Pseudoacute abdomen in female caused by haematometrocolpos and haematosalpinx because hymen imperforatus: diagnosis and therapy of imperforate hymen

Open Medicine ◽  
2007 ◽  
Vol 2 (3) ◽  
pp. 351-355 ◽  
Author(s):  
Mirna Erman-Vlahović ◽  
Dubravko Habek ◽  
Ivan Vlahović ◽  
Mirna Bobić
Keyword(s):  
General Anaesthesia ◽  
Clinical Examination ◽  
Abdominal Mass ◽  
Transabdominal Ultrasound ◽  
Imperforate Hymen ◽  
Postoperative Course ◽  
Menstrual Cycles ◽  
History Of ◽  
Clinical Pictures

AbstractWe present a case of atresia hymenalis in a 12.5 year old female who was admitted to gynecological emergency with a history of severe lower abdominal pains over the course of a few months. Provided are clinical pictures of the “Pseudoacute abdomen”. Upon clinical examination, we found blue, shiny, bulging and imperforated hymen. An abdominal mass was palpated in the vicinity of the navel. Transabdominal ultrasound demonstrated mass filled with thick liquid. “Mercedes hymenal incision” was performed in general anaesthesia. About 1.2 litre of dark, thick blood was removed. Postoperative course was uneventful. The two years of follow-up were characterized with regular psychomotoric development for the age with regular menstrual cycles.

scholarly journals A Rare Case of Imperforate Hymen Presenting with Perineal Pain

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Zacharis K ◽  
◽  
Klimatsouda M ◽  
Donoudis C ◽  
Valasoulis G ◽  
...  
Keyword(s):  
Adolescent Girl ◽  
Reproductive Tract ◽  
Lower Abdominal Pain ◽  
Female Reproductive Tract ◽  
Perineal Pain ◽  
Effective Management ◽  
Imperforate Hymen ◽  
Menstrual Cycles ◽  
Delayed Treatment

Introduction: Imperforate hymen is a rare local fusion anomaly of the female reproductive tract and diagnosis can be easily missed. Cyclic lower abdominal pain and amenorrhea are common symptoms in cases left untreated after menarche. Perineal pain may be an unusual presenting symptom of imperforate hymen. In order to avert complications related to delayed treatment, hymenotomy is considered effective management. Case Report: We herein describe a case of a 13-year-old adolescent girl with an imperforate hymen presenting with lower abdominal and perineal pain. The girl underwent and hymenotomy and postoperative period was uneventful. Perineal and pelvic pain relieved instantly after surgical treatment and during follow up her menstrual cycles were regular.

Diagnostic findings in a lame-free dog with complete rupture of the biceps brachii tendon

2007 ◽  
Vol 20 (01) ◽  
pp. 73-77 ◽  
Author(s):  
B. van Ryssen ◽  
I. Gielen ◽  
O. Taeymans ◽  
H. van Bree ◽  
P. Wiemer
Keyword(s):  
General Anaesthesia ◽  
Clinical Examination ◽  
Shoulder Instability ◽  
Biceps Brachii ◽  
Glenohumeral Joint ◽  
Biceps Tendon ◽  
Definite Diagnosis ◽  
Complete Rupture ◽  
History Of ◽  
Biceps Brachii Tendon

SummaryA case of a complete rupture of the biceps brachii tendon in a lame-free three-year-old Labrador Retriever is described. The dog had a history of chronic lameness following a trauma, but had become lame-free shortly before presentation. Clinical examination, biceps tendon test and shoulder instability tests under general anaesthesia were inconspicuous for shoulder instability. Routine radiographs, arthrography and ultrasound were suspicious for bicipital tendopathy. The definite diagnosis of a complete rupture of the biceps brachii tendon was made upon arthroscopic inspection of the glenohumeral joint.

scholarly journals Low-Dose Aspirin and Sporadic Anovulation in the EAGeR Randomized Trial

2016 ◽  
Vol 102 (1) ◽  
pp. 86-92 ◽  
Author(s):  
Rose G. Radin ◽  
Lindsey A. Sjaarda ◽  
Neil J. Perkins ◽  
Robert M. Silver ◽  
Zhen Chen ◽  
...  
Keyword(s):  
Pregnancy Loss ◽  
Low Dose ◽  
Controlled Trial ◽  
Double Blind ◽  
Menstrual Cycles ◽  
Spot Urine ◽  
Dose Aspirin ◽  
Low Dose Aspirin ◽  
History Of

Abstract Context: Among women with a single, recent pregnancy loss, daily preconception low-dose aspirin (LDA) increased the live birth rate with no effect on pregnancy loss. Ovulation is a potential mechanism underlying this effect. Objective: We estimated the effect of LDA on the per-cycle risk of anovulation among eumenorrheic women. Design: Multicenter, randomized, double-blind, placebo-controlled trial of daily LDA on reproductive outcomes. Preconception follow-up lasted 1 to 6 menstrual cycles (ClinicalTrials.gov, NCT00467363). Setting: Four US medical centers during 2007 to 2011. Patients or Other Participants: Healthy women (n = 1214), age 18 to 40, were attempting pregnancy, had regular menstrual cycles (21 to 42 days), and had a history of 1 to 2 documented pregnancy losses, ≤2 live births, and no infertility. All participants completed at least 1 menstrual cycle of follow-up; none withdrew due to adverse events. Intervention: Aspirin (81 mg) daily for 1 to 6 menstrual cycles. Main Outcome Measure: Per-cycle risk of anovulation, defined as the absence of both a positive spot-urine pregnancy test and a luteinizing hormone (LH) peak (2.5-fold increase in daily urinary LH). Hypothesis formulation preceded data collection. Results: Among 4340 cycles, LDA was not associated with anovulation (LDA: 13.4%, placebo: 11.1%; risk ratio = 1.16, 95% confidence interval, 0.88 to 1.52). Results were similar among women with a single, recent loss. Conclusions: Daily LDA had no effect on anovulation among women with a history of 1 to 2 pregnancy losses. LDA may affect fertility via other pathways, and these warrant further study.

scholarly journals Huge abdominal mass with hematocolpometra due to imperforate hymen: an unusual clinical presentation

2020 ◽  
Vol 10 (2) ◽  
pp. 78-80
Author(s):  
Basant Sharma ◽  
Bandana Khanal ◽  
Prekshya Singh ◽  
Renuka Tamrakar
Keyword(s):  
Genital Tract ◽  
Unusual Case ◽  
Abdominal Mass ◽  
Pelvic Mass ◽  
Lower Abdomen ◽  
Imperforate Hymen ◽  
Magnetic Resonance Imaging Mri ◽  
Acute Retention ◽  
Delayed Menarche

The imperforated hymen is one of the commonest genital tract malformations usually present with cyclic abdominal pain and an obstructive pelvic mass at post-pubertal age. The unusual pre­sentations are delayed menarche with obstructive symptoms rarely acute retention of urine, te­nesmus, and constipation. We report an unusual case of 12- year old girl with a huge mass in the lower abdomen examination revealed imperforate hymen at early pubertal age. Further investigation of Magnetic Resonance Imaging (MRI) confirmed hematocolpometra. Then, she underwent simple hymenotomy and drainage of collected menstrual blood from the genital tract. She recovered well during the postoperative periods. We conformed normal menstrual flow at her first follow-up. In conclusion, Imperforate hymen at peripubertal age with an unusual huge abdominopelvic mass concerns further imaging to assure the best outcome.

scholarly journals Lymphangiomatous Polyp Presenting as Tonsillar Mass

2017 ◽  
Vol 2017 ◽  
pp. 1-2
Author(s):  
Ashish Dhakal ◽  
Sameer Karmacharya ◽  
Sandhya Shrestha
Keyword(s):  
Foreign Body ◽  
Physical Examination ◽  
General Anaesthesia ◽  
Postoperative Period ◽  
University Hospital ◽  
Tonsillar Fossa ◽  
Body Sensation ◽  
History Of ◽  
Left Tonsil

A 19-year-old female presented to ENT OPD of Dhulikhel Hospital, Kathmandu University Hospital, with history of foreign body sensation in throat for 2 weeks and mass in left tonsil for 1 week. There is no history of difficulty swallowing or recurrent throat infection. Physical examination revealed a pedunculated mass arising from upper pole of left tonsil. Bilateral tonsillectomy was done under general anaesthesia. Grossly, 2.5 × 1.5 × 1 cm polypoidal mass, soft in consistency, was found to be attached to left tonsil. Histopathology report was consistent with lymphangiomatous polyp of tonsil. Postoperative period was uneventful and she was normal during her follow-up at 1 month with bilateral healthy tonsillar fossa.

scholarly journals Paediatric cystic ovarian torsion masquerading appendicitis

2021 ◽  
Vol 14 (2) ◽  
pp. e239188
Author(s):  
Smriti Kapoor ◽  
Shoaib Saeed ◽  
Dinesh Balasubramaniam
Keyword(s):  
Clinical Examination ◽  
Inflammatory Markers ◽  
Clinical Presentation ◽  
Iliac Fossa ◽  
Ovarian Torsion ◽  
Atypical Presentation ◽  
Open Appendicectomy ◽  
History Of ◽  
Right Iliac Fossa Pain

A 7-year-old girl presented with a 2-day history of right iliac fossa pain, fever and elevated inflammatory markers. Clinical examination supported a diagnosis of appendicitis. The patient was taken to theatre for an open appendicectomy the following morning. Intraoperatively, a right-sided ovarian haemorrhagic cyst with 360 degrees torsion was discovered. The ovary was torted along with the cyst. Both were detorted and the abdomen was closed. The patient was discharged 48 hours later, with gynaecology outpatient follow-up 6–8 weeks later. Paediatric ovarian torsions caused by a haemorrhagic cyst greater than 2 cm are rare. Here, we discuss an atypical presentation of ovarian torsion and how the clinical presentation can mimic appendicitis.

scholarly journals Tracheal Rhinosporidiosis

2015 ◽  
Vol 20 (1) ◽  
pp. 39-42 ◽  
Author(s):  
Md Anwar Hossain ◽  
Kamrul Hassan Tarafder ◽  
Sheikh Hasanur Rahman ◽  
Tawfiqur Rahman ◽  
Abdullah Al Mamun ◽  
...  
Keyword(s):  
Infectious Disease ◽  
Respiratory Tract ◽  
Respiratory Distress ◽  
General Anaesthesia ◽  
Past History ◽  
Bronchial Tree ◽  
History Of Surgery ◽  
Rhinosporidium Seeberi ◽  
History Of

Rhinosporidiosis is a chronic granulomatous infectious disease caused by rhinosporidium seeberi that usually affects the nasal mucosa and ocular conjunctiva. Involvement of trachea ad bronchial tree is extremely rare. Few cases (8) have been reported in literature. We report a case of tracheal rhinosporidiosis that presented with stridor and haemoptysis with past history of surgery for recurrent rhinosporidiosis of nose and nasopharynx. Complete endoscopic excision and cauterization of base was done under general anaesthesia. No recurrent was observed for last 9 months of follow up. Tracheo-bronchial involvement by rhinosporidiosis should be suspected when a known case of rhinosporidiosis involving uper respiratory tract presents with respiratory distress and/or haempostysis. DOI: http://dx.doi.org/10.3329/bjo.v20i1.22016 Bangladesh J Otorhinolaryngol; April 2014; 20(1): 39-42

scholarly journals Imperforate Hymen

2017 ◽  
Vol 11 (2) ◽  
pp. 173-176
Author(s):  
Fatima Al-Saygh ◽  
Moune Jabre
Keyword(s):  
Pelvic Pain ◽  
Obstet Gynecol ◽  
Menstrual Blood ◽  
Transabdominal Ultrasound ◽  
Imperforate Hymen ◽  
Postoperative Course

ABSTRACT An 11-year-old girl presented with pelvic pain for 2 weeks. Transabdominal ultrasound demonstrated a distended vagina filled with echogenic material consistent with blood. The uterus was visualized and was similarly distended. A diagnosis of hematocolpos and hematometria secondary to imperforate hymen was made. Hymenectomy was performed which drained 1.5 L of dark menstrual blood. The patient had an uneventful postoperative course. How to cite this article Al-Saygh F, Jabre M, Ahmed B. Imperforate Hymen. Donald School J Ultrasound Obstet Gynecol 2017;11(2):174-176.

Infantile hemangioendothelioma: A case report

2000 ◽  
Vol 41 (2) ◽  
pp. 161-164 ◽  
Author(s):  
C. Kaniklides ◽  
P.A. Dimopoulos ◽  
D. Bajic
Keyword(s):  
Case Report ◽  
Imaging Techniques ◽  
Abdominal Mass ◽  
Previous History ◽  
Non Invasive ◽  
History Of Disease ◽  
History Of ◽  
Infantile Hemangioendothelioma

The case of a 3-month-old boy with a hepatic infantile hemangioendothelioma is reported. There was no previous history of disease and no symptoms, only an incidentally found abdominal mass. The case is presented as an example of establishing the diagnosis, deciding upon the treatment, and performing the follow-up using only non-invasive imaging techniques.

scholarly journals Recurrence of Solid Pseudopapillary Tumor: A Rare Pancreatic Tumor

2016 ◽  
Vol 2016 ◽  
pp. 1-2 ◽  
Author(s):  
Chandra Punch ◽  
Nupur Garg ◽  
Penelope Harris
Keyword(s):  
Case Report ◽  
Pancreatic Tumor ◽  
Hospice Care ◽  
Abdominal Mass ◽  
Solid Pseudopapillary Tumor ◽  
Lower Quadrant ◽  
Young Females ◽  
Elderly Female ◽  
History Of

Solid pseudopapillary tumor of the pancreas (SPTP) is a rare disease of young females that does not usually recur after resection. Here we report a case of an elderly female with history of SPTP ten years ago who presented with anorexia and a palpable left lower quadrant abdominal mass. Imaging revealed metastatic disease and US-guided biopsy of the liver confirmed the diagnosis of SPTP. Due to her advanced age and comorbidities, she elected to undergo hospice care. The objective of this case report is to increase awareness of this tumor and its possibility of recurrence, necessitating further guidelines for follow-up.

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