scholarly journals INFECTED MYOMA COMPLICATING PREGNANCY: CAESAREAN SECTION FOLLOWED BY TOTAL ABDOMINAL HYSTERECTOMY

BMJ ◽  
1925 ◽  
Vol 2 (3380) ◽  
pp. 647-648 ◽  
Author(s):  
H. R. Spencer
Keyword(s):  
Caesarean Section ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy

scholarly journals Iatrogenic bladder injury: A single institution’s ten-year experience in treatment and outcome 1999-2009, Kuala Lumpur, Malaysia

2011 ◽  
pp. 215-218
Author(s):  
Christopher CK Ho ◽  
Hans Alexander ◽  
Praveen Singam ◽  
Lee Boon Cheok ◽  
Zulkifli MD Zainuddin
Keyword(s):  
Caesarean Section ◽  
Retrospective Review ◽  
Enterocutaneous Fistula ◽  
Case Series ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Caesarian Section ◽  
Bladder Injury ◽  
Absorbable Sutures ◽  
Bladder Injuries

Introduction: This case series is a retrospective review of iatrogenic bladder injuries treated at our institution Universiti Kebangsaan Malaysia, Medical Centre, over a ten-year period, from 1999 to 2009. Materials and methods: A retrospective review of the operating theater database yielded the names and registration numbers of patients who underwent operative repair of bladder injuries. Patients who sustained bladder injuries due to non-surgical reasons (such as traumatic bladder injuries due to pelvic fractures, blunt trauma or penetrating injuries to the pelvis) were excluded. Results: There were 12 cases of iatrogenic bladder injury treated during this time. A total of eight injuries occurred during gynaecological surgery. Five injuries occurred during lower segment caesarean section, two injuries during total abdominal hysterectomy and bilateral salpingo-oopherectomy, and a single injury during Burch colposuspension. Four out of the five injuries during caesarian section had a history of previous caesarian section. Of the four remaining non-gynaecological related injuries, two injuries occurred during hernioplasty, one during exploration of an enterocutaneous fistula and the other was during laparoscopic appendicectomy. Conclusion: Iatrogenic bladder injury should be anticipated in patients undergoing caesarean section who have had multiple previous caesarean sections. Iatrogenic injuries should be identified intra-operatively to enable early repair and the best outcome. These injuries were adequately assessed by ascending cystography. Continuous repair with absorbable sutures together with perivesicle drainage and bladder catheterization produces good outcome.

scholarly journals Leiomyosarcoma in pregnancy: Incidental finding during routine caesarean section

2021 ◽  
Vol 4 (3) ◽  
pp. 092-095
Author(s):  
Tang Toon Wen ◽  
Jessie Phoon Wai Leng
Keyword(s):  
Caesarean Section ◽  
Reproductive Tract ◽  
Incidental Finding ◽  
Elective Caesarean Section ◽  
Breech Presentation ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Female Reproductive Tract ◽  
Uterine Leiomyosarcoma ◽  
In Pregnancy

Uterine leiomyosarcoma (LMS) is uncommon tumour arising from the female reproductive tract. Incidence of LMS in pregnancy is extremely rare, with only 10 cases reported thus far in medical literature. We present a case of myomectomy performed during elective caesarean section for breech presentation, due to its easy accessibility and well contracted uterus. Subsequent histology revealed LMS on final specimen. Patient subsequently underwent total abdominal hysterectomy, bilateral salpingo-oophorectomy. No chemotherapy was given as she opted for close clinical- radiological monitoring instead. This case report highlights the importance of discussion with patients regarding the risk of occult malignancy in a fibroid uterus. Appropriate management of uterine leiomyosarcoma in pregnancy remains unclear. Consideration of removing an enlarging leiomyoma during caesarean section might be ideal in view of its malignant potential, just like in this case; however, location of the tumour and risk of bleeding needs to be weighed. Ultimately, management of such cases needs proper discussion between obstetrician and the patient.

scholarly journals Incidental Diagnosis of Ovarian Mucinous Cyst Adenocarcinoma during Emergency Caesarean Section - A Case Report

1970 ◽  
Vol 24 (1) ◽  
pp. 32-35
Author(s):  
Salma Sultana
Keyword(s):  
Caesarean Section ◽  
Tamil Nadu ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Emergency Caesarean Section ◽  
Mucinous Cystadenocarcinoma ◽  
Obstructed Labor ◽  
Medical College ◽  
Emergency Caesarean ◽  
Mucinous Cyst

Mucinous cystadenocarcinoma contribute about 10 to 20 % of epithelial carcinoma ovaries. A large Mucinous cystadenocarcinoma about 15kg weight and about 25cm×15cm×10cm size was found during emergency caesarean section due to obstructed labor in a primi gravida with term pregnancy. Right sided salpingo-ovariotomy with the mass was done. Per-operative no evidence of metastasis, other ovary was healthy. Histopathological report confirmed the diagnosis of well differentiated mucinous cystadenocarcinoma .The patient was referred to the National Institute of Cancer Research & Hospital, Mohakhali, Dhaka. She was treated with 3 cycles chemotherapy (Inj.paclotaxel 250mg. 01+Inj.carboplatin 450mg×02 for 4 days 1st week, 3 days 2nd week, 2 days 3rd week). 3 months later, the patient was treated in Christian Medical College Vellore, Tamil Nadu, India, where interval debulking (total abdominal hysterectomy, left sided salpingo-oophorectomy with infra colic omentectomy) was done and another same 3 cycles chemotherapy was given. Further follow up in the same institute in India after 6 months revealed no abnormalities (C.T scan of the abdomen and pelvis -no evidence of intra abdominal adenopathy). Now the patient is symptom free for about two years (Last visit 3 months back). Key words: Mucinous cystadenocarcinoma; caesarean section; primi gravida; salpingooophorectomy; chemotherapy. DOI: 10.3329/bjog.v24i1.6325 Bangladesh J Obstet Gynaecol, 2009; Vol. 24(1) 32-35

scholarly journals Subinvolution of the placental site as the cause of hysterectomy in young woman

2021 ◽  
Vol 14 (2) ◽  
pp. e238945
Author(s):  
Olga Triantafyllidou ◽  
Stavroula Kastora ◽  
Irini Messini ◽  
Dimitrios Kalampokis
Keyword(s):  
Young Woman ◽  
Young Women ◽  
Postpartum Haemorrhage ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Retained Products Of Conception ◽  
Products Of Conception ◽  
Fertility Sparing ◽  
Placental Site ◽  
Retained Products

Subinvolution of placental sites (SPSs) is a rare but severe cause of secondary postpartum haemorrhage (PPH). SPS is characterised by the abnormal persistence of large, dilated, superficially modified spiral arteries in the absence of retained products of conception. It is an important cause of morbidity and mortality of young women. In this study, we present a case of secondary PPH in a young woman after uncomplicated caesarean delivery who was deemed clinically unstable, and finally, underwent emergent total abdominal hysterectomy. We reviewed the literature with an emphasis on the pathophysiology of this situation. Treatment of patients with SPS includes conservative medical therapy, hysterectomy and fertility-sparing percutaneous embolotherapy.

scholarly journals Large cervical fibroid: a rare case report

2019 ◽  
Vol 8 (8) ◽  
pp. 3414
Author(s):  
Sunanda N.
Keyword(s):  
Uterine Fibroids ◽  
Total Abdominal Hysterectomy ◽  
Large Mass ◽  
Abdominal Hysterectomy ◽  
Reproductive Age ◽  
Pelvic Tumors ◽  
Rare Case Report ◽  
Tender Mass ◽  
Restricted Mobility ◽  
Reproductive Age Group

Although leiomyomas are the most common pelvic tumors presenting in the reproductive age group, cervical fibroids are rare accounting for 2% of all uterine fibroids. We report a case of 40 year old lady presenting with a firm, non-tender mass of 22-24 weeks size pregnant uterus with restricted mobility. Laparotomy showed a large mass arising from the anterior lip of cervix, with a small uterus pushed posteriorly. Enucleation followed by total abdominal hysterectomy was done. Large cervical fibroids are rare, presenting with surgical difficulties. Careful dissection by expert hands is needed in the management of such cases. 

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