scholarly journals A rare case presentation of large mucinous ovarian cystadenocarcinoma in a young female

2020 ◽  
Vol 9 (4) ◽  
pp. 1746
Author(s):  
Akansha Singh ◽  
Ankita Dadhwal ◽  
Ashok Verma ◽  
Swati Agarwal
Keyword(s):  
Rare Case ◽  
Post Partum ◽  
Abdominal Distension ◽  
Ovarian Tumour ◽  
Young Female ◽  
Cystic Mass ◽  
Surface Epithelium ◽  
Case Presentation ◽  
Posterior Displacement ◽  
Peritoneal Space

Here authors report a case of large ovarian mucinous cystadenocarcinoma in a young female complicating young pregnancy. Ovarian mucinous adenocarcinoma is a rare ovarian tumour that arises from the surface epithelium of the ovary. A 25-year young female, 9 days post-partum presented to the hospital with complain of abdominal distension. USG finding suggesting large solid cystic mass 36 × 14 cm arising from pelvis extending up to epigastrium. MRI pelvis evident of heterogenous hyperintense solid cystic mass lesion giving bunch of grapes appearance with size 24.5 × 25 × 11.5 cms seen in intra peritoneal space extending cranially up to epigastrium and caudally into pelvis giving anterior displacement of uterus.  And posterior displacement of bowel loops. A large part of lesion is cystic with solid component with multiple internal echoes.

Abdominal Mass in the Puerperium: Challenges in Diagnosis

2019 ◽  
pp. 37
Author(s):  
Sadesvaran Muniandy ◽  
Yvonne Teo Chiang Hoon ◽  
Aehtoosham Suleman ◽  
Prakash Doddaballapur Ramaiah
Keyword(s):  
Ovarian Cancer ◽  
Vaginal Delivery ◽  
Post Partum ◽  
Abdominal Mass ◽  
Abdominal Distension ◽  
Ovarian Tumour ◽  
Young Female ◽  
Peninsular Malaysia ◽  
Emergency Laparotomy ◽  
At Home

Ovarian cancer is the fourth most common cancer among women in Peninsular Malaysia. Epithelial ovarian cancer accounts for 90% of all ovarian tumours. Herein, we present a rapidly growing ovarian tumour in a young female patient, following an uneventful vaginal delivery at home. We discuss on the challenges of making said diagnosis in a post-partum patient who presented with abdomen distension. A 19-yearold lady presented to the Emergency Department three days after spontaneous vaginal delivery at home. Her chief complaint was that of a rapidly progressive abdominal distension. Diagnostic and therapeutic emergency laparotomy were done, revealing a huge cystic ovarian mass. Histopathology reported a high grade, serous ovarian carcinoma. There are multiple causes for abdominal distension in post-partum women, however priority should be given into looking for gynaecological origin, given the changes in hormone. Sudden abdominal distension during post-partum period is rare and a systemic approach in its management is vital. There is, inarguably, a role of diagnostic and therapeutic laparotomy in this.

scholarly journals A case of sigmoid volvulus in an unexpected demographic

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Mohammad Saba ◽  
Joshua Rosenberg ◽  
Gregory Wu ◽  
Gudata Hinika
Keyword(s):  
Abdominal Pain ◽  
Severe Pain ◽  
Rare Case ◽  
Young Female ◽  
Sigmoid Volvulus ◽  
Case Presentation ◽  
Operative Complications ◽  
History Of ◽  
Male Sex ◽  
Emergent Laparotomy

Abstract Background A sigmoid volvulus occurs when a segment of the colon twists upon its mesentery. This infliction is associated with old age, multiple co-morbidities, and the male sex. We present a rare case of sigmoid volvulus that occurred in a healthy young female. Case presentation A 28-year-old female presented with a one week history of constipation and abdominal pain. Her symptoms suddenly worsened and became associated with vomiting and severe pain. A focused history taking and physical examination showed peritoneal signs that led to timely diagnostic imaging to be implemented. Computed tomography (CT) of the abdomen was consistent with sigmoid volvulus. Our patient underwent emergent laparotomy with a sigmoidectomy and recovered with no post-operative complications. Conclusion This case report emphasizes the importance of clinicians maintaining a sigmoid volvulus as a rare, yet important differential when approaching abdominal pain in young healthy patients.

scholarly journals A rare case presentation of an anomalous uterus mimicking ovarian tumour

2017 ◽  
Vol 6 (6) ◽  
pp. 2638
Author(s):  
Mohanambal M. ◽  
Wills G. Sheelaa
Keyword(s):  
Rare Case ◽  
Pregnancy Loss ◽  
Recurrent Pregnancy Loss ◽  
Ovarian Tumour ◽  
Left Ovary ◽  
Unusual Presentation ◽  
Case Presentation ◽  
Young Girls ◽  
Uterus Didelphys ◽  
Operative Findings

Mullerian anomalies occur in 1:1000-3000 females. Uterus didelphys and obstructed hemangioma with a septum contribute to 10% anomalies. Young girls present with severe dysmenorrhea, hematometra, hematocolpos and recurrent pregnancy loss. A 16-year-old teenager presented like a torsion of complex ovarian tumour is presented here. Intra operative findings was uterus didelphys with well-developed 2 horns, tubes and ovaries. On left ovary, a hemorrhagic corpus luteal cyst of size 5.2*4cm was seen with 50ml of hemoperitoneum. Diagnosis was confirmed histopathologically. This case is reported for the unusual presentation of an anomalous uterus mimicking torsion ovarian tumour.

Large Mucinous Ovarian Cystadenocarcinoma in a Young Female: A Rare Case Presentation

2021 ◽  
pp. 174-181
Author(s):  
Akansha Singh ◽  
Ankita Dadhwal ◽  
Ashok Verma ◽  
Swati Agarwal
Keyword(s):  
Rare Case ◽  
Young Female ◽  
Case Presentation

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

scholarly journals Rare case presentation of leiomyoma of bladder neck with tuberculous pelvic lymphadenitis in a young female patient

2021 ◽  
Vol 34 ◽  
pp. 101436
Author(s):  
Mahmoud Moawad ◽  
Najla Ben Ghashir ◽  
Quatullah Rustum ◽  
Hamid Toussi
Keyword(s):  
Female Patient ◽  
Bladder Neck ◽  
Rare Case ◽  
Young Female ◽  
Case Presentation

scholarly journals A rare case of schwannoma mimicking ovarian tumour

2017 ◽  
Vol 6 (8) ◽  
pp. 3695
Author(s):  
Madhusmita Hembram ◽  
Jayalakshmi Durairaj ◽  
Dilip Kumar Maurya
Keyword(s):  
Ovarian Tumor ◽  
Rare Case ◽  
Pelvic Mass ◽  
Final Diagnosis ◽  
Ovarian Tumour ◽  
Cystic Mass ◽  
Radiological Evaluation ◽  
Common Diagnosis ◽  
High Index Of Suspicion ◽  
Adnexal Tumors

Ovarian tumor is the most common diagnosis in postmenopausal women, presenting with a pelvic mass, though other surgical causes can still be a remote possibility. We report an extremely rare case of a woman, post hysterectomy, presenting with a pelvic mass where both clinical and radiological evaluations were suggestive of an ovarian tumor. The patient underwent laparotomy and a pre-sacral cystic mass was found and excised. Histopathology revealed a schwannoma as the final diagnosis. Hence, it mandates a high index of suspicion to consider other surgical possibilities, vigilant management in the form of advanced radiological evaluation, especially when dealing with doubtful cases of adnexal tumors prior to surgery.

scholarly journals Rare Case of Immature Gastric Teratoma

2014 ◽  
Vol 60 (4) ◽  
pp. 167-170
Author(s):  
M. Ivascu ◽  
M. Bembea ◽  
Claudia Jurca ◽  
Corina Moldovan ◽  
F. Buicu
Keyword(s):  
Rare Case ◽  
Gastric Wall ◽  
Genetic Data ◽  
Abdominal Distension ◽  
Complete Resection ◽  
Pluripotent Cells ◽  
Case Presentation ◽  
Gastric Teratoma ◽  
Cell Layers ◽  
Well Differentiated

Introduction Teratomas are rare and complex tumors with components from more than one of the three germ cell layers. Teratomas range from benign, well-differentiated (mature) cystic lesions to those that are solid and malignant (immature). The incidence of all teratomas is estimated at 1:10,000-1:20,000 newborns. Gastric teratomas represent only 1-2% of all teratomas. Case presentation We report a case of gastric teratoma of a 2 month-old boy who presented with abdominal distension. Diagnosis was established by physical examination, ultrasonography and computed tomography. The tumor measured 13/10/5.5 cm and weighted 390 grams and was surgically excised. Histological examination revealed an immature gastric teratoma. We also reviewed existing clinical and genetic data on gastric teratomas. Association of gastric teratomas with other congenital anomalies or tumors is very rare. Reported cases include: Beckwith-Wiedemann syndrome (involved:11p15, IGF2), Hodgkin disease (developed 3 yrs. post-resection) and focal neuroblastoma. Recent theories include extraembryonic cells; also have been hypothesized to originate from pluripotent cells present in the gastric wall. Conclusion Gastric teratomas are extremely rare tumors. Complete resection induce a good outcome.

Safety of a Clozapine Trial Following Quetiapine-Induced Leukopenia: A Case Report

2019 ◽  
Vol 14 (1) ◽  
pp. 80-83 ◽  
Author(s):  
Asma H. Almaghrebi
Keyword(s):  
Treatment Options ◽  
Young Female ◽  
Similar Reaction ◽  
Careful Monitoring ◽  
Treatment Resistant ◽  
Blood Cell Count ◽  
Antipsychotic Medications ◽  
Case Presentation ◽  
Clozapine Treatment ◽  
History Of

Background: The clozapine-derivative quetiapine has been shown in some cases to cause leukopenia and neutropenia. Case Presentation: We reported on a case of a young female diagnosed with treatment-resistant schizophrenia. After failed trials of three antipsychotic medications and despite a history of quetiapineinduced leukopenia, clozapine treatment was introduced due to the severity of the patient’s symptoms, the limited effective treatment options, and a lack of guidelines on this issue. Result: Over a ten-week period of clozapine treatment at 700 mg per day, the patient developed agranulocytosis. Her white blood cell count sharply dropped to 1.6 &#215; 10<sup>9</sup> L, and her neutrophils decreased to 0.1 &#215; 10<sup>9</sup> L. There had been no similar reaction to her previous medications (carbamazepine, risperidone, and haloperidol). Conclusion: The safety of clozapine in a patient who has previously experienced leukopenia and neutropenia with quetiapine requires further investigation. Increased attention should be paid to such cases. Careful monitoring and slow titration are advisable.

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