scholarly journals Laparoscopic Management of Unruptured Interstitial Ectopic Pregnancy

1970 ◽  
Vol 26 (3) ◽  
pp. 147-148
Author(s):  
Shamsun Nahar
Keyword(s):  
Ectopic Pregnancy ◽  
Iliac Fossa ◽  
Signs And Symptoms ◽  
Uterine Wall ◽  
Laparoscopic Excision ◽  
Operative Outcome ◽  
Anterolateral Wall ◽  
Abdominal Examination ◽  
Interstitial Ectopic Pregnancy ◽  
The Right

A 27 years old women para -1 had a complaint of dullache pain in right iliac fossa for 5 days with irregular spotting. Her previous menstrual cycle was normal but in last one month she had an irregular spotting. On examination she was normotensive. Hb% was 65%. there was no tenderness during per abdominal examination but tenderness during per vaginal examination on right side. Transvaginal ultrasonography (TUVS) detected a degenerative sub serous fibroid of 3.5 x 3 cm on the right fundoanterior side, both adnexae were normal, no fluid was present in cul-de-sac. Her pregnancy test was positive but signs and symptoms of pregnancy were absent. Operative plan was intervention by laparoscope. An unruptured interstitial ectopic pregnancy was found at the anterolateral wall of the fundus. Laparoscopic excision was done and the uterine wall sutured with 2/0 polyprolylin. Post operative outcome was good. DOI: 10.3329/jbcps.v26i3.4199 J Bangladesh Coll Phys Surg 2008; 26: 147-148

Extraovarian primary seromucinous cystadenoma masquerading as mesenteric cyst

2021 ◽  
Vol 14 (5) ◽  
pp. e240414
Author(s):  
Kishor R J ◽  
Bhuvaneshwari Harikrishnan ◽  
Naveen Alexander ◽  
Veena Bheeman
Keyword(s):  
Lower Abdominal Pain ◽  
Interesting Case ◽  
Mesenteric Cyst ◽  
Lumbar Region ◽  
Normal Limits ◽  
Mesenteric Border ◽  
Contrast Enhanced ◽  
Laparoscopic Excision ◽  
Abdominal Examination ◽  
The Right

We report an interesting case of extraovarian, primary seromucinous cystadenoma, which presented as a mesenteric cyst. A 31-year-old woman came with complaints of lower abdominal pain for 2 years, which is intermittent and aggravated during the menstrual cycle. On examination, her vitals were within normal limits; per abdominal examination revealed 7×7 cm mass in the right lumbar and right hypochondrium with well-defined margins. A Contrast-enhanced whole abdomen done showed a thin-walled of cyst of size 7×8×9 cm in the right lumbar region abutting and replacing the mesenteric border of ascending colon suggesting of mesenteric cyst. Patient underwent laparoscopic excision of mesenteric cyst. Histopathology revealed seromucinous cystadenoma without ovarian stroma.

scholarly journals CLINICAL STUDY OF PAIN IN RIGHT ILIAC FOSSA

2020 ◽  
Vol 4 (8) ◽  
Author(s):  
Saurabh Kothari ◽  
Manjula Kothari ◽  
Shree Mohan Joshi ◽  
Kalp Shandilya
Keyword(s):  
Iliac Fossa ◽  
Signs And Symptoms ◽  
Clinical History ◽  
X Ray ◽  
Pain Abdomen ◽  
Detailed Clinical History ◽  
Right Iliac Fossa Pain ◽  
Chest X Ray ◽  
The Right ◽  
Appendicular Mass

Background: A mass in the right iliac fossa is a common diagnostic problem encountered in clinical practice, requiring skill in diagnosis. Methods: 100 patients with signs and symptoms of right iliac fossa mass admitted in Hospital were identified and were studied by taking detailed clinical history, physical examination and were subjected to various investigations like x ray erect abdomen, chest x-ray, contrast x-ray . Result: In this study of out of 100 cases, 65.00% of cases were related to appendicular pathology either in the form of appendicular mass or appendicular abscess. There were 12.00% cases of ileocaecal tuberculosis. Conclusion: Appendicular lump remains the most common cause for right iliac fossa pain. Ileocaecal tuberculosis is one of the most important differential diagnoses for pain abdomen. Keywords: Appendicular Mass, Ileocaecal Tuberculosis, Carcinoma Caecum, Right Iliac Fossa Mass.

scholarly journals Surgical excision of a giant pedunculated hydatid cyst of the liver

2019 ◽  
Vol 2019 (7) ◽  
Author(s):  
Ayad Ahmad Mohammed ◽  
Sardar Hassan Arif
Keyword(s):  
Iliac Fossa ◽  
Abdominal Mass ◽  
Bile Leak ◽  
Surgical Excision ◽  
Cystic Lesions ◽  
Right Lobe ◽  
Abdominal Examination ◽  
The Right ◽  
Cyst Cavity ◽  
Tape Worm

Abstract Hydatid disease is caused by a tape worm Echinococcus Granulosus that lives in the intestines of the definitive host which is the dog or other carnivore. Human is the accidental intermediate host and become infected by ingesting contaminated vegetables or water with the eggs of the parasite. A-37-year old male presented with right side abdominal pain for 2 months. Abdominal examination showed a large right side abdominal mass extending from the right subcostal region to the right iliac fossa. CT-scan showed two cystic lesions in the right lobe of the and a third one extending to the pelvis. During surgery aspiration of 10 liters of bile stained fluid done. Excision of the cysts done. Tube drain put inside the cyst cavity with omentoplasty. There was bile leak to the drain which stopped over one month. The patient received anthelminthic medication for 3 months.

scholarly journals Retained second twin secondary to an undiagnosed bicornuate uterus in a poorly supervised labour: A case report

2020 ◽  
pp. 201010582094890
Author(s):  
Joseph Tochukwu Enebe ◽  
Chidimma Akudo Omeke ◽  
Emeka Kevin Chukwubuike
Keyword(s):  
Congenital Anomalies ◽  
Iliac Fossa ◽  
Uneventful Recovery ◽  
Left Iliac Fossa ◽  
Bicornuate Uterus ◽  
Uterine Anomalies ◽  
Mullerian Ducts ◽  
Abdominal Examination ◽  
The Right ◽  
Second Twin

Congenital anomalies of the uterus may result from maldevelopment, abnormal fusion or failure of recanalisation of the paramesonephric (Müllerian) ducts. They are uncommon and are associated with various fertility and pregnancy outcomes. Uterine anomalies have been associated with infertility and pregnancy-related complications. Some cases of successful pregnancies among women with a bicornuate uterus have been reported. However, successful twin pregnancy in a bicornuate uterus is very rare. We report the case of a 24-year-old primigravida who presented with a retained second twin secondary to an undiagnosed bicornuate uterus. An abdominal examination revealed an enlarged abdomen with the uterus tilted to the right and also a palpable firm mass on the left iliac fossa. The retained foetus was presenting cephalic, and the foetal heart rate was 118 bpm. A diagnosis of a retained second twin secondary to a suspected uterine anomaly and suspected foetal distress was made. An emergency caesarean section revealed two horns of the uterus, each having a fallopian tube, an ovary and a cervix. Both cervices opened into one vagina. A 3.0 kg live male baby was successfully delivered through a transverse incision on the lower segment of the right horn of the uterus. The client had an uneventful recovery and was discharged home together with her babies after 4 days. In conclusion, congenital anomalies of the uterus should be considered in cases of a retained second twin. A prompt and accurate diagnosis followed by appropriate management will go a long way in ensuring a good outcome, as was had in this case.

scholarly journals Laparoscopic Management of Interstitial Ectopic Pregnancies

2014 ◽  
Vol 6 (3) ◽  
pp. 163-166
Author(s):  
Shyam V Desai ◽  
Gaurav S Desai ◽  
Jessi Levi
Keyword(s):  
Ectopic Pregnancy ◽  
Operative Time ◽  
Laparoscopic Management ◽  
Ectopic Gestation ◽  
Estimated Blood Loss ◽  
Laparoscopic Excision ◽  
Interstitial Ectopic Pregnancy ◽  
Ectopic Pregnancies

ABSTRACT This illustration describes the successful laparoscopic management of interstitial ectopic pregnancy. Three women underwent laparoscopic excision for interstitial ectopic gestation. Mean operative time was 49.4 ± 8.4 minutes (41- 69 mins). Estimated blood loss was 50 ± 4 ml. There were no intraoperative or postoperative complications. Duration of hospital stay was 24 ± 3 hours. All patients are doing well on follow-up. The authors demonstrate the role of laparoscopic excision and conclude that this technique, when performed by experienced surgeons, allows for improved dexterity and is a safe and effective method in the management of interstitial ectopic pregnancy. How to cite this article Desai GS, Levi J, Desai SV. Laparoscopic Management of Interstitial Ectopic Pregnancies. J South Asian Feder Obst Gynae 2014;6(3):163-166.

scholarly journals A Rare Case of Pseudotumoral Ureteric Tuberculosis Causing Forniceal Rupture

2021 ◽  
Vol 15 (7) ◽  
pp. 1449-1449
Author(s):  
M. Hajri ◽  
W. Ferjaoui ◽  
S. Baccouche ◽  
L. Gharbi ◽  
H. Mestiri ◽  
...  
Keyword(s):  
Iliac Fossa ◽  
Exploratory Laparotomy ◽  
Retroperitoneal Mass ◽  
Reactive Protein ◽  
Inflammatory Phase ◽  
History Of ◽  
Abdominal Examination ◽  
The Right ◽  
Protein Cell ◽  
Segmental Ureterectomy

A 55-year-old woman, with no medical history, presented with acute right flank pain. She had no history of other urinary complaints. On physical examination, the patient was tachycardic (pulse rate: 100bpm) and tachypneic (respiratory rate: 24 breaths/min), blood pressure was11/6 and temperature was 37.4°. The abdominal examination showed severe tenderness in the right flank and the right iliac fossa. All blood reports were normal, including C-reactive protein, cell blood count and serum creatinine. Computed Tomography of the abdomen revealed a right hydronephrosis with delayed phase contrast leak and a retroperitoneal mass of 48x36mm of unknown nature, enhanced after contrast injection, which seemed to compress the right ureter causing the forniceal rupture. A double J ureteral stent was insterted into the right renal cavities with favorable evolution and immediate resolution of pain. Surgical management of the mass was scheduled one month later after the inflammatory phase and resorption of the urinoma. The patient underwent an exploratory laparotomy. Intraoperatively, a tissular retroperitoneal mass of 4 cm was discovered which invadedthe right proximal ureter as well asthe duodenum and the ileocecal pedicle (Figure 1). Resection of the tumor was performed as well as a segmental ureterectomy, right colectomy, and resection of a small portion of the duodenum. Both ureteric and colic anastomosis were then performed along with duodenal suture. The post operative course was uneventful.

scholarly journals Case Report of Spontaneous Bilateral Ovarian Pregnancy in a Nulliparous Lady

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Abdulrahman D. Mahroofi ◽  
Jawaher K. Alsaqer ◽  
Nawal Saad Alabdulla ◽  
Rihab Ismael ◽  
Stephanie Hsu ◽  
...  
Keyword(s):  
Ectopic Pregnancy ◽  
Iliac Fossa ◽  
Specific Patient ◽  
Ovarian Pregnancy ◽  
Products Of Conception ◽  
History Of ◽  
Laboratory Investigations ◽  
Us Findings ◽  
Ectopic Pregnancies ◽  
The Right

Nontubal ectopic pregnancies, especially ovarian ones, are rare. Here, we report a case of spontaneous bilateral ovarian pregnancy in a 23-year-old nulliparous lady who presented with a three-day history of abdominal pain localized to the right iliac fossa. Laboratory investigations and pelvic US and transvaginal US findings were suggestive of a right ovarian ectopic pregnancy and left ovarian cyst. Following the patient’s consent, the gynaecologist laparoscopically removed the right ovarian ectopic pregnancy and performed a left ovarian cystectomy. Histopathology revealed findings of trophoblastic tissue and chorionic villi with products of conception in both ovaries leading to the diagnosis of bilateral spontaneous ectopic pregnancy. Physicians must be mindful in cases that have a similar clinical presentation because an early diagnosis leads to a reduction in the morbidity and mortality of this specific patient population and helps to improve their overall prognosis.

Clinical Study of Right Iliac Fossa Mass Pathology At: Central Vidarbha Region

2020 ◽  
Vol 11 (3) ◽  
pp. 3329-3337
Author(s):  
Anupam Kakade ◽  
Mangesh Padamwar ◽  
Ajonish Kamble ◽  
Yashwant Lamture ◽  
Meenakshi Yeola
Keyword(s):  
Differential Diagnosis ◽  
Iliac Fossa ◽  
Signs And Symptoms ◽  
Clinical History ◽  
Pathological Process ◽  
Clinical Appearance ◽  
Medical College ◽  
Detailed Clinical History ◽  
Interval Appendicectomy ◽  
The Right

One of the most common problems experienced in surgical practice, which challenges the surgeon and needs the ability to diagnose through knowing the anatomy and pathological process that can occur inside the abdomen, is a mass in the right iliac fossa. The purpose of this research was to examine clinical appearance, differential diagnosis and treatment methods for patients with the right iliac fossa.Study was carried out in the Dept. of General Surgery at Jawaharlal Nehru Medical College and Acharya Vinoba Bhave Rural Hospital, Sawangi (M), Wardha , Maharashtra , between August 2018 to December 2019. 43 patients with signs and symptoms of right iliac fossa mass were studied by taking detailed clinical history, physical examination, and were subjected to various investigations.In the present study appendicular mass constituted 60.46%, appendicular abscess 09.30% ,ileocaecal tuberculosis 06.97 % , carcinoma caecum 13.95 % , intussusseption02.32%. Patients presented with constitutional symptoms like pain , fever , vomiting , weight loss.Appendicular lump remains the most common entity in right iliac fossa mass patients. Ileocaecal tuberculosis is one of the most common differential diagnosis to be considered for pain abdomen evaluation in rural population. Conservative treatment followed by interval appendicectomy remains the main management modality in appendicular lump. The rare cause of mass in right iliac fossa as intussusception should be kept in mind.

An Imaging Diagnostic Protocol in Children with Clinically Suspected Acute Appendicitis

2016 ◽  
Vol 82 (5) ◽  
pp. 390-396 ◽  
Author(s):  
Matias Epifanio ◽  
Marco Antonio De Medeiros Lima ◽  
Patricia Corrêa ◽  
Matteo Baldisserotto
Keyword(s):  
Acute Appendicitis ◽  
Predictive Value ◽  
Iliac Fossa ◽  
Correct Diagnosis ◽  
Signs And Symptoms ◽  
Clinical Findings ◽  
The Other ◽  
Free Fluid ◽  
Diagnostic Strategy ◽  
The Right

The objective of the present study is to evaluate a new diagnostic strategy using clinical findings followed by ultrasound (US) and, in selected cases, MRI. This study included 166 children presenting signs and symptoms suggesting acute appendicitis. Cases classified as suggesting appendicitis according to clinical exams had to be referred to surgery, whereas the other cases were discharged. Unclear cases were evaluated using US. If the US results were considered inconclusive, patients underwent MRI. Of the 166 patients, 78 (47%) had acute appendicitis and 88 (53%) had other diseases. The strategy under study had a sensitivity of 96 per cent, specificity of 100 per cent, positive predictive value of 100 per cent, negative predictive value of 97 per cent, and accuracy of 98 per cent. Eight patients remained undiagnosed and underwent MRI. After MRI two girls presented normal appendixes and were discharged. One girl had an enlarged appendix on MRI and appendicitis could have been confirmed by surgery. In the other five patients, no other sign of the disease was detected by MRI such as an inflammatory mass, free fluid or an abscess in the right iliac fossa. All of them were discharged after clinical observation. In the vast majority of cases the correct diagnosis was reached by clinical and US examinations. When clinical assessment and US findings were inconclusive, MRI was useful to detect normal and abnormal appendixes and valuable to rule out other abdominal pathologies that mimic appendicitis.

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