaneous Drainage ◽  
Sexually Active ◽  
Imaging Diagnosis ◽  
Rare Presentation ◽  
Diagnosis And Management ◽  
Aggressive Management ◽  
Ovarian Abscess

Abstract A tubo-ovarian abscess is a rare presentation in non-sexually active adolescents; only 11 cases have been reported in the literature. Variable approaches for diagnosis and management are described. We present a 19-year-old, non-sexually active, medically free girl, who had an abdominopelvic mass with abdominal pain and vomiting followed by fever. She had a confusing presentation of malignancy versus tuberculosis, with the help of imaging, diagnosis and treatment with percutaneous drainage, conservative treatment was achieved. Diagnosis of a tubo-ovarian abscess is difficult in non-sexually active adolescents, a high clinical index of suspicion is important as misdiagnosis may lead to radical and aggressive management, conservative management is possible in many of these patients.

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