scholarly journals Acute Haemoperitoneum: an unusual presentation of choriocarcinoma

2015 ◽  
Vol 9 (2) ◽  
pp. 112-115
Author(s):  
Nazlima Nargis ◽  
Md Iqbal Karim ◽  
Abu M Khuldhon

Introduction: Choriocarcinoma is a highly malignant epithelial tumour arising from the trophoblastic tissue. It commonly occurs in women of reproductive age, rarely in post-menopausal women and in women under 20 years of age. Methods: The case was initially diagnosed as an unusual presentation of choriocarcinoma with acute haemoperitoneum due to perforation of uterus with lung metastasis. The patient an 18 yr old woman came with acute abdominal pain and signs of haemoperitoneum. Emergency laparotomy followed by hysterectomy was done. Subsequently patient took chemotherapy and improved. Conclusion: Acute haemoperitoneum is a medical emergency. So this case report emphasizes the need of sophisticated diagnostic technology for early diagnosis and successful management of the patient. Clinician should give more attention to unusal presentation of choriocarcinoma. DOI: http://dx.doi.org/10.3329/jafmc.v9i2.21850 Journal of Armed Forces Medical College Bangladesh Vol.9(2) 2013

2018 ◽  
Vol 8 (2) ◽  
pp. 69-72 ◽  
Author(s):  
Md Mustafizur Rahman ◽  
Md Abul Kalam Azad ◽  
Nadim Ahmed ◽  
Nazmin Rahman ◽  
Muhammad Raquib Hussain

Primary borderline serous peritoneal tumour is a rare lesion found in the absence of ovarian pathology, in the presence of minimal ovarian involvement or in association with benign ovarian tumour. It is thought to arise from the mullerian system, which is embryologically derived from the coelomic and sub-coelomic mesenchyme, and therefore shares histologic similarities with ovarian serous tumours. Such tumours are mostly found in women of reproductive age group although cases have been reported for post-menopausal women. We report a case of a primary peritoneal borderline tumour diagnosed in a middle aged patient with lump and pain the upper abdomen in Shaheed Suhrawardy Medical College & Hospital.J Shaheed Suhrawardy Med Coll, December 2016, Vol.8(2); 69-72


Brain Injury ◽  
2016 ◽  
Vol 30 (4) ◽  
pp. 452-461 ◽  
Author(s):  
Prerna Ranganathan ◽  
Raj G. Kumar ◽  
Kendra Davis ◽  
Emily H. McCullough ◽  
Sarah L. Berga ◽  
...  

Author(s):  
Dr. Chanchal Shrivastav ◽  
Dr. Akshay Berad ◽  
Dr. Paras Arvindbhai Parekh

According to WHO estimates, 16.7 million people around the globe die of cardiovascular disease each year. Economic transition, urbanization, industrialization and globalization bring about life style changes that promote heart disease. High blood pressure, high cholesterol and obesity are likely to become more prevalent in developing countries. Increased energy intake and sedentary lifestyle are also responsible for heart disease. The presence of one or more cardiovascular risk factors like high levels of TC, LDL, TG, glucose, insulin, BMI and a decreased HDL have been found to increase the progression of prehypertension to hypertension. Prehypertension increases the risk of MI and CAD. The present study was   undertaken to know serum lipid profile changes in reproductive and postmenopausal women. Total 60 Subjects of age group 20-45years (reproductive), 46-60years (postmenopausal) female volunteered for our study. During the study period, BMI, Lipid profile, parameters were recorded in all the subjects. In BMI, TC, LDL, VLDL, TG, is gradually increased, HDL is gradually decreased from reproductive age women to post menopausal women. Dyslipidemia occurs due to multifactorial reasons like physical activity, life style, diet, smoking, alcohol consumption, ethnicity and genetic makeup. Post-menopausal women are at increased risk of developing cardiovascular disease due to change in the lipid pattern and loss of cardioprotective effect of estrogen. Predicting the factors affecting the lipid profile in post-menopausal women, adopting strategies to control these mechanisms by modifying the relative risk factors during menopausal transition may improve the cardiovascular risk profile in these women. Keyword:  Lipid profile, Menopause, Reproductive age group.


Author(s):  
Nagashree U. ◽  
Wahida Suresh

Benign gestational trophoblastic disease (GTD) generally occurs in reproductive age group women; but is extremely rare in peri and post-menopausal women. We report a case of molar pregnancy in a 48-year-old lady with complaints of bleeding per vaginum with severe pain abdomen. The intention was to highlight the need to include GTD as a possible cause of abnormal bleeding per vaginum in peri and post-menopausal women. So early diagnosis and management with proper follow up is possible. It stresses the need for early recognition to avoid high malignant sequelae.


2020 ◽  
pp. 35-36
Author(s):  
Anshu Baser ◽  
Bhoomika Jain ◽  
Sushil Kumar

Labial fusion is when the labia minora of the vulva fuse together. This most commonly occurs in prepubertal age group(0.6%-5%).(1) This condition rarely occurs in adults and even in adults it is seen in post menopausal women and may result in urinary incontinence.(2) It is extremely rare in women of reproductive age group and only a few cases have been reported so far.(3) We here report a case of a 25 year old female with asymptomatic labial fusion with no history of voiding difficulty, dyspareunia who presented to us at term in labour.


2021 ◽  
pp. 30-33
Author(s):  
Elvis Vishal Saurabh Saurabh Dadel ◽  
Tarique Aziz ◽  
Asha Premlata Omega Oraon

Objective- To evaluate and compare the level of TSH in premenopausal women (reproductive age group) and post-menopausal women. Material And Methods- The study was carried out on 100 premenopausal and 100 post-menopausal women attending Out Patient Departments at RIMS, Ranchi, during the period of January 2018- October 2019. Study Design: - Observational Study. Statistics- Statistical analysis was done using SPSS software. The data were represented by counts, percentage and mean ± standard deviation. Statistical analysis of TSH was done by t-test to compare these parameters in premenopausal and post-menopausal women. A p-value of <0.05 was considered statistically signicant. Result- In the present study, we found that the mean serum TSH level in postmenopausal women 2.72 (± 1.06) uIU/ml was comparatively higher than premenopausal women 2.29 (±1.12) uIU/ml and the difference between the two was statistically signicant (p<0.001). Conclusion- Thyroid hormones play an important role in maintaining normal reproductive behaviour by directly effecting on gonadal function and indirectly interacting with sex hormone binding protein. Alteration of thyroid hormone level leads to menstrual irregularities and infertility. The present study clearly demonstrated that there was signicant increase in TSH levels in post-menopausal women and was statistically signicant. Thus, it proved that postmenopausal women are more prone to subclinical hypothyroidism.


Author(s):  
Leena A. Joseph ◽  
Acka Priya Varghese

Background: Idukki is a hilly tract area in the state of Kerala. No studies regarding menopause has been reported from Idukki. This study is done among postmenopausal women in an attempt to shed light on the prevalence of menopausal symptoms and perceptions of postmenopausal women in a panchayat in Idukki district which is typically a rural area. Primary objectives of the study were to find the prevalence of menopausal symptoms in post-menopausal women attending the outpatient department of Government Medical College, Idukki, India and to find the perceptions about menopause among these post-menopausal women. Secondary objectives were to find the mean age and pattern of attainment of menopause among postmenopausal women and to find the treatment seeking behavior of the post-menopausal women residing in this area.Methods: A cross-sectional observational study is done among 100 postmenopausal women attending the outpatient department of Obstetrics and Gynaecology. Questions are asked based on interview schedule. The results are then analyzed.Results: The mean age of menopause was 45.69± 4.35. 78% of population had one or more symptoms in the menopausal period. Only 19.5% of the symptomatic women took treatment. 77% had positive perceptions.Conclusions: The awareness of these women in this area is poor thus limiting the treatment seeking behavior. Improvement of awareness is a must to improve the quality of life of post-menopausal women.


2014 ◽  
Vol 40 (1) ◽  
pp. 15-17 ◽  
Author(s):  
HA Perven ◽  
ASM Nurunnabi ◽  
S Ara ◽  
MU Jahan

Reproductive age, ovarian reserve and reproductive capability may be determined from the volume of the ovary. A cross-sectional, descriptive study was done in the Department of Anatomy, Dhaka Medical College, Dhaka, from January to December 2009, to see the variation in the volume of the ovary with age in Bangladeshi women. The study was performed on 140 post mortem human ovaries collected from 70 unclaimed female dead bodies which were in the morgue under examination in the Department of Forensic Medicine, Dhaka Medical College, Dhaka. The samples were divided into three age-groups including group A (10-13 years), group B (14-45 years) & group C (46-52 years). Group A is pre-menarche group, group B represents reproductive age and group C is post menopausal group. The length, breadth and thickness of each ovary were measured by using a slide calipers. Then the volume of each ovary was determined by the product of its length, breadth and thickness multiplied by 0.524, according to the Prolate ellipsoid formula. The mean volume of the right ovary was found higher than that of the left one in all age groups (p<0.001). The difference in mean volume of the ovary between group A & group B, group B & group C (p<0.001) and group A & group C (p<0.01) were also statistically significant. The volume of the ovary increases with age and then gradually starts to decrease from menopause. DOI: http://dx.doi.org/10.3329/bmrcb.v40i1.20323 Bangladesh Med Res Counc Bull 2014; 40: 15-17


Author(s):  
Anandakumari Matangi ◽  
Alpha Manukonda ◽  
Abhizna Bommiti

Background: Hysterectomy is the most common gynaecological surgery performed in the perimenopausal and post-menopausal women all over the world. One of the most common cause of AUB is Adenomyosis based on histopathological evidence and the ultimate mainstay stay of treatment is hysterectomy in those patients not responding to medical therapy. Endocervical and Endometrial histopathology in adenomyosis are studied in this study. Objective of this study was to analyses various histopathological changes of endometrium and cervix in hysterectomy specimens showing features of adenomyosis.Methods: This is a retrospective study conducted at Government Victoria Hospital for Women and Children, Visakhapatnam, Andhra Medical College for a period of one year from January 2019 to December 2019.100 cases with histopathology reports of hysterectomy specimens showing changes suggestive of adenomyosis were studied for 1 year. Those cases which showed features of adenomyosis were taken and the preoperative details and procedures done on the patient were retrieved and endometrial and cervical biopsy, Pap Smear changes of these patients were studied.Results: Out of 100 cases, 37 members (majority) showed features of atrophic endometrium, 69 members (majority) showed features of chronic cervicitis, about 58 members (majority) showed inflammatory changes in Pap Smear. In the 100 cases, 75 cases are in perimenopausal age group i.e., 40-50 years, 80 of them are multiparous women, 85 members had mild to moderate degree of anaemia while only about 15 members had severe anemia. Adenomyosis was found to be the leading cause of AUB.Conclusions: Adenomyosis is one the leading causes of AUB and hence also an important cause of hysterectomy in those with failed medical therapy. Histopathological changes of endometrium and cervix are analyzed from D and C and Pap Smear reports of patients whose specimens are confirmed to be having adenomyosis.


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