Massive ovarian edema associated with ovarian serous cystadenoma: a case report and review of the literature

2006 ◽  
Vol 16 (Suppl 1) ◽  
pp. 326-330
Author(s):  
W. E. Khalbuss ◽  
B. Dipasquale
Keyword(s):  
Lower Abdominal Pain ◽  
Single Layer ◽  
Serous Cystadenoma ◽  
Cystic Mass ◽  
Ovarian Neoplasm ◽  
Solid Mass ◽  
Outer Cortex ◽  
First Case ◽  
Massive Ovarian Edema ◽  
Computed Tomography Scanning

Massive ovarian edema is a rare entity that can be confused with an ovarian neoplasm. A few ovarian lesions have been reported that are associated with massive ovarian edema. This article describes the first case of an ovarian serous cystadenoma associated with a massive ovarian edema. The patient was a 17-year-old female who was referred to the emergency room because of lower abdominal pain. Subsequent ultrasound and computed tomography scanning studies revealed an abdominopelvic cystic mass suggestive of an ovarian neoplasm. She underwent an exploratory laparoscopy, and a left salpingo-oophorectomy was performed. The specimen weighed 1610 g and consisted of a cystic mass measuring 17 × 15 × 8 cm attached to a solid mass measuring 13 × 11 × 4 cm. Microscopy revealed a cystic and a solid lesion. The cystic structure was composed of a flat or cuboidal single-layer lining showing ciliated epithelium and focal areas of papillary structures compatible with a diagnosis of ovarian serous cystadenoma. The solid mass had an intact capsule and diffuse interstitial edema, preserving the overall structure of the ovary and sparing the outer cortex. These findings are compatible with the diagnosis of ovarian massive edema. This report of an association of serous cystadenoma with massive ovarian edema broadens the histologic spectrum in which a massive ovarian edema may be encountered.

scholarly journals Parenchymal mucinous cystadenoma of the kidney: a case report and literature review

2021 ◽  
Vol 27 (1) ◽  
Author(s):  
Mahmoudreza Kalantari ◽  
Shakiba Kalantari ◽  
Mahdi Mottaghi ◽  
Atena Aghaee ◽  
Salman Soltani ◽  
...  
Keyword(s):  
Renal Cyst ◽  
Left Kidney ◽  
Previous History ◽  
Mucinous Cystadenoma ◽  
Single Layer ◽  
Renal Cysts ◽  
Cystic Mass ◽  
Flank Pain ◽  
History Of

Abstract Background Mucinous cystadenoma (MC) of the kidney is exceedingly rare. We found 22 similar cases in the literature. These masses are underdiagnosed due to radiologic similarities with simple renal cysts. Case presentation A 66-year-old man with a previous history of hypertension and anxiety was referred to our tertiary clinic with left flank pain. Ultrasound revealed a 60 mm-sized, complex cystic mass with irregular septa in the lower pole of the left kidney (different from last year's sonographic findings of a simple benign cyst with delicate septa). CT scan showed the same results plus calcification. Due to suspected renal cell carcinoma, a radical nephrectomy was performed. Postoperative histopathologic examination revealed a cyst lined by a single layer of columnar mucin-producing cells with small foci of pseudo-stratification, consistent with the MC’s diagnosis. The first follow-up visit showed normal blood pressure without medication and no flank pain and anxiety after a month. Conclusion It is quite challenging to distinguish the primary MC of the kidney from a simple renal cyst based on clinical and imaging findings. The radiologic features of these entities overlap significantly. Thus, complex renal cyst and renal cysts with mural nodules should be followed closely to detect malignancy earlier.

scholarly journals Pyosalpinx due to Cronobacter sakazakii in an elderly woman

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Satoshi Ohira ◽  
Eri Ikeda ◽  
Kyosuke Kamijo ◽  
Tomokuni Nagai ◽  
Koji Tsunemi ◽  
...  
Keyword(s):  
Abdominal Cavity ◽  
Lower Abdominal Pain ◽  
The Elderly ◽  
Pathological Examination ◽  
Milk Formula ◽  
Adult Women ◽  
Cronobacter Sakazakii ◽  
Left Edge ◽  
Powdered Milk ◽  
First Case

Abstract Background Cronobacter sakazakii (C. sakazakii) is a bacterium known to cause severe neonatal infections in premature infants with the consumption of contaminated powdered milk formula. Adult infections are rare, and there have been no reports of pyosalpinx due to C. sakazakii to date. Case presentation We report a case of left pyosalpinx due to C. sakazakii in a sexually inactive postmenopausal woman. A 70-year-old woman presented to our hospital with left lower abdominal pain and fever. Abdominal computed tomography disclosed a cystic mass continuous with the left edge of the uterus. Urgent laparotomy revealed a ruptured left pyosalpinx with pus-like content. Left salpingo-oophorectomy, resection of the right tube, and washing of the abdominal cavity with saline were performed. Pathological examination of the left adnexa showed tubal tissue with acute inflammation and inflammatory exudate, which were compatible with pyosalpinx, and pus culture yielded C. sakazakii. Conclusions This is the first case report of pyosalpinx due to C. sakazakii. Cronobacter sakazakii infections in adult women might occur in the elderly, whose immunity has weakened. Further accumulation of cases of C. sakazakii infection is needed to clarify the etiology and behavior of C. sakazakii in adults.

scholarly journals Acute Abdomen due to Mutual Tangle of Two Small Paratubal Cysts

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Hiroharu Kobayashi ◽  
Shinichi Shibuya ◽  
Kentaro Iga ◽  
Keiichiro Kato ◽  
Airi Kato ◽  
...  
Keyword(s):  
Acute Abdomen ◽  
Histopathological Examination ◽  
Lower Abdominal Pain ◽  
Cystic Teratoma ◽  
Cystic Mass ◽  
Mature Cystic Teratoma ◽  
Contrast Enhanced ◽  
The Right ◽  
Enhanced Computed Tomography ◽  
Paratubal Cyst

A 30-year-old woman (gravida 0) visited our hospital with a complaint of right lower abdominal pain. Transvaginal ultrasonography revealed a 5-cm swollen right ovary, which was suspected to be a mature cystic teratoma. Pelvic examination revealed moderate pain. Contrast-enhanced computed tomography showed a 44-mm cystic mass containing fat and calcified material in the right pelvis. Since torsion was suspected, emergent laparoscopic surgery was performed. Intraoperative findings were a swollen right ovary without torsion or congestion. Two small pedunculated 1- and 2-cm diameter paratubal cysts that grew from almost the same place of the ampulla of the right fallopian tube were observed. The thin stalk of the 1-cm paratubal cyst was entangled around the stalk of the 2-cm paratubal cyst, with its head congested. Through a small abdominal laparoscopic incision, the tumor of the right ovary and the two paratubal cysts were excised. Histopathological examination revealed that the right ovarian tumor was a mature cystic teratoma, and the two paratubal cysts had no malignancy. This case showed that only a 2-cm tumor with congestion caused the acute abdomen.

Clinico-pathological profile of ovarian cysts in a tertiary care hospital

2017 ◽  
Vol 6 (10) ◽  
pp. 4642 ◽  
Author(s):  
Sairem Mangolnganbi Chanu ◽  
Biswajit Dey ◽  
Vandana Raphael ◽  
Subrat Panda ◽  
Yookarin Khonglah
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Lower Abdominal Pain ◽  
Cystic Teratoma ◽  
Serous Cystadenoma ◽  
Mature Cystic Teratoma ◽  
Ovarian Cysts ◽  
Histopathological Diagnosis ◽  
Care Hospital ◽  
North East

Background: Ovarian cystic neoplasms are common in gynaecological practice. These may pose diagnostic difficulty to the pathologists. This study was conducted to analyse the clinical and histological profile of ovarian cystic neoplasms.Methods: This is a retrospective study done from January 2016 to April 2017 in a tertiary care hospital in North East India. All the patients, who were clinically and radiologically diagnosed as ovarian cysts, which had histopathological confirmation were included in the study. Data including the age, parity, clinical symptoms, laterality and histopathological findings were analysed.Results: A total of 101 patients operated for ovarian cysts in the study period were analysed. The most common clinical presentation was lower abdominal pain. There were 11 (10.9%) malignant cases, 4 (4%) were intermediate grade and borderline in nature, and 85 (84.1%) cases were benign in nature. There was 1 (1%) case of metastasis to ovary. Mature cystic teratoma was most common (20.8%) histopathological diagnosis. The second most common cyst was serous cystadenoma (19.8%).Conclusion: Ovarian cysts are commonly encountered in gynaecological practice and equally encountered by the pathologists. Most commonly found ovarian cysts were mature cystic teratoma followed by serous cystadenoma.

scholarly journals Ultrasonography and Atypical Sites of Endometriosis

Diagnostics ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. 345 ◽  
Author(s):  
Stefano Guerriero ◽  
Francesca Conway ◽  
Maria Angela Pascual ◽  
Betlem Graupera ◽  
Silvia Ajossa ◽  
...  
Keyword(s):  
Peripheral Nerves ◽  
Rectus Muscle ◽  
Clinical Findings ◽  
Cystic Mass ◽  
Solid Mass ◽  
Scar Endometriosis ◽  
Small Nodule ◽  
Hypoechoic Lesion ◽  
Perineal Endometriosis ◽  
Umbilical Endometriosis

In the present pictorial we show the ultrasonographic appearances of endometriosis in atypical sites. Scar endometriosis may present as a hypoechoic solid nodule with hyperechoic spots while umbilical endometriosis may appear as solid or partially cystic areas with ill-defined margins. In the case of endometriosis of the rectus muscle, ultrasonography usually demonstrates a heterogeneous hypoechogenic formation with indistinct edges. Inguinal endometriosis is quite variable in its ultrasonographic presentation showing a completely solid mass or a mixed solid and cystic mass. The typical ultrasonographic finding associated with perineal endometriosis is the presence of a solid lesion near to the episiotomy scar. Under ultrasonography, appendiceal endometriosis is characterized by a solid lesion in the wall of the small bowel, usually well defined. Superficial hepatic endometriosis is characterized by a small hypoechoic lesion interrupting the hepatic capsula, usually hyperechoic. Ultrasound endometriosis of the pancreas is characterized by a small hypoechoic lesion while endometriosis of the kidney is characterized by a hyperechoic small nodule. Diaphragmatic endometriosis showed typically small hypoechoic lesions. Only peripheral nerves can be investigated using ultrasound, with a typical solid appearance. In conclusion, ultrasonography seems to have a fundamental role in the majority of endometriosis cases in “atypical” sites, in all the cases where “typical” clinical findings are present.

scholarly journals Marine liquid cloud geometric thickness retrieved from OCO-2's oxygen A-band spectrometer

2019 ◽  
Vol 12 (3) ◽  
pp. 1717-1737 ◽  
Author(s):  
Mark Richardson ◽  
Jussi Leinonen ◽  
Heather Q. Cronk ◽  
James McDuffie ◽  
Matthew D. Lebsock ◽  
...  
Keyword(s):  
Optical Depth ◽  
Single Layer ◽  
Cloud Droplet ◽  
Satellite Observation ◽  
Cloud Optical Depth ◽  
First Case ◽  
Phase Classification ◽  
Moderate Resolution Imaging Spectroradiometer ◽  
Cloud Top Pressure ◽  
Geometric Thickness

Abstract. This paper introduces the OCO2CLD-LIDAR-AUX product, which uses the Cloud-Aerosol Lidar and Infrared Pathfinder Satellite Observation (CALIPSO) lidar and the Orbiting Carbon Observatory-2 (OCO-2) hyperspectral A-band spectrometer. CALIPSO provides a prior cloud top pressure (Ptop) for an OCO-2-based retrieval of cloud optical depth, Ptop and cloud geometric thickness expressed in hPa. Measurements are of single-layer liquid clouds over oceans from September 2014 to December 2016 when collocated data are available. Retrieval performance is best for solar zenith angles <45∘ and when the cloud phase classification, which also uses OCO-2's weak CO2 band, is more confident. The highest quality optical depth retrievals agree with those from the Moderate Resolution Imaging Spectroradiometer (MODIS) with discrepancies smaller than the MODIS-reported uncertainty. Retrieved thicknesses are consistent with a substantially subadiabatic structure over marine stratocumulus regions, in which extinction is weighted towards the cloud top. Cloud top pressure in these clouds shows a 4 hPa bias compared with CALIPSO which we attribute mainly to the assumed vertical structure of cloud extinction after showing little sensitivity to the presence of CALIPSO-identified aerosol layers or assumed cloud droplet effective radius. This is the first case of success in obtaining internal cloud structure from hyperspectral A-band measurements and exploits otherwise unused OCO-2 data. This retrieval approach should provide additional constraints on satellite-based estimates of cloud droplet number concentration from visible imagery, which rely on parameterization of the cloud thickness.

scholarly journals Isolation of Klebsiella Pneumoniae from an Hepatic Inflammatory Pseudotumour

1992 ◽  
Vol 6 (2) ◽  
pp. 84-86 ◽  
Author(s):  
Dickran K Malatjalian ◽  
John Morris ◽  
Audley Bodurtha
Keyword(s):  
Klebsiella Pneumoniae ◽  
Tissue Response ◽  
Low Grade ◽  
Solid Mass ◽  
Inflammatory Pseudotumour ◽  
First Case ◽  
Mass Lesions ◽  
Inflammatory Tissue

lnflammatory pseudotumours of the liver are rare, solid mass lesions (often mistaken for malignancy) and although inflammatory in nature, are obscure in etiology and pathogenesis. An hepatic inflammatory pseudotumour is presented in which cultures obtained from the lesion intraoperatively grew Klebsiella pneumoniae. This is the first case of an hepatic inflammatory pseudotumour in which a microorganism has been identified. The isolation of K pneumoniae suggests that inflammatory pseudotumours may arise from a low grade infection with chronic inflammatory tissue response.

scholarly journals A novel case using femtosecond laser-acquired lenticule for recurrent pterygium: case report and literature review

2018 ◽  
Vol 46 (6) ◽  
pp. 2474-2480 ◽  
Author(s):  
Om Prakash Pant ◽  
Ji-long Hao ◽  
Dan-dan Zhou ◽  
Fan Wang ◽  
Cheng-wei Lu
Keyword(s):  
Femtosecond Laser ◽  
Corneal Thickness ◽  
Anterior Segment ◽  
Single Layer ◽  
Cost Effective ◽  
Laser Technique ◽  
First Case ◽  
Lenticule Extraction ◽  
Recurrent Pterygium ◽  
Thin Cornea

Small incision lenticule extraction (SMILE) is a minimally invasive, safe and flapless femtosecond laser technique used mainly to correct myopia through extraction of a corneal lenticule. Lenticules obtained in this way are transparent and of high quality, and thus, can be used to treat other corneal diseases. A 65-year-old male patient presented with recurrent pterygium complicated by thin cornea. The patient was treated surgically using a SMILE-extracted lenticule to avoid further complications and to maintain eyeball integrity. The lenticule was sutured over the thin section of cornea using 10-0 interrupted nylon sutures and enclosed by a single layer of amniotic membrane. The patient was evaluated using slit-lamp biomicroscopy and anterior-segment optical-coherence tomography. During an 8-month follow-up, the graft remained intact with no sign of rejection and corneal thickness was maintained. Tectonic keratoplasty using a SMILE-extracted lenticule appears to be a safe, cost-effective and reliable method for treating thin cornea due to repeated surgeries for recurrent pterygium. This is the first case of recurrent pterygium complicated by thin cornea managed surgically using a SMILE-extracted lenticule.

scholarly journals Primary pelvic hydatid cyst: a rare case report

2020 ◽  
Vol 9 (6) ◽  
pp. 2612
Author(s):  
Artika Gupta ◽  
Neeta Natu
Keyword(s):  
Hydatid Cyst ◽  
Histopathological Examination ◽  
Iliac Fossa ◽  
Lower Abdominal Pain ◽  
Exploratory Laparotomy ◽  
Cystic Mass ◽  
Palpable Mass ◽  
Size Firm ◽  
Restricted Mobility ◽  
Cervical Motion

 Primary pelvic hydatid cyst disease is a zoonotic parasitic disease most frequently caused by Echinococcus granulosus or Echinococcus multilocularis. Primary pelvic hydatid cyst is a rare entity. A 39-year-old, para 3 living 3 presented to casualty with acute pain abdomen and a suprapubic mass. Patient gave history of acute lower abdominal pain since 4 days associated with vomiting. On examination, a palpable mass around 18 weeks size, firm to hard in consistency with ill-defined margins and restricted mobility and suprapubic tenderness. Lower limit could not be reached, extending from right iliac fossa to midline. Per vaginum findings suggestive of mass deviated to right side with fullness in right fornix. No cervical motion tenderness. The pre-operative tumor marker levels were as follows: CA125=12.44 U/mL (normal=0-35), CEA=0.09 ng/mL (normal=0-2.5). CA19.9=16.79 U/mL (normal=1.2-30). Erythrocyte sedimentation rate (ESR) was found to be 82 mm in the first hour. Transabdominal ultrasound suggestive of adnexal mass? ovarian with moderate ascites. Urinary bladder seen separately. Contrast enhanced computed topography (CECT) suggestive of complicated right para-ovarian /ovarian cystic mass like cystadenoma. Exploratory laparotomy was done and specimen (uterus, cervix, omental biopsy and peritoneal washings) was sent for Histopathological report. Histopathological examination of the haematoxylin and eosin-stained section revealed ruptured brood capsule releasing daughter cyst. Post-operative period was uneventful. Patient received full course of anti-helminthic treatment.

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