scholarly journals Degenerated Uterine Submucous Fibroid Prolapsing Through Lower Uterine Segment Caesarian Scar

2018 ◽  
Vol 2 (3) ◽  
Author(s):  
Devika Gunasheela
Keyword(s):  
Case Report ◽  
Posterior Wall ◽  
Benign Tumors ◽  
Vaginal Examination ◽  
Lower Segment ◽  
Pain Abdomen ◽  
Submucous Fibroid ◽  
Fibroid Polyp ◽  
Abdominal Examination ◽  
Time Of Admission

Leiomyomas (Fibroids) are the most common benign tumors of the uterus and are found in approximately 2% of pregnant women. Degeneration of leiomyoma occurs secondary to loss of blood supply and is usually attributable to rapid growth associated with pregnancy. We report the management of a case of posterior wall large degenerated submucous fibroid prolapsing through the lower segment cesarean (LSCS) scar [1]. Case Report Go to A 32 year old woman para2 live2 presented with pain abdomen and menorrhagia on her 23rd post-operative day after LSCS. At the time of admission patient was stable, her vitals were normal. Abdominal examination revealed a 20 weeks mass arising from pelvis, which is firm to cystic in consistency, tender with ill defined smooth edges. Per speculum and vaginal examination revealed 2 x 3cm prolapsed fibroid polyp. Cervical ring was felt all around the polyp with foul smelling, brown discharge

scholarly journals Posterior Gastric Perforation – Rare Surgical Emergency: A Case Report

2021 ◽  
pp. 143-146
Author(s):  
Tushar Nagtode ◽  
Y. R. Lamture ◽  
Venktesh Rewale ◽  
P. Tanveer ◽  
Aditya Mundada
Keyword(s):  
Case Report ◽  
Gastric Perforation ◽  
Care Center ◽  
Central India ◽  
Exploratory Laparotomy ◽  
Posterior Wall ◽  
Delayed Presentation ◽  
Health Care Center ◽  
History Of ◽  
Abdominal Examination

Background: Incidence of perforation on posterior wall of stomach is rare throughout world; its occurrence has not been found till now in literature of central India. diffuse symptoms with delayed presentation to health center and poorly skilled faculty with facilities make a way to raise in total number of deaths associated with posterior gastric perforation. Objective: To report a rare case of posterior gastric perforation at a tertiary health care center in Central India, which would be first to be documented. Case Presentation: A 74-year-old male patient was referred to Department of General Surgery, AVBRH, with chief complaint of acute abdominal pain for two days. He had a history of alcohol consumtion which was stopped 2 years back A moderately distended, distinctly tender abdomen accompanied by guarding, rigidity and excluded bowel sounds was unveiled by abdominal examination. Patient has been resuscitated with intravenous fluids, antibiotics and analgesics. Consequently, an emergency exploratory laparotomy revealed a significant collection of purulent peritoneal fluid, 1x1 cm sized perforation on posterior wall of stomach. Perforation was repaired and thus patient recovered in a satisfactory way. Conclusion: And since posterior gastric perforation is extremely uncommon and expected to worsen, associated with increased morbidity and mortality leading to missed presence, this case report indicates that evaluation of patients with gastric perforation, identify risk factors and ability to repair perforations right away along with resuscitation will greatly enhance clinical outcome.

scholarly journals Inflammatory Fibroid Polyp of the Small Intestine: A Case Report and Systematic Literature Review

2020 ◽  
Author(s):  
Nikola Ivaniš ◽  
Vera Tomas ◽  
Luka Vranić ◽  
Franjo Lovasić ◽  
Viktor Ivaniš ◽  
...  
Keyword(s):  
Systematic Review ◽  
Small Intestine ◽  
Case Report ◽  
Small Bowel ◽  
Literature Review ◽  
Systematic Literature Review ◽  
Diagnostic Methods ◽  
Benign Tumors ◽  
Inflammatory Fibroid Polyp ◽  
Fibroid Polyp

Aim: Starting from a case presentation, this review aims to present literature data on inflammatory fibroid polyps (IFPs) of the small intestine. Methods: Case report and systematic review. A comprehensive systematic review of English literature using PubMed was conducted, based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The used key words were: “inflammatory fibroid polyp” or “Vanek”, including only cases with IFPs localized of the small intestine, published from 1976 to 2019. Results: We present a case of a 38-year old patient with intestinal IFP presenting with acute abdomen due to intussusception diagnosed with ultrasound (US) based on a target sign and visible solid tumor in the small intestine leading to prompt surgical treatment. A diagnosis of IFP was made based on the pathohistological findings. Moreover, a systematic review of small intestine IFPs was conducted which is, to our knowledge, the first comprehensive systematic literature review on this topic. The analysis included 53 case reports or case series concerning 77 cases of small bowel IFPs. The patients were aged from 4 to 75 years (average 45.2), with a female predominance (59.7%). The most common localization was the ileum in 77.9% cases, followed by the jejunum (13%) and the duodenum (6.5%). The most common clinical presentation was abdominal pain due to intussusception (63.6%). Regarding diagnostic methods, computed tomography (CT) was frequently used as primary diagnostic method (26%) followed by exploratory laparotomy (16.9%), endoscopy (7.8%) and US (6.5%). Combination of US and CT contributed to the diagnosis in 9.1% of cases. The majority of cases were treated surgically (92.21%), while only a minority benefited of minimally invasive techniques such as endoscopy. Conclusions: Small bowel IFPs, ones of the least common benign tumors, are characterized by variable clinical signs and symptoms and can potentially lead to serious consequences for the patient.

scholarly journals Chronic non-puerperal uterine inversion in the absence of risk factors: a rare case report

2019 ◽  
Vol 8 (5) ◽  
pp. 2111
Author(s):  
Rajesh Tile ◽  
Supriya Jamkhandi
Keyword(s):  
Risk Factors ◽  
Stable Condition ◽  
Exploratory Laparotomy ◽  
Rare Entity ◽  
Vaginal Examination ◽  
Uterine Inversion ◽  
Pain Abdomen ◽  
Post Operative Period ◽  
Rare Case Report ◽  
Fibroid Polyp

Non puerperal chronic uterine inversion is a rare entity; representing 1/6th of all uterine inversions. Usually precipitated by risk factors like fibroid uterus, endometrial polyp, endometrial malignancies. We present a case of 25 year old P2L2 with irregular vaginal bleeding and pain abdomen, with severe anemia. On per abdomen examination no abnormality detected, per speculum revealed a red friable mass 5*5cms protruding through vagina and per vaginal examination same findings confirmed. A diagnosis of fibroid polyp made initially and planned for polypectomy after correction of anemia. Under spinal aneasthesia diagnosis was changed to uterine inversion. Exploratory laparotomy done, which revealed characteristic flower pot appearance. Inversion was corrected by Haultens method, where in posteriorly incision was given to cut the tight cervical ring, and uterus was repositioned back to normal anatomic positon. Bilateral tubal sterilization was done as per patients request. Post operative period was uneventful and she was discharged in stable condition. Thus chronic non puerperal uterine inversion can be difficult to diagnose in the absence of risk factors.

scholarly journals Giant dermoid cyst of ovary in postmenopausal woman: a case report

2017 ◽  
Vol 6 (7) ◽  
pp. 3195
Author(s):  
Seetesh Ghose ◽  
Chandana G. ◽  
Setu Rathod ◽  
Lopamudra B. John
Keyword(s):  
Case Report ◽  
Dermoid Cyst ◽  
Cystic Lesion ◽  
Menopausal Woman ◽  
Post Menopausal Woman ◽  
Pain Abdomen ◽  
Abdominal Examination ◽  
Post Menopausal ◽  
Ovarian Dermoid Cyst ◽  
Firm Mass

A 49 year, miltipara, post-menopausal woman complains of pain abdomen and breathlessness for one week. On abdominal examination, there was a firm mass. MRI showed multi-loculated cystic lesion suggestive of ovarian dermoid cyst. Patient underwent TAH and BSO. 

Large Vulvar Lipoma in an Adolescent: A Case Report

JMS SKIMS ◽  
2011 ◽  
Vol 14 (1) ◽  
pp. 28-29
Author(s):  
R K Maurya ◽  
Pawan Kumar Singh ◽  
Sandeep Singh
Keyword(s):  
Case Report ◽  
Epithelial Cell ◽  
Adolescent Girl ◽  
Rare Case ◽  
Mesenchymal Cell ◽  
Benign Tumors ◽  
Melanocytic Tumors

Lipomas of vulva have been reported only rarely. Benign tumors of the vulva are normally classified according to their origin as epithelial cell tumors (e.g., keratinocytic, adnexal and ectopic tumors), or mesenchymal cell tumors (e.g., vascular, fibrous, muscular, neural, adipose and melanocytic tumors). Vulvar lipomas need to be differentiated from liposarcomas, which are rare but are very similar to lipomas clinically. Here we present a rare case of large vulvar lipoma in an adolescent girl. JMS 2011;14(1):28-29

Posterior wall myocardial infarction: A case report

2017 ◽  
Vol 70 (1-2) ◽  
pp. 44-47
Author(s):  
Milenko Cankovic ◽  
Snezana Bjelic ◽  
Vladimir Ivanovic ◽  
Anastazija Stojsic-Milosavljevic ◽  
Dalibor Somer ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Case Report ◽  
Chest Pain ◽  
Myocardial Revascularization ◽  
Posterior Wall ◽  
Circumflex Artery ◽  
St Segment Elevation ◽  
Therapeutic Benefits ◽  
St Segment ◽  
Therapeutic Algorithms

Introduction. Acute myocardial infarction is a clinical manifestation of coronary disease which occurs when a blood vessel is narrowed or occluded in such a way that it leads to irreversible myocardial ischemia. ST segment depression in leads V1?V3 on the electrocardiogram points to the anterior wall ischemia, although it is actually ST elevation with posterior wall myocardial infarction. In the absence of clear ST segment elevation, it may be overlooked, leading to different therapeutic algorithms which could significantly affect the outcome. Case report. A 77 year-old female patient was admitted to the Coronary Care Unit due to prolonged chest pain followed by nausea and horizontal ST segment depression on the electrocardiogram in V1?V3 up to 3 mm. ST segment elevation myocardial infarction of the posterior wall was diagnosed, associated with the development of initial cardiogenic shock and ischemic mitral regurgitation. An emergency coronarography was performed as well as primary percutaneous coronary intervention with stent placement in the circumflex artery, the infarct-related artery. Due to a multi-vessel disease, surgical myocardial revascularization was indicated. Conclusion. Posterior wall transmural myocardial infarction is the most common misdiagnosis in the 12 lead electrocardiogram reading. Routine use of additional posterior (lateral) leads in all patients with chest pain has no diagnostic or therapeutic benefits, but it is indicated when posterior or lateral wall infarction is suspected. The use of posterior leads increases the number of diagnosed ST segment elevation myocardial infarctions contributing to better risk assessment, prognosis and survival due to reperfusion therapy.

A RARE CASE OF MUCINOUS CYSTADENOCARCINOMA OF LIVER PRESENTING AS HYDATID CYST

2021 ◽  
pp. 12-13
Author(s):  
Moka .Rajesh ◽  
Shaik Nazia ◽  
Angani. Sri Radha Krishna Varma
Keyword(s):  
Case Report ◽  
Preoperative Imaging ◽  
Cystic Tumor ◽  
Main Concern ◽  
Biliary Cystadenoma ◽  
Present Case Report ◽  
Pain Abdomen ◽  
Polycystic Disease ◽  
Hepatobiliary Cystadenocarcinoma ◽  
Upper Abdomen

Hepatobiliary cystadenocarcinoma is a very rare cystic tumor that arises in the liver or, less frequently, in the extrahepatic biliary system mostly seen in elderly patients. It has been shown to arise in congenital liver cysts, bile ducts, biliary cystadenoma, in the context of bro- polycystic disease and in the hepatoduodenal ligament. In the present case report, we describe a case of rare entity of hepatobiliary cystadenocarcinoma presented in a 36 year old male patient presented to opd with complaints of pain abdomen in right side of upper abdomen since 2 months. Main concern of this case report is preoperative imaging is imprecise and frequently misdiagnosed as benign cystic lesions and delays in treatment.

scholarly journals Rare presentation of a testicular angiofibroma treated with testis sparing surgery

2016 ◽  
Vol 88 (4) ◽  
pp. 330 ◽  
Author(s):  
Luca Leone ◽  
Paola Fulvi ◽  
Giulia Sbrollini ◽  
Alessandra Filosa ◽  
Enrico Caraceni ◽  
...  
Keyword(s):  
Case Report ◽  
Malignant Tumor ◽  
Gold Standard ◽  
Conservative Surgery ◽  
Pathological Examination ◽  
Benign Tumors ◽  
Frozen Sections ◽  
Rare Presentation ◽  
Final Histology

Introduction: Testicular benign tumors are very rare (< 5%). Testicular Angiofibroma (AF) is one of those, however the gold standard of treatment and follow-up is still unclear. Case report: A 47 years-old man with only one functioning testis was referred to our clinic for a palpable right testicular mass and atrophic contralateral testis. Patient underwent testis-sparing surgery with inguinal approach and intraoperative frozen sections examination with diagnosis of AF. Final histology confirmed AF. Post-operative follow-up was uneventful. Clinical and ultrasonographic follow-up was negative after 8 months. Conclusion: We report a conservative surgery in a patient with AF of the solitary testis. AF is a benign para-testicular fibrous neoplasm that could be misinterpreted as malignant tumor and treated with orchiectomy. Testis-sparing surgery is recommended in this case with intraoperative pathological examination. The excision of the mass is enough but in front of a possible recurrence a long follow-up is advisable.

scholarly journals Olfactory Nerve Schwannoma: A Case Report and Review of the Literature

2018 ◽  
Vol 04 (03) ◽  
pp. e164-e166 ◽  
Author(s):  
Mahmoud Taha ◽  
Amr AlBakry ◽  
Magdy ElSheikh ◽  
Tarek AbdelBary
Keyword(s):  
Case Report ◽  
Peripheral Nerves ◽  
Traffic Accident ◽  
Road Traffic ◽  
Olfactory Nerve ◽  
Anterior Cranial Fossa ◽  
Benign Tumors ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Cranial Fossa

AbstractSchwannomas are benign tumors, which arise from the Schwann cells of the central or peripheral nerves. They form 8% of all intracranial tumors and most of the cases arise from vestibular division of the 8th cranial nerve. Rare cases are shown to arise from the olfactory or optic nerve, being devoid of myelin sheath. Up to date and according to our best of knowledge, 66 cases have been reported till now. Here we present a review of the literature and a case report of a 56-year-old male with an accidently discovered anterior cranial fossa schwannoma, following a road traffic accident. Tumor was completely excised, using a right frontal approach. Histopathology revealed Antoni-A cellular pattern. Although rare, but olfactory nerve schwannomas should be included in the differential diagnosis in anterior cranial fossa space occupying lesions, and the approach should be designed taking into consideration, this rare entity.

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