Non-Gynecologic Causes of Adnexal/Pelvic Masses

2018 ◽  
Vol 15 (1) ◽  
pp. 46-49
Author(s):  
Michelle L. Gainty ◽  
Christina Jones
Keyword(s):  
Differential Diagnosis ◽  
Female Patient ◽  
Diagnostic Dilemma ◽  
Adnexal Masses ◽  
Pelvic Masses

Pelvic masses can pose a diagnostic dilemma with a broad differential to include both gynecological and non-gynecologic etiologies. While the initial instinct may be to search for gynecologic causes for the female patient, non-gynecologic etiologies must be considered as well. The presentation can be similar amongst many different causes of pelvic masses and imaging is generally required for further assessment to determine if the mass is intra- or extraperitoneal. The etiology of adnexal masses covers several subspecialties: gynecology, urology, gastroenterology, neurology, and oncology. For this reason, it is important for all to be aware of the differential diagnosis for pelvic masses.

The role of magnetic resonance imaging in differential diagnosis of adnexal masses during pregnancy

GYNECOLOGY ◽  
2014 ◽  
Vol 16 (1) ◽  
pp. 69-72
Author(s):  
S.A. Martynov ◽  
◽  
L.V. Adamyan ◽  
E.A. Kulabukhova ◽  
P.V. Uchevatkina ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Differential Diagnosis ◽  
Magnetic Resonance ◽  
Resonance Imaging ◽  
Adnexal Masses

Pelvic echinococcosis in differential diagnosis of pelvic masses

2006 ◽  
Vol 129 (1) ◽  
pp. 98-99 ◽  
Author(s):  
Tugrul Aydogdu ◽  
Tayfun Gungor ◽  
Mengu Tug ◽  
Sabri Cavkaytar
Keyword(s):  
Differential Diagnosis ◽  
Pelvic Masses

scholarly journals Pneumatosis Intestinalis: A Case Report and Approach to Management

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Sean Donovan ◽  
Joseph Cernigliaro ◽  
Nancy Dawson
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Bowel Wall ◽  
Surgical Intervention ◽  
Wide Spectrum ◽  
Pneumatosis Intestinalis ◽  
Rapid Evaluation ◽  
Thought Process ◽  
Diagnostic Dilemma ◽  
Clinical Scenarios

Pneumatosis intestinalis (PI), defined as gas within the bowel wall, is an uncommon radiographic sign which can represent a wide spectrum of diseases and a variety of underlying diagnoses. Because its etiology can vary greatly, management of PI ranges from surgical intervention to outpatient observation (see, Greenstein et al. (2007), Morris et al. (2008), and Peter et al. (2003)). Since PI is infrequently encountered, clinicians may be unfamiliar with its diagnosis and management; this unfamiliarity, combined with the potential necessity for urgent intervention, may place the clinician confronted with PI in a precarious medical scenario. We present a case of pneumatosis intestinalis in a patient who posed a particularly challenging diagnostic dilemma for the primary team. Furthermore, we explore the differential diagnosis prior to revealing the intervention offered to our patient; our concise yet inclusive differential and thought process for rapid evaluation may be of benefit to clinicians presented with similar clinical scenarios.

The Diagnostic Dilemma of Myxedema and Madness, Axis I and Axis II: A Longitudinal Case Report

1989 ◽  
Vol 18 (3) ◽  
pp. 263-270 ◽  
Author(s):  
Denis F. Darko ◽  
Alice Krull ◽  
Mark Dickinson ◽  
J. Christian Gillin ◽  
S. Craig Risch
Keyword(s):  
Differential Diagnosis ◽  
Medical Diagnosis ◽  
Psychiatric Care ◽  
Paranoid Schizophrenia ◽  
Diagnostic Dilemma ◽  
Chronic Thyroiditis ◽  
Axis Ii ◽  
Probable Presence ◽  
Axis I ◽  
Primary Axis

A patient with presumed chronic paranoid schizophrenia had chronic thyroiditis and Grade I hypothyroidism. Psychosis cleared following treatment with thyroid replacement. The probable presence of two axis II disorders may have contributed to the missed medical diagnosis and the patient's eventual suicide. The personality disorders were a major problem in the patient's medical and psychiatric care. The differential diagnosis among hypothyroidism and primary axis I psychotic and depressive psychopathology has always been problematic. When axis II pathology is also present, the diagnostic dilemma is increased.

scholarly journals Differential Diagnosis for Female Pelvic Masses

10.5772/53139 ◽  
2013 ◽  
Author(s):  
Francesco Alessandrino ◽  
Carolina Dellafiore ◽  
Esmeralda Eshja ◽  
Francesco Alfano ◽  
Giorgia Ricci ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Pelvic Masses

scholarly journals Differential Diagnosis of Tubal Hydatid Cyst in the Pelvic Masses

2018 ◽  
Author(s):  
Adnan Budak ◽  
Aykut Özcan ◽  
Tuğba Karadeniz ◽  
Ramazan Güven ◽  
Muzaffer Sancı
Keyword(s):  
Differential Diagnosis ◽  
Hydatid Cyst ◽  
Pelvic Masses

scholarly journals Belhassen Syndrome in Teenager Originating from Left Anterior Fascicle

2020 ◽  
Vol 33 (4) ◽  
pp. 200-204
Author(s):  
Lívia Teixeira Martins e Silva ◽  
Paula Damasco do Vale ◽  
Jairo Macedo da Rocha ◽  
Carla Septimio Margalho ◽  
Henrique César de Almeida Maia
Keyword(s):  
Differential Diagnosis ◽  
Ventricular Tachycardia ◽  
Female Patient ◽  
Supraventricular Tachycardia ◽  
Electrophysiological Study ◽  
Narrow Qrs

A 16-year-old female patient was hospitalized due to narrow QRS tachycardia suggestive of fascicular ventricular tachycardia. Initially, the differential diagnosis with supraventricular tachycardia can be challenging. The tachyarrhythmia is well controlled with medication, but electrophysiological study and ablation may be necessary in patients who remain symptomatic.

p16 Expression in Keratoacanthomas and Squamous Cell Carcinomas of the Skin: An Immunohistochemical Study

2006 ◽  
Vol 130 (1) ◽  
pp. 69-73
Author(s):  
Emad Kaabipour ◽  
Helen M. Haupt ◽  
Jere B. Stern ◽  
Peter A. Kanetsky ◽  
Victoria F. Podolski ◽  
...  
Keyword(s):  
Squamous Cell Carcinoma ◽  
Differential Diagnosis ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Immunohistochemical Study ◽  
Squamous Cell Carcinomas ◽  
Diagnostic Dilemma ◽  
Significant Difference ◽  
P16 Expression

Abstract Context.—Distinguishing between keratoacanthoma (KA) and squamous cell carcinoma (SCC) is not an uncommon histologic diagnostic dilemma. Objective.—To determine if p16 expression is useful in the differential diagnosis of SCC and KA. Design.—We studied the expression of p16 by immunohistochemistry in 24 KAs, 24 infiltrating SCCs of the skin, 4 histologically indeterminate lesions, and 8 nonmalignant keratoses. Results.—A range of immunohistochemical p16 expression was seen in KAs and SCCs in terms of the thickness of lesional staining and the percentage of cells staining. No significant difference in measures of p16 expression was identified among the KAs, the SCCs, the indeterminate lesions, or the benign keratoses. Conclusions.—These findings suggest that p16 is not a useful marker to distinguish between KA and SCC, supporting the similarity between the 2 lesions; p16 alterations appear to play a role in the pathogenesis of both KA and SCC.

scholarly journals Magnetic Resonance Evaluation of Pelvic Mass Lesions in Females with Histopathological Correlation: An Institutional Experience

2019 ◽  
Vol 05 (02) ◽  
pp. 044-049
Author(s):  
Reddy Ravikanth
Keyword(s):  
Magnetic Resonance ◽  
Pelvic Mass ◽  
Distant Metastases ◽  
Cervical Region ◽  
Care Hospital ◽  
Cervical Lesions ◽  
Adnexal Masses ◽  
Pelvic Masses ◽  
Peritoneal Implant ◽  
Mass Lesions

Abstract Introduction Magnetic resonance imaging (MRI) is often used in the detection and staging of large pelvic masses. Many large masses in the female pelvis arise from the reproductive organs. These pelvic masses most commonly arise from the uterus, cervix, ovaries, and fallopian tubes. Objective This study was aimed to assess the role of MRI in female pelvic mass lesions. Also, it presents a pictorial review of MRI images of such pelvic masses. Materials and Methods This study was conducted on 50 female patients with clinically suspected pelvic masses at physical examination and referred for MRI at a tertiary care hospital over a 2-year period between July 2017 and June 2019. Results Most common lesions evaluated on imaging were benign uterine lesions (15 cases, 34.09%), benign adnexal lesions (13 cases, 29.54%), malignant adnexal (10 cases, 22.73%), malignant uterine cervical lesions (6 cases, 13.64%); two cases had indeterminate type lesions, two lesions proved to be normal bowel loops on MRI, and in two cases MRI could not be performed. Cystic lesions were commonly seen in adnexa (15 out 21) while solid lesions were common in uterine cervical region (18 out 23). Out of these, 14 were complex cystic adnexal masses and 10 were malignant. Uterine cervical lesions were carcinoma cervix. Better assessment with improved imaging capability was possible on MRI for invasion of surrounding structures in 10 cases, lymphadenopathy in 3 cases, ascites in 13 cases, peritoneal implant in 6 cases, encasement in 1 case, and distant metastases in 1 case. Conclusion In conclusion, pelvic mass lesions in females are more common above the age of 45 years. Adnexal masses are usually cystic, while the uterine masses are solid in texture. As the complexity and size of the cystic adnexal masses increases, there are increased chances of malignancy. Pretreatment staging and assessment of malignancy, invasion of surrounding structures, encasement, invasion of vessels or assessment of lymphadenopathy, peritoneal implant, ascites, and distant metastases are better appreciated by MRI.

scholarly journals Bilateral acute depigmentation of iris: 3-year follow-up of a case

2018 ◽  
Vol 10 ◽  
pp. 251584141878798 ◽  
Author(s):  
Cemile Ucgul Atilgan ◽  
Pinar Kosekahya ◽  
Mehtap Caglayan ◽  
Nilufer Berker
Keyword(s):  
Differential Diagnosis ◽  
Anterior Chamber ◽  
Female Patient ◽  
Clinical Diagnosis ◽  
Young Women ◽  
Inflammatory Reaction ◽  
Trabecular Meshwork ◽  
Keratic Precipitates ◽  
Iris Depigmentation

Bilateral acute depigmentation of the iris (BADI) usually affecting young women, is a newly defined clinical diagnosis with bilateral symmetrical pigment loss of iris stroma without iris transillumination defect. Herein, we want to share the results of a 3-year-long follow-up of a 23-year old female patient with BADI. She was admitted to our clinic with a complaint of discoloration of both her brown irises. An ocular evaluation of the patient revealed symmetrical pigment deposition in trabecular meshwork. No iris transillumination defect, pupillary sphincter paralysis, keratic precipitates, and inflammatory reaction in anterior chamber were seen. The depigmented iris stroma became repigmented symmetrically after 3-year follow-up period. Although it is rare, BADI should be considered in the differential diagnosis of the diseases with bilateral iris depigmentation.

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