scholarly journals Secondary Abdominal Pregnancy: A Rare Presentation

2015 ◽  
Vol 7 (3) ◽  
pp. 243-244
Author(s):  
R Agarwal ◽  
E Sharma ◽  
R Khateja ◽  
A Suneja ◽  
A Sharma
Keyword(s):  
Pregnant Woman ◽  
South Asian ◽  
Iliac Fossa ◽  
Rare Event ◽  
Diagnostic Technique ◽  
Abdominal Pregnancy ◽  
Combine Approach ◽  
Vaginal Examination ◽  
Rare Presentation ◽  
The Right

ABSTRACT Background Abdominal pregnancy has been defined as an implantation in the peritoneal cavity, exclusive of tubal, ovarian or intraligamentary pregnancy which further classified in primary and secondary abdominal pregnancy. Abdominal pregnancy is a rare event but it represents a grave risk to the health of the pregnant woman. Case A 32 years old multigravida presented at 16 weeks of pregnancy with complaints of pain in right iliac fossa since 4 days. Vaginal examination revealed a 12 weeks size uterus with an right adenexal mass. Sonography showed intrauterine placentation with dead fetus lying outside the uterus in the right fornix. On laparotomy, diagnosis of secondary abdominal pregnancy made and managed accordingly. Conclusion A high suspicion of abdominal pregnancy is to be kept in obstetrician mind because of its various presentation. Early diagnosis and management is required in this lifethreatening condition. A combine approach of clinical as well as diagnostic technique is indicated. How to cite this article Sharma E, Khateja R, Agarwal R, Suneja A, Sharma A. Secondary Abdominal Pregnancy: A Rare Presentation. J South Asian Feder Obst Gynae 2015;7(3): 243-244.

scholarly journals Herniation of the caecum and ascending colon through the foramen of Winslow: a case report and review

2020 ◽  
Vol 102 (2) ◽  
pp. e39-e41
Author(s):  
M Sammut ◽  
C Barben
Keyword(s):  
Epigastric Pain ◽  
Iliac Fossa ◽  
Rare Event ◽  
Laparoscopic Approach ◽  
Right Hemicolectomy ◽  
Ascending Colon ◽  
Midline Laparotomy ◽  
Foramen Of Winslow ◽  
Handsewn Anastomosis ◽  
The Right

Approximately 5% of intestinal obstruction cases are caused by internal herniation. Caecal herniation through the foramen of Winslow is considered a rare event. The management of caecal herniation remains challenging due to the lack of literature highlighting this pathology. A 66-year-old woman was admitted with a 24-hour history of epigastric pain radiating to the back. The pain was associated with nausea and vomiting of gastric contents. On examination, the abdomen was soft with mild tenderness but no signs of peritonism or distension. The abdominal x-ray and a computed tomography were in keeping with caecal volvulus and confirmed that the caecum was not in the right iliac fossa. In a midline laparotomy procedure, the ileum, caecum and ascending colon were noted to be herniating into the foramen of Winslow. A right hemicolectomy with a handsewn anastomosis was performed. The foramen of Winslow was not closed. No postoperative complications occurred. A literature review showed a lack of similar cases with no agreed management consensus. The laparotomy approach is comparable to the laparoscopic approach and no caecal herniation recurrence after open/laparoscopic surgical procedures were identified. Awareness of caecal herniation allows early diagnosis and timely surgical management is needed in prevent patient morbidity and mortality.

scholarly journals Isolated caecal necrosis—a case study

2019 ◽  
Vol 5 (2) ◽  
pp. 20180089
Author(s):  
Nathan Howard Ho Leung Chan ◽  
Hameed Rafiee ◽  
Ian L P Beales ◽  
Ravindran Karthigan ◽  
Annabel Ciorra ◽  
...  
Keyword(s):  
Iliac Fossa ◽  
Wall Thickening ◽  
Histopathological Analysis ◽  
Ischaemic Colitis ◽  
Rare Presentation ◽  
Bowel Ischaemia ◽  
Right Iliac Fossa Pain ◽  
Bowel Wall Thickening ◽  
The Right

A patient with right iliac fossa pain underwent CT angiography which demonstrated isolated caecal necrosis with associated superior mesenteric artery (SMA) stenosis. This was supported by colonoscopic findings and histopathological analysis. Isolated caecal necrosis is a rare presentation of ischaemic colitis.. Clinical and imaging findings of ischaemic colitis may mimic other pathologies. To improve diagnostic accuracy both referrers and radiologists should be aware of risk factors associated with ischaemic colitis. Isolated bowel wall thickening and pneumatosis of a colonic segment on CT are suggestive of focal bowel ischaemia, in the right clinical context.

scholarly journals Inflammatory Myofibroblastic Tumor: A Rare Presentation and an Effective Treatment with Crizotinib

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Sumaira Khalil ◽  
Tariq Ghafoor ◽  
Amna Kaneez Fatima Raja
Keyword(s):  
Inflammatory Myofibroblastic Tumor ◽  
Residual Disease ◽  
Iliac Fossa ◽  
Abdominal Mass ◽  
Surgical Excision ◽  
Temporal Region ◽  
Rare Presentation ◽  
Complete Surgical Excision ◽  
Alk Positive ◽  
The Right

Inflammatory myofibroblastic tumor (IMT) is a rare entity of neoplastic origin. It usually occurs in children and adolescents and most commonly involves pulmonary and gastrointestinal sites. Here, the authors present two cases; one is the nine months old boy with a subcutaneous IMT in the left temporal region that was treated successfully with surgical resection. To the best of our knowledge, this is the first reported case of a subcutaneous IMT in this particular region. The second is an eight years old girl with an IMT of the right hemi-pelvis. The mass had complete surgical excision with clear margins and no residual disease. She was kept on regular follow-up with ultrasound abdomen. However, her disease relapsed with the appearance of lesions in right iliac fossa, right ovary, and liver. Biopsy of the relapsed abdominal mass confirmed ALK-positive IMT. She was treated with ALK inhibitor Crizotinib. She was monitored with regular blood complete picture, hepatic and renal function test, and ultrasound abdomen. Her lesions started regressing within one month, and she achieved complete remission after 6 months of treatment.

scholarly journals Abdominal Ectopic Pregnancy: A Diagnostic Dilemma

2013 ◽  
Vol 5 (3) ◽  
pp. 163-165
Author(s):  
Afshan Ambreen ◽  
Ayesha Intsar
Keyword(s):  
Ectopic Pregnancy ◽  
South Asian ◽  
Rare Event ◽  
Expectant Management ◽  
Morbidity And Mortality ◽  
Abdominal Pregnancy ◽  
Missed Abortion ◽  
Diagnostic Dilemma ◽  
Left Behind ◽  
High Index Of Suspicion

ABSTRACT Abdominal pregnancy is a rare event but is associated with significant morbidity and mortality. The incidence of abdominal pregnancy is 1 in 10 000 live births. We report a case on an abdominal pregnancy that presented at 17 weeks of gestation and was not picked up till then on previous ultrasound reports and was eventually diagnosed when presented as missed abortion with placental hemorrhage. The clinical presentation of abdominal pregnancy varies, and the diagnosis depends on a high index of suspicion. Ultrasonography is useful for early diagnosis of the condition. The treatment of the placenta is a matter of controversy. In general, expectant management is suggested. When the placenta is left behind, the use of prophylactic methrotrexate is advocated in some cases although expectant management with serial B-hCG monitoring has also shown to result in subsequent placental shrinkage. An awareness of abdominal pregnancy is very important for reducing associated morbidity and mortality. How to cite this article Ambreen A, Intsar A. Abdominal Ectopic Pregnancy: A Diagnostic Dilemma. J South Asian Feder Obst Gynae 2013;5(3):163-165.

scholarly journals Cryptogenic adrenal infarction: a rare case of unilateral adrenal infarction in a pregnant woman

2019 ◽  
Vol 12 (3) ◽  
pp. e228795 ◽  
Author(s):  
Krishna Adit Agarwal ◽  
Myat Han Soe
Keyword(s):  
Pregnant Woman ◽  
Acute Abdomen ◽  
Acute Abdominal Pain ◽  
Rare Event ◽  
Contrast Enhanced Ct ◽  
Contrast Enhanced ◽  
Enhanced Ct ◽  
The Right ◽  
Rare Diagnosis ◽  
Adrenal Infarction

Adrenal infarction is a rare event, especially in pregnancy. The diagnosis is challenging because patients present with acute abdomen and initial workup are usually unrevealing. We present a case of unilateral adrenal infarction in a pregnant young woman without any other causes of thrombophilia, who presented with acute abdominal pain and an unremarkable initial workup. MRI and contrast-enhanced CT scan revealed a non-haemorrhagic infarct of the right adrenal gland. Our case highlights the importance of considering this rare diagnosis in the differential for a pregnant woman with acute abdomen without any obvious surgical cause.

Wadhwa, Charan D. and MukulG. Asher (eds.). ASEAN-SOUTH ASIA Economic Relations. Singapore: Institute of Southeast Asian Studies. 1985. ix+384pp.

1988 ◽  
Vol 27 (3) ◽  
pp. 336-338
Author(s):  
Muhammad Hussain Malik
Keyword(s):  
Developing Countries ◽  
South Asian ◽  
Southeast Asian ◽  
Asian Countries ◽  
Asian Studies ◽  
Economic Relations ◽  
Rigorous Research ◽  
Southeast Asian Studies ◽  
The Right ◽  
Policy Proposals

The need to enhance their economic relations with each other has long been felt by developing countries. However, their efforts in this regard have met with limited success. One of the reasons for this could be that not much serious work has been done to understand the complexities and possibilities of economic relations of developing countries. The complementarities which exist among the economies of these countries remain relatively unexplored. There is a lack of concrete policy proposals which developing countries may follow to achieve their often proclaimed objective of collective self-reliance. All this needs serious and rigorous research efforts. In this perspective, the present study can be considered as a step in the right direction. It examines trade and other economic relations of developing countries of two regions of Asia-South Asian countries and member countries of the Association of Southeast Asian Nations (ASEAN). The study also explores ways and means to improve economic relations among these countries

scholarly journals Late presentation of extrauterine adenomyomas after laparoscopic morcellation at hysterectomy: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mohammed Nagdi Zaki ◽  
Aafia Mohammed Farooq Gheewale ◽  
Nada Ibrahim ◽  
Ibrahim Abd Elrahman
Keyword(s):  
Case Report ◽  
Transvaginal Ultrasound ◽  
Iliac Fossa ◽  
Abdominal Cavity ◽  
Laparoscopic Hysterectomy ◽  
Pathology Report ◽  
Presacral Space ◽  
Gnrh Analogue ◽  
Power Morcellation ◽  
The Right

Abstract Background An adenomyoma is a well circumscribed form of adenomyosis and can be located within the myometrium, in the endometrium as a polyp, or extrauterine with the last being the rarest presentation amongst the three. With the ongoing advancement in gynecological surgery, the use of electromechanical morcellators have made the removal of large and dense specimens possible with minimally invasive techniques. However, it has also caused an increase in complications which were previously rare. Whilst the tissue is being grinded within the abdominal cavity, residual tissue can spread and remain inside, allowing for implantation to occur and thereby giving rise to recurrence of uterine tissue as a new late postoperative complication. Case presentation A 45-year-old woman presented with worsening constipation and right iliac fossa pain. Her past surgical history consists of laparoscopic supra-cervical hysterectomy that was indicated due to uterine fibroids. Computerized tomography and magnetic resonance imaging were done, which showed an irregular lobulated heterogeneous mass seen in the presacral space to the right, located on the right lateral aspect of the recto-sigmoid, measuring 4.5 × 4.3 × 4.3 cm in size. A transvaginal ultrasound revealed a cyst in the left ovary. The patient had a treatment course over several months that included Dienogest (progestin) and Goserelin (GnRH analogue) with add-back therapy. In line with the declining response to medications, the patient was advised for a laparoscopic ovarian cystectomy. During the surgery, an additional lesion was found as a suspected fibroid and the left ovarian cyst was identified as pockets of peritoneal fluid which was sent for cytology. The surgical pathology report confirmed adenomyosis in both specimens, namely the right mass and the initially suspected fibroid. Conclusion In this case report, we showcase a rare occurrence of an extrauterine adenomyoma presenting two years post laparoscopic morcellation at hysterectomy. This poses questions regarding the benefits versus risks of power morcellation in laparoscopic hysterectomy.

scholarly journals Emphysematous pyelonephritis with air bubble in the inferior vena cava

2020 ◽  
Vol 26 (1) ◽  
Author(s):  
Tiffany A. Perkins ◽  
Alberic Rogman ◽  
Murali K. Ankem
Keyword(s):  
Septic Shock ◽  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Rare Presentation ◽  
Emphysematous Pyelonephritis ◽  
Case Presentation ◽  
Air Bubble ◽  
First Case ◽  
The Right

Abstract Background Emphysematous pyelonephritis (EPN) with gas in the inferior vena cava (IVC) is a rare presentation and to our knowledge, this is the first case report in the urologic literature. Case presentation A 35-Year-old obese diabetic Hispanic female presented to the emergency room with a clinical picture of septic shock. Prompt computerized tomography scan revealed EPN with gas throughout the right renal parenchyma and extending to the right renal vein, IVC, and pulmonary artery. She died before surgical intervention Conclusion This case demonstrates that patients presenting with severe EPN have a high mortality risk and providers should acknowledge that septic shock, endogenous air emboli, or a combination of both could result in cardiovascular collapse and sudden death.

Giant fibroepithelial vulvar polyp in a pregnant woman

2021 ◽  
Vol 14 (1) ◽  
pp. e236106
Author(s):  
Carolina Smet ◽  
Tatiana Gigante Gomes ◽  
Lurdes Silva ◽  
Júlio Matias
Keyword(s):  
Pregnant Woman ◽  
Elective Caesarean Section ◽  
Reproductive Age ◽  
Benign Lesions ◽  
Third Trimester ◽  
Women Of Reproductive Age ◽  
Spontaneous Bleeding ◽  
The Third ◽  
Fibroepithelial Polyps ◽  
The Right

Fibroepithelial polyps are benign lesions that may appear in the vulvovaginal region. They usually occur in women of reproductive age and tend to grow up to 5 cm, but there are some rare cases in which they grow up to 20 cm. We report a case of a 22-year-old woman in the third trimester of her first pregnancy with spontaneous bleeding from a pedunculated mass measuring 15 cm in the widest diameter on the right side of the vulva. Features of this case are discussed as well as its implications, especially regarding the decision of labour. Due to the big size of the mass and its propensity to bleed, we decided to perform an elective caesarean section as well as its excision.

Change from triple negative type to triple positive type: A case report of discordance of re-biopsy from primary breast cancer

2020 ◽  
pp. 1-5
Keyword(s):  
Primary Tumor ◽  
Triple Negative ◽  
Lobular Carcinoma ◽  
Rare Event ◽  
Metastatic Tumor ◽  
Complete Response ◽  
Current Treatment ◽  
Positive Type ◽  
Impact On Treatment ◽  
The Right

The patient was a 60-year-old woman who had visited a clinic with the chief complaint of a mass in the right breast prior to being referred to our hospital. Breast examination revealed the presence of a 3-cm hard elastic mass in the C region of the right breast. Computed tomography (CT) further indicated metastases to the liver and lungs. Upon needle biopsy of the primary tumor, the patient was diagnosed with triple-negative (ER (-), PgR (-), HER2 (-)) invasive lobular carcinoma. Chemotherapy was successful in achieving a transient partial response (PR); however, the tumor later advanced to a progressive disease (PD) after five cycles of oral fluoropyrimidine derivative therapy (S-1). Re-biopsy of the primary tumor revealed that the tumor was triple-positive (ER (+), PgR (+), HER2 (+)). The patient was subsequently treated with anti-HER2 therapy and has since achieved complete response (CR). Although biological changes sometimes occur from the primary to the metastatic tumor, changes in the primary tumor itself during the course of treatment is a rare event. Furthermore, the transition from triple-negative to triple-positive status is very uncommon. Re-biopsy rarely changes the biological characteristics of a tumor; however, biological changes can have a significant impact on treatment if they do occur. Thus, it is important to perform a re-biopsy if the current treatment results in PD.

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