scholarly journals Tuboovarian Abscess as Primary Presentation for Imperforate Hymen

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Jeh Wen Ho ◽  
D. Angstetra ◽  
R. Loong ◽  
T. Fleming
Keyword(s):  
Iliac Fossa ◽  
Rare Event ◽  
First Episode ◽  
Left Iliac Fossa ◽  
Imperforate Hymen ◽  
Incision And Drainage ◽  
Tuboovarian Abscess ◽  
History Of ◽  
Magnetic Resonance Imaging Mri

Objective.Imperforate hymen represents the extreme in the spectrum of hymenal embryological variations. The archetypal presentation in the adolescent patient is that of cyclical abdominopelvic pain in the presence of amenorrhoea. We reported a rare event of imperforate hymen presenting as a cause of tuboovarian abscess (TOA).Case Study.A 14-year-old girl presented to the emergency department complaining of severe left iliac fossa pain. It was her first episode of heavy bleeding per vagina, and she had a history of cyclical pelvic pain. She was clinically unwell, and an external genital examination demonstrated a partially perforated hymen. A transabdominal ultrasound showed grossly dilated serpiginous fallopian tubes. The upper part of the vagina was filled with homogeneous echogenic substance. Magnetic resonance imaging (MRI) demonstrated complex right adnexa mass with bilateral pyo-haemato-salpinges, haematometra, and haematocolpos. In theatre, the imperforate hymen was opened via cruciate incision and blood was drained from the vagina. At laparoscopy, dense purulent material was evacuated prior to an incision and drainage of the persistent right TOA.Conclusion.Ideally identification of imperforate hymen should occur during neonatal examination to prevent symptomatic presentation. Our case highlights the risks of late recognition resulting in the development of sepsis and TOA.

Imperforate hymen mimicking acute appendicitis in an adolescent woman: a rare presentation

2021 ◽  
Vol 14 (3) ◽  
pp. e238547
Author(s):  
Victoria Rose Russell ◽  
Mohamed Ibrahim ◽  
Georgina Phillips ◽  
Tom Setchell ◽  
Sanjay Purkayastha
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Iliac Fossa ◽  
Female Genital Tract ◽  
Delayed Diagnosis ◽  
Rare Presentation ◽  
Left Iliac Fossa ◽  
Imperforate Hymen ◽  
Retrograde Menstruation ◽  
Low Incidence

Imperforate hymen is a rare congenital malformation of the female genital tract. The condition poses several diagnostic challenges owing to its low incidence and often atypical presentation. Classical symptoms include amenorrhoea and cyclical abdominal pain. Delayed diagnosis leads to potentially irreversible and lifechanging sequelae including infertility, endometriosis and renal failure. A premenarchal 13-year-old girl with a background of chronic constipation presented with symptoms mimicking acute appendicitis. The underlying cause was imperforate hymen and retrograde menstruation. The diagnosis was made during diagnostic laparoscopy. As with this patient, pre-existing symptoms are often troublesome long before the true diagnosis is made. This case report highlights the importance of recognising imperforate hymen as a potential cause of acute abdominal pain in premenarchal adolescent girls. The clinical picture may present as right or left iliac fossa pain. Early identification reduces the risk of adverse complications and avoids unnecessary and potentially harmful interventions.

Cavum Septi Pellucidi in First-Episode Patients and Young Relatives at Risk for Schizophrenia

CNS Spectrums ◽  
2002 ◽  
Vol 7 (2) ◽  
pp. 155-158 ◽  
Author(s):  
Matcheri S. Keshavan ◽  
Perambur N. Jayakumar ◽  
Vaibhav A. Diwadkar ◽  
Amitabh Singh
Keyword(s):  
High Risk ◽  
First Episode ◽  
Healthy Controls ◽  
Resonance Imaging ◽  
Cavum Septi Pellucidi ◽  
Adolescent Offspring ◽  
Mri Scans ◽  
History Of ◽  
Magnetic Resonance Imaging Mri ◽  
Neurodevelopmental Hypothesis

ABSTRACTStudies on schizophrenia (SZ) have documented an increased presence of cavum septi pellucidi (CSP) in individuals suffering from the illness. Moreover, the presence of CSP has been cited in support of the early neurodevelopmental hypothesis in SZ. Our objective was to assess the magnetic resonance imaging (MRI) scans of first-episode patients and healthy controls to evaluate the frequency of CSP. The presence and the size of CSP were visually assessed on the MRI scans of 40 first-episode SZ patients, 19 nonpsychotic child and high-risk adolescent offspring of patients with SZ or schizoaffective disorder, and 59 controls. Our analysis revealed an absence of statistically significant differences in the occurrence of CSP between SZ patients, high-risk subjects, and controls. Even when the analysis was restricted to large CSP, no differences were found. Furthermore, no association between CSP and sex or handedness was observed. The absence of CSP abnormalities in first-episode SZ subjects might indicate that SZ is not characterized by developmentally mediated alterations in CSP. Also, family history of SZ might not increase likelihood for CSP.

Bilateral tubal incarceration into the broad ligaments caused by pelvic endometriosis: A case report

2021 ◽  
pp. 228402652110381
Author(s):  
Francesca Massimello ◽  
Andrea Giannini ◽  
Linda Tebache ◽  
Michelle Nisolle ◽  
Tommaso Simoncini
Keyword(s):  
Iliac Fossa ◽  
Broad Ligament ◽  
Rare Event ◽  
Reproductive Period ◽  
Infertile Woman ◽  
Fallopian Tubes ◽  
Assisted Reproductive Technique ◽  
Left Iliac Fossa ◽  
Common Location ◽  
Ablative Surgery

Introduction: Endometriosis is characterised by the presence of functional endometrial tissue outside the uterus. Salpinges are a common location of endometriotic implants. Endometriosis located into the broad ligament is a rare event. Case description: A 38-year-old infertile woman presented to our attention with moderate left iliac fossa pain after menses and intermenstrual bleeding. Transvaginal ultrasounds and pelvic magnetic resonance evidenced the presence of bilateral haematosalpinges. At the laparoscopic pelvic exploration, fallopian tubes were absent. Opening and dissecting the apical portion of the broad ligaments, we identified bilateral haematosalpinges incarcerated in the homolateral broad ligaments. We performed bilateral salpingectomy. Histological examination confirmed the presence of endometriosis. Conclusion: Care must be taken to the diagnostic assessment, counselling about the surgical programme before the intervention especially in patients during the reproductive period when the possibility of ablative surgery and subsequent need for an assisted reproductive technique exists.

scholarly journals Recurrence of a de-differentiated liposarcoma of the colon

2017 ◽  
Vol 4 (2) ◽  
pp. 24
Author(s):  
Mairead M. Hennessy ◽  
John E. O’Connell ◽  
David E. Kearney ◽  
Emmet J. Andrews
Keyword(s):  
Magnetic Resonance Imaging ◽  
Palliative Treatment ◽  
Histological Analysis ◽  
Iliac Fossa ◽  
Nodal Involvement ◽  
Resonance Imaging ◽  
Left Iliac Fossa ◽  
Palpable Mass ◽  
Initial Surgery ◽  
Magnetic Resonance Imaging Mri

We present the case of a 56-year-old gentleman who presented with non specific malaise, myalgia and anorexia. Clinical examination revealed a large circumscribed palpable mass in the left iliac fossa. He underwent an intraabdominal pelvic biopsy, computed tomography (CT), magnetic resonance imaging (MRI) of abdominal wall and Positron Emmission Tomography (PET). Differential diagnoses included Gastro Intestinal Stromal Tumour (GIST) and sarcoma. He underwent a laparotomy and excision of the lesion. Histological analysis of the lesion demonstrated a dedifferentiated liposarcoma involving the colon and adjacent pericolic fat. Margins were clear and there was no nodal involvement. He declined adjuvant chemotherapy. He subsequently developed a local recurrence, which was deemed unresectable. He commenced chemotherapy but continued to deteriorate. He received palliative treatment and died 6 months following his initial surgery.

scholarly journals Epiploic appendagitis with acute pyelonephritis: a case report

2019 ◽  
Vol 6 (3) ◽  
pp. 970
Author(s):  
Aditya Dhanawat ◽  
Ashim Kumar Mahali ◽  
Lalatendu Mohanty ◽  
Ambika Prasad Mohanty
Keyword(s):  
Acute Pyelonephritis ◽  
Past History ◽  
Iliac Fossa ◽  
Rare Occurrence ◽  
Left Iliac Fossa ◽  
Epiploic Appendagitis ◽  
Surgical Interventions ◽  
Pain Abdomen ◽  
History Of ◽  
Limiting Condition

Coexistence of acute epiploic appendagitis with acute pyelonephritis is a rare occurrence. Present study report here a case of a 36-year-old male with a past history of appendectomy presenting with complaints of pain abdomen, nausea, increased frequency of micturition and dysuria. On examination, there was tenderness and guarding in the left iliac fossa. CECT abdomen revealed resolving acute epiploic appendagitis with acute pyelonephritis. He was managed conservatively with antibiotics and anti-inflammatory agents to which he responded. Thus, epiploic appendagitis is a benign self-limiting condition which when diagnosed early prevents unnecessary surgical interventions.

scholarly journals Large intestine obstruction complicated with perforation: a rare manifestation of Schistosoma mansoni infection

1998 ◽  
Vol 116 (4) ◽  
pp. 1781-1783 ◽  
Author(s):  
Fernando Antibas Atik ◽  
Gaspar de Jesus Lopes Filho ◽  
Marcelo de Moura Linhares ◽  
João Seda Neto ◽  
Nacime Salomão Mansur
Keyword(s):  
Schistosoma Mansoni ◽  
Iliac Fossa ◽  
Hemodynamic Instability ◽  
Granulomatous Colitis ◽  
Left Iliac Fossa ◽  
First Case ◽  
Rare Manifestation ◽  
Narrow Lumen ◽  
History Of ◽  
Crampy Abdominal Pain

The authors report a case of a 25 year old Brazilian man with a history of crampy abdominal pain in the left iliac fossa for 2 weeks, abdominal distention, mucous diarrhea and anorexia. The patient presented signs of hemodynamic instability and a hard mass palpated in the left iliac fossa presented peritoneal irritation. At laparotomy, fecal peritonitis and a punched-out perforation of the midsigmoid colon were found. A left hemicolectomy was performed with terminal colostomy. Specimen examination revealed a thickened rectosigmoid wall, narrow lumen and multiple mucosal polyps. Microscopically, chronic granulomatous colitis with Schistosoma mansoni eggs confirmed the etiology. To the authors' knowledge, this is the first case of obstruction complicated with perforation due to mansoni schistosomiasis reported in the literature.

scholarly journals Delay in diagnosis and lessons learnt from a case of abdominal wall abscess caused by fishbone perforation

2015 ◽  
Vol 97 (3) ◽  
pp. e39-e42 ◽  
Author(s):  
A Hakeem ◽  
V Shanmugam ◽  
K Badrinath ◽  
M Dube ◽  
P Panto
Keyword(s):  
Small Bowel ◽  
Abdominal Wall ◽  
Close Contact ◽  
Iliac Fossa ◽  
Clinical Problem ◽  
Left Iliac Fossa ◽  
Delay In Diagnosis ◽  
History Of ◽  
Made In

Complications following foreign body (FB) ingestion are an uncommon clinical problem. A 59-year-old man presented with a 4-week history of left iliac fossa pain and 1 episode of dark red blood mixed with stools. Inflammatory markers were elevated, and computed tomography (CT) of the abdomen and pelvis showed an ill defined abdominal wall inflammatory collection in close contact with the small bowel loops. He was treated with antibiotics, and follow-up CT, colonoscopy and small bowel enema were mostly unremarkable. The patient presented again ten months later with left iliac fossa cellulitis and fever. Multiplanar CT (the patient’s fourth scan) demonstrated a 10cm abdominal wall collection with a linear hyperdense structure in the collection. The radiologists suspected a FB and on close scrutiny of the previous scans, they noted it to have been present on all of them. A targeted incision led to the removal of a 3cm fishbone from the collection. This case highlights the need to consider the possibility of a FB being the underlying cause in any unexplained intra-abdominal or abdominal wall inflammatory process so that the diagnosis is made in a timely manner.

Not all pain in the left iliac fossa is diverticular disease: A case study of a psoas myxoma and review

The Surgeon ◽  
2006 ◽  
Vol 4 (4) ◽  
pp. 239-243 ◽  
Author(s):  
E.L. Dormand ◽  
A. Prabhu-Desai ◽  
A.J. Rice ◽  
R.D. Rosin
Keyword(s):  
Diverticular Disease ◽  
Iliac Fossa ◽  
Left Iliac Fossa

scholarly journals Cystinuria: urine sediment as a diagnostic test

2020 ◽  
Vol 1 (2) ◽  
Author(s):  
María Pierna ◽  
Mohamed Abdelgabar ◽  
Raquel Fernández-Rivas ◽  
Miguel Fernández-Burriel
Keyword(s):  
Urine Analysis ◽  
Clinical Laboratory ◽  
Iliac Fossa ◽  
Previous History ◽  
Elderly Male ◽  
Urine Sediment ◽  
Left Iliac Fossa ◽  
Urinary Sediment ◽  
History Of ◽  
First Time

AbstractObjectivesTo demonstrate the importance of carrying out the urinary sediment study with the correct interpretation and crystals typification as a clinical laboratory diagnostic tool, as well as the elaboration of protocols that determine the need to realize this type of microscopic urinary sediment examination routinely.Case presentationElderly male patient with no personal or family history of interest that presented with left iliac fossa fixed and non-irradiated pain lasting three days. This is the first time that he suffered pain episodes of this type. The urine analysis reveals proteinuria, hematuria and the sediment shows abundant flat and hexagonal crystals, typical of cystine. Amino acid analysis confirms the finding, showing high dibasic amino acids and cystine concentrations.ConclusionsThe study of the urinary sediment by the clinical laboratory reveals the presence of a case of cystinuria due to the appearance of their pathognomonic crystals at an advanced age and without a previous history. The case reported in this paper is of interest for clinical laboratory practice, as it demonstrates the utility of urine sediment examination in the diagnosis of a genetic disease that manifests as a simple renal colic.

scholarly journals A rare case of retroperitoneal lymphangioma in a 74-year-old Chinese male

2021 ◽  
Vol 2021 (2) ◽  
Author(s):  
Hui Jun Lim ◽  
Joey Wee-Shan Tan ◽  
Claramae Shulyn Chia ◽  
Chin-Ann Johnny Ong
Keyword(s):  
Rare Case ◽  
Iliac Fossa ◽  
Cystic Mass ◽  
Left Iliac Fossa ◽  
Surgical Exploration ◽  
History Of ◽  
Retroperitoneal Lymphangioma ◽  
Chinese Male ◽  
Tomography Scan ◽  
Firm Mass

Abstract Retroperitoneal lymphangioma is an uncommon and benign mesodermal tumour that arises from the retroperitoneal lymphatics. Notably, it is a rare occurrence in adults, where <200 adult retroperitoneal lymphangioma cases have been published in the literature. Additionally, retroperitoneal lymphangioma is often difficult to diagnose preoperatively and formal diagnosis is frequently determined following surgical exploration. Here, we describe a rare case of retroperitoneal lymphangioma in a 74-year-old man who presented with a 6-month history of intermittent fresh per rectal bleeding with an incidental non-tender left iliac fossa firm mass on examination. Computed tomography scan established a retroperitoneal cystic lesion abutting the aorta and left common iliac vessels. Surgical exploration revealed a large cystic mass and a clean plane of dissection was performed, where the mass was completely excised with all the key structures preserved. Histology was consistent with a retroperitoneal lymphangioma.

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