scholarly journals Chemical Peritonitis Due to Spontaneous Ruptured Teratoma: A Case Report

2020 ◽  
Author(s):  
Atefeh Moridi ◽  
Hajar Abbasi ◽  
Athena Behforouz
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Dermoid Cyst ◽  
Spontaneous Rupture ◽  
Mature Teratoma ◽  
Reproductive Age ◽  
Benign Tumors ◽  
Reproductive Age Women ◽  
Chemical Peritonitis ◽  
Probable Diagnosis

One of the most common benign tumors in reproductive age women is mature Teratoma. We reported a 35-year-old woman who presented with abdominal pain, nausea, vomiting, and fever. The patient underwent laparotomy with the probable diagnosis of ovarian torsion. The evidence in the peritoneal cavity revealed chemical peritonitis due to the spontaneous rupture of the dermoid cyst.

scholarly journals Chemical peritonitis resulting from spontaneous rupture of a mature ovarian cystic teratoma: a case report

2020 ◽  
Vol 26 (4) ◽  
pp. 217-226
Author(s):  
Diana Bužinskienė ◽  
Matas Mongirdas ◽  
Saulius Mikėnas ◽  
Gražina Drąsutienė ◽  
Linas Andreika ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Dermoid Cyst ◽  
Ovarian Cyst ◽  
Transvaginal Ultrasound ◽  
Cystic Teratoma ◽  
Normal Vaginal Delivery ◽  
Ultrasound Scan ◽  
Presenting Symptoms ◽  
Abdominal Examination ◽  
Chemical Peritonitis

Background. Mature cystic teratomas (dermoid cysts) are the most common germ cell tumours with 10–25% incidence of adult and 50% of paediatric ovarian tumours. The aetiology of dermoid cysts is still unclear, although currently the parthenogenic theory is most widely accepted. The tumour is slow-growing and in the majority of cases it is an accidental finding. Presenting symptoms are vague and nonspecific. The main complication of a dermoid cyst is cyst torsion (15%); other reported complications include malignant transformation (1–2%), infection (1%), and rupture (0.3–2%). Prolonged pressure during pregnancy, torsion with infarction, or a direct trauma are the main risk factors for a spontaneous dermoid rupture that can lead to acute or chronic peritonitis. The diagnosis of mature cystic teratoma is often made in retrospect after surgical resection of an ovarian cyst, because such imaging modalities as ultrasound, computer tomography, or magnetic resonance imaging cannot yet accurately and reliably distinguish between benign and malignant pathology. Materials and methods. We present a report of a clinical case of a 35-years-old female, who was referred to the hospital due to abdominal pain spreading to her feet for three successive days. She had a history of a normal vaginal delivery one month before. Abdominal examination revealed mild tenderness in the lower abdomen; no obvious muscle rigidity was noted. Transvaginal ultrasound showed a multiloculated cystic mass measuring 16 × 10 cm in the pelvis. In the absence of urgency, planned surgical treatment was recommended. The next day the patient was referred to the hospital again, with a complaint of stronger abdominal pain (7/10), nausea, and vomiting. This time abdominal examination revealed symptoms of acute peritonitis. The ultrasound scan differed from the previous one. This time, the transvaginal ultrasound scan revealed abnormally changed ovaries bilaterally. There was a large amount of free fluid in the abdominal cavity. The patient was operated on – left laparoscopic cystectomy and right adnexectomy were performed. Postoperative antibacterial treatment, infusion of fluids, painkillers, prophylaxis of the thromboembolism were administered. The patient was discharged from the hospital on the seventh postoperative day and was sent for outpatient observation. Results and conclusions. Ultrasound is the imaging modality of choice for a dermoid cyst because it is safe, non-invasive, and quick to perform. Leakage or spillage of dermoid cyst contents can cause chemical peritonitis, which is an aseptic inflammatory peritoneal reaction. Once a rupture of an ovarian cystic teratoma is diagnosed, immediate surgical intervention with prompt removal of the spontaneously ruptured ovarian cyst and thorough peritoneal lavage are required.

scholarly journals Successful treatment for intra-abdominal bleeding due to spontaneous rupture of huge liver cyst using transcatheter arterial embolization: a case report

2021 ◽  
pp. 242
Author(s):  
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Ct Scan ◽  
Spontaneous Rupture ◽  
Lower Abdominal Pain ◽  
Arterial Embolization ◽  
Liver Cyst ◽  
Rare Presentation ◽  
Liver Cysts ◽  
Abdominal Bleeding

Background: Non-parasitic simple liver cysts are one of the most common benign hepatic lesions. Although most liver cysts are asymptomatic and remain silent throughout the patient’s life, extremely large cysts can become symptomatic by direct compression to adjacent organs. Herein, we report a case of a spontaneously ruptured simple liver cyst, which is a rare presentation of a benign liver cyst. The patient’s liver cyst re-ruptured and was treated with transcatheter arterial embolization (TAE). Case report: A 62-year-old man presented to our hospital complaining of acute-onset lower abdominal pain. He had undergone laparoscopic fenestration of a huge liver cyst in another hospital 2 years prior. Computed tomography (CT) scan showed spontaneous rupture of a large liver cyst. Laparoscopic exploratory laparotomy showed no signs of ongoing intra-abdominal bleeding from the liver cyst; therefore, the operation was completed with peritoneal lavage. The patient was discharged from our hospital on postoperative day 5. Twelve days after the initial presentation, the patient was re-admitted to our hospital complaining of recurrence of lower abdominal pain. CT scan showed an enlargement of the previously ruptured liver cyst, with intra-abdominal bleeding and massive hematoma in the cyst. Extravasation of the cyst’s wall was also detected. Under the diagnosis of intra-abdominal bleeding from the artery in the wall of the huge cyst, emergent TAE was performed. Although the exact spot of extravasation was not detected, the anterior segment branch of the right hepatic artery, which corresponds to extravasation shown on the CT scan, was embolized. The patient was discharged from our hospital after 7 days, and the liver cyst remained stable without abdominal pain for more than 2 months. Conclusions: This case highlights a rare presentation of spontaneous rupture of a liver cyst with massive bleeding and the efficacy of TAE for the conservative treatment of ruptured liver cysts.

scholarly journals Management of hemoperitoneum due to rupture of the ovarian cyst

2021 ◽  
Vol 6 (1) ◽  
pp. 6-10
Author(s):  
Oana Denisa Balalau ◽  
Ileana Maria Conea ◽  
Nicolae Bacalbasa ◽  
Anca Silvia Dumitriu ◽  
Stana Paunica ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Ovarian Cyst ◽  
Lower Abdominal Pain ◽  
Physical Exertion ◽  
Sudden Onset ◽  
Reproductive Age ◽  
Adnexal Torsion ◽  
Ultrasound Monitoring ◽  
Chemical Peritonitis ◽  
Rule Out

Ovarian cyst is the most common female gynecological pathology and it is characteristic of reproductive age. Its rupture causes the sudden onset of pelvic-abdominal pain, often associated with physical exertion or sexual contact. The differential diagnosis is made with other causes of lower abdominal pain: ectopic pregnancy, adnexal torsion, pelvic inflammatory disease or acute appendicitis. The clinical picture may vary depending on the type of ruptured cyst. Dermoid cyst causes severe symptoms due to chemical peritonitis that occurs in response to extravasation of sebaceous contents in the peritoneal cavity. Surgical treatment is indicated for complicated forms of cystic rupture. Most cases have self-limiting, quantitatively reduced bleeding and spontaneous resorption within a few days. Patients diagnosed with ovarian cyst are recommended for regular ultrasound monitoring to prevent complications such as cystic rupture or adnexal torsion. The identification of any ovarian tumor mass in the woman at menopause requires further investigation to rule out the causes of malignancy.

scholarly journals Squamous Cell Carcinoma in Dermoid Cyst

2015 ◽  
Vol 6 (3) ◽  
pp. 133-135
Author(s):  
Lakshmidevi Muralidhar ◽  
Pramila Pandey
Keyword(s):  
Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Dermoid Cyst ◽  
Malignant Transformation ◽  
Squamous Cell ◽  
Mature Teratoma ◽  
Cystic Teratoma ◽  
Mature Cystic Teratoma ◽  
Reproductive Age ◽  
Age Group

ABSTRACT Mature cystic teratoma or dermoid cyst constitutes about 10 to 20% of all ovarian tumors in the reproductive age group. Malignant transformation is seen in these tumors in about 1 to 2%. Squamous cell carcinoma (SCC) constitutes about 75 to 85% of malignant transformation. Imaging characters and serum tumor markers are two important modalities to differentiate benign and malignant lesions. We are presenting a rare case of SCC arising from mature teratoma. The aim of this presentation is to stress on the significance of preoperative risk assessment of SCC in mature cystic teratoma in postmenopausal age group for optimal treatment. How to cite this article Muralidhar L, Venkatesh S, Pandey P. Squamous Cell Carcinoma in Dermoid Cyst. Int J Infertil Fetal Med 2015;6(3):133-135.

scholarly journals Laparoscopic Myomectomy of a 34 Weeks Size Myoma: ‘Exhausting but Satisfying’

2016 ◽  
Vol 8 (1) ◽  
pp. 69-70
Author(s):  
Rahul Manchanda ◽  
Charu Pathak
Keyword(s):  
Intraoperative Complications ◽  
Conventional Technique ◽  
Reproductive Age ◽  
Laparoscopic Myomectomy ◽  
Gravid Uterus ◽  
Benign Tumors ◽  
Attractive Alternative ◽  
Limiting Factor ◽  
Left Wall ◽  
Reproductive Age Women

ABSTRACT Uterine leiomyomas are the most common benign tumors affecting reproductive age women. The symptomatic spectrum varies from large asymptomatic fibroids to smaller ones causing all sorts of menstrual problems. With the advent of minimally invasive surgery, laparoscopic myomectomy is the preferred approach to many of these myomas depending on the size, site and number as recommended by the standard bodies. Aims and objectives To describe one of the largest myoma operated laparoscopically using conventional technique. Background The size and type of myoma represent the best predictors of surgical difficulties and possible intraoperative complications. Intramural myomas > 8 cm and subserosal myomas > 12 cm are considered challenging to operate laparoscopically. Till date, to the best of our knowledge the largest myoma operated laparoscopically is around 30 cm. Case Report Authors report a case of 29 years old unmarried girl who presented with abdominal distention and on examination had a abdominopelvic mass of 34 weeks gravid uterus size. Ultrasound revealed a very large intramural fibroid arising from the left wall close to the fundus with a large submucosal component. An uneventful laparoscopic myomectomy was done. Conclusion Laparoscopic myomectomy is surely a safe and attractive alternative to treat large myomas with less postoperative pain, shorter hospital stay and equivalent pregnancy outcomes. The authors believe that with required skills, experience, and improved technologies for tissue retrieval, the size may not be a limiting factor for laparoscopic myomectomies. How to cite this article Yadav G, Manchanda R, Pathak C. Laparoscopic Myomectomy of a 34 Weeks Size Myoma: ‘Exhausting but Satisfying’. J South Asian Feder Obst Gynae 2016;8(1):69-70.

scholarly journals Spontaneous Rupture of Urinary Bladder (SRUB) in a Young Male, Presenting as Anuria – A Case Report and Review of Literature

2014 ◽  
Vol 7 (1) ◽  
pp. 64-66
Author(s):  
Sekar Hariharasudhan ◽  
Sriram Krishnamoorthy ◽  
Sunil Shroff
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Urinary Bladder ◽  
Spontaneous Rupture ◽  
Lower Abdominal Pain ◽  
Young Male ◽  
Bladder Rupture ◽  
Emergency Laparotomy ◽  
High Morbidity ◽  
Delay In Diagnosis

Spontaneous rupture of urinary bladder is a rare condition. Most of the bladder ruptures occur in association with blunt or penetrating injuries to the lower abdomen. Most often, a vague lower abdominal pain is the mode of presentation. Rarely patients present with oliguria, anuria, uremia or urosepsis. A forty year old male, under the influence of alcohol, presented with lower abdominal pain and anuria for two days with abnormal renal function. He denied history of blunt trauma. He was diagnosed to have an intra-peritoneal rupture of urinary bladder. He underwent emergency laparotomy with repair of bladder rupture. This case report illustrates the need for a high index of clinical suspicion. Prompt diagnosis and appropriate management will help in preventing a poor clinical outcome in patients with spontaneous bladder perforation. If left untreated or if there is a considerable delay in diagnosis and intervention, it usually is associated with a high morbidity.

Spontaneous rupture of mesenteric dermoid cyst: a rare cause of abdominal pain

2003 ◽  
Vol 14 (8) ◽  
Author(s):  
G. Verswijvel ◽  
F. Janssens ◽  
H. Vanboven ◽  
Y. Palmers
Keyword(s):  
Abdominal Pain ◽  
Dermoid Cyst ◽  
Spontaneous Rupture

scholarly journals Three-dimensional ultrasound and HDlive in tubal serous cystadenofibroma: a case report and literature review

2017 ◽  
Vol 19 (4) ◽  
pp. 444 ◽  
Author(s):  
Mihaela Grigore ◽  
Razvan Popovici ◽  
Cristina Furnica ◽  
Anda Pristavu ◽  
Alexandru Hamod ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Laparoscopic Surgery ◽  
Literature Review ◽  
Three Dimensional ◽  
3D Ultrasound ◽  
Chronic Abdominal Pain ◽  
Benign Tumors ◽  
Fallopian Tubes ◽  
Almost All

Cystadenofibromas of the fallopian tubes are very rare benign tumors and very few cases have been reported in the literature worldwide. Usually, the tumor is asymptomatic, and for almost all cases reported, the tumors were incidentally discovered during surgery for other genital pathology. We report the case of a 30-year-old woman with a serous cystadenofibroma of the fallopian tube, presenting with chronic abdominal pain and secondary infertility. The diagnosis of tubal tumor was formulated before surgery and confirmed during laparoscopic surgery. Both 3D ultrasound and HDlive were useful tools for the diagnosis. The ultrasound diagnosis was helpful in planning appropriate surgical management.

scholarly journals Spontaneous rupture of spleenic hemangioma: a case report

2019 ◽  
Vol 6 (5) ◽  
pp. 1780
Author(s):  
Pradeep Balineni ◽  
Shruthi Kamal ◽  
Sandeep Pathivada ◽  
Keerthana Shivaji
Keyword(s):  
Abdominal Pain ◽  
Deep Vein Thrombosis ◽  
Spontaneous Rupture ◽  
Fluid Collection ◽  
Barium Swallow ◽  
Benign Tumors ◽  
Large Collection ◽  
Congenital Nevus ◽  
Vein Thrombosis ◽  
Deep Vein

A 40 year old female presented with complaints of dysphagia, and regurgitation. On examination abdomen was soft, non tender, not distended and had no palpable organomeagaly. Patient was diagnosed of hiatus hernia after undergoing upper gastro intestinal scopy and barium swallow. Patient was planned for nissens laproscopic fundoplication. Intra-operatively patient was found to be having a large splenic hemangioma. Postoperatively patient had deep vein thrombosis for which intra-venous heparin was given. Post heparinization patient went into shock and ultrasound revealed a large collection in peri-splenic, spleeno-renal spaces. Spleenic hemangiomas are the 2nd common benign tumors of the spleen. Incidence of spleenic hemangioma is 0.02-0.16%. Spontaneous rupture of splenic hemangioma occurs rarely and is dreadly complication of splenic hemangioma. They may represent a congenital nevus. Patients present with spleenomegaly, abdominal pain, hypotension and dyspnea. A ultrasound would show a fluid collection in peri splenic areas. Emergency splenectomy is the treatment of choice for these patients.

Sign in / Sign up

Export Citation Format

Share Document