scholarly journals A case report: ruptured primary ovarian abscess in pregnancy

2021 ◽  
Vol 10 (9) ◽  
pp. 3627
Author(s):  
Dinesh D. Pratapwar ◽  
Namdev M. Bhure ◽  
Sarika P. Zunjare
Keyword(s):  
Diagnostic Laparoscopy ◽  
Clinical Presentation ◽  
Definitive Diagnosis ◽  
Rare Entity ◽  
Diagnostic Dilemma ◽  
Minimally Invasive Surgical Procedure ◽  
Delay In Diagnosis ◽  
Minimally Invasive Surgical ◽  
Ovarian Abscess ◽  
In Pregnancy

Primary ovarian abscess during pregnancy is a very rare entity.  The clinical presentation is very vague and hence can be a diagnostic dilemma. Diagnostic laparoscopy gives a definitive diagnosis and an opportunity to treat the entity in same settings. Herein we discussed a case of a ruptured primary ovarian abscess in pregnancy which was successfully managed by laparoscopy. Ovarian abscess is different from tubo-ovarian abscess. A delay in diagnosis may be associated with risk of maternal death and can be detrimental to the fetus also. Surgical drainage of ovarian abscess and conservative and minimally invasive surgical procedure under antibiotics are recommended during pregnancy.

scholarly journals Appendicular Mucocele—A Diagnostic Dilemma: Managed Laparoscopically

2017 ◽  
Vol 1 (1) ◽  
pp. 38-39
Author(s):  
Bhangu Gurpreet ◽  
Sachdeva Kamal
Keyword(s):  
Histological Examination ◽  
Laparoscopic Appendectomy ◽  
Diagnostic Laparoscopy ◽  
Clinical Presentation ◽  
Mucinous Cystadenoma ◽  
Definitive Diagnosis ◽  
Rare Disorder ◽  
Diagnostic Dilemma ◽  
Risk Of Malignancy ◽  
Colicky Pain

ABSTRACT Appendicular mucocele is obstructive dilatation of the appendicular lumen by mucinous secretions. In most of the cases, it is caused by Mucinous cystadenoma and rarely by Mucinous cystadenocarcinoma. This rare disorder has a varied clinical presentation, with more than half of the patients being asymptomatic. We report the case of a 65-year-old man who presented with intermittent abdominal colicky pain and altered bowel habits. In spite of extensive preoperative investigations, no definitive diagnosis was made. On diagnostic laparoscopy it was found to be appendicular mucocele. We electively performed a laparoscopic appendectomy. As there is a risk of malignancy in the mucocele, we used an endobag to retrieve the specimen. Histological examination confirmed it as a Mucinous cystadenoma. How to cite this article Darpan B, Gurpreet B, Kamal S. Appendicular Mucocele—A Diagnostic Dilemma: Managed Laparoscopically. Curr Trends Diagn Treat 2017;1(1):38-39.

scholarly journals Retroperitoneal Lymphangioma in an Adult: A Case Report of a Rare Clinical Entity

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Mayank Tripathi ◽  
Sanjeev Parshad ◽  
Rajender Kumar Karwasra ◽  
Ashish Gupta ◽  
Saket Srivastva ◽  
...  
Keyword(s):  
Abdominal Distension ◽  
Final Diagnosis ◽  
Definitive Diagnosis ◽  
Rare Entity ◽  
Imaging Studies ◽  
Diagnostic Challenge ◽  
Diagnostic Dilemma ◽  
Case Presentation ◽  
Cystic Lymphangiomas ◽  
Retroperitoneal Lymphangioma

Background. Retroperitoneal lymphangioma is a rare, benign mesodermal tumor arising from the retroperitoneal lymphatics which usually presents in infancy and it is worthy to report a case when it has presented in an adult. After a thorough literature search in English we concluded that less than 200 cases of adult retroperitoneal lymphangioma have been reported so far. Apart from being a rare entity it also presents as a diagnostic dilemma and final diagnosis is often made on surgical exploration.Case Presentation. We report a case of retroperitoneal lymphangioma in a 55-year-old male who presented with abdominal distension and dull aching abdominal pain.Conclusion. Retroperitoneal lymphangiomas are rare tumors of infancy but may also present in adults where they are a diagnostic challenge. Differentiating cystic lymphangiomas from other cystic growths by imaging studies alone are often inconclusive and surgery is frequently required for definitive diagnosis and to ameliorate the symptoms.

scholarly journals Primary Tubercular Parotitis

2015 ◽  
Vol 3 (1) ◽  
pp. 48-50
Author(s):  
Tulika Dubey ◽  
Bishwo Tulachan ◽  
BN Borgohain ◽  
Sabina Rai
Keyword(s):  
Clinical Presentation ◽  
Needle Aspiration ◽  
Rare Entity ◽  
Medical Sciences ◽  
Aspiration Cytology ◽  
Diagnostic Dilemma ◽  
Fine Needle ◽  
Parotid Neoplasm ◽  
Parotid Swelling ◽  
Needle Aspiration Cytology

This is a case report of a 50 years old female who was diagnosed as primary tubercular parotitis. The clinical presentation was similar to that of a parotid neoplasm. She was treated with anti tubercular therapy.Tubercular parotitis is a very rare entity even in the countries where tuberculosis is highly prevelant. The presentation being similar to a neoplasm may bring about diagnostic dilemma and the patient may have to undergo unnecessary surgery. So in cases where we encounter a chronic parotid swelling, we have to be highly suspicious in diagnosing and a thorough workup in the line of tuberculosis has to be done even in the absence of clinically evident foci of tuberculosis elsewhere. Ultrasonography (USG) and Fine Needle Aspiration Cytology (FNAC) prove to be very useful in diagnosing such cases and these cases are better treated medically.Journal of Universal College of Medical Sciences Vol. 3, No. 1, 2015: 48-50

scholarly journals Pararectal angiomyxoma: a diagnostic dilemma

2019 ◽  
Vol 2019 (12) ◽  
Author(s):  
Abhay N Dalvi ◽  
Mahadeo N Garale ◽  
Jayati J Churiwala ◽  
Avinash Landge ◽  
Sakina Husain ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Supine Position ◽  
Diagnostic Laparoscopy ◽  
Clinical Findings ◽  
Definitive Diagnosis ◽  
Advanced Imaging ◽  
Diagnostic Dilemma ◽  
Spontaneous Reduction ◽  
Ischiorectal Abscess ◽  
Pelvic Floor Hernia

Abstract Clinical diagnosis of pararectal masses remains a challenge to this day. Despite the availability of advanced imaging facilities, we often fail to reach a definitive diagnosis and have to resort to surgery. We describe a case of a 60-year-old female with a painless perianal swelling gradually increasing in size for 6 months with spontaneous reduction on assuming a supine position. Clinical examination of this patient was suggestive of a pelvic floor hernia. However, radiological investigations were suggestive of an ischiorectal abscess. In view of lack of radiological corroboration of clinical findings, patient underwent diagnostic laparoscopy which ruled out a hernia. A wide local excision of the mass was performed, which on histopathology with immunohistochemistry examination revealed an aggressive pararectal angiomyxoma.

scholarly journals Deciduosis of the appendix: diagnostic dilemma continues despite MRI evidence

2016 ◽  
Vol 98 (8) ◽  
pp. e200-e202 ◽  
Author(s):  
D Chai ◽  
R Wijesuriya
Keyword(s):  
Acute Appendicitis ◽  
Medical Records ◽  
Clinical Presentation ◽  
Clinical Information ◽  
Mesenchymal Cells ◽  
The Other ◽  
Diagnostic Dilemma ◽  
Pelvic Organs ◽  
In Pregnancy ◽  
Intraperitoneal Haemorrhage

Deciduosis (ectopic or extrauterine decidua) is a phenomenon seen in the ovary and cervix and on serosal surfaces of abdominal and pelvic organs. It is thought to be the result of progesterone effects on extrauterine mesenchymal cells during pregnancy. Although deposits are typically asymptomatic and incidentally found in surgically removed tissues on microscopy, deciduosis has also been known to cause pain and intraperitoneal haemorrhage. We sourced all cases of appendiceal deciduosis that have occurred in Sir Charles Gairdner Hospital and Bunbury Hospital between the years 2006 and 2014. Clinical information was obtained from patients’ medical records. Four cases of ectopic decidua of the appendix, all of which were incidentally found in pregnant patients presenting with features highly suggestive of appendicitis, were reviewed. These patients underwent appendicectomy and subsequent histopathology findings showed deciduosis with no evidence of appendicitis. Deciduosis of the appendix can mimic acute appendicitis in pregnancy. At present, it is difficult to confidently differentiate one from the other either by way of clinical presentation or with current imaging modalities.

scholarly journals Meckel’s Diverticulitis as a Cause of an Acute Abdomen in the Second Trimester of Pregnancy: Laparoscopic Management

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Ivilina Pandeva ◽  
Sumit Kumar ◽  
Atif Alvi ◽  
Hema Nosib
Keyword(s):  
Acute Abdomen ◽  
Clinical Presentation ◽  
Abdominal Cavity ◽  
Diagnosis Delay ◽  
Laparoscopic Management ◽  
Delay In Diagnosis ◽  
Stapler Technique ◽  
Meckel’S Diverticulitis ◽  
Purulent Fluid ◽  
In Pregnancy

Introduction. Meckel’s diverticulitis is an extremely rare cause of an acute abdomen in pregnancy. Its clinical presentation tends to be rather unusual and therefore commonly delaying diagnosis. The surgical method of exploration can be either by laparoscopy or through an open incision.Case Report. We report a case of a 34-year-old, P1 with previous Caesarean section, who presented at 20 weeks with worsening right-sided abdominal pain, distention, and peritonism. Ultrasound scan showed an area of a possibly thickened loop of bowel inconsistent with an appendicitis. The findings at laparoscopy were purulent fluid in the pelvis, a congested appendix, and inflamed Meckel’s diverticulum. An appendectomy and excision of the diverticulum was performed using stapler technique.Discussion. Meckel’s diverticulitis in pregnancy can have nonspecific presentation and poses difficulties for preoperative diagnosis. Delay in diagnosis and management poses significant maternal and fetal risks. The use of laparoscopy if the gestational age and uterine size permit its use allows a thorough exploration of the abdominal cavity and management of rarer and unexpected pathology. Laparoscopic management of acute abdomen in the midtrimester of pregnancy has been found to be safe and effective.

scholarly journals Acute abdomen in pregnancy: a case series on clinical presentation and diagnostic dilemma

2021 ◽  
Vol 10 (2) ◽  
pp. 742
Author(s):  
G. R. Abhirami ◽  
Chennaiahgari Sathyavani ◽  
Ravi N. Patil
Keyword(s):  
Pregnant Women ◽  
Acute Abdomen ◽  
Clinical Presentation ◽  
Case Series ◽  
Diagnostic Dilemma ◽  
Pain Abdomen ◽  
Fetal Complications ◽  
Magnetic Resonance Imaging Mri ◽  
Challenging Situation ◽  
In Pregnancy

Acute abdomen in pregnancy remains one of the most challenging situation in regard with the diagnosis and management. Pregnancy is a unique state in which the female body undergoes both anatomical and physiological changes which can pose a challenge in diagnosis. This may result in delay in management and increase in maternal and fetal morbidity and mortality. This study was to identify the spectrum of causes, the clinical presentation and diagnostic dilemma of acute abdomen in pregnancy. It was an observational study was done over a period of 3 years which included all the pregnant women who presented with acute abdomen. In this study, eighteen pregnant women presented with acute abdomen. Among the study group, 5.5%, 50% and 44.5% presented in first, second and third trimester respectively. The diagnosis included acute appendicitis in 11.1%, acute cholecystitis in 16.6%, acute pancreatitis in 16.6%, malrotation in 11.1%, uterine rupture 11.1%, rudimentary horn rupture in 22.4% and ovarian cyst torsion in 11.1%. The clinical presentation included pain abdomen (16.6%), pain abdomen and vomiting (44.4%), pain abdomen in shock (39%) and abdominal tenderness (33.3%). The diagnosis was confirmed with ultrasonography in 55.6%, 11.1% women required higher imaging like magnetic resonance imaging (MRI) and 33.3% women were diagnosed on table. Majority of them had good outcome, but there was one maternal mortality (6%). Diagnosis and treatment of acute abdomen in pregnancy should be individualized. Good clinical acumen is essential for ordering early diagnostic test in acute abdomen in pregnancy. Appropriate intervention should be undertaken at the earliest to reduce the maternal and fetal complications. 

Immunohistochemistry Particularities of Retroperitoneal Tumors

2018 ◽  
Vol 69 (7) ◽  
pp. 1813-1816 ◽  
Author(s):  
Ovidiu Gabriel Bratu ◽  
Radu Dragos Marcu ◽  
Bogdan Socea ◽  
Tiberiu Paul Neagu ◽  
Camelia Cristina Diaconu ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Histopathological Examination ◽  
Good Reason ◽  
Definitive Diagnosis ◽  
Histological Type ◽  
Not Given ◽  
Medical Specialties ◽  
Retroperitoneal Tumors ◽  
Extreme Variability ◽  
The One

Retroperitoneal space is called sometimes no man�s land�and for a good reason: this is disputed anatomical territory for many surgical and medical specialties. Their wide histological diversity and unspecific clinical presentation make them a challenge for the surgeon. In order to improve their detection immunohistochemistry seems to show promising results. Methods of detection have evolved over time to identify as much as possible the histological type of tumor. Because of this extreme variability immunohistochemistry through its various markers is the one that often sets the definitive diagnosis, the simple histopathological examination being insufficient. This paper aims to highlight the main markers used in retroperitoneal tumors. As it can be seen there is a huge histologic areal for these tumors. Some have proven some of them still not. Given the fact that there is a tendency toward personalized therapy it is imperative to identify the histological type of tumor as soon as possible.

scholarly journals Vertebral Metastasis Treated by Vertebroplasty, a Cause of Respiratory Failure: Case Report and Literature Review

2021 ◽  
pp. 279-283
Author(s):  
Mathieu Chevallier ◽  
Chloé Chevallier-Lugon ◽  
Alex Friedlaender ◽  
Alfredo Addeo
Keyword(s):  
Spinal Fractures ◽  
Safe Procedure ◽  
Vertebral Metastasis ◽  
Minimally Invasive Surgical Procedure ◽  
Venous Circulation ◽  
Minimally Invasive Surgical ◽  
Life Threatening ◽  
Frequent Site ◽  
The Right ◽  
Substantial Morbidity

Bone is a frequent site of metastases in advanced cancers including lung, breast, prostate, kidney, or myeloma. Lesions are commonly located on the spine. Neoplastic invasion of the vertebral body can result in painful vertebral fractures, leading to disability and substantial morbidity. Percutaneous vertebroplasty is a minimally invasive surgical procedure used to treat spinal fractures due to osteolytic tumors. It could result in pain reduction or resolution in 80–90% of patients with fractures, and it improves stability. Although considered safe, vertebroplasty has been associated over the years with life-threatening complications. We have reported the case of a 55-year-old patient with lung adenocarcinoma, who underwent vertebroplasty for a pathological neoplastic fracture of L2. The procedure was complicated by a leak of cement into the systemic venous circulation, characterized by an 11-cm filament in the right heart chambers and multiple pulmonary emboli. To our knowledge, only one similar case was previously reported, involving an intracardiac cement filament longer than 10 cm. The data are scant, hence the importance of collecting and reporting possible complications about what is perceived as a rather safe procedure. The case highlights the need for a robust postprocedure imaging plan to detect complications, which can impact patients’ morbidity and survival.

Sign in / Sign up

Export Citation Format

Share Document