scholarly journals Isolated Fallopian Tube Torsion in Adolescents

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
S. Rajaram ◽  
S. Bhaskaran ◽  
S. Mehta
Keyword(s):  
Fallopian Tube ◽  
Adolescent Girls ◽  
Surgical Intervention ◽  
Cystic Mass ◽  
Reproductive Age ◽  
Imaging Features ◽  
Lower Abdomen ◽  
Women Of Reproductive Age ◽  
First Case ◽  
Paratubal Cyst

Background. Fallopian tube torsion is a rare cause of acute abdomen, occurring commonly in females of reproductive age. It lacks pathognomonic symptoms, signs, or imaging features, thus causing delay in surgical intervention.Case. We report two cases of isolated fallopian tube torsion in adolescent girls. In the first case a 19-year-old patient presented with acute pain in the left iliac region associated with episodes of vomiting for one day and mild tenderness on examination. Laparoscopy revealed left sided twisted fallopian tube associated with hemorrhagic cyst of ovary. The tube was untwisted and salvaged. In another case an 18-year-old virgin girl presented with similar complaints since one week, associated with mild tenderness in the lower abdomen and tender cystic mass on per rectal examination. On laparoscopy right twisted fallopian tube associated with a paratubal cyst was found. Salpingectomy was done as the tube was gangrenous.Conclusion. Fallopian tube torsion, though rare, should be considered in women of reproductive age with unilateral pelvic pain. Early diagnostic laparoscopy is important for an accurate diagnosis and could salvage the tube.

scholarly journals Isolated fallopian tube torsion

2021 ◽  
Vol 10 (3) ◽  
pp. 1219
Author(s):  
Bandamma N. S. ◽  
Prema Prabhudev ◽  
Pooja .
Keyword(s):  
Fallopian Tube ◽  
Adolescent Girl ◽  
Diagnostic Laparoscopy ◽  
Surgical Intervention ◽  
Accurate Diagnosis ◽  
Reproductive Age ◽  
Imaging Features ◽  
Women Of Reproductive Age ◽  
The Right ◽  
Early Diagnostic

Fallopian tube torsion is a rare cause of acute abdomen, occurring commonly in females of reproductive age. It lacks pathognomonic symptoms, signs, or imaging features, thus causing delay in surgical intervention. Current study report one case of isolated fallopian tube torsion in adolescent girl. In this case a 13 year old patient presented with acute pain in the right iliac region associated with 3 episodes of vomiting for one day and severe tenderness on examination. Laparoscopy revealed right sided twisted fallopian tube associated with gangrenous fimbrial end. The tube was untwisted and salpingectomy done. Salpingectomy was done as the tube was gangrenous. Fallopian tube torsion, though rare, should be considered in women of reproductive age with unilateral pelvic pain. Early diagnostic laparoscopy is important for an accurate diagnosis and could prevent the rupture of the gangrenous tube. 

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 Uterine rhabdomyosarcoma complicated by cerebral venous thrombosis and uterine inversion in a young woman: case report and literature review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hongfa Peng ◽  
Jingjing Jiang ◽  
Xianghua Huang
Keyword(s):  
Venous Thrombosis ◽  
Adolescent Girls ◽  
Cerebral Venous Thrombosis ◽  
Actinomycin D ◽  
Surgical Intervention ◽  
Abnormal Uterine Bleeding ◽  
Uterine Neoplasms ◽  
Case Presentation ◽  
Uterine Inversion ◽  
First Case

Abstract Background Uterine rhabdomyosarcoma is an extremely rare malignant tumor that usually affects young women and has a poor prognosis. Case presentation A 19-year-old nulliparous woman presented to the emergency department under sedation due to seizures. Imaging examination revealed cerebral venous thrombosis. During thrombolytic therapy, she developed vaginal bleeding followed by uterine inversion secondary to uterine rhabdomyosarcoma. The inverted uterus was mistaken for a cervical tumour and was removed vaginally. The patient’s disease progressed despite chemotherapy with vincristine, actinomycin D and cyclophosphamide and she died within 6 months. To our knowledge, this is the first case of uterine rhabdomyosarcoma complicated with cerebral venous thrombosis. Conclusions Malignancy is an important diagnostic in patients with cerebral venous thrombosis with no obvious cause. This case demonstrates the importance of considering uterine neoplasms in the differential diagnosis of adolescent girls with abnormal uterine bleeding. Further, careful anatomical evaluation of vaginal masses should be performed prior to surgical intervention.

scholarly journals Isolated Fallopian Tubal Torsion Complicated by a Large Hydrosalpinx in a Perimenopausal Woman

2021 ◽  
Author(s):  
Masanori Kanemura ◽  
Atsushi Yoshida ◽  
Akihiko Toji ◽  
Yumi Murayama ◽  
Emi Iwai
Keyword(s):  
Laparoscopic Surgery ◽  
Fallopian Tube ◽  
Acute Abdominal Pain ◽  
Abdominal Cavity ◽  
Ovarian Tumour ◽  
Cystic Mass ◽  
Lower Abdomen ◽  
Acute Pelvic Pain ◽  
Magnetic Resonance Imaging Mri ◽  
Left Fallopian Tube

Adnexal torsion frequently causes acute pelvic pain in women. Ovarian tumour torsion is common; twisting and torsion of a fallopian tube are rare. This report presents a rare case of fallopian tubal torsion requiring the management of a large hydrosalpinx with laparoscopic surgery. A 48-year-old woman reported with acute abdominal pain and lower abdomen tenderness. Transvaginal ultrasonography and Magnetic Resonance Imaging (MRI) showed a cystic mass on the anterior uterine surface. Emergency surgery was performed for a suspected torsion of the left ovarian cyst. In the abdominal cavity, the left fallopian tube was enlarged (neonatal head size), dark purple coloured, and exhibited a 180° torsion; the left ovary was normal. Laparoscopic left salpingectomy was performed and the postoperative course was uneventful. Surgical pathology revealed hydrosalpinx with torsion. As diagnosing isolated fallopian tube torsion before surgery is difficult, laparoscopic surgery is useful in diagnosing and treating isolated tubal torsion.

scholarly journals Deworming women of reproductive age during adolescence and pregnancy: what is the impact on morbidity from soil-transmitted helminths infection?

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Carolin Vegvari ◽  
Federica Giardina ◽  
Sumali Bajaj ◽  
Veronica Malizia ◽  
Robert J. Hardwick ◽  
...  
Keyword(s):  
Adolescent Girls ◽  
Egg Production ◽  
Reproductive Age ◽  
World Health ◽  
Age Group ◽  
Women Of Reproductive Age ◽  
Soil Transmitted Helminths ◽  
Force Of Infection ◽  
Pregnancy And Lactation ◽  
The Impact

Abstract Background Soil-transmitted helminths (STHs) are a major cause of poor health in low- and middle-income countries. In particular, hookworm is known to cause anaemia in children and women of reproductive age (WRA). One goal of the World Health Organization’s (WHO) 2030 roadmap for neglected tropical diseases is to reduce STH-related morbidity in WRA. As a minimal intervention, the WHO recommends deworming adolescent girls annually during human papilloma virus vaccination programmes and WRA during pregnancy and lactation. These routine interventions are low cost and can be implemented even by the most basic health services in endemic countries. In this study we use a cohort model to investigate the potential impact on STH-related morbidity in WRA. Results Annual deworming treatment of adolescent girls reduces the prevalence of moderate- and heavy-intensity infections in this age group by up to 60% in moderate transmission settings and by 12–27% in high transmission settings. Treatment of WRA during pregnancy and lactation on its own has a small (< 20%) but significant effect on morbidity although it does not lead to the achievement of the morbidity target (< 2% moderate- to high-intensity infections) in this age group. However, depending on the age-intensity profile of infection, which may vary geographically, and assumptions on the density-dependence of egg production by fertilised female worms, continued school-based treatment may be able to reduce the force of infection acting on WRA, both through an indirect effect on the overall population-based force of infection and via reducing the burden of infection as children age and move into the WRA age classes. As a result, morbidity in WRA may be eliminated. Conclusion While deworming during pregnancy and lactation does not lead to the achievement of the morbidity target in WRA and its efficacy may vary by setting, it is still expected to be beneficial for maternity and child health. Monitoring of any WRA-based intervention is recommended to evaluate its effectiveness.

scholarly journals Obesity, fertility and pregnancy: can we intervene to improve outcomes?

2018 ◽  
Vol 239 (3) ◽  
pp. R47-R55 ◽  
Author(s):  
Rebecca M Reynolds ◽  
Adrienne Gordon
Keyword(s):  
Health Services ◽  
Adverse Effects ◽  
Health Outcomes ◽  
Clinical Outcomes ◽  
Intervention Studies ◽  
Maternal Obesity ◽  
Surgical Intervention ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Short Term

Rates of obesity among women of reproductive age have risen dramatically in recent decades. Obesity impacts on health of women across their reproductive lifespan with adverse effects on not only fertility and short-term complications of pregnancy, but also on longer term health outcomes for both women and their children. This places considerable burden and cost on health services. Here, we review the evidence linking maternal obesity to adverse fertility, pregnancy and longer term health outcomes for women and their children. We discuss the outcomes of recent lifestyle, pharmacological and surgical intervention studies. As many of these studies have not shown a significant improvement in clinical outcomes, we discuss the need for better study design in future trials.

scholarly journals Deworming women of reproductive age during adolescence and pregnancy: what is the impact on morbidity from soil-transmitted helminths infection?

2021 ◽  
Author(s):  
Carolin Vegvari ◽  
Federica Giardina ◽  
Sumali Bajaj ◽  
Veronica Malizia ◽  
Robert J. Hardwick ◽  
...  
Keyword(s):  
Adolescent Girls ◽  
Egg Production ◽  
Reproductive Age ◽  
World Health ◽  
Age Group ◽  
Women Of Reproductive Age ◽  
Soil Transmitted Helminths ◽  
Force Of Infection ◽  
Pregnancy And Lactation ◽  
The Impact

Abstract Background: Soil-transmitted helminths (STHs) are a major cause of poor health in low- and middle-income countries. In particular, hookworm is known to cause anaemia in children and women of reproductive age (WRA). One goal of the World Health Organization’s (WHO) 2030 roadmap for neglected tropical diseases is to reduce STH-related morbidity in WRA. As a minimal intervention the WHO recommends deworming adolescent girls annually during human papilloma virus vaccination programmes and women of reproductive age (WRA) during pregnancy and lactation. These routine interventions are low cost can be implemented even from the most basic health services in endemic countries. In this study we use a cohort model to investigate the potential impact on STH-related morbidity in WRA.Results: Annual deworming treatment of adolescent girls reduces the prevalence of moderate- and heavy-intensity infections in this age group by up to 60% in moderate transmission settings and by 12-27% in high-transmission settings. Treatment of WRA during pregnancy and lactation on its own has a small (<20%) but significant effect on morbidity although it does not lead to the achievement of the morbidity target (<2% moderate-to-high intensity infections) in this age group. However, depending on the age-intensity profile of infection, which may vary geographically, and assumptions on the density-dependence of egg production by fertilised female worms, continued school-based treatment may be able to reduce the force of infection acting on WRA, both through an indirect effect on the overall population based force of infection and via reducing the burden of infection as children age and move into the WRA age classes. As a result, morbidity in WRA may be eliminated.Conclusion: While deworming during pregnancy and lactation does not lead to the achievement of the morbidity target in WRA and its efficacy may vary by setting, it is still expected to be beneficial for maternity and child health. Monitoring of any WRA-based intervention is recommended to evaluate its effectiveness.

Isolated fallopian tube torsion: a rare but important event for women of reproductive age

2008 ◽  
Vol 90 (4) ◽  
pp. 1198.e23-1198.e25 ◽  
Author(s):  
Giuseppe Comerci ◽  
Filippo Maria Colombo ◽  
Marco Stefanetti ◽  
Giovanni Grazia
Keyword(s):  
Fallopian Tube ◽  
Reproductive Age ◽  
Women Of Reproductive Age

scholarly journals An Analysis of Nutrition-Relevant National Policies in South Asia Reveals a Gap in Addressing the Essential Nutrition Actions Recommended by World Health Organization (WHO)

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1728-1728
Author(s):  
Sumanta Neupane ◽  
Manita Jangid ◽  
Samuel Scott ◽  
Phuong Nguyen ◽  
Sunny Kim ◽  
...  
Keyword(s):  
Policy Analysis ◽  
Pregnant Women ◽  
South Asia ◽  
South Asian ◽  
Adolescent Girls ◽  
Reproductive Age ◽  
World Health ◽  
Postpartum Women ◽  
Women Of Reproductive Age ◽  
National Policies

Abstract Objectives The WHO recommends Essential Nutrition Actions (ENAs) throughout the life course to tackle malnutrition in all its forms. However, limited evidence exists on the availability of policies to support the implementation of ENAs in South Asia, a region with the highest burden of malnutrition globally. We conducted a policy analysis to assess the extent to which current policies address ENAs for adolescent girls, women, and children in South Asia. Methods We first identified the WHO ENAs targeting non-pregnant menstruating adolescent girls (1 ENA), non-pregnant women of reproductive age (2 ENAs), pregnant women (6 ENAs), postpartum women (2 ENAs), and children aged 0–5 years (25 ENAs). We then reviewed 40 health- and nutrition-relevant national policy and program documents, strategic plans, and guidelines for health workers from Afghanistan, Bangladesh, Bhutan, India, Maldives, Nepal, Pakistan, and Sri Lanka. Using these documents, we identified policies that address the ENAs. We report the number of recommended ENAs addressed by the policies for each population group. Results National nutrition policies exist in all eight countries. Six countries have multi-sector nutrition plans or strategy. These documents primarily guide provisions for nutrition actions in the region. Six countries have policies that address the ENA for non-pregnant menstruating adolescent girls. Only two countries have policies that address both ENAs for non-pregnant women of reproductive age. For pregnant women, three countries address four of six ENAs, but no countries address all six ENAs. Seven countries have policies that address both ENAs for postpartum women. Five countries have policies that address more than 20 of 25 ENAs for children aged 0–5 years. Conclusions Our policy analysis identifies substantial gaps in national policies related to the ENAs among South Asian countries and gaps are more pronounced for non-pregnant women of reproductive age and for pregnant women. Policy revisions, including updating policies, implementation and financing plans, will be needed to deliver the ENAs at scale and with quality to enable the South Asian region to tackle malnutrition in all its forms. Funding Sources Bill and Melinda Gates Foundation through DataDENT.

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