Acute spondylodiscitis - A rare presentation of sacrocolpopexy complicated with chronic left iliac fossa discharging sinus

2021 ◽  
Vol 18 (1) ◽  
pp. 24
Author(s):  
SureshS Pillai ◽  
Premdeep Dennison ◽  
Usha Sreekumar ◽  
Sailesh Aikot ◽  
KV Deepa
Keyword(s):  
Iliac Fossa ◽  
Rare Presentation ◽  
Left Iliac Fossa

Imperforate hymen mimicking acute appendicitis in an adolescent woman: a rare presentation

2021 ◽  
Vol 14 (3) ◽  
pp. e238547
Author(s):  
Victoria Rose Russell ◽  
Mohamed Ibrahim ◽  
Georgina Phillips ◽  
Tom Setchell ◽  
Sanjay Purkayastha
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Iliac Fossa ◽  
Female Genital Tract ◽  
Delayed Diagnosis ◽  
Rare Presentation ◽  
Left Iliac Fossa ◽  
Imperforate Hymen ◽  
Retrograde Menstruation ◽  
Low Incidence

Imperforate hymen is a rare congenital malformation of the female genital tract. The condition poses several diagnostic challenges owing to its low incidence and often atypical presentation. Classical symptoms include amenorrhoea and cyclical abdominal pain. Delayed diagnosis leads to potentially irreversible and lifechanging sequelae including infertility, endometriosis and renal failure. A premenarchal 13-year-old girl with a background of chronic constipation presented with symptoms mimicking acute appendicitis. The underlying cause was imperforate hymen and retrograde menstruation. The diagnosis was made during diagnostic laparoscopy. As with this patient, pre-existing symptoms are often troublesome long before the true diagnosis is made. This case report highlights the importance of recognising imperforate hymen as a potential cause of acute abdominal pain in premenarchal adolescent girls. The clinical picture may present as right or left iliac fossa pain. Early identification reduces the risk of adverse complications and avoids unnecessary and potentially harmful interventions.

scholarly journals A rare case of jelly belly (pseudomyxomaperitonnei)

2017 ◽  
Vol 4 (5) ◽  
pp. 1806
Author(s):  
Uday Kiran Mokati ◽  
Kalandi Barik ◽  
L. Hari Prasada Rao ◽  
P. Vijaya ◽  
P. Avinash
Keyword(s):  
Computed Tomography ◽  
Rare Case ◽  
Iliac Fossa ◽  
Treatment Options ◽  
Mucinous Cystadenoma ◽  
Treatment Modalities ◽  
Neoplastic Disease ◽  
Current Standard ◽  
Rare Presentation ◽  
Left Iliac Fossa

Pseudo myxomaperitonnei (PMP) is a rare case with progressive dissemination of mucinous tumours and mucinous ascites in the abdomen and pelvis with an estimated incidence of 1 to 2 out of a million. Psedomyxomaperitonnei is a neoplastic disease originating from a primary mucinous tumor of appendix, mucinous cystadenoma of ovary with a distinctive pattern of the peritoneal spread. Computed tomography and histopathology are the most reliable diagnostic modalities. We present a case of pseudomyxomaperitonnei in a 55 year old male presented with pain abdomen and abdominal distension with ascites. Ultrasonography localized collection noted in right iliac fossa and left iliac fossa and ascites present. Computed tomography showed localized collection noted in right iliac fossa and left iliac fossa which is arising from appendix and ascites present. Exploratory laparotomy peritoneal cavity filled with mucinous substance along with ruptured cyst wall in right iliac fossa was found. The mucinous substance drained and the ruptured cyst was resected with appendix at base. In conclusion, pseudomyxomaperitonnei is a rare presentation. Despite the current standard of treatment modalities as extensive surgical resection combined with chemotherapy, PMP frequently recurs with treatment options being limited at recurrence and with severe impact on quality of life.

Abdominal apoplexy during pregnancy

2020 ◽  
Vol 13 (10) ◽  
pp. e235946
Author(s):  
Jasmeet Kumari ◽  
Rosemary Harkin
Keyword(s):  
Iliac Fossa ◽  
Unknown Origin ◽  
Breech Presentation ◽  
Sudden Onset ◽  
Left Iliac Fossa ◽  
Safe Delivery ◽  
Uterine Contractions ◽  
Early Labour ◽  
Increased Risk ◽  
High Index Of Suspicion

We report a case of idiopathic spontaneous intraperitoneal haemorrhage (ISIH) in a 31-year-old patient at 37 weeks gestation in her second pregnancy. The patient presented to the labour ward with abdominal pain and uterine contractions. The initial complain was of sudden onset, severe sharp pain in left iliac fossa. She started having uterine contractions within 30 min of her presentation. Examination confirmed early labour with a footling breech presentation. Urgent caesarean section was performed that confirmed peritoneal bleeding of unknown origin with safe delivery of the baby. Mother and baby were safely discharged on day 5. ‘Abdominal apoplexy’ (ISIH), is a rare obstetric emergency with increased risk of fetal and maternal morbidity and mortality. With various clinical presentations as a possibility, diagnosis is challenging. High index of suspicion with prompt management of suspected cases can be pivotal life saving measure for the fetus and mother.

scholarly journals Intra-abdominal Solitary Myofibroma in a Child: A Rare Case Report

2021 ◽  
Author(s):  
Smita Singh ◽  
Jyoti Garg ◽  
Kusha Sharma ◽  
Kiran Agarwal
Keyword(s):  
Histopathological Examination ◽  
Smooth Muscle Actin ◽  
Iliac Fossa ◽  
Correct Diagnosis ◽  
Neck Region ◽  
Abdominal Distension ◽  
Malignant Tumours ◽  
Rare Presentation ◽  
Anaplastic Lymphoma ◽  
Abdominal Masses

Intra-abdominal masses in children are usually malignant. Benign tumours at this location are not seen frequently. It is even rarer to find solitary myofibromas intra-abdominally as these tumours are known to have predilection for the head and neck region. We present an unusual case of solitary myofibroma with abdominal localisation in a six-year-old male child who presented with abdominal distension since six months. Computed Tomography (CT) abdomen revealed a complex solid-cystic mass extending from umbilicus to right iliac fossa and measuring 9×6×4 cm. Histopathological examination revealed a tumour displaying biphasic nodular pattern with the presence of lighter staining fascicles of mature myoid cells along with darker staining and more cellular areas of smaller primitive cells. On Immunohistochemistry (IHC), tumour cells were positive for vimentin and Smooth Muscle Actin (SMA) with variable reactivity for desmin while these were negative for CD34 and Anaplastic Lymphoma Kinase 1 (ALK). Based on the histopathological and immunohistochemical findings, final diagnosis of myofibroma was made. Recognition of these lesions is extremely challenging owing to their rare presentation intra-abdominally and also because of their close morphological overlap with other spindle cell tumours commonly found at this site. This case highlights the combined role played by histopathology and IHC in making a clear distinction between different entities. It is imperative for both clinicians and histopathologists to establish the correct diagnosis as excision of the solitary myofibroma is curative in most cases and offers better clinical course than the more commonly found malignant tumours at this site.

scholarly journals A case of successful surgical management of primary retroperitoneal mucinous cystadenoma

2020 ◽  
Vol 2020 (3) ◽  
Author(s):  
Zeeshan Afzal ◽  
Weronika Stupalkowska ◽  
Maria B Mahler-Araujo ◽  
David Bowden ◽  
Richard J Davies
Keyword(s):  
Iliac Fossa ◽  
Mucinous Cystadenoma ◽  
Surgical Excision ◽  
Mass Effect ◽  
Rare Tumour ◽  
Left Iliac Fossa ◽  
Female Population ◽  
Midline Laparotomy ◽  
Complete Surgical Excision ◽  
Primary Retroperitoneal

Abstract Primary retroperitoneal mucinous cystadenoma (PRMC) is a rare tumour. It was first reported in 1965, and since then, less than 100 cases have been reported. It is cystic in nature and most commonly affects the female population. It becomes symptomatic in later stages due to its mass effect, making the diagnosis challenging in its early asymptomatic stage. We report a case of a 32-year-old female who presented with abdominal pain and a mass in left iliac fossa. Diagnostic imaging revealed a large cystic lesion in retroperitoneum. A midline laparotomy was performed, and a complete surgical excision was accomplished without any spillage. Surgical histology confirmed the diagnosis of PRMC. The patient was discharged on postoperative day 2. There was no evidence of tumour recurrence on repeat imaging at 90-day follow-up. Surgical approach, with complete resection and without any spillage, remains the most effective and appropriate treatment for this tumour.

Herniography: A Prospective, Randomized Study Between Midline and Left Iliac Fossa Puncture Techniques

2001 ◽  
Vol 56 (5) ◽  
pp. 389-392 ◽  
Author(s):  
Sanjay Nadkarni ◽  
Peter W.G. Brown ◽  
Edwin J.R. van Beek ◽  
Michael C. Collins
Keyword(s):  
Iliac Fossa ◽  
Randomized Study ◽  
Prospective Randomized Study ◽  
Left Iliac Fossa

scholarly journals Tubocutaneous Fistula due to Endometriosis – A Differential Diagnosis in Cutaneous Fistulas with Cyclic Secretion

2017 ◽  
Vol 39 (01) ◽  
pp. 31-34
Author(s):  
Edinari Lopes ◽  
Lia Damásio ◽  
Laio Passos
Keyword(s):  
Differential Diagnosis ◽  
Surgical Intervention ◽  
Rare Complication ◽  
Iliac Fossa ◽  
Main Diagnosis ◽  
Significant Morbidity ◽  
Cutaneous Fistula ◽  
Left Iliac Fossa ◽  
Surgical Scar ◽  
Hormonal Therapies

The development of a tubocutaneous fistula due to endometriosis in a post-cesarean section surgical scar is a rare complication that generates significant morbidity in the affected women. Surgery is the treatment of choice in these cases. Hormonal therapies may lead to an improvement in symptoms, but do not eradicate such lesions. In this report, we present a 34-year-old patient with a cutaneous fistula in the left iliac fossa with cyclic secretion. Anamnesis, a physical examination, and supplementary tests led us to suggest endometriosis as the main diagnosis, which was confirmed after surgical intervention.

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