scholarly journals Pelvic tuberculosis: from millets to masses

2019 ◽  
Vol 8 (7) ◽  
pp. 2943
Author(s):  
Nitin H Shah ◽  
Aditi Vivek Joshi ◽  
Sunita Mourya
Keyword(s):  
Adnexal Mass ◽  
Age Groups ◽  
Reproductive Age ◽  
Clinical Impression ◽  
Age Group ◽  
Diagnostic Dilemma ◽  
The Tropics ◽  
Author Report ◽  
Ovarian Masses ◽  
Reproductive Age Group

An adnexal mass is a common entity in the reproductive age group. Ovarian masses form a majority of this condition. Tuberculosis is a disease commonly encountered in the Tropics and is endemic to India. Abdominopelvic affliction of this disease is common in women especially in the reproductive age groups. It may present with variety of non-specific clinical features and often poses an enormous diagnostic dilemma Author report one such case, presenting with a clinical impression of ovarian malignancy, however, was diagnosed to be a case of extensive pelvic tuberculosis on laparoscopy. Tissue biopsy was consistent with the finding of tuberculosis.

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 Spectrum of endometrial lesions observed on histopathological examination of endometrial samples in women with abnormal uterine bleeding

2019 ◽  
Vol 7 (11) ◽  
pp. 4124
Author(s):  
Smriti S. Dwivedi ◽  
Malay Bajpai ◽  
Indu Bhushan ◽  
Arunima Satkirti
Keyword(s):  
Endometrial Hyperplasia ◽  
Age Groups ◽  
Abnormal Uterine Bleeding ◽  
Endometrial Biopsy ◽  
Uterine Bleeding ◽  
Reproductive Age ◽  
Age Group ◽  
Hormonal Imbalance ◽  
Endometrial Pattern ◽  
Reproductive Age Group

Background: Abnormal uterine bleeding is one of the common gynecological complaints of women of all age groups. Histopathological study of endometrial biopsy and curettage samples is an effective diagnostic modality that can be used to identify cause of AUB at its earliest. This study was done to investigate the various endometrial causes of AUB that frequently come to our hospital and their incidence in various age groups i.e. reproductive, perimenopausal and postmenopausal.Methods: This study was conducted on 108 patients who clinically presented with AUB and had their endometrial biopsy and curettage specimens sent to the histopathology department of our tertiary care hospital and teaching centre, located in Uttar Pradesh from June 2018 to May 2019. The endometrial patterns were observed, and their frequencies and percentages were computed and classified age group wise.Results: These studies included patients with age range from 19 to 77 years. The predominant age group with AUB was reproductive age group (<40 years). The most common histopathological finding in this study was normal menstrual pattern (48.15 %). The endometrial pathologies observed were hormonal imbalance and pill effect (22.22%), atrophic endometrium (10.19%), chronic endometritis (5.56%), benign endometrial polyp (4.63%), gestation products (3.70%), endometrial hyperplasia (3.70%), and endometrial carcinoma (1.85%). Conclusion: The most commonly known cause of AUB in reproductive age group is due to hormonal imbalance. Endometrial hyperplasia and carcinoma are usually more common in the perimenopausal and postmenopausal age groups. Overall, in patients with no organic cause of AUB, normal cyclical endometrial pattern is the most prevalent endometrial pattern observed.Conclusions: The most commonly known cause of AUB in reproductive age group is due to hormonal imbalance. Endometrial hyperplasia and carcinoma are usually more common in the perimenopausal and postmenopausal age groups. Overall, in patients with no organic cause of AUB, normal cyclical endometrial pattern is the most prevalent endometrial pattern observed.

scholarly journals Normative value of photostress recovery time among various age groups in southern India

2020 ◽  
Vol 1 (1) ◽  
pp. 11-17
Author(s):  
Bhandari Bishwash ◽  
De Tapas Kumar ◽  
Sah Sanjay Kumar ◽  
Sanyam Sandip Das
Keyword(s):  
Recovery Time ◽  
Age Groups ◽  
Reference Value ◽  
Reproductive Age ◽  
Age Group ◽  
Cross Sectional ◽  
Corrected Distance Visual Acuity ◽  
Age Range ◽  
Photostress Recovery Time ◽  
Reproductive Age Group

Background: To determine the normative data and reference value for photostress recovery time (PSRT) following exposure of the macula to light, in various age groups within the Indian population. Methods: Cross-sectional observational study performed from November 2015 to July 2016 in the Bangalore district of Karnataka state in India. We examined a total of 1,282 eyes of 641 participants and included those with corrected distance visual acuity (CDVA) scoes lower than  or equal to 0.4 Logarithm of the Minimum Angle of Resolution (LogMAR). We performed the photostress procedure under standard conditions using the same approach. Results: The mean ± standard deviation (SD) of the participants’ age was 32.04 ± 15.80, with an age range of 8 to 70 years. The PSRT in participants below 16 years and above 45 years of age were significantly different compared to the 16–25-year-old age group (P  <  0.0001 for both). The PSRT values were significantly different between males and females in the reproductive age group (16 to 45 years old) (P  < 0.0001), but not in the other age groups. Conclusions: The PSRT values were significantly different in children and older patients compared to the 16 to 25 years age group. We found that as age increased, PSRT increased significantly.

scholarly journals Cystic adnexal lesion on USG – causing a diagnostic dilemma in oncology institute

2016 ◽  
Author(s):  
Abhinav Aggarwal
Keyword(s):  
Imaging Modality ◽  
Reproductive Age ◽  
Age Group ◽  
Diagnostic Dilemma ◽  
Cross Sectional ◽  
Common Cause ◽  
Cross Sectional Imaging ◽  
Sectional Imaging ◽  
Adnexal Lesion ◽  
Reproductive Age Group

Adnexal lesions are one of the most common cause of gynecological complains, including possibility of ectopic pregnancy in reproductive age group. Ultrasound is the first imaging modality used for evaluation of adnexal lesions. On ultrasound large non-adnexal lesions can be confused as adnexal lesions causing a diagnostic dilemma, rendering use of cross-sectional imaging mandatory. We present a case of middle-aged female who was diagnosed with a right adnexal lesion (possibly malignant) on ultrasound, but on further evaluation was found to be suffering from a benign non-adenexal etiology.

scholarly journals Periureteric Mass in a Treated Case of Papillary Carcinoma of Thyroid: A Diagnostic Dilemma

2019 ◽  
Vol 02 (01) ◽  
pp. 058-063
Author(s):  
Sushil Panbude ◽  
Archi Agrawal ◽  
Shubhada Kane ◽  
Anil D'Cruz ◽  
Supreeta Arya
Keyword(s):  
Papillary Carcinoma ◽  
Clinical History ◽  
Reproductive Age ◽  
Imaging Features ◽  
Age Group ◽  
Diagnostic Dilemma ◽  
Uterosacral Ligaments ◽  
History Of ◽  
Extrapelvic Endometriosis ◽  
Reproductive Age Group

AbstractEndometriosis is the presence of normal endometrial glands and stroma outside the endometrium, seen in women in the reproductive age group. Endometriosis is common in the pelvis in the pouch of Douglas, rectum, urinary bladder, and uterosacral ligaments. Although extrapelvic endometriosis is uncommon, endometriosis at extrapelvic sites such as the gastrointestinal tract, urinary tract, lung, skin, brain, and scar site has been reported and can mimic other benign and malignant lesions. It is a difficult diagnosis when patients have a preexisting neoplasm as metastasis can be a differential. The clinical history, imaging features, and a strong suspicion of this entity in the reproductive age group help accurate diagnosis of this entity. We present a rare case of deep pelvic (periureteral) endometriosis in a 41-year-old woman with history of papillary carcinoma of the thyroid gland causing diagnostic dilemma on imaging and histopathology and also discuss briefly the imaging findings of endometriosis.

scholarly journals NEGATIVE APPENDECTOMIES ARE MORE COMMON IN FEMALES OF REPRODUCTIVE AGE GROUP

2021 ◽  
Vol 71 (6) ◽  
pp. 2011-14
Author(s):  
Zahid Ali ◽  
Muhammad Rahil Khan ◽  
Riyasat Ahmed Memon ◽  
Ikram Din Ujjan ◽  
Fida Hussain ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Histopathological Examination ◽  
Age Groups ◽  
Scoring Systems ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Negative Appendectomy ◽  
Age Group ◽  
Cross Sectional ◽  
Reproductive Age Group

Objective: To compare the negative appendectomy in the females of reproductive and non-reproductive age groups. Study Design: Cross-sectional study. Place and Duration of Study: Department of Pathology, Diagnostic and Research Laboratory, Liaquat University of Medical and Health Sciences, Hyderabad, Pakistan, from January 2018 to December 2019. Methodology: A total of 1126 appendectomy specimens were enrolled irrespective of age and gender. The biodata of patients was retrieved from the database. Statistical analysis was done using SPSS version 22. Results: Out of total 1126 reported cases, 787 (69.9%) were males and 339 (30.1%) were females. The mean age was calculated to be 24.43 ± 12.42 years ranging from 2-94 years. Histopathological examination revealed cases of acute appendicitis 374 (33.2%), acute appendicitis with peri-appendicitis 478 (42.5%), fibrous obliteration 28 (2.5%) and parasitic infestation 7 (0.6%). Overall negative appendectomies were 219 (19.4%) and were prominent in females 100 (29.5%) than males 119 (15.1%). Also it was higher in females of reproductive age group 77 (30.4%) than in non-reproductive age group 23 (27.9%). Conclusion: In our study negative appendectomy in females of reproductive age groups was found to be higher than expected. Clinical scoring systems, biochemical markers, imaging modalities, and second opinion from other specialties like internal medicine, gynae and obstetric have been introduced to substantiate the diagnosis of acute appendicitis and thereby decreases the negative appendectomy.

scholarly journals A study on assessment of unmet need and contraceptives practices adopted among currently married females residing at urban slums of Ahmedabad

2021 ◽  
Vol 8 (4) ◽  
pp. 1863
Author(s):  
Disha R. Geriya ◽  
Venu R. Shah ◽  
Viral R. Dave ◽  
Kantibhai N. Sonaliya
Keyword(s):  
Family Planning ◽  
Age Groups ◽  
Unmet Need ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Age Group ◽  
Cross Sectional ◽  
Oral Contraceptive Pills ◽  
Reproductive Age Group ◽  
Group 1

Background: India is a country where population is rapidly growing, to slow down this growth rate family planning is necessary. Family planning services have the potential to improve the quality of the lives and economic welfare of people. Aim of the study was to assess prevalence of unmet need, knowledge, attitude regarding family planning methods and contraceptive practices, among study participants.Methods: A cross- sectional study was carried out among females of early reproductive age group 18-25 years, Group-1 and late reproductive age group 35-49 years, Group-2Results: Out of 200 women, majority respondents belonged to age group of 22-25 years (44.5%). Females of both age-groups had almost similar (54% and 53%) knowledge “partially correct” type for objectives of family planning and had similar positive attitude (78% and 85%) towards family planning practices. Total 45% of group 1 and 55% of other group females were currently using contraception. Most common method used by group 1 women was Intra Uterine Devices (35.5%), followed by Oral Contraceptive pills (31.2%) and in group 2 women was permanent sterilization (74.5%) followed by barrier and Intra Uterine Devices (9.1% each). Unmet need of family planning was 29% and 18% among early and late reproductive age groups, respectively.Conclusions: Unmet need of family planning was higher among early age group females. In both age groups, utilization of contraceptives were less because of lack of awareness and fear of side effect.

scholarly journals Broad Ligament Fibroid: A Diagnostic Dilemma

2016 ◽  
Vol 5 (2) ◽  
pp. 116-118
Author(s):  
Nahid Sultana ◽  
Masuma Jalil ◽  
Fateha Ferdous ◽  
Shahnaz Rahman ◽  
Rahima Begum
Keyword(s):  
Solid Tumor ◽  
Broad Ligament ◽  
Reproductive Age ◽  
Age Group ◽  
Women Of Reproductive Age ◽  
Secondary Infertility ◽  
Diagnostic Dilemma ◽  
Pelvic Tumors ◽  
Reproductive Age Group

Leiomyomas are the commonest of all pelvic tumors. One-fifth women of reproductive age group suffer from this condition. Tumors of broad ligament are rare. Most common solid tumor of the broad ligament is a leiomyoma. It can originate from the uterus or broad ligament itself. Here, we report a case of broad ligament leiomyoma in a woman having secondary infertility and it posed a diagnostic dilemma.Birdem Med J 2015; 5(2): 116-118

EVALUATION OF OVARIAN RESERVE IN FEMALE INFERTILITY

2021 ◽  
pp. 45-45
Author(s):  
Renuka Keshri ◽  
Chandni Singh
Keyword(s):  
Ovarian Reserve ◽  
Function Method ◽  
Ovarian Function ◽  
Age Groups ◽  
Female Infertility ◽  
Reproductive Age ◽  
Age Group ◽  
Level Variation ◽  
Reliable Test ◽  
Reproductive Age Group

INTRODUCTION: Infertility is not uncommon amongst females in reproductive age group. Different hormones like antimullerian hormone (AmH) and FSH levels are expression of ovarian function. The changes in AmH level precedes FSH level variation in detecting decline in ovarian function. METHOD : In our study, we have assessed AmH level in different age groups of females suffering from infertility to evaluate ovarian reserve in them. RESULT : Our study shows that with advancing age ovarian function declines as evidenced by decrease in AmH level causing female infertility. CONCLUSION : AmH level estimation is an important tool to assess ovarian reserve in female infertility. It is a simple, less expensive and reliable test before further investigations to nd out other etiologies of infertility

scholarly journals Clinical profile of patients with pelvic adnexal masses

2018 ◽  
Vol 7 (11) ◽  
pp. 4684
Author(s):  
Suksham Sharma ◽  
Ajay Wakhloo ◽  
Gagan Singh
Keyword(s):  
Ectopic Pregnancy ◽  
Pap Smear ◽  
Preoperative Evaluation ◽  
Age Groups ◽  
Laparoscopic Approach ◽  
Clinical Profile ◽  
Reproductive Age ◽  
Age Group ◽  
Adnexal Masses ◽  
Reproductive Age Group

Background: Adnexal masses are frequent findings in women of all age groups. It consists of the ovaries, fallopian tubes and uterine ligaments. Women can present with various gynaecological complaints and adnexal masses could be detected while examining and investigating for these complaints. Aim was to study the clinical profile of women in reproductive age group presented with adnexal masses.Methods: The study comprised of 48 women of reproductive age group. Per speculum examination was done and PAP smear was taken before bimanual examination was done.A complete per vaginum examination was done and the adnexal mass was assessed for its size, side, consistency, laterality and tenderness.Results: Pain in the lower abdomen was the commonest chief complaint seen in 87.5% cases. Out of these, majority i.e.66.67% had chronic pelvic pain and 23% had pain of less than 1-month duration which were cases of ectopic pregnancy. 41.67% cases were suspected to have endometriosis,33.33% were suspected to have ovarian cyst, followed by ectopic pregnancy in 16.67% cases and tubo-ovarian mass in 8.33% cases.Conclusions: The present study shows that if proper preoperative evaluation is done, we can select the appropriate patients for laparoscopic approach.

Sign in / Sign up

Export Citation Format

Share Document