scholarly journals Genital tuberculosis mimic as a genital malignancy in post menopausal women

2021 ◽  
Vol 10 (3) ◽  
pp. 1195
Author(s):  
Monalisa Mahajan
Keyword(s):  
Histopathological Examination ◽  
Abdominal Mass ◽  
Pelvic Mass ◽  
Final Diagnosis ◽  
Ovarian Malignancy ◽  
Genital Tuberculosis ◽  
Menopausal Women ◽  
Post Menopausal ◽  
High Level ◽  
Palpable Abdominal Mass

Genital tuberculosis tends to be an indolent infection and the disease may not manifest for year after initial seeding. The most common presentation reported in general population are pelvic pain, postmenopausal bleeding, ascites, abdominal mass, ovarian mass. The diagnosis is made by histopathological examination. Surgery is indicated as presence of abdominal pelvic mass with severe pain. Preoperative diagnosis of genital tuberculosis is often difficult because of confusion with ovarian malignancy. A 60 years old women present with weight loss, palpable abdominal mass with ascites, prominent bilateral ovaries and increase level of CA125. Pelvic malignancy was initially suspected but a diagnosis of tuberculosis was made following postoperative peritoneal wash biopsy. Patient managed with surgical laparotomy under a provisional diagnosis of ovarian malignancy but the final diagnosis was genital tuberculosis followed by anti tubercular regimen. Genital tuberculosis with high level of CA125 mimicking ovarian carcinoma. 

scholarly journals Giant jejunal gasto-intestinal stromal tumor: A rare cause of abdominal mass in an elderly female

2021 ◽  
Vol 1 (2) ◽  
pp. 65-67
Author(s):  
AC Diallo ◽  
A Ndong ◽  
I Niang ◽  
MB Ba ◽  
JA Thiam ◽  
...  
Keyword(s):  
Abdominal Mass ◽  
Pelvic Mass ◽  
Final Diagnosis ◽  
Progressive Increase ◽  
Stromal Tumor ◽  
Biological Assessment ◽  
Pathological Examination ◽  
Tissue Mass ◽  
Surgical Specimen ◽  
One Year

OBJECTIVE: We report the case of a patient presenting an abdominal mass whose final diagnosis is a gastrointestinal stromal tumor (GIST). CLINICAL OBSERVATION: It was a 61-year-old patient with no pathological history received for a progressive increase in the volume of the abdomen evolving for one year and painless. On examination, the patient was in good general condition, with normal patterns. There was an abdomino-pelvic mass of about 20 cm long axis, mobile. The rest of the exam was unremarkable. The biological assessment was normal. Abdominopelvic computed tomography revealed a tissue mass with necrosis. During the surgical exploration, a mass developed on the mesenteric border 45 cm from the Treitz angle was noted. It is not associated with ascites or peritoneal carcinoma. Bowel resection removing the mass was performed followed by end-to-end anastomosis. Pathological examination of the surgical specimen diagnosed GIST. The postoperative course at three months was excellent both clinically and radiologically. CONCLUSION: The case that we report underlines the possible jejunal localization of GIST and the clinical presentation may be usual. It also shows the difficulty of obtaining a preoperative diagnosis and the central role of surgery in management.

scholarly journals Asymptomatic Bacteriuria amongst Menopausal women in Calabar, Nigeria

2018 ◽  
Vol 9 (4) ◽  
pp. 51-56
Author(s):  
Paul Columba Inyang-Etoh ◽  
Abasiodiong Udom Akpan ◽  
Victor Udo Usanga ◽  
Gabriel Chuks Ejezie
Keyword(s):  
Postmenopausal Women ◽  
Prevalence Rate ◽  
Asymptomatic Bacteriuria ◽  
Test Group ◽  
Early Morning ◽  
Control Group ◽  
Menopausal Women ◽  
High Prevalence ◽  
Post Menopausal ◽  
High Level

Background: Bacteriuria is considered a common bacterial infection in women particularly in postmenopausal women which consequently may warrant the need to treat the disease for prevention of bacteriuria developing complications.Aims and Objectives: This work was to investigate the prevalence of asymptomatic bacteriuria among menopausal women in Calabar, the incriminating bacterial pathogens and their antibiotic susceptibility pattern. Materials and Methods: Early morning mid stream urine samples from randomly selected 200 women (comprising of 50 premenopausal, 50 menopausal, 50 postmenopausal women and 50 apparently healthy young ladies of menstruating age (control subjects)) between the ages of 50 to 90 years were cultured by Leigh and Williams’s method. Questionnaires were also administered.Results: 24 (16%) of the test group while 3 (6%) of the control group had infection (p=0.008). Subjects aged 35-40 years had the highest prevalence of infection 6 (18.5%), while age group 66-70yrs had the lowest infection rate 0(0%)( P = 0.841). Post-menopausal women had the highest prevalence of asymptomatic bacteriuria 10(20%) while pre-menopausal and menopausal women had a lower prevalence rate of 7 (14%) each (p=0.0687). The most frequently isolated organism was Staphylococcus aureus (33%) and Ciprofloxacin was the most sensitive antibiotic observed.Conclusion: This work has revealed a high prevalence rate of asymptomatic bacteriuria high level of asymptomatic bacteriuria among menopausal women and the need for routine screening of this category of women for a standard healthy living.Asian Journal of Medical Sciences Vol.9(4) 2018 51-56

scholarly journals Risk of malignancy index in ovarian tumour for predicting ovarian malignancy by using Jacob’s score

2017 ◽  
Vol 6 (4) ◽  
pp. 1318
Author(s):  
Rao P. S. ◽  
Bala Reenu ◽  
S. Prajwal
Keyword(s):  
Predictive Value ◽  
Case Fatality ◽  
Ovarian Tumors ◽  
Ca 125 ◽  
Ovarian Malignancy ◽  
Gynecological Malignancy ◽  
Menopausal Women ◽  
Risk Of Malignancy ◽  
Risk Of Malignancy Index ◽  
Post Menopausal

Background: Ovarian malignancy is the most common gynecological malignancy after the cancer of the cervix. A woman's risk at birth of ovarian cancer at some time in her life is 1 % to 1.5% and that of dying from cancer is almost 0.5 %. The most commonly occurring ovarian tumors are of epithelial in origin. It has the highest case-fatality ratio of all gynecological malignancies. Hence the early diagnosis is the most important factor for better prognosis. A clinical evaluation of the patient, followed by ultrasonography and CA-125 is helpful. This study aims to determine the role of Risk of Malignancy Index (Jacob’s RMI) in ovarian tumors for prediction of ovarian malignancy.Methods: This is a prospective cohort study. The present study was carried out at department of OBG, in collaboration with the Departments of Radio diagnosis and Pathology, AHRR, New Delhi. 100 patients meeting the inclusion and exclusion criteria were considered. Detailed clinical history, examination and ultrasonography (Abdomen and pelvis) were done. Estimation of CA125 was done thereafter. Calculated JACOBS RMI score was compared with operative surgical staging and histopathological-cytological examination of the specimen. Data obtained thereafter was analysed using appropriate and relevant statistical software.Results: In present study sensitivity of RMI Score in the pre-menopausal women was 66.7% and in post-menopausal women was 83.3%. Specificity of RMI Score in the pre-menopausal women was 96.3% and in post-menopausal women was 81.8%. The positive predictive value in the pre-menopausal women was 40% and in post-menopausal women was 71.4%. The negative predictive value in the pre-menopausal women was 98.7% and in post-menopausal women was 90%. Diagnostic accuracy in a case of premenopausal women was is 95.2% and 82.4% for postmenopausal women.Conclusions: The present study shows that RMI Score helps in identifying effectively those patients who require Staging Laparotomy and hence referral to Gynecologist Oncologist. Patients with ovarian masses with low risk of malignancy index can be treated by minimal access procedures.

scholarly journals Complete Surgical Enucleation of a Giant Chylous Mesenteric Cyst

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Maria Isaia ◽  
Maria Erodotou ◽  
Georgios Nakos ◽  
Nikolaos Nikolaou
Keyword(s):  
Bowel Resection ◽  
Histopathological Examination ◽  
Incidental Finding ◽  
Abdominal Mass ◽  
Mesenteric Cyst ◽  
Abdominal Tumors ◽  
Mesenteric Cysts ◽  
Laparoscopic Enucleation ◽  
Chylous Mesenteric Cyst ◽  
Palpable Abdominal Mass

Mesenteric cysts are rare benign abdominal tumors, and they can appear anywhere in the mesentery of the gastrointestinal tract, from the duodenum to the rectum. They are generally asymptomatic and may present as an incidental finding. The diagnosis is confirmed by the laparotomy findings and the results of the histopathological examination. Complete surgical (open or laparoscopic) enucleation of the cyst is the treatment of choice. We present a case of a female patient who presented with abdominal pain and a giant palpable abdominal mass. The patient underwent a surgical exploration which showed a giant mesenteric cyst. A complete surgical enucleation of the cyst was successfully performed without the need of bowel resection. The histopathological examination of the cyst was compatible with the diagnosis of chylous mesenteric cyst.

scholarly journals Giant Fibrothecoma of the Ovary in a Young Patient a Case Report

2021 ◽  
pp. 1-3
Author(s):  
Martínez Rodas O ◽  
Keyword(s):  
Clinical Presentation ◽  
Abdominal Cavity ◽  
Pelvic Mass ◽  
Exploratory Laparotomy ◽  
Abdominal Ultrasound ◽  
Free Fluid ◽  
Stromal Tumors ◽  
Menopausal Women ◽  
Space Compression ◽  
Post Menopausal

Fibrothecomas are benign ovarian stromal tumors, they are rare tumors of gonadal stromal cell origin that represent 3-4% of all ovarian tumors. It commonly occurs in post-menopausal women. The clinical presentation is often nonspecific, whereas patients more frequently present with a pelvic mass, metrorrhagia, and pelvic pain. We present a 35-year-old patient, nulli-pregnant, with no personal or family pathological history, who attended a medical consultation for presenting progressive abdominal distention of 6 months of evolution in addition to abdominal pain in the last 2 months type colic which increased during her menstrual periods concomitantly alteration in your defecatory habits. Abdominal ultrasound was performed, finding a solid intrapelvic mass of approximately 14x10x10 cm in diameter of probable left ovarian origin, free fluid in the Douglas space, compression and displacement of intestinal loops and bladder. The patient underwent surgery and an exploratory laparotomy was performed, finding a pelvic tumor adhered to the tube and left ovary, in addition to ascites fluid in the abdominal cavity, complete resection of the tumor, ovary and left salpingue was performed.

scholarly journals Management of an Infected Vesicourachal Diverticulum in a 42-Year-Old Woman

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Maria Erodotou ◽  
Maria Isaia ◽  
Georgios Fragkiadakis ◽  
Theocharis Tontikidis ◽  
Kosmas Tyriakidis ◽  
...  
Keyword(s):  
Histopathological Examination ◽  
Abdominal Mass ◽  
Lower Abdominal Pain ◽  
Surgical Excision ◽  
Imaging Studies ◽  
Intravenous Antibiotic ◽  
Urachal Remnant ◽  
Clinical Conditions ◽  
Jj Stent ◽  
Palpable Abdominal Mass

Urachal remnant anomalies are uncommon in adults and can be confused with a variety of clinical conditions when symptomatic or infected. Vesicourachal diverticulum is the rarest type, accounting for approximately 3% to 5% of congenital urachal anomalies. We report the case of a 42-year-old female patient, who presented to the emergency department with lower abdominal pain and a palpable abdominal mass. An infected vesicourachal diverticulum was diagnosed after imaging studies and was initially treated with intravenous antibiotic therapy and drainage of the urachal diverticulum to the urinary bladder through a JJ stent. Finally, the patient underwent open surgical excision of the urachal remnant. The postoperative course was uneventful, and the histopathological examination confirmed the diagnosis of vesicourachal diverticulum. We recommend drainage of an infected vesicourachal diverticulum through the bladder by JJ stent placement inside its lumen during cystoscopy, as an alternative to percutaneous drainage reported in the literature.

scholarly journals Large renal leiomyoma: A multidisciplinary approach to diagnosis

2021 ◽  
Vol 15 (8) ◽  
pp. 18-26
Author(s):  
Sotiris Chaniotakis ◽  
Yi Yang ◽  
Tulsi Patel ◽  
James Banks
Keyword(s):  
Differential Diagnosis ◽  
Multidisciplinary Approach ◽  
Abdominal Mass ◽  
Unknown Origin ◽  
Final Diagnosis ◽  
Imaging Features ◽  
Computed Tomographic ◽  
Abdominal Masses ◽  
Additional Testing ◽  
Palpable Abdominal Mass

We report the case of a 45-year-old woman who presented with a large palpable abdominal mass. Initial sonographic and computed tomographic studies prompted a differential diagnosis of retroperitoneal or renal sarcoma, leiomyoma, and lipid-poor angiomyolipoma. A final diagnosis of renal leiomyoma was reached based on a consensus among radiology, surgery and pathology. In addition to reviewing the features of this entity, this case demonstrates the process of developing a working diagnosis, narrowing the differential as additional testing is performed and establishing a final diagnosis with interdepartmental coordination. Despite the rarity of this condition, the ability to recognize and apply imaging features to differentiate between abdominal masses of unknown origin is important for clinicians and researchers.

scholarly journals TO STUDY THE INPATIENT SURGICAL TREATMENT PATTERNS FOR PATIENTS WITH PALPABLE ABDOMINAL MASS IN GYNAECOLOGICAL PATIENTS.

2019 ◽  
Vol 3 (3) ◽  
Author(s):  
Dr. Suchita Bajaj ◽  
Dr. Neeta Natu ◽  
Dr. Nitin Mandani
Keyword(s):  
Surgical Treatment ◽  
Histopathological Examination ◽  
Abdominal Mass ◽  
Treatment Patterns ◽  
Obstetrics And Gynecology ◽  
Ovarian Mass ◽  
Minimally Invasive Surgical ◽  
Mass Size ◽  
Criteria For Diagnosis ◽  
Palpable Abdominal Mass

Background: Patients admitted in Gynecological ward in Department of Obstetrics and Gynecology in diagnosed with uterine fibroid and ovarian mass were selected for the study.  The Criteria for diagnosis either by clinical features, USG findings and hysterectomy or confirmed by histopathological examination. Result: There are 104 cases of abdominal mass of which 55 cases are of ovarian mass and 46 are of fibroid and 3 are other masses. Conclusion: Management of these giant intraabdominal cysts has traditionally required a full midline laparatomy. Minimally invasive surgical technique has been applied to the management of these giant cysts. Ultrasound is effective in detecting the abdominal mass, size and type of abdominal mass, so that early diagnosis can be done and treatment can be given as soon as possible. Keywords: Surgical, Abdominal Mass & Gynaecological.

scholarly journals A rare case of broad ligament hematoma masquerading ovarian malignancy in a post-menopausal woman: a case report

2017 ◽  
Vol 6 (2) ◽  
pp. 746
Author(s):  
Sunita Verma ◽  
Binni Makkar ◽  
Poonam Singh ◽  
Netra Singh
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Histopathological Examination ◽  
Broad Ligament ◽  
Exploratory Laparotomy ◽  
Menopausal Woman ◽  
Ovarian Malignancy ◽  
Postmenopausal Bleeding ◽  
Pregnant State ◽  
Post Menopausal

Spontaneous broad ligament hematomas are relatively rare in non- pregnant state. We hereby present a case report of a 73 year old post-menopausal female, who initially presented with complain of postmenopausal bleeding since 4 month. Patient had underwent a diagnostic endometrial curettage in an another hospital, prior to presenting to our institution. On imaging, she was found to have a right sided complex adenexal mass (about 5cm in size) suspicious of ovarian malignancy. Patient was taken up for exploratory laparotomy and per-operatively found to have a broad ligament hematoma, which was further confirmed on histopathological examination.

scholarly journals A Case of Genital Tuberculosis Presenting as HSIL on Cervical Biopsy

2021 ◽  
Vol 11 (7) ◽  
pp. 168-170
Author(s):  
Apra Attri ◽  
Priyanka Sharma ◽  
Sita Thakur
Keyword(s):  
Key Words ◽  
Postmenopausal Women ◽  
Histopathological Examination ◽  
Cervical Dysplasia ◽  
High Grade ◽  
Genital Tuberculosis ◽  
Cervical Biopsy ◽  
Post Menopausal

Genital tuberculosis is a frequent cause of chronic PID and infertility. Cervical TB is rare in postmenopausal women. We present a case of a post menopausal patient, who presented with a complaint of blood mixed discharge per vaginum for six months. Her preliminary investigations were consistent with that of HSIL/ High grade cervical dysplasia. Upon further evaluation, histopathological examination confirmed the possibility of tuberculosis instead. Key words: HSIL, Genital tuberculosis, Cervical biopsy.

Sign in / Sign up

Export Citation Format

Share Document