scholarly journals A Rare Case Study of Torsion of a Non-Gravid Uterus

2018 ◽  
Vol 2 (3) ◽  
pp. 309-311
Author(s):  
Tulasa Basnet ◽  
Padam Raj Panta ◽  
Jyoti Sharma ◽  
Amrit Pokhrel

Torsion of a non gravid uterus is a rare but potentially fatal event. It may lead to rapid clinical deterioration causing irreversible ischemic damage to the uterus. The rarity of the condition and its non specific clinical presentation make the clinical diagnosis difficult. In this report we discuss a case of uterine torsion in a 55 year old postmenopausal lady who presented in emergency with acute abdomen. On examination a huge abdominal mass arising from pelvis was noted. The operative finding was huge fundal myoma with uterine torsion.Birat Journal of Health SciencesVol.2/No.3/Issue 4/Sep- Dec 2017, Page: 309-311 

2019 ◽  
Vol 6 (11) ◽  
pp. 4184
Author(s):  
Gopalakrishnan Gunasekaran ◽  
Debasis Naik ◽  
Sakthivel Chinnakkulam Kandhasamy ◽  
Dhirendra Nath Soren

Lymphangiomas are uncommon benign tumours and occur mainly in children with the most common sites being head and neck followed by the axilla and mediastinum. Intra-abdominal lymphangiomas are rare. Clinical presentation is diverse ranging from incidentally discovered abdominal mass to symptoms of acute abdomen. Life threatening complications are more likely to develop in children. We here present a rare case of giant mesenteric cystic lymphangioma causing intra-abdominal catastrophe in an adult.


2020 ◽  
Vol 15 (2) ◽  
pp. 56-58
Author(s):  
Shafiqur Rahman ◽  
B Ahmed ◽  
ATM Mowladad Chowdhury ◽  
Mirza M Hasan ◽  
Sayedul Islam

A forty eight year old woman with the clinical diagnosis of renal mass due to renal cell carcinoma was found to have renal tuberculosis. The clinical presentation and management are being discussed. Bangladesh Journal of Urology, Vol. 15, No. 2, July 2012 p.56-58


2012 ◽  
Vol 94 (8) ◽  
pp. e15-e17 ◽  
Author(s):  
IM Shapey ◽  
T Nasser ◽  
P Dickens ◽  
M Haldar ◽  
MH Solkar

Pneumoperitoneum is usually associated with gastrointestinal perforation or following surgical and endoscopic procedures. We report a rare case of spontaneously perforated pyometra presenting with generalised peritonitis and pneumoperitoneum. Perforation of the uterus is also unusual and often associated with the presence of an intrauterine device, a gravid uterus or malignancy. Our case illustrates the importance of clinical knowledge of acute and neoplastic gynaecological diseases, which are not uncommonly encountered by the general surgeon. Moreover, good appreciation of pelvic anatomy and close collaboration with gynaecology colleagues is essential as operative intervention is often required.


Author(s):  
Snehal G. Murde ◽  
Rohini R. Raut ◽  
Beena Kumari ◽  
Dinesh C. Hojai

Non puerperal uterine inversion is a very rare clinical scenario with very few gynaecologist actually managing it in their lifetime. Acute variety of non-puerperal inversion is even rarer and thus possess diagnostic and management challenges. Case study of a rare case of a 45 years old female who was admitted for an elective surgery and had sudden acute inversion of uterus which was clinically diagnosed. Patient was managed by debulking of tumour which turned out to be large leiomyoma, followed by total abdominal hysterectomy. Rarity of the disease, atypical symptoms and less clinical exposure to such cases pose diagnostic as well as surgical challenges as in our case.


2020 ◽  
Vol 4 (2) ◽  
pp. 62
Author(s):  
Budi Martono ◽  
Sri Inggriani

Background: Rhabdomyosarcoma (RMS) is the most common type of soft tissue sarcoma in children, however, RMS is a rare malignancy in adults. Head and neck are the most common site for RMS, while intrabdominal RMS are rare in adults. Case: We present a rare case of a retroperitoneal abdominal mass, treated surgically with histopathology results of a retroperitoneal RMS. We discuss the clinical presentation, image findings, and treatment for this case. Conclusion: Intraabdominal tumours need to be identified quickly and precisely. CT scan or MRI can help clinicians to determine the staging, therefore plans the best treatment for the patient. In our case, surgery and radiotherapy showed promising outcome. The lack of literature and consensus on a standardized approach to systemic treatment and outcome in retroperitoneal pleomorphic RMS in adults makes our case a rare presentation of rhabdomyosarcoma and thus the need for reporting.  


Author(s):  
Niranjan Mayadeo ◽  
Anusha Devalla

Uterine torsion is a rare, life-threatening and unexpected obstetric emergency. It is almost always diagnosed at caesarean section. Its ill-defined clinical presentation may pose a diagnostic dilemma. Here the authors present a case of 32-year-old, Primigravida, 36 weeks pregnancy with acute abdomen and intrauterine foetal demise. Clinical features resembled Abruptio Placentae. The diagnosis of uterine torsion (180°) was established on laparotomy where the left ovarian ligament was seen on the right side anteriorly. A posterior hysterotomy was done to extract the baby which was followed by detorsion of the uterus. The postoperative period was uneventful.


2021 ◽  
Vol 5 (4) ◽  
pp. 09-12
Author(s):  
Solomon Bekele Abebe ◽  
◽  
Yonas Ademe Teferi ◽  
Henok T/Silassie Zeleke

Wandering spleen is a rare clinical occurrence characterized by the absence of spleen in its normal anatomic place. Patients may present with acute abdomen, abdominal mass, and chronic abdominal pain. Prompt diagnosis and intervention are necessary. Here, we report a case of a woman who presented with acute abdominal pain secondary to a wandering spleen complicated by torsion of its vascular pedicle. Keywords: Wandering spleen; torsion; splenectomy


2021 ◽  
Vol 14 (02) ◽  
pp. 1047-1050
Author(s):  
Sreeshyla HS ◽  
Priyanka Nitin ◽  
Usha Hegde ◽  
Vidya Gowdappa Doddawad ◽  
Premalatha Bidadi Rajashekaraiah

The clinical presentation of typical lipomas is often characteristic. But the variations of lipoma based on the associated stroma poses a challenging picture with clinical diagnosis varying from benign tumors, various inflammatory and reactive lesions, salivary gland lesions, to few peripheral odontogenic lesions. Only a thorough clinical and pathological evaluation and correlation will help in arriving at a conclusive diagnosis, in understanding the behaviour, planning the treatment and predicting the prognosis of the lesion. One such case of lipoma presenting as an unassuming swelling clinically, but showing exuberant vascular component occurring on buccal mucosa is presented. A review of this variant of lipoma is discussed in comparison with the present case.


2013 ◽  
Vol 55 (2) ◽  
pp. e14-e16 ◽  
Author(s):  
Huseyin Kilincaslan ◽  
Ahmet Hakan Gedik ◽  
Mustafa Bilici ◽  
Secil Cakir

2021 ◽  
pp. 106689692110704
Author(s):  
Aishwarya Sharma ◽  
Munita Bal ◽  
Santosh Menon

Endometrial stromal sarcoma (ESS) is a rare uterine neoplasm infrequently arising in extra-genital sites. Herein, we report an extremely rare case of primary extra-genital ESS of transverse mesocolon occurring in a 51-year-old female presenting with gradually increasing abdominal mass. The clinical diagnosis considered was a gastrointestinal stromal tumor. Intra-operatively, the mass was confined exclusively to the transverse mesocolon. Microscopy revealed a cellular tumor composed of oval to elongate neoplastic cells with hyperchromatic nuclei, inconspicuous nucleoli and were immunoreactive for CD10, progesterone receptor (PR), estrogen receptor (ER), and PAX8; negative for KIT, CD34, SMA, S100, synaptophysin, chromogranin, WT-1, and calretinin. A distinct arborizing network of arterioles along with foci of endometriosis was also seen. We present this case for its extreme rarity and the challenges entailed in its diagnosis.


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