scholarly journals Haematometra in one half of the uterus or rudimentary horn?

1970 ◽  
Vol 2 (1) ◽  
pp. 59-62
Author(s):  
Suniti Rawal ◽  
Josie Baral ◽  
Meeta Singh ◽  
Samira Khan ◽  
Beemba Shakya ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Key Words ◽  
Uterine Cavity ◽  
Lower Abdominal Pain ◽  
Rudimentary Horn ◽  
Unicornuate Uterus ◽  
Post Operative Period ◽  
Endometriotic Cyst

A unicornuate uterus with functioning and non communicating rudimentary horn is a rare Mullerian abnormality, difficult to diagnose at times usually low in the list of differential diagnosis for pelvic pain and dysmenorrhea. A 22 years P1 presented with severe lower abdominal pain and dysmenorrhoea, following laparotomy that was done for endometriotic cyst of left ovary 7 months back. Radiographic studies revealed the haematometra in the rudimentary horn with normal uterus, right ovary and the tube. Laparotomy with drainage of haematometra and excision of septum along with the reconstruction of uterine cavity was performed thus anatomizing it with the cavity of the rudimentary horn. Both the intra and the post operative period were uneventful. She was discharged on OCP along with the advice to follow up regularly. She is asymptomatic till date. Key words: Endometriosis, haematometra, rudimentary horn doi:10.3126/njog.v2i1.1480 N. J. Obstet. Gynaecol Vol. 2, No. 1, p. 59 - 62 May -June 2007

scholarly journals An unusual presentation of late oesophagojejunal anastomotic leak after total D2 gastrectomy

2012 ◽  
Vol 94 (2) ◽  
pp. e106-e108
Author(s):  
AR Verma ◽  
VM Patel ◽  
S Mikhail ◽  
E Zacharakis
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Anastomotic Leak ◽  
Epigastric Pain ◽  
Unusual Presentation ◽  
D2 Gastrectomy ◽  
Post Operative Period

Oesophagojejunal anastomotic leak usually presents in the early post-operative period with abdominal pain and sepsis. We report a case of late anastomotic leak presenting as epigastric pain with hyperamylasaemia and discuss the differential diagnosis.

scholarly journals Haemorrhagic Corpus Lutem Mimic Appendicitis

1970 ◽  
Vol 37 (2) ◽  
pp. 66-67
Author(s):  
Hasina Afroz ◽  
Rabeya Akhter ◽  
Shahela Jesmin
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Corpus Luteum ◽  
Ovarian Tumor ◽  
Rare Complication ◽  
Lower Abdominal Pain ◽  
Lower Abdomen ◽  
Key Word ◽  
Reproductive Life ◽  
Chocolate Cyst

Haemoperitoneum secondary to ruptured corpus luteum is a rare complication for women of reproductive life. The differential diagnosis of hemoperitoneum includes various types of acute abdomen that usually associated with acute lower abdominal pain and swelling lower abdomen. The differential diagnosis includes ruptured ectopic pregnancy, ruptured chocolate cyst, twisted ovarian tumor, pelvic inflammatory disease and pelvic peritonitis. Ruptured hemorrhagic corpus luteum is an uncommon cause of acute abdomem. Its occurrence is unknown but is likely quite frequent and without symptoms. Most cases are self limiting; enquire only observation with abdominal pain relieved with analgesics. Some need laparoscopy or laparotomy to achieve homeostasis if the patient is haemodynamically unstable. Key word: Haemoperitoneum, Appendicitis, Ruptured Corpus luteum.   DOI: 10.3329/bmj.v37i2.3596 Bangladesh Medical Journal 37(2) 2008 66-67

Signs and Symptoms in Pediatrics

2015 ◽  
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Back Pain ◽  
Sleep Disturbances ◽  
Signs And Symptoms ◽  
Diagnostic Procedures ◽  
Heart Murmurs ◽  
Physical Examinations ◽  
Ongoing Care

This convenient handbook is a comprehensive guide to the evaluation and treatment of more than 80 signs and symptoms. It is organized alphabetically, and each entry includes history and physical examinations; causes; differential diagnosis; diagnostic procedures; treatment approaches including when to refer and when to admit; ongoing care and follow-up; and prevention. Contents include: Abdominal pain Anxiety Back pain Chest pain Depression Diarrhea and steatorrhea Dizziness and vertigo Fatigue and weakness Fever Headache Heart murmurs Jaundice Rash Red eye/pink eye Sleep disturbances Speech and language concerns Vomiting Wheezing And more!

Midthoracic Punctate Midline Myelotomy for Treatment of Chronic, Intractable, Nonmalignant, Abdominal Visceral Pain: 2-Dimensional Operative Video

2020 ◽  
Vol 19 (2) ◽  
pp. E183-E183 ◽  
Author(s):  
Tyler Ball ◽  
Zaid Aljuboori ◽  
Haring Nauta
Keyword(s):  
Abdominal Pain ◽  
Physical Examination ◽  
Surgical Procedure ◽  
Visceral Pain ◽  
Lower Abdominal Pain ◽  
Clinical History ◽  
Dorsal Column ◽  
Complete Relief ◽  
Patient Reported

Abstract Punctate midline myelotomy (PMM) is a surgical procedure that damages the ascending fibers of the postsynaptic dorsal column (PSDC) pathway to interrupt visceral pain transmission.1-3 It can offer relief to patients with chronic visceral pain conditions that are refractory to other treatments. Here, we present a surgical video of midthoracic PMM in a patient with chronic, intractable, nonmalignant visceral abdominal pain that failed over a decade of medical treatment. We choose T7-8 as the level for laminectomy in patients with pelvic or lower abdominal pain, because the postsynaptic pain fibers transmitting visceral pain sensation from the lower abdominal organs will invariably be caudal to this level. The patient developed immediate and complete relief of her visceral pain after the procedure, which was sustained through the 11-wk follow-up period to date and was able to be weaned off narcotics. Postoperatively, she remained full strength and had no impairment of light touch or proprioception of her lower extremities. Detailed physical examination showed a reduced vibratory sensation on the glabrous skin of her great toes. Regarding patient-reported sensory changes (not detected on physical examination), she reported some numbness on the insides of her feet that had resolved by 11-wk follow-up. She also reported some numbness of the vulva, but not of the vagina. However, by 11-wk follow-up, she reported this had resolved and she had normal sexual function. The only persistent sensation at 11-wk follow-up was slight tingling in her toes that was not bothersome to her.4 The patient presented in the following video consented to both the surgical procedure and the publication of her clinical history and operative video.

scholarly journals Erratum: Chronic Appendicitis: Diagnostic Dilemma in Female Patient for Recurrent Lower Abdominal Pain. J Shaheed Suhrawardy Med Coll Vol. 10 No. 1, June 2018 Page - 59-61

2019 ◽  
Vol 10 (2) ◽  
pp. 83-85
Author(s):  
Khairun Nahar ◽  
SM Amjad Hossain ◽  
Ashia Khatun
Keyword(s):  
Abdominal Pain ◽  
Female Patient ◽  
Lower Abdominal Pain ◽  
Clinical Feature ◽  
Pathology Report ◽  
Repeated Treatment ◽  
Diagnostic Dilemma ◽  
Chronic Appendicitis ◽  
Female Patients

Erratum: Chronic Appendicitis: Diagnostic Dilemma in Female Patient for Recurrent Lower Abdominal Pain J Shaheed Suhrawardy Med Coll Vol. 10 No. 1, June 2018 Page - 59-61 The author of this article brought attention to publishers that this is an original article an previous issue Vol. 10 No. 1, June 2018 Page - 59-61 it was published as a Case report. These error have been corrected to enhance credibility to readers and the article has been published in this issue of J Shaheed Suhrawardy Med Coll --------------------------------------------------------------------------------------------------------------------------------------------------------- Background: Many female patients presented to gynecologist with chronic lower abdominal pain, suspecting chronic PID or UTI, but found no improvement inspite of repeated treatment. It remains as diagnostic dilemma for gynaecologist. Proper diagnosis ultimately shows that it is a case of chronic appendicitis. The main purpose of this study was to evaluate the clinical feature of chronic appendicitis and its correlation with operative and histological findings & to create alertness of physicians and prevention of later complication. Methods: This cross-sectional study was carried out in female patients in private practice from January 2014 to December 2017.All patientswho complained frequent attacks of pain in their right lower abdomen were included in our study. The patient’s history, clinical and lab findings were closely evaluated. All the patients underwent appendectomy and all their appendices were histopathologically examined. Chronic appendicitis was ruled in with a positive pathology report confirming chronic inflammation. All the patients referred for their follow-up visits in a period of one year. Results: A total100 female patients were studied.66% patient were in age group 26 to35 years.87% patients were multiparous. Duration of pain varied from 2weeks to 2.5 years. Histopathology report confirmed chronic appendicitis in 96% cases. From them 94% cases expressed complete relief of pain following removal in the follow-up visit. Conclusion: Chronic appendicitis seems to be a cause of recurrent lower abdominal pain. The disease is easily cured by appendectomy. J Shaheed Suhrawardy Med Coll, December 2018, Vol.10(2); 83-85

scholarly journals A differential diagnosis in chronic lower abdominal pain

2012 ◽  
Vol 3 (10) ◽  
pp. 504-506 ◽  
Author(s):  
Marcos Duarte Siosaki ◽  
Márcia Maria Hagge Coelho Costa ◽  
Higino Felipe Figueiredo ◽  
Messias Froes da Silva Junior ◽  
Rubem Alves da Silva Junior
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Lower Abdominal Pain

Caecal-diverticulitis: A rare differential diagnosis for right-sided lower abdominal pain

2003 ◽  
Vol 5 (3) ◽  
pp. 241-245 ◽  
Author(s):  
K. Junge ◽  
A. Marx ◽  
Ch. Peiper ◽  
B. Klosterhalfen ◽  
V. Schumpelick
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Lower Abdominal Pain ◽  
Rare Differential Diagnosis

scholarly journals Successful Reduction of Acute Puerperal Uterine Inversion with the Use of a Bakri Postpartum Balloon

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Akinori Ida ◽  
Koichi Ito ◽  
Yoko Kubota ◽  
Maiko Nosaka ◽  
Hiroshi Kato ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Postoperative Period ◽  
Placenta Accreta ◽  
Uterine Cavity ◽  
Lower Abdominal Pain ◽  
Physiological Saline ◽  
Uterine Inversion ◽  
Successful Induction ◽  
Ultrasonographic Guidance ◽  
Successful Reduction

Uterine inversion is a state wherein the endometrial surface is inverted. Although this condition may be observed in nonpregnant women, it most commonly develops at the time of delivery. In the present case, a 37-year-old woman without any remarkable history developed acute puerperal uterine inversion after the successful induction of labor. Following the delivery, she complained twice of severe lower abdominal pain; subsequently, hemorrhage was noted at the site of partial detachment of the placenta. These findings led to a diagnosis of placenta accreta, and the patient developed a state of shock. A Bakri postpartum balloon was inserted into the uterine cavity under ultrasonographic guidance and was filled with physiological saline for treatment of this condition. With this procedure, the uterine inversion was completely reduced and the hemorrhage was stopped. Moreover, no reinversion was observed in the postoperative period. These findings suggest that a Bakri postpartum balloon can be used to noninvasively reduce uterine inversion and prevent its recurrence.

scholarly journals Conservative management of early uncomplicated appendicitis in children

2017 ◽  
Vol 4 (3) ◽  
pp. 1024 ◽  
Author(s):  
Sunil Kumar Maini ◽  
Neeraj Kumar Jain ◽  
Manjari Goel Jain ◽  
Vicky Khobragade
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Conservative Management ◽  
Medical Management ◽  
Surgical Intervention ◽  
Lower Abdominal Pain ◽  
Primary Treatment ◽  
Research Centre ◽  
Uncomplicated Appendicitis

Background: Right lower abdominal pain management in children is a challenging task for the surgeon. Most of the time right lower abdominal pain ends up in acute appendicitis. For long time appendicetomy was the treatment of choice. However surgical intervention has its own disadvantages such as pain, scarring, adhesions, hernia development and venous thrombosis disease. Anxiety and fear of surgery were also two difficulties in obtaining consent for surgery. Parents often request and insist for medical management. Their unwillingness for surgical intervention was the most important reason for medical management of uncomplicated acute appendicitis.Methods: Our prospective observational study was conducted in the Department of General Surgery, R.K.D.F. Medical College and Research Centre, Bhopal, Madhya Pradesh, India during period of January 2014 to January 2016 and follow up was done till December 2016. Our target group was children under 16 years. A total of 92 children with complaint of right lower abdominal pain attended the hospital for treatment. Routine investigations including ultrasonography of abdomen were performed for all the patients. Out of 92 patients diagnosis of acute appendicitis was made in 74 patients, Surgery was performed in 32 patients, while remaining 42 patients were treated conservatively and the results were analyzed.Results: In this study of 92 patients of pain in right iliac fossa below 16 years, 74 (80.43%) were diagnosed as acute appendicitis. 32 (43.24%) Patients were operated earlier. 42 (56.75%) Patient were treated conservatively. Out of 42 patients, 12 (16.21%) patients were operated within 1 year, 30 (40.54%) Patients didn’t require any surgical intervention during 1 year follow up. In present study, significant role of antibiotic was found in conservative management of acute appendicitis in children. So it can be concluded that conservative management of acute appendicitis in children can be attempted under observation.Conclusions: Antibiotics are both effective and safe as primary treatment for patients with uncomplicated acute appendicitis. Initial antibiotic treatment merits consideration as a primary treatment option for early uncomplicated appendicitis. Appendicectomy should be done but conservative management of acute appendicitis in children can be attempted under observation.

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