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 Symptomatic Imperforate Hymen in Early Infancy: A Case Report

2020 ◽  
Vol 58 (226) ◽  
Author(s):  
Geha Raj Dahal ◽  
Subash Phuyal ◽  
Pooja Agrawal
Keyword(s):  
Rare Case ◽  
Abdominal Mass ◽  
Pelvic Mass ◽  
Primary Amenorrhea ◽  
Vaginal Opening ◽  
Imperforate Hymen ◽  
Contrast Enhanced ◽  
Abdominal Examination ◽  
Enhanced Computed Tomography ◽  
Contrast Enhanced Computed Tomography

Imperforate hymen, though a congenital anomaly, usually presents late in puberty as lowerabdominal pain, primary amenorrhea, and cyclical pain. Blood collects in vagina and uterus,proximal to imperforate hymen leading to their distention. Its presentation at infancy is a rare entity.We report such a rare case of symptomatic imperforate hymen in infancy, who presented with acuteretention of urine, chills and rigor. Abdominal examination revealed an intra-abdominal mass in thelower abdomen and pelvis with the absence of vaginal opening on perineal examination. Contrast enhanced computed tomography abdomen showed large abdominopelvic cystic lesion posterior tothe urinary bladder and anterior to the rectum consistent with a highly distended vagina. She wasmanaged by the incision of the imperforate hymen and drainage of the pus. A high index of suspicionis necessary whenever a female infant presents with abdomino-pelvic mass with symptoms of feveror urinary retention.

scholarly journals Zinner’s Syndrome: A Rare Diagnosis of Dysuria Based on Imaging

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Ahmed Ibrahimi ◽  
Abdelmoughit Hosni ◽  
Idriss Ziani ◽  
Fatima Zahra Laamrani ◽  
Hachem El Sayegh ◽  
...  
Keyword(s):  
Seminal Vesicle ◽  
Imaging Techniques ◽  
Treatment Options ◽  
Pelvic Mass ◽  
Upper Urinary Tract ◽  
Perineal Pain ◽  
Voiding Symptoms ◽  
Magnetic Resonance Imaging Mri ◽  
Zinner’S Syndrome

Zinner’s syndrome is a rare congenital malformation of the seminal vesicle and ipsilateral upper urinary tract, due to developmental arrest in early embryogenesis of the Müllerian duct. Clinical presentation is nonspecific and includes voiding symptoms such as dysuria, ejaculatory disorders, and hypogastric or perineal pain. The diagnosis is made with imaging techniques, notably Magnetic Resonance Imaging (MRI) which remains the gold standard exam for diagnosis confirmation and therapeutic management. Treatment options depend on the severity of symptoms, the size of the cyst, and the complications. Herein, we report a rare case of a 33-year-old young patient who presented recurrent dysuria and ejaculatory disorders for the last 5 years. Imaging studies revealed an empty left renal fossa, with cystic pelvic mass related to the seminal vesicle and which was compatible with the diagnosis of Zinner’s syndrome. The patient underwent successful laparoscopic removal of the cyst and seminal vesicle, with total disappearance of urinary and sexual complaints with a 3-year follow-up.

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 Treated with Hymen Sparing Surgery in Familial Imperforate Hymen

2021 ◽  
Vol 3 (5) ◽  
pp. 12-14
Author(s):  
M. Kaplanoglu
Keyword(s):  
Genital Tract ◽  
Rare Case ◽  
Chronic Pelvic Pain ◽  
Female Genital Tract ◽  
Pelvic Mass ◽  
Rare Condition ◽  
Familial Occurrence ◽  
Imperforate Hymen ◽  
Family Culture ◽  
Female Genital

Imperforate hymen is a rare congenital female genital tract obstructive pathology. Although It is generally sporadic and isolated, very rare familial occurrence cases have been published in the literature. We present a rare case of the familial occurrence of IH and its surgical treatment. This case was admitted to our clinic with chronic pelvic pain, difficulty urination and pelvic mass. After the gynecologic examination and ultrasound view, the diagnosis of IH was made.  Her sister who two years older than she had been previously evaluated for amenorrhea and her sister had undergone surgical procedures for IH. Because of Hymen is an important symbol of virginity in family culture, hymen sparing surgery was performed. The familial occurrence of IH is a rare condition and very few reported cases in the literature. Hymenectomy can cause social retraction in cases therefore hymen sparing surgery is an important surgery, especially Muslim cultures.

scholarly journals Vaginal Rhabdomyosarcoma in a patient with advanced cervical cancer; a case report and review of literature

2021 ◽  
Vol 10 (5) ◽  
pp. 2064
Author(s):  
Archana Kumari ◽  
Rinchen Zangmo ◽  
Deepali Garg ◽  
Juhi Bharti ◽  
Richa Vatsa ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Primary Tumour ◽  
Abdominal Mass ◽  
Review Of Literature ◽  
Lower Abdomen ◽  
Soft Tissue Tumours ◽  
Primary Malignancy ◽  
Rare Tumour ◽  
Local Examination

Rhabdomyosarcoma is very rare in adults accounting for less than 5% of all soft tissue tumours and less than 1% of all malignancies. Vagina is one of the least common sites for occurrence of Rhabdomyosarcoma in the genital tract. We present a case of a 53-year-old woman who is a follow up case of cervical cancer stage IIIB, managed by radiotherapy and chemotherapy. She was doing well till 5 years of her treatment for cervical cancer when she presented with complaints of pain lower abdomen and discharge per vaginum for 10 days. On examination she was found to have an abdominal mass of 18 weeks size and on local examination there was 4X4 cm fixed mass on lower third of vagina arising from left side. MRI abdomen and pelvis was done. Biopsy from the vaginal mass showed features of Rhabdomyosarcoma. Further follow up of the patient was not possible due to lockdown in view of the pandemic. She was last contacted telephonically on 25th March 2020; she said she was waiting for the lockdown to be lifted so that her further management can take place. This is just one patient; there are many more with other medical conditions all over the world who are losing their lives because of not being able to access medical care due to the present pandemic. New growth in the region of local recurrence in a known malignancy cannot necessarily be the recurrence of the primary tumour. It is important to keep our mind open to other differentials apart from the recurrence of primary malignancy, sometimes it can turn out to be a very rare tumour as we encountered in our case.

scholarly journals Pelvic angiomyofibroblastoma: an unusual case report

2020 ◽  
Vol 2020 (5) ◽  
Author(s):  
Yasmine Laraqui Housseini ◽  
Hafsa Elouazzani ◽  
Laila Laraqui Housseini ◽  
Meriem Cherkaoui ◽  
Fouad Zouaidia
Keyword(s):  
Case Report ◽  
Genital Tract ◽  
Stromal Cell ◽  
Unusual Case ◽  
Benign Tumor ◽  
Pelvic Mass ◽  
Middle Aged ◽  
Immunohistochemical Studies ◽  
Unusual Case Report

Abstract Angiomyofibroblastoma is a rare mesenchymal benign tumor that frequently occurs in young- to middle-aged women, arising from the genital tract. There are many overlapping radiological and immunohistochemical features with other stromal cell lesions, making the diagnosis difficult. We report here a case of a 29-year-old woman admitted for a pelvic mass, in whom, the histopathological and immunohistochemical studies led to the diagnosis of angiomyofibroblastoma.

scholarly journals Giant Extraluminal Leiomyoma of the Colon: Rare Cause of Symptomatic Pelvic Mass

2015 ◽  
Vol 100 (5) ◽  
pp. 805-808 ◽  
Author(s):  
Andrea Sagnotta ◽  
Alessandra Sparagna ◽  
Stefania Uccini ◽  
Paolo Mercantini
Keyword(s):  
Small Intestine ◽  
Sigmoid Colon ◽  
Abdominal Mass ◽  
Pelvic Mass ◽  
Abdominal Distension ◽  
Colon Resection ◽  
Life Threatening ◽  
History Of ◽  
Palpable Abdominal Mass

Leiomyomas (LMs) may appear throughout the entire gastrointestinal tract but are rarely seen in the colon-rectum and only 5 of those measured greater than 15 cm in diameter. Pain and palpable abdominal mass are the most common symptoms. Surgical resection is the treatment of choice for most LMs. We here describe a case of a 46-year-old woman who presented with a 3-month history of abdominal pain associated with worsening constipation and abdominal distension. A pelvic solid, polylobulate, left-sided mass was noted on examination. Preoperative findings revealed a dishomogeneous sigmoid mass with calcified spots compressing small intestine and bladder. At laparotomy, a large polylobulate and well-circumscribed mass arising from the descending colon mesentery and displacing small intestine, uterus, and ovaries. A segmental colon resection was performed. An extraluminal 18- × 12- × 5-cm paucicellular sigmoid colon leiomyoma was histologically diagnosed. Our case is one of the few giant (>15 cm) sigmoid colon LMs reported in the literature. Although rare and benign in nature, LMs of the colon can cause life-threatening complications that could require emergency treatment and they should be included in the differential diagnosis of large abdominopelvic masses. Follow-up after surgery is necessary for tumors with any atypia or mitotic activity.

Desmoid tumour of the distal forearm involving the distal radioulnar joint

2020 ◽  
Vol 13 (11) ◽  
pp. e237097
Author(s):  
Apoorv Sehgal ◽  
Pratyush Shahi ◽  
Avijeet Prasad ◽  
Manoj Bhagirathi Mallikarjunaswamy
Keyword(s):  
Distal Radioulnar Joint ◽  
Treatment Modalities ◽  
Desmoid Tumour ◽  
X Rays ◽  
Distal Forearm ◽  
Left Wrist ◽  
Radioulnar Joint ◽  
Magnetic Resonance Imaging Mri ◽  
Epidemiology Investigation

A 32-year-old woman presented with progressive pain and swelling of the left wrist for 6 months. Physical examination revealed a firm, tender, oval swelling over the left wrist. X-rays showed a pressure effect on the distal radius and ulna. Magnetic Resonance Imaging (MRI) revealed a well-defined, asymmetrical, dumbbell-shaped soft-tissue lesion involving the interosseous region of the distal forearm and extending until the distal radioulnar joint (DRUJ). Core needle biopsy confirmed the diagnosis of desmoid tumour. Marginal excision of the tumour was done. At the 2-year follow-up, the patient was doing well and had painless and improved left wrist motion. Desmoid tumour involving the DRUJ has not been previously reported. We, through this case, report new observation and discuss the epidemiology, investigation of choice, treatment modalities, and the need for a regular follow-up for appendicular desmoid tumours.

scholarly journals Brain atrophy and clinical characteristics predicting SDMT performance in multiple sclerosis: A 10-year follow-up study

2021 ◽  
Vol 7 (1) ◽  
pp. 205521732199239
Author(s):  
Cecilie Jacobsen ◽  
Robert Zivadinov ◽  
Kjell-Morten Myhr ◽  
Turi O Dalaker ◽  
Ingvild Dalen ◽  
...  
Keyword(s):  
Clinical Data ◽  
Grey Matter Volume ◽  
Lesion Volume ◽  
Information Processing Speed ◽  
Disability Status ◽  
Mri Scans ◽  
Patients At Risk ◽  
Magnetic Resonance Imaging Mri ◽  
Specific Volumes

Objectives To identify Magnetic Resonance Imaging (MRI), clinical and demographic biomarkers predictive of worsening information processing speed (IPS) as measured by Symbol Digit Modalities Test (SDMT). Methods Demographic, clinical data and 1.5 T MRI scans were collected in 76 patients at time of inclusion, and after 5 and 10 years. Global and tissue-specific volumes were calculated at each time point. For the primary outcome of analysis, SDMT was used. Results Worsening SDMT at 5-year follow-up was predicted by baseline age, Expanded Disability Status Scale (EDSS), SDMT, whole brain volume (WBV) and T2 lesion volume (LV), explaining 30.2% of the variance of SDMT. At 10-year follow-up, age, EDSS, grey matter volume (GMV) and T1 LV explained 39.4% of the variance of SDMT change. Conclusion This longitudinal study shows that baseline MRI-markers, demographic and clinical data can help predict worsening IPS. Identification of patients at risk of IPS decline is of importance as follow-up, treatment and rehabilitation can be optimized.

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