scholarly journals Intra-Abdominal Hemorrhagic Catastrophe due to Large Subserous Myomatous Capsular Venous Rupture

2022 ◽  
Vol 2022 ◽  
pp. 1-4
Author(s):  
Tamilselvi Sethupathy ◽  
Madhankumar Madathupalayam ◽  
Krithika Arun Prasad
Keyword(s):  
Uterine Leiomyoma ◽  
Surgical Intervention ◽  
Hemodynamic Instability ◽  
Massive Hemorrhage ◽  
Reproductive Age ◽  
Age Group ◽  
Rare Finding ◽  
The Common ◽  
Reproductive Age Group ◽  
Care Support

Uterine leiomyoma is a common benign uterine tumor of women in the reproductive age group. Although the common symptoms of leiomyoma are menorrhagia and dysmenorrhoea, this patient presenting as a near collapse is a rare finding. The patient presented with abdominal pain and worsening anemia within a span of hours and hypotension, tachycardia, and tachypnoea needing urgent surgical intervention and blood transfusion and intensive care support is relatively rare. Though every effort to know the exact cause of intraperitoneal hemorrhage in this patient was taken, the rarer diagnosis of capsular venous rupture was not identified prior to surgical intervention. Initially, laparoscopy was introduced first to identify the cause of massive hemorrhage; the approach was changed to open myomectomy keeping in mind the general condition of the patient. Hence, for any patient with a prior diagnosis of myoma with hemodynamic instability, the rarer diagnosis of leiomyomatous capsular venous erosion should be a differential diagnosis to aid in the appropriate management of the women. The team of interdisciplinary expertise will definitely improve the outcomes in such cases.

Effect of low dose mifepristone on uterine leiomyoma in reproductive age group

2013 ◽  
Vol 100 (3) ◽  
pp. S78 ◽  
Author(s):  
S. Prasad ◽  
N. Varun ◽  
A. Kumar ◽  
S. Prasad
Keyword(s):  
Uterine Leiomyoma ◽  
Low Dose ◽  
Reproductive Age ◽  
Age Group ◽  
Reproductive Age Group

scholarly journals Acute abdomen with adnexal masses in the reproductive age group: diagnosis and management

2020 ◽  
Vol 9 (6) ◽  
pp. 2337
Author(s):  
Anuradha D. Murki ◽  
Vasundhara Kamineni ◽  
Sowmya R. Velagapudi ◽  
Ashok K. Deshpande
Keyword(s):  
Ectopic Pregnancy ◽  
Acute Abdomen ◽  
Adnexal Mass ◽  
Abdominal Distension ◽  
Reproductive Age ◽  
Age Group ◽  
Adnexal Masses ◽  
Benign Ovarian Tumours ◽  
The Common ◽  
Reproductive Age Group

Background: Women with adnexal masses can present with acute symptoms such as abdominal pain, nausea and vomiting. As there is insufficient evidence on the frequency, presentation and management of adnexal masses we conducted this study to evaluate the clinical profile, surgical findings and histopathology of adnexal masses in women presenting with acute abdomen and needing surgical intervention.Methods: In this prospective observational study, history, examination, investigations and ultrasound of abdomen and pelvis were evaluated in women presenting with acute abdomen with adnexal mass and needing surgical intervention. Diagnosis was confirmed from the operative findings and histopathology. Etiology and its correlation with clinical symptoms and signs and radiological diagnosis formed the primary objective of the study.Results: Of the 79 patients enrolled in the study, the mean age was 30.82±6.69 years. Younger women were likely to have ectopic pregnancy while older women (>35 years) other tubal pathologies. Pain abdomen (n=70) and nausea (n=53), bleeding per vagina(n=33), menstrual irregularities (n=18), fever (n=10) abdominal distension (n=10) and dysuria (4) were the common symptoms. Etiology of the adnexal mass was ectopic pregnancy (57%), ovarian mass (34%), tubal mass (7.5%), tube and ovary (2.5%) in 46, 25, 6 and 2 patients respectively. 61% (n=48) of the women underwent laparoscopic management. Women with ruptured ectopic pregnancy were more likely to have abdominal distension, pallor, hypotension, cervical motion tenderness and need for blood transfusions.Conclusions: In women from reproductive age group with adnexal mass and needing surgery, ectopic pregnancies and benign ovarian tumours were the common etiologies. Urine pregnancy test and ultrasound are useful tests to differentiate ectopic from ovarian and tubal pathology.

scholarly journals ENDOMETRIOSIS : ENIGMATICAL DIAGNOSIS

2020 ◽  
pp. 1-3
Author(s):  
Sandeep Pophale ◽  
Shreya Chinchoriya
Keyword(s):  
Gold Standard ◽  
Histopathological Examination ◽  
Clinical Signs ◽  
Reproductive Age ◽  
Age Group ◽  
Women Of Reproductive Age ◽  
Adnexal Masses ◽  
Common Presentation ◽  
The Common ◽  
Reproductive Age Group

Background: The prevalence of endometriosis is seen to be from 10% to 20% in the reproductive age group whereas that of endometriosis is 30% to 70% among women presenting with infertility. In our study the incidence of endometriosis appears to be 6.31%. The objective is study the common presentation in cases of endometriosis and their diagnostic accuracy with the help of radiological modalities . laparoscopy and histopathology remains the gold standard modality to diagnose endometriosis. Methods: A total of 200 patients with adnexal masses in the women of reproductive age group were studied. Endometriosis was identified by laparoscopy in 12 cases and confirmed by histopathological examination. Results: Out of the above 200 patients, 6.31% (12 cases) were diagnosed as cases of endometriosis. Out of which, 25% patients had moderate to severe endometriosis. The ultrasound turned out to be an important method in diagnosing the cases of endometriosis Conclusions: The symptoms and clinical signs should raise the suspicion of pelvic endometriosis.ultrasound plays an important role in diagnosing the cases of endometriosis

scholarly journals Prevalence of Goiter and Associated Factors among Women of Reproductive Age Group in Demba Gofa Woreda, Gamo Gofa Zone, Southwest Ethiopia: A Community-Based Cross-Sectional Study

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Befikaduwa Zekarias ◽  
Frehiwot Mesfin ◽  
Bezatu Mengiste ◽  
Adane Tesfaye ◽  
Lemma Getacher
Keyword(s):  
Logistic Regression ◽  
Iodine Deficiency ◽  
Associated Factors ◽  
Sampling Technique ◽  
Iodized Salt ◽  
Reproductive Age ◽  
Age Group ◽  
Women Of Reproductive Age ◽  
Cross Sectional ◽  
Reproductive Age Group

Background. Iodine deficiency disorder is a major public health problem in Ethiopia that is more common in women of reproductive age. However, it is not well addressed and there is a lack of information on its prevalence and associated factors in women of reproductive age group. Therefore, the objective of this study was to assess goiter prevalence and associated factors among women of reproductive age in the Demba Gofa woreda, Gamo Gofa Zone, Southwest Ethiopia. Methods. A community-based cross-sectional study was used among 584 randomly selected women in the reproductive age group from February 05 to April 20, 2016. A simple random sampling technique was used to select the study kebeles, and a systematic random sampling technique was used to select the study samples. Data were collected through a pretested questionnaire, and the goiter examination was done clinically for each participant. The collected data were coded and entered into a computer for statistical analysis using EpiData version 3.2 and analyzed using SPSS version 20. Variables with a P value ≤0.25 in bivariate logistic regression analysis were entered into multivariate logistic regression analysis, and finally, variables with a P value <0.05 in multivariate logistic regression were considered significantly associated with the dependent variable. Results. The total goiter rate was 43%, 95% CI = 39.2–46.9. Cassava consumption (AOR: 2.02, 95% CI: 1.03–4), salt wash before use (AOR: 3.14, 95% CI: 1.1–11.3), salt use after >2 months of purchase (AOR: 11, 95% CI: 5–26), family history of goiter (AOR: 4.6, 95% CI: 1.4–15.8), and poor knowledge of iodized salt (AOR: 2.7, 95% CI: 1.4–5.5) were significant factors associated with goiter. Conclusion. Iodine deficiency was found to be severe in women of reproductive age in the study area. This showed that women of reproductive age, especially during pregnancy, are exposed to iodine deficiency and its adverse effects at delivery. Thus, they need urgent supplementation with iodine, improved access to foods rich in iodine, and intake of iodized salt. Additionally, health education should focus on the importance of iodized salt, the proper method of use, and the prevention of iodine deficiency, which are highly recommended to minimize the problem.

Sign in / Sign up

Export Citation Format

Share Document