scholarly journals Uterus Didelphys: Report of a Puerperal Torsion and a Review of the Literature

2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
Lucio M. A. Cipullo ◽  
Slobodan Milosavljevic ◽  
Elisabeth D. van Oudgaarden
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Caesarean Section ◽  
Lower Abdominal Pain ◽  
Emergency Laparotomy ◽  
Review Of The Literature ◽  
Uterus Didelphys

A 29-year-old Para 2 was admitted to the emergency department with increasing lower abdominal pain. The patient had undergone an uncomplicated elective repeat caesarean section 7 days before being admitted to the emergency department. An emergency laparotomy revealed a uterus didelphys with a torsion of one of the uteri.

scholarly journals Caesarean scar endometriosis

2021 ◽  
Vol 10 (11) ◽  
pp. 4331
Author(s):  
Garima Kumari
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Caesarean Section ◽  
Lower Abdominal Pain ◽  
Clinical History ◽  
Lower Segment ◽  
Scar Endometriosis ◽  
Lower Segment Caesarean Section ◽  
Caesarean Scar ◽  
Menstrual History

 Endometriosis is defined by the presence and growth of ectopic functional endometrial tissue outside the uterus. The symptoms are nonspecific, typically involving abdominal wall pain at the time of menstruation. It commonly follows obstetrical and gynecological surgeries. The diagnosis is frequently made only after excision of scar the diseased tissue. A case report of 34 year old female patient presenting with scar endometriosis 7 years after her last LSCS (lower segment caesarean section). The patient came with the complaint of supra pubic swelling since 6 months, which was growing slowly. Her menstrual history was regular, but she had lower abdominal pain during menstruation. On clinical history, examination and USG finding the swelling was diagnosed as scar endometriosis.

scholarly journals Spontaneous Rupture of Urinary Bladder (SRUB) in a Young Male, Presenting as Anuria – A Case Report and Review of Literature

2014 ◽  
Vol 7 (1) ◽  
pp. 64-66
Author(s):  
Sekar Hariharasudhan ◽  
Sriram Krishnamoorthy ◽  
Sunil Shroff
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Urinary Bladder ◽  
Spontaneous Rupture ◽  
Lower Abdominal Pain ◽  
Young Male ◽  
Bladder Rupture ◽  
Emergency Laparotomy ◽  
High Morbidity ◽  
Delay In Diagnosis

Spontaneous rupture of urinary bladder is a rare condition. Most of the bladder ruptures occur in association with blunt or penetrating injuries to the lower abdomen. Most often, a vague lower abdominal pain is the mode of presentation. Rarely patients present with oliguria, anuria, uremia or urosepsis. A forty year old male, under the influence of alcohol, presented with lower abdominal pain and anuria for two days with abnormal renal function. He denied history of blunt trauma. He was diagnosed to have an intra-peritoneal rupture of urinary bladder. He underwent emergency laparotomy with repair of bladder rupture. This case report illustrates the need for a high index of clinical suspicion. Prompt diagnosis and appropriate management will help in preventing a poor clinical outcome in patients with spontaneous bladder perforation. If left untreated or if there is a considerable delay in diagnosis and intervention, it usually is associated with a high morbidity.

scholarly journals Acute Torsion of Appendicular Mucocele

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Farshid Ejtehadi ◽  
James Brooks ◽  
Hebah Hassan Ali ◽  
Vardhini Vijay
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Ct Scan ◽  
Acute Abdominal Pain ◽  
Emergency Laparotomy ◽  
Fat Stranding

We present the case of an 81-year-old man with a known appendicular mucocele who presented to the emergency department with acute abdominal pain. A CT scan showed a change in orientation of the previously seen ovoid mass with surrounding fat stranding suggesting torsion. An emergency laparotomy with appendicectomy and resection of the caecal pole was performed. We discuss the findings and histopathology.

scholarly journals The recurrence of colonic volvulus due to nonrotation after intestinal resection in adulthood: a case report

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Yusuke Sakimura ◽  
Hirotaka Kitamura ◽  
Noriyuki Inaki ◽  
Hiroyuki Bando
Keyword(s):  
Abdominal Pain ◽  
Transverse Colon ◽  
Abdominal Cavity ◽  
Intestinal Resection ◽  
Lower Abdominal Pain ◽  
Emergency Laparotomy ◽  
Ascending Colon ◽  
Colonic Volvulus ◽  
Abdominal Symptoms ◽  
Initial Surgery

Abstract Background Intestinal nonrotation is a rare congenital condition that causes fatal colonic volvulus at any age. Once volvulus attack occurs, radical surgical therapy is required for treatment and the prevention of recurrence. This report describes the case of an adult female patient with a recurrence of cecum volvulus due to intestinal nonrotation after transverse colon resection for colonic volvulus. Case presentation A 27-year-old female visited our emergency room (ER) with intermittent abdominal pain and nausea. Enhanced computed tomography (CT) showed enlargement of the level of the ascending and transverse colon and an obstruction with a whirlpool sign at the transverse colon. The small intestine was distributed on the right side of the abdominal cavity, and the large intestine occupied the left side. She was diagnosed with volvulus with intestinal nonrotation, and emergency surgery was performed. Surgical examination indicated that the ascending colon to the transverse colon was not fixed to the retroperitoneum, and the transverse colon was rotated 180° clockwise. The axis of the volvulus was a mesenteric adhesion of the transverse colon. The involved transverse colon was resected, and the intestine was reconstructed by functional end-to-end anastomosis (FEEA). Six years after the initial surgery, the patient presented to the ER with abdominal fullness and lower abdominal pain. Enhanced CT revealed that the cecum, ascending colon, and remaining transverse colon were dilated with an obstruction. The appendix was located in the left upper abdominal cavity. The clinical diagnosis was cecal volvulus with intestinal nonrotation. An emergency laparotomy revealed that the cecum was rotated 180° clockwise. The terminal ileum to the remaining transverse colon was resected, and FEEA was performed. Seven months later, she suffered obstruction of the intestine caused by an operative adhesion, and conservative treatment was successful. The patient has had no abdominal symptoms for one and a half years so far. Conclusions Surgeons should realize that nonrotation of the intestines induces volvulus in adulthood and should familiarize themselves with its clinical findings, appropriate treatment, and prognosis. Even after surgical treatment, awareness of the recurrence of volvulus should be maintained to avoid a late diagnosis.

scholarly journals Hematocolpos mimicking acute urinary retention in Emergency Department

2013 ◽  
Vol 12 (1) ◽  
pp. 81-82
Author(s):  
Sazwab Reezak Shamsuddin ◽  
Mohd Syafwan bin Adnan ◽  
Mohd Hashairi Fauzi
Keyword(s):  
Emergency Department ◽  
Urinary Tract Infection ◽  
Abdominal Pain ◽  
Clinical Practice ◽  
Urinary Tract ◽  
Acute Urinary Retention ◽  
Medical Science ◽  
Lower Abdominal Pain ◽  
Unusual Finding ◽  
Lower Urinary

Lower abdominal pain with lower urinary tracts symptoms in young girls presented to Emergency Department (ED) is urinary tract infection (UTI) until proven otherwise. We reported a case of classic UTI presentation with unusual finding of hematocolpos. We believed the unusual circumstance of this case is likely to be repeated in some other clinical practice and such differential diagnoses should be considered. DOI: http://dx.doi.org/10.3329/bjms.v12i1.13357 Bangladesh Journal of Medical Science Vol. 12 No. 01 January’13 pp.81-82

scholarly journals Herlyn-Werner-Wunderlich Syndrome: Comparison of Two Cases

2020 ◽  
Vol 17 (19) ◽  
pp. 7173
Author(s):  
Mateusz Kozłowski ◽  
Katarzyna Nowak ◽  
Dominika Boboryko ◽  
Sebastian Kwiatkowski ◽  
Aneta Cymbaluk-Płoska
Keyword(s):  
Abdominal Pain ◽  
Clinical Symptoms ◽  
Transvaginal Ultrasound ◽  
Lower Abdominal Pain ◽  
Clinical Situation ◽  
Uterus Didelphys ◽  
History Of ◽  
Rare Malformation ◽  
Obstructed Hemivagina

Background: Herlyn-Werner-Wunderlich Syndrome is a rare malformation syndrome characterized by uterus didelphys with obstructed hemivagina and ipsilateral renal agenesis. Symptoms appear most often after menarche and are secondary to hematocolpos. We compare clinical symptoms, diagnosis and treatment of two patients, a 13-year-old and a 17-year-old. Case report: Despite the non-uniform clinical symptoms, it should be noted that in both patients, the 13-year-old and the 17-year-old, hematocolpos, which was probably the cause of lower abdominal pain, was diagnosed with ultrasound. The diagnosis was complemented by laparoscopy, which determined the diagnosis of malformation of uterus didelphys with obstructed hemivagina. The patients had a history of kidney agenesis, which, after gynecological diagnosis, turned out to be ipsilateral. In the 13-year-old, agenesis was diagnosed by uroscintigraphy, while in the 17-year-old it was diagnosed by urography. Incision and drainage of the residual vagina was performed in the course of therapeutic management. In both cases, the clinical situation required a repeated widening of the orifice. Conclusions: Lower abdominal pain accompanying hematocolpos suggested Herlyn-Werner-Wunderlich Syndrome (HWWS) as the cause of symptoms. 3D transvaginal ultrasound enabled the determination of a congenital uterine defect with high probability, although inconclusive cases required confirmation by laparoscopy. Incision of the blocked vagina and drainage of hematocolpos were the key components of treatment. The treatment of HWWS is a multi-step process.

Lipoleiomyoma Causing Adnexal Torsion

2016 ◽  
Vol 33 (1) ◽  
pp. 47-49 ◽  
Author(s):  
Christopher Kiefer ◽  
Joseph Minardi ◽  
Debra Williams ◽  
Shelley M. Layman
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Fibrous Tissue ◽  
Lower Abdominal Pain ◽  
Reproductive Age ◽  
Emergency Physicians ◽  
Adnexal Torsion ◽  
Aged Woman ◽  
Middle Aged Woman ◽  
Patient At Risk

Abdominal pain in women of reproductive age is a frequently encountered chief complaint in the emergency department. Adnexal torsion is a time-sensitive diagnosis that is essential for emergency physicians to consider in the initial differential diagnosis. Bedside sonography can be used to assist the clinician in the detection of adnexal masses placing the patient at risk for torsion. Lipoleiomyomas are uncommon, benign neoplasms consisting of variable portions of mature lipocytes, smooth muscle, or fibrous tissue. Very few cases have been reported, with no cases previously reported by emergency physicians using bedside ultrasound. A case is presented of a middle-aged woman who presented to the emergency department with acute lower abdominal pain. At the time of the initial history and physical examination, bedside screening sonogram was performed, which allowed rapid diagnosis of a large, heterogeneous, relatively avascular adnexal mass that was later identified as a lipoleiomyoma, a rare adnexal neoplasm, that resulted in adnexal torsion.

Tubal Hydatidiform Mole: A Case Report

2017 ◽  
Vol 31 (2) ◽  
pp. 104-106
Author(s):  
Ferdousi Begum ◽  
Setara Kasem ◽  
Shahnaz Begum ◽  
Amina Zannat ◽  
Farhana Rahman ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Ectopic Pregnancy ◽  
Hydatidiform Mole ◽  
Lower Abdominal Pain ◽  
Severe Anaemia ◽  
Emergency Laparotomy ◽  
Molar Pregnancy ◽  
Pelvic Ultrasound ◽  
Excessive Sweating ◽  
Gynecological Examination

The incidence of ectopic pregnancy is 20 per 1,000 pregnancies. Hydatidiform mole occurs in 1 per 1,000 pregnancies. Thus, the incidence of the ectopic molar gestation is very rare. We report a case of tubal molar pregnancy diagnosed at the systematic histology examination of an ectopic pregnancy. A 22 years old second gravida presented with five weeks amenorrhea, severe lower abdominal pain and mild vaginal bleeding for one day; and excessive sweating and restlessness for 6 hours. On clinical examination, she had severe anaemia, pulse was 120 per minute and blood pressure was 80/60 mm hg. The gynecological examination was difficult because of lower abdominal pain and tenderness. She was diagnosed as a case of ruptured tubal pregnancy with shock. Pelvic ultrasound revealed an irregular echogenic mass in the left adnexa. She was resuscitated and emergency laparotomy was done: it revealed a left-sided ruptured ampullary ectopic pregnancy. Left salpingectomy was performed. The systematic histologic test identified an ectopic molar pregnancy. The patient was followed with weekly quantitative B-hCG titers until three successive B-hCG levels were negative. It is important that clinicians routinely send for histological examination of tubal specimens in ectopic pregnancy in order to diagnose cases of ectopic molar gestations early and provide appropriate post treatment follow up.Bangladesh J Obstet Gynaecol, 2016; Vol. 31(2) : 104-106

scholarly journals Improvement of a cecal bascule by supportive care

2017 ◽  
Vol 25 (3) ◽  
pp. 169-172
Author(s):  
Yong In Kim ◽  
Sang Kyoon Han ◽  
Mun Ki Min ◽  
Sung Wook Park ◽  
Seok Ran Yeom
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Abdominal Pain ◽  
Small Bowel ◽  
Supportive Care ◽  
Intestinal Obstruction ◽  
Lower Abdominal Pain ◽  
Bowel Ischemia ◽  
Ascending Colon ◽  
Symptoms And Signs

A cecal bascule is a rare cause of intestinal obstruction, and the diagnosis is often challenging because the symptoms and signs are similar to those of small bowel obstruction. We, herein, present the case of an 82-year-old female who presented to our emergency department with lower abdominal pain. Computed tomography showed anterior medial folding of the cecum over the ascending colon with cecal dilatation, without bowel ischemia or perforation. A good outcome was obtained immediately after supportive care. To the best of our knowledge, this is the first report of a cecal bascule that was improved by supportive care.

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