scholarly journals Prenatal Diagnosis and Postnatal Ultrasound Findings of Cloacal Anomaly: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Lívia Teresa Moreira Rios ◽  
Edward Araujo Júnior ◽  
Luciano Marcondes Machado Nardozza ◽  
Ana Carolina Rabachini Caetano ◽  
Antonio Fernandes Moron ◽  
...  
Keyword(s):  
Pathological Condition ◽  
Fetal Brain ◽  
Abdominal Distension ◽  
Ambiguous Genitalia ◽  
Infectious Complications ◽  
Cystic Mass ◽  
Caucasian Woman ◽  
Bilateral Hydronephrosis ◽  
Rectal Atresia ◽  
Cloacal Anomaly

Cloacal malformation is an extremely rare fetal pathological condition that presents as a variety of defects. It predominantly affects females, with prevalence of 1 in 50,000 births. Prenatal ultrasonography on a 20-year-old caucasian woman (G4P1A2) at 33 weeks of pregnancy showed the fetus having a large cystic mass in the lower abdomen with a single septum, bilateral hydronephrosis, ambiguous genitalia, and a single umbilical artery. The pregnancy developed accentuated oligohydramnios, and presence of a fetal brain-sparing effect was diagnosed using arterial Doppler velocimetry. The newborn showed abdominal distension, ambiguous genitalia, and rectal atresia, with a single perineal opening. Pelvic ultrasound done on the first day after delivery revealed the presence of a large retrovesical septated cystic mass of dense content in the fetal abdomen, and bilateral hydronephrosis. Hysterotomy was performed, and 70 mL of dense liquid was drained through an abdominal colostomy. The infant died on the 27th day of life as a result of infectious complications. Prenatal diagnosing of female urogenital anomalies is usually difficult because of their rarity, different types of manifestation, and lack of characteristic ultrasound signs. Presence of a septated cyst with dense content in the fetal abdomen confirms the finding of hydrometrocolpos, thus raising clinical suspicion of a cloacal anomaly.

scholarly journals Pre- and Postnatal Features of Hydrometrocolpos in One Fetus of a Dizygotic Twin Pregnancy

2009 ◽  
Vol 3 (3) ◽  
pp. 97-101 ◽  
Author(s):  
Juan Mario Troyano-Luque ◽  
Margarita Álvarez de la Rosa ◽  
Ana Isabel Padilla ◽  
Laura Ces ◽  
José María Martínez ◽  
...  
Keyword(s):  
Neonatal Death ◽  
Twin Pregnancy ◽  
Ambiguous Genitalia ◽  
Cystic Mass ◽  
Dizygotic Twin ◽  
Anal Atresia ◽  
Female Fetus ◽  
Bicornuate Uterus ◽  
Cloacal Anomaly

Abstract A female fetus of a dizygotic pregnancy presented with a retrovesical cystic mass at 16 weeks. Severe and recurrent fetal ascitis developed at 25 weeks. Pre-eclampsia, probably due to mirror syndrome, precipitated fetal extraction, which led to severe prematurity complications and neonatal death. Necropsy showed: cloacal anomaly, anal atresia, ambiguous genitalia and bicornuate uterus.

scholarly journals Misdiagnosis of a Giant Uterine Leiomyosarcoma: Clinic and Image Challenges

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Jila Agah ◽  
Sedighe Karimzadeh ◽  
Fateme Moharrer Ahmadi
Keyword(s):  
Abdominal Distension ◽  
Gastrointestinal Disorder ◽  
Cystic Mass ◽  
Pathology Report ◽  
Uterine Leiomyosarcoma ◽  
Peripheral Tissues ◽  
Chief Complaints ◽  
Magnetic Resonance Imaging Mri ◽  
Diagnostic Modalities ◽  
Serous Cyst Adenoma

A 41-year-old woman (G3P2L2Ab1) was referred to gynecology clinic with chief complaints of abdominal distension and localized abdominal wall pruritus for three months. She was misdiagnosed with gastrointestinal disorder and ultimately had undergone imaging. Ultrasonography and computed tomography (CT) scan disclosed a huge solid-cystic mass originating from the ovary. On clinical examination the patient had no pain or tenderness and no gynecologic complaints. Laboratory tests showed normal tumor markers and hemoglobin at 8 g/dl. Laparotomy was carried out as diagnosis of ovarian serous cyst adenoma, but a huge tumor with attachment to uterus and ovaries and extension to pelvic floor, peripheral tissues of ureter, and upper abdomen was found. Hysterectomy with bilateral salpingooophorectomy was done. Pathology report demonstrated uterine leiomyosarcoma measuring 40 centimeters and weighing 10 kilograms. In conclusion, as pelvic masses even in a large size may present unspecific symptoms misdiagnosis may occur which lead to overgrowth, local invasion, or other complications. So, it is rather to suggest ultrasonography in patients with persistent abdominal or pelvic symptoms and if needed, more exact diagnostic modalities like magnetic resonance imaging (MRI) could be offered to avoid misdiagnosis and mismanagement.

scholarly journals Large intra-abdominal dermoid cyst presenting as small bowel volvulus

2017 ◽  
Vol 4 (9) ◽  
pp. 3188 ◽  
Author(s):  
Suneed Kumar ◽  
Gurudutt Varty
Keyword(s):  
Small Bowel ◽  
Dermoid Cyst ◽  
Surgical Intervention ◽  
Abdominal Distension ◽  
Cystic Mass ◽  
Lower Abdomen ◽  
Small Bowel Volvulus ◽  
Abdominal Emergencies ◽  
Acute Small Bowel Obstruction ◽  
Uncommon Location

Intestinal obstruction is one of the commonest abdominal emergencies requiring surgical intervention. Among its numerous causes, volvulus of the small and large bowel plays a less common aetiological role. This is a rare case of a large intra-abdominal dermoid cyst causing small bowel volvulus and presenting as obstruction. 46-year-old male presented with four-day history suggestive of acute small bowel obstruction, with gross abdominal distension on examination. With minimal investigations, he was explored to reveal a large 10×8 cm sized cystic mass in lower abdomen, with two vascular pedicles causing twisting of small bowel and resultant obstruction. Surgical intervention included unwinding of viable bowel, dividing pedicles and excision of the mass. The cyst was found to contain pultaceous material with hair and solid components. Patient tolerated the procedure well and was asymptomatic on discharge and subsequent follow-ups. This case illustrates an uncommon cause of a common presentation; an uncommon location of a relatively common cystic swelling; and the diagnostic surprise that was encountered during the management, thereby reiterating the need for keen observation and clinical acumen while dealing with such cases.

scholarly journals Primary Transanal Management of Rectal Atresia in a Neonate

2016 ◽  
Vol 5 (2) ◽  
pp. 20
Author(s):  
Braiek M ◽  
Ksia A ◽  
Krichen I ◽  
Belhassen S ◽  
Maazoun K ◽  
...  
Keyword(s):  
Abdominal Distension ◽  
Rectal Atresia ◽  
Rare Anomaly

Rectal atresia (RA) with a normal anus is a rare anomaly. We describe a case of rectal atresia in a newborn male presenting with an abdominal distension and failure of passing meconium. The rectal atresia was primarily operated by transanal route.

scholarly journals Diagnostic Dilemma of a Rare, Giant Retroperitoneal Schwannoma: A Case Report and Review of Literature

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Mahendra Singh ◽  
Lovekesh Kumar ◽  
Rajkumar Chejara ◽  
Om Prakash Prasad ◽  
Yuvraj Kolhe ◽  
...  
Keyword(s):  
Low Frequency ◽  
Surgical Excision ◽  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Postoperative Recovery ◽  
Cystic Mass ◽  
Imaging Features ◽  
Diagnostic Dilemma ◽  
Complete Surgical Excision ◽  
Retroperitoneal Schwannoma

Schwannoma is a benign tumour of peripheral nerve sheath. It usually arises from head, neck, and trunk. Retroperitoneal schwannoma is a rare entity, accounting for only 0.3–3% of total schwannomas. Majority of retroperitoneal schwannomas reported in literature have a diameter of 5 to 15 cm. Preoperative diagnosis is difficult due to low frequency, nonspecific clinical course, and nonspecific imaging features. Histology usually provides definitive diagnosis. Schwannomas are solitary, well-circumscribed, and noninvasive, so complete surgical excision provides good result. We report a case of a 23-year-old male, who presented with progressive abdominal distension and intermittent episodes of intestinal obstruction. CECT was suggestive of huge solid-cystic mass in abdominopelvic region. Image guided percutaneous aspiration revealed around 1 litre of frank pus and FNAC was suggestive of abscess. Exploratory laparotomy revealed a large 32 × 28 × 26 cm mass with solid and cystic components containing 1 litre of pus. Histological features of tumour were suggestive of benign schwannoma and immunohistochemistry for S-100 was positive. Postoperative recovery was uneventful. We report this case of a retroperitoneal schwannoma because of giant size, rare location, unusual presentation, and diagnostic dilemma.

Prenatale echografische diagnose van een cloacale malformatie

2021 ◽  
Author(s):  
S. BOECKSTAENS ◽  
B. LEBBE
Keyword(s):  
Urinary Tract Obstruction ◽  
Cystic Mass ◽  
Female Fetus ◽  
Cloacal Malformation ◽  
Normal Bladder ◽  
Fetal Movements ◽  
Cloacal Malformations ◽  
Adverse Influence ◽  
Cloacal Anomaly ◽  
Critical Intervention

Prenatal ultrasound diagnosis of a cloacal malformation Cloacal malformations are a spectrum of rare congenital disorders caused by the arrest of the cloacal division during different stages in early embryogenesis. They necessitate critical intervention at birth, posing important surgical challenges. The majority unfortunately remains undetected during prenatal screening. Knowledge about sonographic red flags, however, may improve antenatal detection and therefore postnatal outcome as a result of a timely referral to multidisciplinary tertiary centers. A 29-year-old patient presents at the hospital due to decreased fetal movements in the third trimester of pregnancy. The ultrasound reveals an anechoic bilobed cystic mass with a thick midline septum within the pelvis of a female fetus. The diagnosis of a cloacal anomaly with associated duplicated vaginas and uteri is made. Severe accumulation of urine lies at the base of bilateral hydrocolpos, peritoneal ascites and a urinary tract obstruction with an adverse influence on both pulmonary and renal development. The baby is prematurely delivered by an emergency caesarean section. Her condition is poor, requiring immediate respiratory resuscitation. An explorative laparotomy on the following day confirms the diagnosis. The first steps towards anatomical correction are taken. It may be concluded that the triad of bilateral hydronephrosis, a pelvic cystic mass and an absent normal bladder within a female fetus should always raise suspicion of a cloaca.

scholarly journals Use of various immunotherapies for refractory ulcerative colitis in a person living with HIV: a case report

2021 ◽  
Vol 2021 (1) ◽  
Author(s):  
Cecilia T Costiniuk ◽  
Talat Bessissow ◽  
Stéphane Isnard ◽  
Jean-Pierre Routy
Keyword(s):  
Ulcerative Colitis ◽  
Surgical Intervention ◽  
Infectious Complications ◽  
Janus Kinase ◽  
Interleukin 12 ◽  
Caucasian Woman ◽  
People Living With Hiv ◽  
Cancer Therapies ◽  
Living With Hiv ◽  
To Receive

ABSTRACT Cancer therapies include several immune checkpoint or anticytokine therapies whereas ulcerative colitis treatments consist of anticytokine therapies. The development of tolerance and immunogical effects of these agents in people living with HIV are not well assessed as these persons are often excluded from clinical trials. Herein, we report a case of a Caucasian woman who received multiple sequential immunotherapies for severe ulcerative colitis. Due to steroid-refractory disease, receipt of maximal doses of mesalamine and initial repeated decline of surgical intervention, she went on to receive biologic immune inhibitors like tumor necrosis fator-α blockers infliximab and adalimumab, the α4β7integrin blocker vedolizumab, anti-interleukin 12/23 blocker ustekinumab and Janus Kinase inihibitor tofacitinib without achieving remission. Only minor infectious complications were encountered and no significant changes in CD4 count nor CD4/CD8 ratio occurred. This case provides support for the safety and tolerability of the above immunotherapies in people living with HIV with suppressed viral load on antiretroviral therapy.

scholarly journals Am I My Brain or My Genitals? A Nature-Culture Controversy in the Hermaphrodite Debate from the mid-1960s to the late 1990s

Gesnerus ◽  
2011 ◽  
Vol 68 (1) ◽  
pp. 80-106
Author(s):  
Cynthia Kraus
Keyword(s):  
Case Management ◽  
Clinical Management ◽  
Best Practice ◽  
Sense Of Self ◽  
Sex Differentiation ◽  
Fetal Brain ◽  
Ambiguous Genitalia ◽  
Best Friend ◽  
Primary Determinant ◽  
History Of

The groundbreaking and prophetic rhetoric of neuroscience has recently highlighted the fetal brain as the most promising organ for understanding why transsexuals feel “trapped in the wrong body”, a nd for predicting whether children born with “ambiguous” genitalia will grow up to feel like a man or a woman. This article proposes a recent history of the cerebralization of intersexuality and of transsexuality as atypical neurodevelopmental conditions. It examines the ways in which the organizational theory of brain sex differentiation developed in the late 1950s in behavioral neuroendocri - nology has gained increased prominence in and through controversies over best practice issues in the case management of intersex newborns, and the etiology of transsexuality. It focuses on the American context and on the leading warrior in this battle: Milton Diamond, now a most prominent figure in professional debates about the clinical management of intersexuality, and the intersex person’s best friend. Persons with an intersexed or transsexual condition consider, not their gonads, but their brains, their core sense of self, as the primary determinant of sex. (Diamond and Beh 2005, 6–7, note 1)

scholarly journals PROFIL PASIEN SIROSIS HATI YANG DIRAWAT INAP DI RSUP PROF. DR. R. D. KANDOU MANADO PERIODE AGUSTUS 2012 – AGUSTUS 2014

e-CliniC ◽  
2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Yunellia Z. Patasik ◽  
Bradley J. Waleleng ◽  
Frans Wantania
Keyword(s):  
Hepatitis C ◽  
Hepatitis B ◽  
Pathological Condition ◽  
Abdominal Distension ◽  
Hbv Infection ◽  
Nodule Formation ◽  
Age Group ◽  
Virus Hepatitis ◽  
Common Cause ◽  
Cirrhotic Patients

Abstract: Cirrhosis hepatic is a pathological condition that describes the final stage of progressive hepatic fibrosis and characterized by distortion of the liver and regenerative nodule formation. Cirrhosis hepatic is a chronic liver disease caused by various factors such as infection by hepatitis B virus, hepatitis C and alcohol. Cirrhosis ranks eighteenth cause of death with a prevalence of 1.3% in the world. Methods: This study is a retrospective descriptive study by collecting secondary data from medical record of cirrhotic patients installation of medical records RSUP Prof. Dr. R. D. Kandou Manado, August 2012 to August 2014. The data were obtained amounted to 51 patients with cirrhosis hepatic. Results: The result showed that the highest proportion in cirrhotic patients by gender is male (62.7%), age group 50-59 years (31.4%), the most common cause is HBV infection (37.3%), ascites and abdominal distension (20%) is a clinical picture that often arise, increased AST (15%) and loss of albumin and hemoglobin (16%) is the laboratory results that often abnormal, and most complications are esophageal varices (23.5%). Conclusion: Cirrhosis affects many men, in the age group 50-59 years, HBV infection is the most common cause, ascites and abdominal distension as common clinical features, increased SGOT and a decrease in albumin and hemoglobin as the most common abnormal laboratory picture, and most complications namely esophageal varices.Keywords: profile, cirrhosis hepatic, hepatitisAbstrak: Sirosis hati merupakan keadaan patologis yang menggambarkan stadium akhir fibrosis hepatik yang berlangsung progresif ditandai dengan distorsi dari arsitektur hepar dan pembentukan nodulus regeneratif. Sirosis hati adalah penyakit hati kronis yang disebabkan oleh berbagai macam faktor seperti infeksi virus hepatitis B, hepatitis C dan alkohol. Di dunia sirosis menempati urutan kedelapan belas penyebab kematian dengan prevalensi 1,3%. Metode: Penelitian ini merupakan penelitian deskriptif retrospektif dengan cara mengumpulkan data sekunder berupa catatan rekam medik pasien sirosis di Instalasi Rekam Medik RSUP Prof. Dr. R. D. Kandou Manado Periode Agustus 2012-Agustus 2014. Keseluruhan data yang diperoleh berjumlah 51 pasien sirosis hati. Hasil: Dari hasil penelitian diperoleh proporsi tertinggi pada pasien sirosis berdasarkan jenis kelamin adalah laki-laki (62,7%), kelompok umur 50-59 tahun (31,4%), penyebab terbanyak infeksi HBV (37,3%), asites dan distensi abdomen (20%) merupakan gambaran klinis yang sering muncul, peningkatan SGOT (15%) serta penurun albumin dan Hb (16%) merupakan gambaran laboratorium yang hasilnya sering abnormal, dan komplikasi terbanyak adalah varises esofagus (23,5%). Simpulan: Sirosis hati banyak diderita oleh laki-laki, pada kelompok umur 50-59 tahun, infeksi HBV adalah penyebab terbanyak, asites dan distensi abdomen sebagai gambaran klinis tersering, peningkatan SGOT serta penurunan albumin dan Hb sebagai gambaran laboratorium abnormal tersering, dan komplikasi terbanyak yaitu varises esofagus.Kata kunci: profil, sirosis hati, hepatitis

scholarly journals A Massive Ovarian Mucinous Cystadenoma: A Rare Case Report

2015 ◽  
Vol 3 (1) ◽  
pp. 48-51
Author(s):  
Ruma Sen Gupta ◽  
Suha Jesmen ◽  
Aysha Noor ◽  
Shahana Shermin
Keyword(s):  
Case Report ◽  
Ovarian Cyst ◽  
Histopathological Examination ◽  
Abdominal Mass ◽  
Mucinous Cystadenoma ◽  
Abdominal Distension ◽  
Cystic Mass ◽  
Surface Epithelium ◽  
Rare Case Report ◽  
Left Fallopian Tube

Ovarian mucinous cystadenoma is a benign tumour that arises from the surface epithelium of the ovary. It tends to be huge in size if not detected early. We describe a 32 year old woman (para 1+0) presented with marked abdominal distension, discomfort and vague pain in the abdomen with dyspepsia, anorexia, nausea, vomiting and irregular menstruation for last three months with the suspicion of pregnancy. On examination no findings were in favour of pregnancy, rather an ill defined abdominal mass about 30 weeks pregnancy size was found. Transabdominal USG revealed a big multiloculated ovarian cyst of about 25x20 cm. On laparotomy a huge cystic mass was noticed arising from left ovary. The cyst wall was smooth, intact and without any external projection though adherent with the left fallopian tube and left salpingo-oophorectomy was done. Histopathological examination revealed an ovarian cyst compatible with mucinous cystadenoma. Such giant ovarian tumours have become rare in current practice. This case report emphasizes the significance of thorough evaluation of all women presented with non specific complaints like vague abdominal pain or simple dyspepsia. Although the condition is rare, it is potentially dangerous in the massive form if not timely diagnosed and managed properly. With the increasing awareness of such conditions, more and more cases could be detected and reported early. DOI: http://dx.doi.org/10.3329/dmcj.v3i1.22239 Delta Med Col J. Jan 2015; 3(1): 48-51

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