scholarly journals A CASE OF BOCHDALECK’S HERNIA AND A GIANT OVARIAN CYST IN A GERIATRIC PATIENT

2018 ◽  
Vol 1 (2) ◽  
pp. 62-66
Author(s):  
Andreea Teodora Topor
Keyword(s):  
Ovarian Cyst ◽  
Abdominal Mass ◽  
Ovarian Mass ◽  
Bundle Branch Block ◽  
Cyst Excision ◽  
Chronic Cardiac Failure ◽  
Left Hypochondrium ◽  
Low Degree ◽  
Giant Tumor ◽  
Degree Of Malignancy

Some authors define a giant ovarian cyst as having more than a 10 cm diameter . Huge cysts are usually benign or have a low-degree of malignancy . Laparoscopy is considered the gold standard approach to manage benign ovarian cysts but a major factor that will make the surgeon decide to perform or not perform a laparotomy is the size of the ovarian mass. We describe the case of an 86-year-old female patient diagnosed and treated for a giant ovarian cyst. The patient presented with complaints of recently aggravated pain in the left hypochondrium. The main symptom was a giant pelvic and abdominal mass that occupied all the quadrants. The CT scan identified the giant tumor as an ovarian cyst and also revealed a Bochdaleck hernia. Other investigations revealed: arterial hypertension, right bundle branch block, and chronic cardiac failure. The surgical treatment of choice was minimal laparotomy followed by suction of the content of the cyst, excision of the cyst’s wall and left adnexectomy. Despite the advanced anesthesiological risks, the patient developed no postoperative complications. Patients can be operated on successfully even in old age and in complicated cases with good perioperative anaesthetic evaluation and careful election of the surgical technique.

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.

Struma ovarii-A rare entity

2021 ◽  
Vol 11 (1) ◽  
pp. 1898-1901
Author(s):  
Moushami Singh ◽  
Raghu Ram Bhandary ◽  
Jitendra Pariyar ◽  
Swechha Maskey ◽  
Hari Prasad Dhakal
Keyword(s):  
Benign Tumor ◽  
Histopathological Examination ◽  
Frozen Section ◽  
Abdominal Mass ◽  
Thyroid Tissue ◽  
Blood Parameters ◽  
Immature Teratoma ◽  
Rare Entity ◽  
Struma Ovarii ◽  
Ovarian Mass

Struma ovarii, also known as goiter of the ovary is a rare disease.1 Considering the rarity of this tumor and constrained literature in Nepal’s context, we hereby present a case of a 46-year-old female, asymptomatic, with normal blood parameters who presented with an abdominal mass. She was suspected of malignant ovarian mass on an ultrasonogram. Intraoperative frozen section examination revealed a benign tumor suggestive of dermal tumor versus struma ovarii. Postoperatively, histopathological examination was performed to assess the percentage of thyroid tissue and a diagnosis of benign struma ovarii was made which was confirmed by thyroglobulin positivity on immunohistochemistry. No features of immature teratoma and malignancy were identified.

scholarly journals A Wandering Abdominal Mass in a Neonate: An Enteric Duplication Cyst Mimicking an Ovarian Cyst

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Shigeo Iijima
Keyword(s):  
Ovarian Cyst ◽  
Abdominal Mass ◽  
Duplication Cyst ◽  
Resonance Imaging ◽  
Urgent Surgery ◽  
Enteric Duplication Cyst ◽  
Antenatal Ultrasonography ◽  
Enteric Duplication ◽  
Magnetic Resonance Imaging Mri ◽  
The Right

Enteric duplication cysts are rare congenital anomalies that are prenatally diagnosed through antenatal ultrasonography (US). In female patients, however, attention must be paid since these formations might be confused with ovarian cysts. Herein, we present a case of a low birth weight female infant with an enteric duplication cyst. A cystic lesion was detected in the right abdomen of the fetus on antenatal US and magnetic resonance imaging (MRI). Serial US and MRI examinations performed after birth showed a single cyst that wandered from side to side in the abdomen; the initial diagnosis was thought to be an ovarian cyst. During laparotomy, however, it was found to be an enteric duplication cyst with volvulus. To our knowledge, there has been no report of an enteric duplication cyst presenting as a wandering abdominal mass. Our experience indicates that early intervention is necessary for patients who have a wandering abdominal mass to avoid complications and urgent surgery, whether it is an ovarian cyst or an enteric duplication cyst.

A Mother in Jeopardy: The Ethics of Pregnancy and Chemotherapy

2019 ◽  
Vol 37 (1) ◽  
pp. 72-78
Author(s):  
Steven J. Baumrucker ◽  
Wendy H. Vogel ◽  
Robert M. Stolick ◽  
Russell W. Adkins ◽  
Heather Holland ◽  
...  
Keyword(s):  
Ovarian Cancer ◽  
Epithelial Ovarian Cancer ◽  
Ovarian Cyst ◽  
Peritoneal Fluid ◽  
Polycystic Ovary ◽  
Advanced Stage ◽  
Ovarian Mass ◽  
Prenatal Visit ◽  
The Past ◽  
Fluid Cytology

JM is a 32-year-old primagravida with polycystic ovary disease. She had extreme difficulty conceiving and was started on clomiphene 6 months ago by her fertility specialist. After doubling the dose on the sixth cycle, she successfully became pregnant. On her second prenatal visit at 12 weeks gestation, an ovarian cyst was detected. Ultrasound showed a complex ovarian mass with nodules on the bowel and abdominal wall. There was mild-to-moderate peritoneal fluid. Cytology showed adenocarcinoma of ovarian origin. Further workup demonstrated advanced stage III epithelial ovarian cancer. JM was referred to GYN-oncology who felt pregnancy-sparing debulking was not an option. The oncologist recommended termination of pregnancy due to the risks of delaying chemotherapy. JM refused, citing her fertility difficulties in the past and her desire to carry the pregnancy to term “even if it kills me.” She tells the oncologist she cannot bear the thought of terminating her pregnancy under any circumstances. The oncologist wants to comply with her wishes but feels the patient is making a choice that would result in harm to herself. The oncology team requests an ethics consult.

Chondrosarcoma of the Larynx: Presentation of a Case and Review of the Literature

2008 ◽  
Vol 94 (6) ◽  
pp. 864-868 ◽  
Author(s):  
Santino Rizzo ◽  
Francesco Strinati ◽  
Fabrizio Longari ◽  
Cristina Bizzotti ◽  
Guido Altissimi ◽  
...  
Keyword(s):  
Cricoid Cartilage ◽  
Upper Respiratory Tract ◽  
Laryngeal Function ◽  
Slow Growth Rate ◽  
Good State ◽  
Low Degree ◽  
Degree Of Malignancy ◽  
Frequent Site ◽  
Upper Respiratory

Chondrosarcoma of the larynx is a rare tumor of the upper respiratory tract that originates from cartilaginous tissue. The cricoid cartilage is the most frequent site of onset at the larynx. The diagnosis is not always easy, given the tumor's slow growth rate, the aspecificity of the symptoms, and the low degree of malignancy with which most cases present and which often causes it to be mistaken for a chondroma. A case is presented of a 61-year-old woman with a chondrosarcoma of the larynx, grade 2, originating from the cricoid cartilage and measuring about 3 cm in diameter. The patient underwent extirpation of the tumor together with the cricoid cartilage, with a successive thyrotracheal anastomosis because she refused a total laryngectomy, which would have been the indicated intervention on the basis of the extent and grade of the neoplasm. At 6 years from surgery, the patient is in a good state of health with good laryngeal function and without recurrence of the disease. This fact confirms that the surgical approach to chondrosarcoma of the larynx can in most cases be conservative, reserving demolitive surgery for the more aggressive forms, for tumors of greater extent, and for recurrences. In fact, good laryngeal function and therefore a good quality of life can be maintained even for long periods of time.

scholarly journals Intestinal Necrosis due to Giant Ovarian Cyst: A Case Report

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Ali Duran ◽  
Fulay Yilmaz Duran ◽  
Fevzi Cengiz ◽  
Ozgur Duran
Keyword(s):  
Case Report ◽  
Ovarian Cyst ◽  
Terminal Ileum ◽  
Ovarian Cysts ◽  
Ovarian Mass ◽  
Adult Case ◽  
Intestinal Necrosis

Intestinal pathologies due to ovarian cyst are observed rarely. Although a limited number of cases in neonatal and adolescent periods have been observed, no adult case has been reported in the literature. Two mechanisms are involved in intestinal complications due to ovarian cysts: torsion due to adhesion or compression of giant ovarian mass with a diameter of 9-10 cm. We report here a terminal ileum necrosis case due to compression by an ovarian cyst with 11 × 10 × 7 cm size in an 81-year-old woman.

scholarly journals Mesenteric cyst

2007 ◽  
Vol 15 (3-4) ◽  
pp. 91-93 ◽  
Author(s):  
Dragoslav Miljkovic ◽  
Dragojlo Gmijovic ◽  
Milan Radojkovic ◽  
Jasmina Gligorijevic ◽  
Zoran Radovanovic
Keyword(s):  
Clinical Presentation ◽  
Histopathological Examination ◽  
Abdominal Mass ◽  
Mesenteric Cyst ◽  
Epithelial Lining ◽  
Left Hypochondrium ◽  
Mesenteric Cysts ◽  
Traumatic Origin ◽  
Fibrous Cyst ◽  
Low Incidence

Mesenteric cysts are rare abdominal findings. Due to absent or unspecific clinical presentation, very low incidence, and lack of adequate classification these cysts may sometimes represent a diagnostic and therapeutic challenge. We report a case of 37-year-old man with vague palpatory tenderness in left hypochondrium and paraumbilically and with palpable large intra-abdominal mass in whom mesenteric cyst was diagnosed using US and CT imaging. He was operated and cyst was extirpated in toto. Histopathological examination revealed a thick fibrous cyst wall with the signs of chronic inflammation and without inner epithelial lining, which suggested its traumatic origin. Considering the possibility of malignancy mesenteric cysts should be radically resected (with resection of adjacent organs if necessary) due to their strong relapsing potential and a tendency for sudden, progressive local enlargement if not removed in toto.

scholarly journals Bilateral huge fimbrial cysts with torsion of right fallopian tube

2012 ◽  
Vol 10 (2) ◽  
pp. 153-154 ◽  
Author(s):  
P Rijal ◽  
H Pokharel ◽  
S Chhetri ◽  
T Pradhan ◽  
A Agrawal
Keyword(s):  
Differential Diagnosis ◽  
Fallopian Tube ◽  
Ovarian Cyst ◽  
Abdominal Mass ◽  
Outpatient Department ◽  
Initial Assessment ◽  
Fallopian Tubes ◽  
Lower Abdomen ◽  
Pain Abdomen

A case of bilateral fimbrial cyst with torsion of right side is presented, occurring in a 32 year old female. She presented in outpatient department with pain abdomen and feeling of mass in lower abdomen since six months. Initial assessment of ovarian cyst was made. Ultrasound showed cystic structures in left adnexa and complex cyst in right adnexa. Laprotomy was performed and bilateral fimbrial cysts in fallopian tubes were identified with torsion on right side which was subsequently confirmed on histopathology. Although huge fimbrial cysts with torsion of fallopian tube is rare, it should be considered in differential diagnosis of abdominal mass with pain in females.DOI: http://dx.doi.org/10.3126/hren.v10i2.6588 Health Renaissance 2012; Vol 10 (No.2); 153-154 

scholarly journals Giant Renal Angiomyolipoma: Unusual Cause of Huge Abdominal Mass

2013 ◽  
Vol 3 ◽  
pp. 56 ◽  
Author(s):  
Rajesh Taneja ◽  
Dig Vijay Singh
Keyword(s):  
Abdominal Mass ◽  
Left Kidney ◽  
Histochemical Staining ◽  
Renal Angiomyolipoma ◽  
Abdominal Girth ◽  
Surgical Specimen ◽  
Contrast Enhanced ◽  
Giant Tumor ◽  
Cect Scan ◽  
Enhanced Computed Tomography

We present the imaging and histopathological characteristics of a giant renal angiomyolipoma (AML) in a 49-year-old female patient, who presented with bloating sensation in the abdomen and a steadily increasing abdominal girth for about 3 years. Contrast enhanced computed tomography (CECT) scan films of abdomen revealed that a large fat containing tumor had replaced the left kidney while displacing the rest of the abdominal contents toward the other side of the midline. Intraoperatively the left kidney was completely replaced by a fat containing tumor. The recovered surgical specimen measured 39 cm × 25 cm × 9 cm and weighed 7500 g. Histopathological investigation with immuno-histochemical staining of the specimen with hydroxy beta-methylbutyric acid-45 confirmed this lesion as AML. CECT scan of the head did not show any lesion suggestive of tuberous sclerosis. The giant tumor of the present case is the heaviest AML in both syndromic and sporadic categories and largest by dimensions as sporadic AML ever reported in the literature.

scholarly journals A randomized controlled trial of ovarian reserve preservation and hemostasis during ovarian cystectomy

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Soo Jin Park ◽  
◽  
Aeran Seol ◽  
Nara Lee ◽  
Seungmee Lee ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Ovarian Cyst ◽  
Ovarian Reserve ◽  
Controlled Trial ◽  
Reproductive Age ◽  
Hemostatic Agent ◽  
Cyst Excision ◽  
Hemostatic Agents ◽  
Ovarian Cystectomy ◽  
Randomized Controlled

AbstractThe preservation of ovarian reserve during laparoendoscopic single-site (LESS) ovarian cystectomy is crucial for reproductive-age women. This study was a single-blinded, single-center, and randomized controlled trial to evaluate the effect of hemostatic agents on the preservation of ovarian reserve and hemostasis during LESS ovarian cystectomy. Patients with unilateral ovarian cyst were randomized to the hemostatic agent and coagulation groups according to the hemostasis method. Afterwards, the patients underwent LESS ovarian cystectomy, and hemostasis was performed after ovarian cyst excision according to the assigned hemostasis method. If hemostasis was not completed within 10 min. After discharge, the patients were followed until 3 months after surgery. We compared the hemoglobin, anti-Müllerian hormone (AMH) levels, and ovarian volumes before surgery, and 2 days, 1 week, and 3 months after surgery (3 M-POST), and the decline ratio between the two groups. The decline ratio of serum AMH levels was greater at 3 M-POST in the coagulation than in the hemostatic agent group (median intention-to-treat [ITT], − 36.7 vs. − 13.3%; per-protocol [PP], − 36.8 vs. − 13.3%; P < 0.05). Notably, the difference of the decline ratio of serum AMH levels was only shown in endometriosis patients (median; ITT, − 50.7 vs. − 14.4%; PP, − 50.7% vs. − 14.4%; P < 0.05), while there was no difference in non-endometriosis patients. In conclusion, Hemostatic agents may be non-inferior to bipolar coagulation for preserving ovarian reserve and hemostasis during LESS ovarian cystectomy, in particular, for endometriosis patients. (Trial registry: ClinicalTrials.gov Identifier NCT03374397).

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