scholarly journals Acute pancreatitis masquerading as an ovarian torsion: a rare case report

2021 ◽  
Vol 11 (1) ◽  
pp. 284
Author(s):  
Ankita Bansal Goyal ◽  
Lata Goyal ◽  
Nilesh Goyal ◽  
Saket Jain
Keyword(s):  
Acute Pancreatitis ◽  
Clinical Presentation ◽  
Surgical Intervention ◽  
Acute Abdominal Pain ◽  
Ovarian Torsion ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Diagnostic Challenge ◽  
Post Operative Period ◽  
Rare Case Report

Ovarian torsion is a common diagnostic challenge constituting 2.7% to 7.4% of all gynaecological emergencies. It commonly occurs in women of reproductive age however pre-pubertal girls and postmenopausal women can also be affected. Ovarian torsion accounts for approximately 3% of all cases of children with acute abdominal pain and requires immediate surgical intervention. Other common acute adnexal pathologies include simple ovarian cysts (OCs) with or without rupture. Owing to the nonspecific clinical presentation and poor specificity of radiologic tests, the diagnosis of OT in girls remains challenging. Here we are reporting a case of acute abdomen with large cyst on ultrasound clinically presented as torsion later on in the post-operative period diagnosed with acute pancreatitis.

scholarly journals Ovarian torsion in a 20-year-old patient

CJEM ◽  
2006 ◽  
Vol 8 (02) ◽  
pp. 126-129 ◽  
Author(s):  
Chris Martin ◽  
Kirk Magee
Keyword(s):  
Risk Factors ◽  
Abdominal Pain ◽  
Clinical Presentation ◽  
Acute Abdominal Pain ◽  
Signs And Symptoms ◽  
Ovarian Torsion ◽  
High Index ◽  
Reproductive Age ◽  
The Difference ◽  
High Index Of Suspicion

ABSTRACTOvarian torsion is an uncommon gynecological emergency that requires prompt recognition and treatment. It may present with nonspecific signs and symptoms, and should be considered in any female with acute abdominal pain. The diagnosis is based on an awareness of the relevant risk factors, the clinical presentation, and a high index of suspicion. Timely investigation and management can make the difference between ovarian loss and salvage — an outcome of great importance in the population of reproductive age females.

scholarly journals Ovarian Torsion: A Gynecological Emergency

2015 ◽  
Vol 6 (3) ◽  
pp. 136-140
Author(s):  
Nupur Garg ◽  
Deepika Krishna ◽  
Suvarna Rathor
Keyword(s):  
Clinical Presentation ◽  
Imaging Modality ◽  
Tertiary Care ◽  
Case Series ◽  
Ovarian Torsion ◽  
Reproductive Age ◽  
Management Approach ◽  
Adnexal Torsion ◽  
Ovarian Conservation ◽  
The Difference

ABSTRACT Ovarian torsion is an uncommon gynecological emergency that requires prompt recognition and treatment. Timely investigation and management can make the difference between ovarian loss and salvage, an outcome of great importance in the population of reproductive age females. Our case series is about clinical presentation and management approach of adnexal torsion in a tertiary care fertility center. Adnexal torsion was found mainly in the reproductive age during poststimulation postovulatory period in all cases. Ultrasound was the most commonly used imaging modality. Ovarian stimulation was the risk factor seen in all the patients. Diagnosis of adnexal torsion was mostly clinical. Laparoscopy was the preferred method of surgical intervention. Ovarian conservation was possible in all cases except one. How to cite this article Garg N, Krishna D, Rathor S, Rao K. Ovarian Torsion: A Gynecological Emergency. Int J Infertil Fetal Med 2015;6(3):136-140.

scholarly journals Epithelioid Trophoblastic Tumor: A Case Report and Review of the Literature

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Eirwen M. Scott ◽  
Ashlee L. Smith ◽  
Mohamed Mokhtar Desouki ◽  
Alexander B. Olawaiye
Keyword(s):  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Diagnostic Challenge ◽  
Postoperative Evaluation ◽  
Trophoblastic Tumor ◽  
Laparoscopic Assisted Vaginal Hysterectomy ◽  
Epithelioid Trophoblastic Tumor ◽  
Abnormal Vaginal Bleeding ◽  
Laparoscopic Assisted ◽  
Disease Free

Epithelioid trophoblastic tumor (ETT) is a rare gestational trophoblastic tumor. Cases of ETT present as abnormal vaginal bleeding in women of reproductive age, with low human chorionic gonadotropin (hCG) levels. ETT can be a sequela of any gestational event and can present in both intrauterine and extrauterine sites. Metastasis and death have been reported. We present a case of a 44-year-old female incidentally diagnosed with ETT following laparoscopic-assisted vaginal hysterectomy. Postoperative evaluation for metastatic disease was negative. The patient has been closely followed and remains disease free 8 months postoperatively. ETT presents a diagnostic challenge due to its rarity and histologic resemblance to other pathologies. ETT is relatively chemoresistant and managed surgically. Misdiagnosis delays effective treatment and affects survival.

scholarly journals Obesity, fertility and pregnancy: can we intervene to improve outcomes?

2018 ◽  
Vol 239 (3) ◽  
pp. R47-R55 ◽  
Author(s):  
Rebecca M Reynolds ◽  
Adrienne Gordon
Keyword(s):  
Health Services ◽  
Adverse Effects ◽  
Health Outcomes ◽  
Clinical Outcomes ◽  
Intervention Studies ◽  
Maternal Obesity ◽  
Surgical Intervention ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Short Term

Rates of obesity among women of reproductive age have risen dramatically in recent decades. Obesity impacts on health of women across their reproductive lifespan with adverse effects on not only fertility and short-term complications of pregnancy, but also on longer term health outcomes for both women and their children. This places considerable burden and cost on health services. Here, we review the evidence linking maternal obesity to adverse fertility, pregnancy and longer term health outcomes for women and their children. We discuss the outcomes of recent lifestyle, pharmacological and surgical intervention studies. As many of these studies have not shown a significant improvement in clinical outcomes, we discuss the need for better study design in future trials.

scholarly journals Endometriosis in a Man as a Rare Source of Abdominal Pain: A Case Report and Review of the Literature

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Christina Rei ◽  
Thomas Williams ◽  
Michael Feloney
Keyword(s):  
Abdominal Pain ◽  
Prolonged Exposure ◽  
Surgical Intervention ◽  
Estrogen Therapy ◽  
Care Physician ◽  
Reproductive Age ◽  
Surgical Removal ◽  
Women Of Reproductive Age ◽  
Uterosacral Ligaments ◽  
Associated Symptoms

Endometriosis occurs when a tissue resembling endometrial glands and stroma grows in ectopic sites, commonly causing infertility and pain. This condition is most often seen in women of reproductive age, involving pelvic sites such as the ovaries, broad ligaments, uterosacral ligaments, and posterior cul-de-sac. Very rarely, endometriosis has also been found in the lower genitourinary tract of men. A 40-year-old man presented to his primary care physician with abdominal pain. Further imaging discovered a midline mass. Surgical removal of the mass and histological investigations led to the diagnosis of endometriosis. There are multiple theories on the etiology of both female and male endometriosis. The prevailing risk factor proposed in previous cases of male endometriosis is prolonged exposure to estrogen therapy. Should endometriosis become symptomatic, cessation of estrogen therapy and careful surgical intervention may successfully relieve the associated symptoms.

scholarly journals Unusual presentation of acute pancreatitis mimicking strangulated inguinal hernia in a patient with bladder exstrophy: a rare case report

2017 ◽  
Vol 4 (8) ◽  
pp. 2871
Author(s):  
Vijayakumar C. ◽  
Reddy VJ ◽  
Elamurugan T. P. ◽  
Jagdish S.
Keyword(s):  
Acute Pancreatitis ◽  
Inguinal Hernia ◽  
Clinical Presentation ◽  
Fluid Collection ◽  
Bladder Exstrophy ◽  
Unusual Presentation ◽  
Pancreatic Fluid Collection ◽  
Abdominal Symptoms ◽  
Pancreatic Fluid ◽  
Rare Case Report

Acute pancreatitis (AP) is a common surgical emergency. Apart from the typical clinical presentation, unusual presentations are also reported in literature. Here we present a case of acute pancreatitis presenting as a strangulated inguinal hernia. A 45-year-old male with a neglected bladder exstrophy and reducible left inguinal hernia since childhood presented with pain over the left inguinal swelling for three days duration. Patient was initially managed conservatively since there were no signs of complication. After initial conservative management, the patient developed features of strangulation and was taken up for inguinoscrotal exploration. Intra-operatively, direct inguinal hernial sac was identified without any bowel obstruction. Further explorative laparotomy revealed an inflamed, bulky pancreas. The peri-pancreatic fluid aspirated intra-operatively had an amylase value of >4000 IU. Postoperative period was uneventful and patient was discharged after 8 days. In this case an already reducible hernia became irreducible due to pancreatic fluid collection and inflammation of contents. Lack of abdominal symptoms or signs can lead to misdiagnosis and unnecessary surgery. We report an unusual presentation of acute pancreatitis mimicking a strangulated inguinal hernia in a patient with bladder exstrophy.

scholarly journals Pediatric Ovarian Torsion: A Diagnostic Challenge in COVID-19 Times

2020 ◽  
Vol 18 (2) ◽  
pp. 120-123
Author(s):  
R. Chanchlani ◽  
M. Jangid ◽  
R. Ahmad ◽  
P. Sharma
Keyword(s):  
Abdominal Pain ◽  
Surgical Intervention ◽  
Lower Abdominal Pain ◽  
Exploratory Laparotomy ◽  
Ovarian Torsion ◽  
Diagnosis And Treatment ◽  
Diagnostic Challenge ◽  
Delay In Diagnosis ◽  
Functional Loss ◽  
Early Surgical Intervention

Ovarian torsion is a rare gynecological emergency in children and an early surgical intervention is needed to salvage the ovary. Herein, we present a case of eight year old girl who presented with complaints of lower abdominal pain during ongoing COVID-19 pandemic. She was diagnosed as a case of ovarian torsion on right side. She underwent exploratory laparotomy and ovarian cystectomy was performed. Delay in diagnosis and treatment of ovarian torsion may have grave consequences, resulting in functional loss of the ovary.

scholarly journals Isolated fallopian tube torsion

2021 ◽  
Vol 10 (3) ◽  
pp. 1219
Author(s):  
Bandamma N. S. ◽  
Prema Prabhudev ◽  
Pooja .
Keyword(s):  
Fallopian Tube ◽  
Adolescent Girl ◽  
Diagnostic Laparoscopy ◽  
Surgical Intervention ◽  
Accurate Diagnosis ◽  
Reproductive Age ◽  
Imaging Features ◽  
Women Of Reproductive Age ◽  
The Right ◽  
Early Diagnostic

Fallopian tube torsion is a rare cause of acute abdomen, occurring commonly in females of reproductive age. It lacks pathognomonic symptoms, signs, or imaging features, thus causing delay in surgical intervention. Current study report one case of isolated fallopian tube torsion in adolescent girl. In this case a 13 year old patient presented with acute pain in the right iliac region associated with 3 episodes of vomiting for one day and severe tenderness on examination. Laparoscopy revealed right sided twisted fallopian tube associated with gangrenous fimbrial end. The tube was untwisted and salpingectomy done. Salpingectomy was done as the tube was gangrenous. Fallopian tube torsion, though rare, should be considered in women of reproductive age with unilateral pelvic pain. Early diagnostic laparoscopy is important for an accurate diagnosis and could prevent the rupture of the gangrenous tube. 

Stress reactions in women with infertility, operated on the uterine appendages in a planned and urgent order

2018 ◽  
pp. 98-101
Author(s):  
A.E. Dubchak ◽  
◽  
O.V. Milevskiy ◽  
N.M. Obeid ◽  
◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Sleep Disturbances ◽  
Surgical Intervention ◽  
Well Being ◽  
Main Group ◽  
Reproductive Age ◽  
Control Group ◽  
Stress Reactions ◽  
Women Of Reproductive Age ◽  
Psychoemotional State

The objective: the study of the psychoemotional state in women with infertility, who underwent surgical treatment on the uterine appendages in the planned and urgent order. Materials and methods. 120 women of reproductive age with a tubal peritoneal factor of infertility and benign ovarian formations, an ectopic pregnancy, who underwent organ-preserving surgical intervention on the uterine appendages (the main group) were examined. Planned surgical treatment was performed in 76 (63.7%) of the examined main group (group 1); In urgent order, 44 (36.7%) patients of the main group (the second group) underwent surgical treatment. Depending on the access, laparoscopy (LP) with the use of monopolar or bipolar electrosurgery was performed in 54 women of the 1st group and in 24 patients of the 2nd group, and laparotomy (LT) in 22 patients of the 1st group and in 20 patients - 2 nd group. The control group included 20 patients with reproductive function without infertility (3rd group). Twenty women of reproductive age with infertility without surgery entered the comparison group (group 4). Results The article examines the effect of surgical treatment on the uterine appendages in 120 women with infertility on the psychoemotional state depending on the planned nature of the surgical intervention. Women who underwent surgical treatment in urgent order found that pronounced depression and neurotic manifestations are closely related to sleep disturbances, decreased mood, crying, irritability. Conclusion. A month after surgery, depression, anxiety, nervousness decreased, which indicates positive changes in the mental state of patients and an improvement in the state of internal comfort as a result of the recovery of somatic well-being, increased optimism and self-confidence, which is the result of cosmetic effect and organ-preserving surgical treatment. Key words: infertility, operations on the appendages of the uterus, psychoemotional state

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