Giant Ovarian Tumour

Abdominal-pelvic masses are an important part of the female pelvic pathology. They can belong either to the uterus, ovaries or the fallopian tubes. The main symptoms are represented by abdominal and pelvic pain, and in certain cases significant abdominal distension. These can sometimes be accompanied by secondary symptoms, according to the nearby organs involved. Herein, we present the case of a 42-year-old patient with an impressive ovarian tumour mass (50kg).

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Acute abdominal and pelvic pain in pregnancy: ESUR recommendations

European Radiology ◽

10.1007/s00330-013-2987-7 ◽

2013 ◽

Vol 23 (12) ◽

pp. 3485-3500 ◽

Cited By ~ 50

Author(s):

Gabriele Masselli ◽

◽

Lorenzo Derchi ◽

Josephine McHugo ◽

Andrea Rockall ◽

...

Keyword(s):

Pelvic Pain ◽

Abdominal And Pelvic Pain ◽

In Pregnancy

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Diagnostic Laparoscopy and Adhesiolysis: Does It Help with Complex Abdominal and Pelvic Pain Syndrome (CAPPS) in General Surgery?

JSLS Journal of the Society of Laparoendoscopic Surgeons ◽

10.4293/108680810x12924466008925 ◽

2011 ◽

Vol 15 (1) ◽

pp. 1-5 ◽

Cited By ~ 9

Author(s):

Gregory D. McClain ◽

Jay A. Redan ◽

Steven D. McCarus ◽

Aileen Caceres ◽

John Kim

Keyword(s):

Pelvic Pain ◽

General Surgery ◽

Diagnostic Laparoscopy ◽

Pain Syndrome ◽

Pelvic Pain Syndrome ◽

Abdominal And Pelvic Pain

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ADENEXAL CYSTS

The Professional Medical Journal ◽

10.29309/tpmj/2011.18.01.1855 ◽

2011 ◽

Vol 18 (01) ◽

pp. 32-40

Author(s):

TEHREEN RIAZ ◽

SARWAT JABEEN ◽

WASEEM TALIB ◽

Nabeela Shami

Keyword(s):

Demographic Data ◽

Lower Abdominal Pain ◽

Abdominal Distension ◽

Exploratory Laparotomy ◽

Total Abdominal Hysterectomy ◽

Abdominal Hysterectomy ◽

Ovarian Tumour ◽

Risk Of Malignancy ◽

Histopathologic Evaluation ◽

Operative Findings

Objectives: (1) To evaluate the risk of malignancy in surgically removed ovarian cysts that was before the operation neither simple nor complex. (2) To determine the relationship of age with type of ovarian tumour. (3) To categorize the management of these cases according to the intra-operative findings. (4) To analyze the occurrence of various histopathological types of tumour. Date Source: Medline Study Design: Single centered prospective descriptive study of 150 cases. Place and Duration of Study: Department of Obstetrics and Gynaecology at Shaikh Zayed Hospital Lahore from 1st July 2005 to,31st December 2006. Subject and method: 150 patients presented with adnexal cysts on preoperative ultrasonography, peroperative findings and histopathology reports. These patients were followed up in OPD. Results: Showed the distribution of non-neoplastic and neoplastic tumours which were 84% and 16% respectively. The occurrence of malignancy increased with advancing age especially after 45 years Common presentations were lower abdominal pain (53%) followed by menstrual disturbances (30%), abdominopelvic mass, abdominal distension and infertility. Risk of malignancy also increased with parity. 73% masses were unilateral, 84% benign masses were unilocular whilst 85% malignant masses were echogenic and the complex cysts with papillary projection and multiloculations showed 3-6 times higher risk of malignancy. Most patients were managed by exploratory laparotomy. Cystectomy and total abdominal hysterectomy were the commonest procedures performed. Regarding histopathologic evaluation 40% patients had tumours, 2.66% borderline malignancy and 13.3% malignant. 44% had non-neoplastic lesions. Serous and endometriotic cysts were the commonest benign histopathologic types and among malignant ones, epithelial ovarian tumours were the leading variants. Conclusions: Preoperative characterization of adnexal masses using sonographic and demographic data may have considerable potential in determining risk of malignancy and may be advantageous in terms of counseling patients for management.

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Cross-organ sensitization between the colon and bladder: to pee or not to pee?

AJP Gastrointestinal and Liver Physiology ◽

10.1152/ajpgi.00272.2017 ◽

2018 ◽

Vol 314 (3) ◽

pp. G301-G308 ◽

Cited By ~ 14

Author(s):

Luke Grundy ◽

Stuart M. Brierley

Keyword(s):

Pelvic Pain ◽

Afferent Pathways ◽

Sensory Pathways ◽

Urinary Tract Disorders ◽

Symptom Profiles ◽

Close Proximity ◽

Painful Bladder ◽

Abdominal And Pelvic Pain ◽

Irritable Bowel ◽

Clinical Conditions

Chronic abdominal and pelvic pain are common debilitating clinical conditions experienced by millions of patients around the globe. The origin of such pain commonly arises from the intestine and bladder, which share common primary roles (the collection, storage, and expulsion of waste). These visceral organs are located in close proximity to one another and also share common innervation from spinal afferent pathways. Chronic abdominal pain, constipation, or diarrhea are primary symptoms for patients with irritable bowel syndrome or inflammatory bowel disease. Chronic pelvic pain and urinary urgency and frequency are primary symptoms experienced by patients with lower urinary tract disorders such as interstitial cystitis/painful bladder syndrome. It is becoming clear that these symptoms and clinical entities do not occur in isolation, with considerable overlap in symptom profiles across patient cohorts. Here we review recent clinical and experimental evidence documenting the existence of “cross-organ sensitization” between the colon and bladder. In such circumstances, colonic inflammation may result in profound changes to the sensory pathways innervating the bladder, resulting in severe bladder dysfunction.

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MR imaging in the triage of pregnant patients with acute abdominal and pelvic pain

Abdominal Imaging ◽

10.1007/s00261-008-9381-y ◽

2008 ◽

Vol 34 (2) ◽

pp. 243-250 ◽

Cited By ~ 75

Author(s):

Aytekin Oto ◽

Randy D. Ernst ◽

Labib M. Ghulmiyyah ◽

Thomas K. Nishino ◽

Douglas Hughes ◽

...

Keyword(s):

Mr Imaging ◽

Pelvic Pain ◽

Abdominal And Pelvic Pain

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300 When Do We Order CT to Assess Abdominal and Pelvic Pain? A Predictive Model of Computed Tomography Utilization in the Emergency Department

Annals of Emergency Medicine ◽

10.1016/j.annemergmed.2012.06.278 ◽

2012 ◽

Vol 60 (4) ◽

pp. S107

Author(s):

M. Holdsworth ◽

L.A. Ward ◽

D.W. Lowery-North ◽

K. Heilpern ◽

D. Houry ◽

...

Keyword(s):

Computed Tomography ◽

Emergency Department ◽

Predictive Model ◽

Pelvic Pain ◽

Abdominal And Pelvic Pain

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Chronic Pelvic Pain: An Overview

Journal of SAFOG with DVD ◽

10.5005/jp-journals-10006-1249 ◽

2013 ◽

Vol 5 (3) ◽

pp. 147-153 ◽

Cited By ~ 1

Author(s):

Jai Kishan Goel ◽

Siddharth Goel

Keyword(s):

Pelvic Pain ◽

Chronic Pelvic Pain ◽

Pain Syndrome ◽

Personalized Care ◽

Highly Sensitive ◽

Medical Consultations ◽

Pelvic Masses ◽

Optimal Approach ◽

Complete History

ABSTRACT Chronic pelvic pain (CPP) is not a disease but a complex multidimensional syndrome. Although any one disorder may be the cause of CPP, pain can also be the end result of several medical conditions, with each contributing to the generation of pain and requiring management. Women with chronic pelvic pain are often disappointed with the quality of their medical consultations and want their clinician, a personalized care, empathetic and take their symptoms seriously, provide an explanation as to the cause of their pain syndrome and be reassuring. Gastrointestinal, urological, gynecological, psychological, and musculoskeletal sources should be considered in evaluating women with chronic pelvic pain. A complete history, physical examination and counseling can take 45 to 90 minutes to women with CPP. Laboratory testing is of limited value in evaluating women with CPP and, however, pelvic ultrasound is highly sensitive for identifying pelvic masses and determining the origin of the mass. Diagnostic laparoscopy is recommended, if GI, GU and myofascial and neuropathic causes are ruled out or treated and the results of the psychological evaluation are negative. However in 30% of the cases, no cause is ever determined and it presents a therapeutic challenge to the clinician. Success in treating women with chronic pelvic pain is greatly facilitated by earning their trust and confidence. To decide on the best therapeutic plan for an individual patient, the physician and patient should have a thorough discussion of her preferences and values regarding testing, medical versus surgical treatment and childbearing plans. For many patients, the optimal approach involves a combination of treatments. How to cite this article Goel JK, Goel S. Chronic Pelvic Pain: An Overview. J South Asian Feder Obst Gynae 2013;5(3): 147-153.

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