scholarly journals Giant Ovarian Mucinous Cystadenoma Complicating Term Pregnancy

2018 ◽  
Vol 56 (210) ◽  
pp. 629-632
Author(s):  
Sangeeta Kaushal Mishra ◽  
Manoj Yadav ◽  
Sripad J Walavalkar
Keyword(s):  
Ovarian Cyst ◽  
Elective Surgery ◽  
Mucinous Cystadenoma ◽  
Expectant Management ◽  
Breech Presentation ◽  
Normal Vaginal Delivery ◽  
Local Health ◽  
Healthy Female ◽  
History Of ◽  
Female Baby

  Huge ovarian cyst are found in less than 1% of all ovarian cyst in pregnancy and are associated with poor feto-maternal outcome. A 28 years old G2P1 with history of normal vaginal delivery 3 years back was referred from local health post with complains of intermittent pain abdomen at 29 weeks. Her scan showed huge ovarian cyst of 18.9×17.6 cm with multiple thick septation. Woman was conservatively managed till term and elective surgery was planned however she presented in labour with breech presentation at 39 weeks and 4days. Emergency lower segment caesarian section along with left sided salpingo–oophorectomy was done along with delivery of 2.5 kg healthy female baby. Histopathology was suggestive of mucinous cystadenoma of ovary. Although antepartum removal of ovarian cyst has been recommended to ensure good pregnancy outcome, expectant management and timed intervention can be adopted for pregnancy with huge ovarian cysts.

scholarly journals Antenatal laparoscopic management of ovarian cyst: a case report

2021 ◽  
Vol 10 (4) ◽  
pp. 1734
Author(s):  
Niyaf N. A. ◽  
Ravikanth G. O. ◽  
Geeta Doppa ◽  
Bhavya H. U.
Keyword(s):  
Dermoid Cyst ◽  
Ovarian Cyst ◽  
Cystic Mass ◽  
Normal Vaginal Delivery ◽  
Lumbar Region ◽  
Symptomatic Management ◽  
Large Ovarian Cyst ◽  
History Of ◽  
Female Baby ◽  
The Right

The frequency of adnexal mass in pregnancy ranges from 2% to 10%, dermoid cyst is the most common ovarian germ cell tumor during pregnancy which could be asymptomatic or symptomatic, management through laparoscopy must be considered as it provides several advantages, including reduced postoperative pain, analgesic use, hospitalization time and better cosmetic result. Here we are reporting a case of an unbooked 35 years old primigravida at 16 weeks and 4 days gestation with history of retention of urine. Ultrasound showed a live foetus of 16 weeks gestation with bilateral mild maternal hydroureteronephrosis and complex cystic mass of 13×10 cm in right lumbar region suggestive of ovarian mass. Patient was clinically stable, hence exploratory laparoscopy was taken up the next day. Intraoperatively, dermoid cyst was found in the right ovary. Right ovarian cystectomy was performed. She had an uneventful postoperative period and discharged. She was monitored for the rest of the pregnancy and it was uneventful. She had spontaneous full term normal vaginal delivery of female baby weighing 2.8 kg. Although the patient was clinically stable, large ovarian cyst are predisposed for future complications, hence antenatal diagnosis and appropriate intervention is crucial for good outcome.

scholarly journals Successful Pregnancy of a DVR Patient -A Case Report.

KYAMC Journal ◽  
2013 ◽  
Vol 3 (2) ◽  
pp. 306-308
Author(s):  
Mst. Stia Sultana ◽  
Md. Saiful Islam ◽  
Monira Akter ◽  
Masuma Khatun
Keyword(s):  
Normal Limit ◽  
Normal Limits ◽  
Double Valve Replacement ◽  
Mitral Position ◽  
Healthy Female ◽  
Minor Ailments ◽  
History Of ◽  
Female Baby ◽  
Surgery Department ◽  
Rheumatic Heart

Mrs Rojina Akter 27 years old lady presented to us with complains of 12 weeks amenorrhea with the history of Rheumatic heart disease(MS-severe with MR Gr-2+ with AR Gr-2) treated surgically with mechanical metallic Double valve Replacement on 7th April 2010 in Cardiac Surgery Department of KYAMCH. It was her second conception.first one was terminated by MR due to fear of cardiac problem out side of this hospital. She also noticed slight breathlessness & palpitation. On examination- she was anxious, her respiratory rate, pulse rate & blood pressure were within normal limits. Her ECG report was within normal limit & colour Doppler Echo study showed normally functioning prosthetic metallic valves in Aortic & Mitral position with normal ejection fraction. Under joint-consultation with Cardiologist & Obstetrician she was advised to continue her pregnancy with careful & regular antenatal check up. During antenatal period she continued her cardiac medications & other supplementary drugs for her pregnancy. Without some minor ailments she continued her pregnancy up to 38 wks, then she delivered a healthy female baby by caesarean section on 6th August 2012 .Now she is well under the supervision of Cardiologist. KYAMC Journal Vol. 3, No.-2, January 2013, Page 306-308 DOI: http://dx.doi.org/10.3329/kyamcj.v3i2.15173

scholarly journals A case of congenital maldisposition of pelvic peritoneum & chronic retention of urine at term pregnancy

2014 ◽  
Vol 42 (3) ◽  
pp. 89-91
Author(s):  
N Banu ◽  
J Ferdouse
Keyword(s):  
Term Pregnancy ◽  
Lower Segment ◽  
Fetal Head ◽  
Pelvic Organs ◽  
Abdominal Organs ◽  
Pelvic Peritoneum ◽  
Healthy Female ◽  
Chronic Urinary Retention ◽  
History Of ◽  
Female Baby

Mal disposition of peritoneum over abdominal organs were reported both in cadaver & in diseased persons; but no report was found particularly about mal disposition of pelvic peritoneum. We are sharing our experience of a rare cause of chronic urinary retention due to abnormal disposition of pelvic peritoneum, diagnosed incidentally during lower segment ceaserian section. A 23 years young lady admitted at her term pregnancy as a case of prolong labour with failure of descend of fetal head. A healthy female baby was delivered by ower segment ceaserian section. But the procedure was not so smooth, though she had no risk factors for adhesive disease or past abdominal surgery. The bladder was hugely distended & atonic without any sign of obstructed labour. The peritoneal reflection was near fundus of the uterus; that’s why the bladder was pulled up along with the growing uterus. On further inquiry, she gave the history of incomplete voiding from her 28th weeks of pregnancy. The peritoneum over other pelvic organs was also found loosely attached. The abnormal disposition of peritoneum over bladder & uterus is absolutely benign congenital malformation; but the condition is not free from complication. DOI: http://dx.doi.org/10.3329/bmj.v42i3.19003 Bangladesh Med J. 2013 Sept; 42 (3): 89-91

Meckel-Gruber Syndrome in One of Nonidentical Twins: Short Case Report

1987 ◽  
Vol 36 (4) ◽  
pp. 571-572 ◽  
Author(s):  
I.I. Juabeh ◽  
A. Thalji ◽  
A. Dudin
Keyword(s):  
Vaginal Delivery ◽  
School Teacher ◽  
Normal Vaginal Delivery ◽  
Spontaneous Vaginal Delivery ◽  
Occipital Encephalocele ◽  
Healthy Female ◽  
Good General Condition ◽  
History Of ◽  
Second Twin

A male twin pair, the result of 34 weeks gestation by dates, 38 weeks by estimation, was delivered at our hospital by normal vaginal delivery on 02.01.87.The mother is a 27-year old, A,Rh+ healthy school teacher. She was married to her 33-year old, first-degree cousin in 1981. They have no family history of malformed newborns or other inherited diseases.The first pregnancy of this gravida-four mother was in 1982 and resulted in a full-term, healthy female weighing 3.5 kg. The second pregnancy was in 1984 and resulted in a 36-weeks, alive female with occipital encephalocele, who died 12 hr after birth. It is not known if this newborn had other accompanying congenital anomalies. The third pregnancy was in 1985, and the fetus was aborted at 12 weeks gestation because of anencephaly, which was diagnosed by ultrasound.The last pregnancy was followed at a private clinic without doing ultrasound. It was not complicated by any illness, drag intake, or X-ray exposure.After 34 weeks of gestation, male twins were delivered by spontaneous vaginal delivery. Each one had his own placenta and umbilical cord. The first twin was a healthy male weighing 2.4 kg, with Apgar score 7/8, who was discharged home in a good general condition, and was doing well when he was seen at follow up one month later.The second twin was a male weighing 2.15 kg, and having a length of 48 cm. We was microcephalic with a head circumference of 28 cm.

scholarly journals Successful Outcome Following Hysteroscopic Septoplasty in a Woman with Seven Consecutive Pregnancy Losses

2021 ◽  
pp. 1-4
Author(s):  
Jesmine Banu ◽  
Mumtahena Amir ◽  
Shakeela Ishrat ◽  
Sadia Afrin Munmun ◽  
Nighat Sultana
Keyword(s):  
Reproductive Tract ◽  
Elective Caesarean Section ◽  
First Trimester ◽  
Successful Outcome ◽  
Healthy Female ◽  
Endocrine Parameters ◽  
History Of ◽  
Consecutive Pregnancy ◽  
Recurrent Abortions ◽  
Female Baby

Anomalies of the reproductive tract are common and present in about 3%–5% of the general population and in about 3% of infertile women. In general, they are asymptomatic, but they can also be associated with recurrent abortions or infertility. This is the case of a 27-year-old nulliparous woman presenting with the history of seven consecutive first trimester spontaneous abortions. Since her marriage 10 years back she conceived on repeated times but all the pregnancies ended in spontaneous miscarriage at around 10–12 weeks. Hysterosalpingography revealed a bicornuate/septate uterus. Hysteroscopic septoplasty with concurrent laparoscopy was planned after normalization of the endocrine parameters. She conceived spontaneously 7 months after the surgery. She had luteal phase support with progesterone, cervical cerclage and management of gestational diabetes, and pregnancy-induced hypertension. At 37 weeks of gestation, elective caesarean section was done with the delivery of a healthy female baby.

scholarly journals Parenchymal mucinous cystadenoma of the kidney: a case report and literature review

2021 ◽  
Vol 27 (1) ◽  
Author(s):  
Mahmoudreza Kalantari ◽  
Shakiba Kalantari ◽  
Mahdi Mottaghi ◽  
Atena Aghaee ◽  
Salman Soltani ◽  
...  
Keyword(s):  
Renal Cyst ◽  
Left Kidney ◽  
Previous History ◽  
Mucinous Cystadenoma ◽  
Single Layer ◽  
Renal Cysts ◽  
Cystic Mass ◽  
Flank Pain ◽  
History Of

Abstract Background Mucinous cystadenoma (MC) of the kidney is exceedingly rare. We found 22 similar cases in the literature. These masses are underdiagnosed due to radiologic similarities with simple renal cysts. Case presentation A 66-year-old man with a previous history of hypertension and anxiety was referred to our tertiary clinic with left flank pain. Ultrasound revealed a 60 mm-sized, complex cystic mass with irregular septa in the lower pole of the left kidney (different from last year's sonographic findings of a simple benign cyst with delicate septa). CT scan showed the same results plus calcification. Due to suspected renal cell carcinoma, a radical nephrectomy was performed. Postoperative histopathologic examination revealed a cyst lined by a single layer of columnar mucin-producing cells with small foci of pseudo-stratification, consistent with the MC’s diagnosis. The first follow-up visit showed normal blood pressure without medication and no flank pain and anxiety after a month. Conclusion It is quite challenging to distinguish the primary MC of the kidney from a simple renal cyst based on clinical and imaging findings. The radiologic features of these entities overlap significantly. Thus, complex renal cyst and renal cysts with mural nodules should be followed closely to detect malignancy earlier.

scholarly journals Laparoscopic Cystectomy of Huge Ovarian Cyst in Nulliparous Woman

2018 ◽  
Vol 13 (3) ◽  
pp. 63-65
Author(s):  
Amarnath Thakur ◽  
Ganesh Dangal ◽  
Aruna Karki ◽  
Hema Kumari Pradhan ◽  
Ranjana Shrestha ◽  
...  
Keyword(s):  
Ovarian Cyst ◽  
Abdominal Mass ◽  
Mucinous Cystadenoma ◽  
Nulliparous Woman ◽  
Surface Epithelium ◽  
Epithelioid Cells ◽  
Brenner Tumor ◽  
Laparoscopic Cystectomy

Mucinous cystadenoma arises from the totipotent surface epithelium of the ovary. Its association with Brenner tumor suggests its origin as mucinous metaplasia of the epithelioid cells. The chance of malignancy is 5–10 percent. Patients usually present with abruptly increasing abdominal mass. Cystectomy is the management of choice in these cases. It was managed by laparoscopy.

scholarly journals Autoinfarction of Giant Parathyroid Adenoma after Preoperative Withdrawal of Anticoagulants

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Raoul Verzijl ◽  
Pim J. Bongers ◽  
Geetha Mukerji ◽  
Ozgur Mete ◽  
Karen M. Devon ◽  
...  
Keyword(s):  
Parathyroid Adenoma ◽  
Elective Surgery ◽  
Histopathological Examination ◽  
Neck Mass ◽  
Bone Lesions ◽  
Imaging Studies ◽  
Cystic Change ◽  
Parathyroid Adenomas ◽  
History Of ◽  
Brown Tumors

A 71-year-old man with known history of atrial fibrillation (treated with routine rivaroxaban therapy) was found to have incidental biochemical elevated calcium and parathyroid hormone (PTH) levels. His physical examination demonstrated the presence of a palpable right neck mass. Subsequent imaging studies revealed a large parathyroid mass as well as multiple bone lesions, raising the suspicion of parathyroid carcinoma. The anticoagulant therapy was stopped 5 days prior to his elective surgery. The night before his elective surgery, he presented to the emergency room with profound hypocalcemia. The surgery was postponed and rescheduled after calcium correction. Intraoperative findings and detailed histopathological examination revealed an infarcted 4.0 cm parathyroid adenoma with cystic change. His bony changes were related to brown tumors associated with long-standing hyperparathyroidism. Autoinfarction of a large parathyroid adenoma causing severe hypocalcemia is a rare phenomenon and may be considered in patients with large parathyroid adenomas after withdrawal of anticoagulants.

Exacerbated mini-puberty of infancy in an ex-extreme preterm girl

2020 ◽  
Vol 13 (9) ◽  
pp. e235492
Author(s):  
Mafalda Casinhas Santos ◽  
Sara Limão ◽  
Patrícia Ferreira
Keyword(s):  
Ovarian Cyst ◽  
Luteinising Hormone ◽  
Vaginal Bleeding ◽  
Expectant Management ◽  
Central Precocious Puberty ◽  
Spontaneous Resolution ◽  
Breast Development ◽  
Long Term Follow Up

Vaginal bleeding can occur shortly after delivery in 3%–5% of newborns as a consequence of placental hormone withdrawal . Although usually benign, its differential diagnosis includes central precocious puberty, tumours and other pathological conditions. A girl born at 26 weeks of gestation presented with five episodes of vaginal bleeding, each lasting less than a week, initiated at 4 months of age. Luteinising hormone and oestradiol levels were in the pubertal range. Later, she exhibited breast development, with no other pubertal signs. An ultrasonography test revealed an impregnated endometrium and a right ovarian cyst with 43 mm of diameter. A cranioencephalic MRI was unremarkable. Clinicians adopted expectant management and there was clinical, hormonal and radiological resolution in 3 months. The spontaneous resolution suggested mini-puberty of infancy. This is usually an asymptomatic condition, but to date, four cases of an exacerbated form in extremepremature infants have been reported. Long-term follow-up data are missing.A girl born at 26 weeks of gestation presented with five episodes of vaginal bleeding, each lasting less than a week, initiated at 4 months of age. Luteinising hormone and oestradiol levels were in the pubertal range. Later, she exhibited breast development, with no other pubertal signs. An ultrasonography test revealed an impregnated endometrium and a right ovarian cyst with 43 mm of diameter. A cranioencephalic MRI was unremarkable. Clinicians adopted expectant management and there was clinical, hormonal and radiological resolution in 3 months. The spontaneous resolution suggested mini-puberty of infancy. This is usually an asymptomatic condition, but to date, four cases of an exacerbated form in extremepremature infants have been reported. Long-term follow-up data are missing.

scholarly journals Acute presentation of ruptured ovarian cyst secondary to torsion with ipsislateral concomitant ectopic pregnancy: A case report

2014 ◽  
Vol 3 (2) ◽  
pp. 54-56
Author(s):  
Mahendra R Pandey ◽  
Neeva Ojha
Keyword(s):  
Acute Abdomen ◽  
Ovarian Cyst ◽  
Emergency Laparotomy ◽  
Hospital Emergency ◽  
Obstetrics And Gynaecology ◽  
History Of ◽  
Gestational Sac ◽  
One Year ◽  
The Right ◽  
Urine Pregnancy Test

Twenty-one year unmarried regularly menstruating lady without history of amenorrhea presented with acute abdomen in TU Teaching Hospital –Emergency Department. On evaluation urine pregnancy test was positive. Urgent ultrasound revealed multiloculated cystic lesion measuring 8.5 x 8 x 6.7 cms in the right adnexa anterolateral to the uterus with no intrauterine gestational sac. She underwent emergency laparotomy with right salpingo-oophorectomy. On laparotomy there was twisted and ruptured right ovarian cyst with unruptured ampullary pregnancy on the same side. There was coexistence of these two conditions which presented as acute abdomen. DOI: http://dx.doi.org/10.3126/njog.v3i2.10834 Nepal Journal of Obstetrics and Gynaecology Vol.3(2) 2008; 54-56

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