scholarly journals Unilateral Pyosalpinx in an Adult Female presenting with Features of Acute Abdomen: A Case Report

2021 ◽  
Vol 23 (3) ◽  
pp. 272-274
Author(s):  
Shankar Poudel ◽  
U. Sangroula ◽  
A. Rajak
Keyword(s):  
Pelvic Inflammatory Disease ◽  
Acute Abdomen ◽  
Inflammatory Disease ◽  
Genital Tract ◽  
Female Genital Tract ◽  
Great Role ◽  
Inflammatory Changes ◽  
Ovarian Abscess ◽  
Late Manifestation ◽  
Female Genital

Pyosalpinx is defined as collection of pus in the fallopian tube and is a late manifestation of pelvic inflammatory disease. Pelvic inflammatory disease refers to a spectrum of inflammatory changes of the female genital tract. It comprises of endometritis, salpingitis, cervicitis, pyosalpinx, tubo-ovarian abscess and peritonitis. Pyosalpinx may progress to tubo-ovarian abscess which may rupture leading to peritonitis. In addition, pelvic inflammatory disease commonly affects both side of the tube. Thus, early diagnosis and proper intervention plays a great role in the management of pyosalpinx. We report a case of unilateral left sided pyosalpinx which presented with features of acute abdomen.

Staphylococcus sciuri: an unusual cause of pelvic inflammatory disease

2005 ◽  
Vol 16 (6) ◽  
pp. 452-453 ◽  
Author(s):  
S Stepanović ◽  
P Ježek ◽  
I Dakić ◽  
D Vuković ◽  
L Seifert
Keyword(s):  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Streptococcus Agalactiae ◽  
Genital Tract ◽  
Female Genital Tract ◽  
Lower Genital Tract ◽  
One Year ◽  
The One ◽  
Low Rate ◽  
Female Genital

We present the case of polymicrobial pelvic inflammatory disease (PID) that involved Staphylococcus sciuri, S. epidermidis, and Streptococcus agalactiae. In order to determine the frequency of S. sciuri isolation from the female lower genital tract, 3415 vaginal samples were analysed during the one-year study period. S. sciuri was isolated from three (0.09%) samples. In all the three cases, S. sciuri was obtained in mixed culture from outpatients without symptoms of infection. While the origin of S. sciuri in the female genital tract remains to be elucidated, the present study showed that this bacterium may colonize vagina and, moreover, may be involved in the pathogenesis of an infection as serious as PID. The low rate of isolation we established, however, indicates infrequent and, most probably, transient colonization of the female genital tract by S. sciuri.

scholarly journals Acute abdomen in a patient with Mayer-Rokitansky-Kuster-Hauser syndrome

2008 ◽  
Vol 65 (9) ◽  
pp. 706-709 ◽  
Author(s):  
Aleksandra Petric ◽  
Milan Stefanovic ◽  
Predrag Vukomanovic ◽  
Radomir Zivadinovic ◽  
Aleksandra Tubic ◽  
...  
Keyword(s):  
Acute Abdomen ◽  
Genital Tract ◽  
Female Genital Tract ◽  
Careful Examination ◽  
Normal Female ◽  
Vascular Leiomyoma ◽  
Primary Amenorrhoea ◽  
Healthy Women ◽  
Dead End ◽  
Female Genital

Background. Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome is a malformation of female genital tract (incidence 1 in 4000 female newborn children). It appears as a result of a disorder in the development of Millerian cannals. Etiology is unknown. Syndrome MRKH is the most frequent cause of primary amenorrhoea (90%). Patients with MRKH have a normal female phenotype, with normal pubic hairness and thelarche, and female karyotype (46XX) followed by primary amenorrhoea. Hormonal status corresponds to healthy women, where the appearance of ovarian tumors and tumors on rudiment parts of uterus is possible. Case report. We presented a case of acute abdomen in a patient with previously not diagnosed MRKH. The diagnosis was done during the operation. Small pelvis and an abdominal part were filled with torquated tumor lump, where ovaries, oviducts, uterus or something resembling rudiment of uterus were not recognized through careful examination. Furthemore, the patient had a short, dead-end vagina. Tumorectomy was done and hystopathological finding showed the presence of vascular leiomyoma. Conclusion. The diagnosis of complex syndromes, such as MRKH, can, despite modern diagnostics, be absent for non-medical and psycho-social reasons. We can expect ovarian and uterine pathology on hypoplastic structures in these patients, as well as in healthy women. Vascular leiomyoma in the patients with MRKH was not found in the available literature.

scholarly journals Tubo-Ovarian Abscess Occurring 16 Years After Supracervical Hysterectomy

2003 ◽  
Vol 11 (3) ◽  
pp. 167-169 ◽  
Author(s):  
Toshimitsu Tohya ◽  
Toshihiro Yoshimura ◽  
Chikashi Onoda
Keyword(s):  
Genital Tract ◽  
Transvaginal Ultrasound ◽  
Female Genital Tract ◽  
Lower Abdominal Pain ◽  
Pathologic Examination ◽  
Supracervical Hysterectomy ◽  
Tender Mass ◽  
The Right ◽  
Ovarian Abscess ◽  
Female Genital

Background:Supracervical hysterectomy is seldom performed and there are few reports of tubo-ovarian abscess (TOA) after supracervical hysterectomy.Case:The case of a 49-year-old woman with a right TOA is reported. This patient had received a supracervical hysterectomy 16 years earlier due to rupture of the uterus. At this admission, she presented with complaints of lower abdominal pain and fever. Bimanual and transvaginal ultrasound examinations demonstrated a tender mass in the right adnexal region. Laparotomy, pathologic examination and microbiologic study confirmed the diagnosis of right TOA.Conclusion:After supracervical hysterectomy, patients may develop endocervicitis, parametritis and/or TOA. This series may be a subtype of ascending infections in the female genital tract.

Pelvic Inflammatory Disease

2009 ◽  
Vol 2 (9) ◽  
pp. 517-521
Author(s):  
Alexander Hodson
Keyword(s):  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Female Genital Tract ◽  
Reproductive Age ◽  
Common Condition ◽  
Women Of Reproductive Age ◽  
Infection And Inflammation ◽  
Female Genital

Pelvic inflammatory disease (PID), infection and inflammation of the upper female genital tract, is a common condition managed by General Practitioners (GPs). It accounts for one in 60 consultations in women of reproductive age. Early diagnosis, management and, if necessary, referral is essential to help prevent serious long-term complications such as ectopic pregnancy, infertility and chronic pelvic pain. This article outlines the causes, clinical features, treatment and follow-up of PID.

scholarly journals Torsion in a massive hematosalpinx with a functional rudimentary horn: a rare cause of acute abdomen in adolescence, managed laparoscopically

2020 ◽  
Vol 9 (12) ◽  
pp. 5127
Author(s):  
Arpita De ◽  
Renu Misra ◽  
Abhinav Jain
Keyword(s):  
Acute Abdomen ◽  
Congenital Anomalies ◽  
Genital Tract ◽  
Female Genital Tract ◽  
Reproductive Potential ◽  
Rudimentary Horn ◽  
Unicornuate Uterus ◽  
Salient Points ◽  
Female Genital

Congenital anomalies of the female genital tract may remain undiagnosed till adolescence. Unicornuate uterus with a rudimentary horn is rare and found in 1 in 100000 women. A functional rudimentary horn may cause hematometra, hematosalpinx, endometriosis and its complications. This is a case of a 13-year-old girl who had a hematometra in a functional rudimentary horn and a hematosalpinx with torsion giving rise to an acute abdomen and a 16-week mass abdomen. Laparoscopy was done followed by detorsion, salpingectomy and transection of the rudimentary horn. This article should sensitize the need to correct the anomaly while preserving the reproductive potential of the girl. A review of the salient points of laparoscopy in such cases have been further discussed.

Sign in / Sign up

Export Citation Format

Share Document