scholarly journals Successful outcome of placenta previa percreta with bladder invasion

2017 ◽  
Vol 10 (2) ◽  
pp. 93
Author(s):  
Syeda Sayeeda ◽  
Nahreen Akhter ◽  
Firoza Begum ◽  
Sajid Hasan
Keyword(s):  
Coming Out ◽  
Placenta Previa ◽  
Blood Clot ◽  
Previous History ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Watery Diarrhoea ◽  
Successful Outcome ◽  
Low Grade ◽  
Bladder Irrigation

<p>A 41 year old multiparous lady, with previous history of one cesarean section presented at her 24 weeks of gestation with frank hematuria. The case was diagnosed as placenta previa percreta with the bladder involvement by ultrasound doppler and confirmed by MR urogram. So, peripartum hysterectomy was planned. On opening of the abdomen, a hugely distended bladder was found, which when retracted engorged blood vessels were found over the lower segment of uterus. Baby was delivered by giving a transverse incision in the upper segment. By keeping placenta in situ, total abdominal hysterectomy was done with quick successive clamping. Severe per-operative bleeding was occurred. Bladder irrigation started following total abdominal hysterectomy. Continuous small clots were coming out through catheter. A large old blood clot was removed by cystostomy done by an urologist. A sprouting vessel and a linear injury were noticed at the base of the bladder. The vessel was ligated and the injury was repaired. After proper hemostasis, the abdomen was closed in layers. The patient was shifted to ICU. Patient developed complications like MI, watery diarrhoea, low grade fever which was managed accordingly. She was discharged healthy on her 19th post-operative day.</p>

scholarly journals Adenoid Basal Carcinoma of Cervix: A Rare Case Report

2020 ◽  
Vol 3 (2) ◽  
pp. 392-394
Author(s):  
Alina Karna ◽  
Nisha Sharma
Keyword(s):  
Pap Smear ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Low Grade ◽  
High Grade ◽  
Squamous Intraepithelial Lesion ◽  
Adenoid Cystic ◽  
Carcinoma Of Cervix ◽  
Rare Case Report ◽  
Intraepithelial Lesion

Adenoid basal carcinoma of the uterine cervix is a rare low-grade tumor and its cell origin is still obscure. Adenoid basal carcinoma can be confused with adenoid basal hyperplasia, adenoid cystic carcinoma, and basaloid squamous cell carcinoma of the cervix. We present here a case of a 59 year-old-female who initially presented with a high-grade squamous intraepithelial lesion on Pap smear. Total abdominal hysterectomy with bilateral salpingo-oophorectomy was performed. Histopathology revealed focal invasive adenoid basal carcinoma with extensive areas of a high-grade squamous intraepithelial lesion involving the endocervical gland. The immunohistochemical stain was positive for p16.

scholarly journals Penggunaan Skor Indeks Plasenta Akreta (IPA) sebagai Prediktor Manajemen Perioperatif Seksio Sesarea Pasien dengan Plasenta Previa Totalis Suspek Akreta

2020 ◽  
Vol 3 (2) ◽  
pp. 111-18
Author(s):  
Dadik Wahyu Wijaya ◽  
Yusmein Uyun ◽  
Sri Rahardjo
Keyword(s):  
Cesarean Section ◽  
Perioperative Management ◽  
Placenta Accreta ◽  
Placenta Previa ◽  
Stable Condition ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Hemoglobin Level ◽  
Elective Cesarean Section ◽  
Elective Cesarean

Plasenta akreta adalah suatu kondisi kehamilan yang serius yang disebabkan oleh kelainan perlekatan plasenta yang membutuhkan perhatian khusus secara perioperatif. Kasus ini menggambarkan manajemen anestesi yang sesuai untuk seksio sesarea dan total abdominal histerektomi karena  plasenta previa totalis dugaan akreta. Seorang wanita berusia 33 tahun dipersiapkan untuk menjalani seksio sesarea elektif dan histerektomi total akibat plasenta previa totalis dengan kecurigaan tinggi terhadap akreta berdasarkan Indeks Skor Plasenta Akreta (IPA). Pemeriksaan penunjang dilakukan oleh dokter kandungan untuk mengkonfirmasi diagnosis. Pada pasien ini dilakukan tindakan anestesi umum untuk prosedur operasinya. Kadar hemoglobin pasien sebelum operasi adalah 9,1 g / dl. Dengan total perdarahan selama operasi adalah 2000 mL. Estimasi kehilangan darah yang ditolerir untuk pasien ini adalah 633 ml. Pasien menerima transfusi 2(dua) kantong darah PRC dan 1(satu) kantong darah WB. Kadar hemoglobin setelah transfusi adalah 8,9 g / dL Pasien dipulangkan dari rumah sakit dalam kondisi stabil setelah dirawat selama 3 hari diruangan. Sebagai kesimpulan, evaluasi dan persiapan perioperatif dan kolaborasi multidisiplin adalah kunci keberhasilan manajemen pasien dengan plasenta previa suspek akreta.   The Use of Placenta Acreta Index (PAI) Score as Perioperative Management Predictor of Sectio Caesarean Patient with Total Placenta Previa Suspected Acreta Placenta accreta is a serious pregnancy condition caused by disorder of placenta attachment that needs a special consideration perioperatively. This case was described the propriate anesthesia management for Cesarean Section and Total Abdominal Hysterectomy due to Total Placenta Previa suspected Accreta. A 33 years old woman considered for elective cesarean section and hysterectomy due to Total Placenta Previa with high suspicion of Accreta according to Placenta Accreta Index (PAI) Score. Supportive examination was done by the obstetrician to confirm the diagnosis. She underwent general anesthesia for the surgery. Patient’s hemoglobin level before surgery was 9.1 g/dL. With total bleeding during the surgery is 2000 mL. The allowable blood loss for the patient is 633 mL. Patient was transfused with 2 bags of PRC and 1 bag of Whole Blood. The hemoglobin level after transfusion was 8.9 g/dL She was discharged from the hospital in stable condition after being treated for 3 days at normal ward. As conclusion, perioperative evaluation and preparations and multidiscipline collaboration are the key for successful management for patient with Placenta previa/accreta  

Intracaval Leiomyoma with Intracardiac Extension

2021 ◽  
Author(s):  
Gabriele M. Iacona ◽  
Serge Harb ◽  
Venkatesh Krishnamurthi ◽  
James J. Yun
Keyword(s):  
Cardiopulmonary Bypass ◽  
Mild Hypothermia ◽  
Multimodality Imaging ◽  
Circulatory Arrest ◽  
Previous History ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Deep Hypothermic Circulatory Arrest ◽  
Complete Resection ◽  
Single Stage

AbstractThe objective of this study was to explain step by step how to achieve a complete resection of an intravascular leiomyoma. A 48-year-old woman was referred to our institution with progressive dyspnea on exertion, lightheadedness, and previous history of total abdominal hysterectomy and bilateral salpingo-oophorectomy for a uterine leiomyoma echocardiography, computed tomography, and magnetic resonance imaging of the heart and abdomen/pelvis were performed and an intracaval mass with extension into the right heart and pulmonary artery was identified. After multidisciplinary review, a single-stage sternotomy–laparotomy procedure on cardiopulmonary bypass (with beating heart, mild hypothermia, and no deep hypothermic circulatory arrest) ensured complete resection of a giant intravenous leiomyoma (IVL). Multidisciplinary approach, multimodality imaging, and single-stage sternotomy–laparotomy procedure on cardiopulmonary bypass (with heart beating and mild hypothermia) ensure complete resection of IVL.

scholarly journals A Planned Cesarean Section-Hysterectomy For Placenta Previa Totalis Percreta In Patient With History Of Two Cesarean Sections

Medicinus ◽  
2018 ◽  
Vol 5 (1) ◽  
Author(s):  
Julita Nainggolan
Keyword(s):  
Cesarean Section ◽  
Placenta Accreta ◽  
Placenta Previa ◽  
Health Resources ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Cesarean Sections ◽  
History Of ◽  
Rising Incidence ◽  
Previous Cesarean

<p><em>The presence of placenta previa may be associated with placenta accreta</em><em><sup>[1]</sup></em><em>.<sup>  </sup></em><em>Maternal and fetal morbidity and mortality from placenta previa accreta are considerable and are associated with high demands on health resources. With the rising incidence of caesarean sections combined with increasing maternal age, the number of cases of placenta praevia and its complications, including placenta accreta, will continue to increase</em><em><sup>[2]</sup></em><em>. </em><em>Here, we present a case of  placenta previa totalis percreta in previous cesarean section twice. In this case, patient with placenta previa totalis-percreta we diagnosed and prepared  proper management with the involvement of multidisciplinary team. We reduced blood loss by performing total abdominal hysterectomy immediately after delivered the baby and the postoperative course was uneventful.</em></p><p><strong><em>Keywords: Cesarean Section-Hysterectomy, placenta accreta, placenta percreta, placenta previa</em></strong></p>

scholarly journals Follicular Lymphoma Involving Bilateral Ovaries following Routine Hysterectomy and Bilateral Salpingo-Oophorectomy: An Incidental Finding

2021 ◽  
Vol 2 (1) ◽  
Keyword(s):  
Follicular Lymphoma ◽  
Hodgkin Lymphoma ◽  
Incidental Finding ◽  
Total Abdominal Hysterectomy ◽  
Large Mass ◽  
Abdominal Hysterectomy ◽  
Growth Patterns ◽  
Primary Lymphoma ◽  
Low Grade ◽  
Non Hodgkin Lymphoma

Ovarian lymphoma is an infrequent disease, accounting for less than 1% of all non-Hodgkin lymphoma diagnosis. Symptoms include abnormal vaginal bleeding or discharge, abdominal pain, and urinary obstruction due to the large mass. In our case, a 60-year-old woman, underwent a total abdominal hysterectomy and bilateral salpingo-oophorectomy, as she presented with low-grade follicular lymphoma (FL) in both the ovaries and the left ovary was observed to be enlarged. The tumor is categorized as lymphoma based upon immunohistochemical markers. Computed tomography (CT) scan of the chest, abdomen, and pelvis and bone marrow biopsy are important for the staging of primary lymphoma of the ovary. The first-line chemotherapy regimen includes rituximab ,cyclophosphamid ,doxorubicin hydrochloride (hydroxydaunorubicin), vincristine sulfate (Oncovin), and prednisone (R-CHOP) for rapidly proliferative non-Hodgkin lymphoma (NHL). Lymphomas with slower growth patterns can be treated with Bendamustine-Rituximab and don’t need aggressive R-CHOP treatment.

scholarly journals A Rare Case of Cartilaginous Heterotopia in Broad Ligament of Uterus

2017 ◽  
Vol 9 (2) ◽  
pp. 192-194
Author(s):  
Amandeep Kaur ◽  
Khushpreet Kaur ◽  
Arwinder Kaur ◽  
Namita Chopra
Keyword(s):  
Rare Case ◽  
Incidental Finding ◽  
Broad Ligament ◽  
Intraepithelial Neoplasia ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
The Body ◽  
Low Grade ◽  
Left Fallopian Tube ◽  
Branched Structure

ABSTRACT Heterotopia is the occurrence of mature tissue at abnormal location. A very rare case of cartilaginous heterotopias in the broad ligament of a 47-year-old female is described. Literature contains very few references related to it. In this patient, there was no evidence of any malignancy in the abdomen or in any other part of the body, except cervical intraepithelial neoplasia changes in cervix. The peritoneal lesion was an incidental finding in this female who underwent total abdominal hysterectomy in view of low-grade squamous intraepithelial lesion of cervix on cervical biopsy. A firm to hard, white-colored, tubular, branched structure, embedded in left broad ligament reaching till serosa of left fallopian tube and undersurface of left ovary was present. Histopathology showed mature cartilage of hyaline type with well-formed chondrocytes and lacunae with surrounding fibrosis with no evidence of cytological atypia, reactive inflammatory changes, or foreign body reaction. This may represent metaplastic lesions of secondary Müllerian system or benign neoplastic lesions (chondroma) of submesothelium. How to cite this article Kaur K, Kaur A, Chopra N, Kaur A. A Rare Case of Cartilaginous Heterotopia in Broad Ligament of Uterus. J South Asian Feder Obst Gynae 2017;9(2):192-194.

Chronic Inversion of Uterus Following Spontaneous Abortion: A Case Report

2020 ◽  
Vol 3 (2) ◽  
pp. 41-43
Author(s):  
Tara Manandhar ◽  
Deepa Shah ◽  
Pappu Rijal
Keyword(s):  
Coming Out ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Trimester Abortion ◽  
Uterine Inversion ◽  
Pain Abdomen ◽  
Threatening Condition ◽  
Lower Pain ◽  
Life Threatening ◽  
History Of

Uterine inversion is a rare entity but poses a serious threat if not diagnosed and managed timely. Here we present a case of chronic uterine inversion in a 30-year-old lady who presented in emergency with a mass coming out per vagina, blood mixed vaginal discharge, and lower pain abdomen for the last 15 days. She underwent laparotomy and was found to have uterine inversion. The patient was attempted for repositioning of uterus with the Huntington’s approach, but it was unsuccessful, hence Haultain’s operation was done with a total abdominal hysterectomy and bilateral salpingectomy with right-sided ovarian cystectomy for a dermoid cyst. Our case emphasizes the importance of keeping chronic uterine inversion as a differential diagnosis in women presenting with pain abdomen, mass, and bleeding per vagina, and with a recent history of second-trimester abortion. Timely recognition, especially in chronic inversion, will decrease the morbidity and mortality associated with this rare but life-threatening condition.

CHRONIC UTERINE INVERSION ASSOCIATED WITH FIBROID - A CASE REPORT

2016 ◽  
Vol 1 (2) ◽  
Author(s):  
J. K. Goel ◽  
Shanti Sah ◽  
Shashi Bala Arya ◽  
Ruchica Goel ◽  
Nandini Agarwal
Keyword(s):  
Case Report ◽  
Coming Out ◽  
Uterine Prolapse ◽  
Uterine Fibroids ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Lower Abdomen ◽  
Uterine Inversion ◽  
History Of ◽  
Fibroid Polyp

Introduction: Uterine inversion is a condition in which the uterus turns inside out with prolapse of fundus through the cervix into or outside vagina. Chronic inversion cases are rare. We present a rare case of chronic uterine inversion associated with uterine fibroids. Case Report: A 42 year old female, P3 L3 , was admitted with complains of menorrhagia and pain 3 3 lower abdomen for 1 month. Speculum examination revealed a fleshy polyp filling whole of vagina. Upon per vaginal examination size of mass could not be assessed and cervical lips could not be felt. So, a provisional diagnosis of fibroid polyp was made. Per-operatively inversion of tube and ovaries along with a sessile submucosal fundal fibroid polyp of size 10 x 8 cm was found. A revised diagnosis of chronic uterine inversion with sessile fibroid polyp was made. Patient then underwent Total Abdominal Hysterectomy with bilateral Salpingooophrectomy. Conclusion: Chronic inversion should be kept as a differential diagnosis in a patient with history of irregular bleeding associated with dragging pain of lower abdomen and feeling of a mass coming out of introitus. Pre operatively it should be differentiated from fibroid polyp, uterine prolapse and prolapsed hypertrophied ulcerated cervix.

scholarly journals Abdominal skin metastasis in endometrial cancer

2019 ◽  
Vol 27 (2) ◽  
pp. 84
Author(s):  
Eccita Rahestyningtyas ◽  
Pungky Mulawardhana ◽  
Tomy Lesmana
Keyword(s):  
Endometrial Cancer ◽  
Uterine Fibroids ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Low Grade ◽  
Endometrioid Adenocarcinoma ◽  
Comprehensive Management ◽  
High Risk Factors ◽  
History Of ◽  
Anatomical Pathology

Objectives: Surgical wound metastases in stage 1 endometrial cancer are possible, with a variety of different pathophysiological possibilities. Comprehensive management is needed to keep the patient on the possibility of a good prognosis.Cases Report: During January 2015 – January 2018 at dr. Soetomo Hospital, there were 2 cases of metastatic endometrial cancer in the laparotomy wounds by which the condition is very rare. Case 1, The patient was diagnosed with endometrial carcinoma following the results of curettage. Anatomical pathology examination was done and obtained grade 2 endometrioid adenocarcinoma. In Case 2, the patient underwent Total Abdominal Hysterectomy and Bilateral Salpingo-Oophorectomy in 2013 at Mojokerto General Hospital, indicating Uterine Fibroids and Ovarian Cysts. The results of anatomical pathology examination were unknown. On April 2017, the patient complained abdominal swelling since 3 months ago.Conclusion: In January 2015 - January 2018, 2 cases of metastatic endometrial cancer was found in a former laparotomy operation where this condition is very rare in endometrial cancer cases with low grade ,so that follow-up, monitoring and more vigilance are required in patients with low-grade endometrial Ca who have finished undergoing a surgery and chemotherapy. Rapture or mass resection, followed by external radiation, may be performed in patients with recurrence in the laparotomy wound area or in patients with high risk factors for endometrial cancer such as a history of estrogen use, tamoxifen, nullipara, obesity, diabetes mellitus, and family history of endometrial cancer. Currently, there is no fixed procedure (guideline) in RS. Dr. Soetomo to overcome recurrences especially in the scars of cancer surgery.

scholarly journals Wombstone-massive calcified fibroid: a case report

2021 ◽  
Vol 10 (4) ◽  
pp. 1701
Author(s):  
Shruthi Ananthula ◽  
Ushadevi Gopalan
Keyword(s):  
Histopathological Examination ◽  
Previous History ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Menopausal Woman ◽  
History Of Surgery ◽  
Radiological Findings ◽  
History Of ◽  
Post Menopausal ◽  
Work Up

We report a case of a calcified submucous leiomyoma in 50 years women with lower abdominal discomfort. She had no previous history of surgery. Work up confirmed a calcified leiomyoma. The diagnosis was made by radiological findings. Total abdominal hysterectomy with bilateral salpingo-oophorectomy is the surgery of choice for these cases. Histopathological examination confirmed a calcified leiomyoma. A calcified leiomyoma in a post-menopausal woman is rare.

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