scholarly journals Embarazo a término en útero bicorne con cuerno rudimentario no comunicante. Reporte de un caso

2021 ◽  
Vol 81 (04) ◽  
pp. 415-419
Author(s):  
Martha Rondón-Tapia ◽  
◽  
Eduardo Reyna-Villasmil ◽  
Duly Torres-Cepeda
Keyword(s):  
Abdominal Pain ◽  
Urinary Tract ◽  
Physical Examination ◽  
Vaginal Bleeding ◽  
Emergency Laparotomy ◽  
Term Pregnancy ◽  
Provisional Diagnosis ◽  
Urinary Tract Abnormalities ◽  
Rudimentary Horn ◽  
Gestational Sac

The bicorne uterus with a rudimentary non-communicating horn may be associated with gynecological and obstetric complications such as infertility, endometriosis, hematometra, urinary tract abnormalities, abortions, and preterm deliveries. Excision of the rudimentary horn should be done outside of pregnancy, with followup during pregnancy, looking for complications. We present the case of a 40-year-old patient, who presented abdominal pain and vaginal bleeding, with a full-term pregnancy in a rudimentary non-communicating horn of a bicorne uterus. Physical examination showed abdominal distention and loss of uterine contour and no fetal parts were palpated. The provisional diagnosis of rupture of the uterus was made. Emergency laparotomy revealed a dead and deformed fetus, 37 weeks old, in a bicorne uterus with a broken rudimentary non-communicating horn, along with an acretic placenta. Extraction of the gestational sac, fetus and placenta and subtotal hysterectomy with conservation of the left annex were performed. Keywords: Rudimentary horn not communicating, Bicornuate uterus, Term pregnancy

scholarly journals ECTOPIC KIDNEY DISCOVERED AFTER ABDOMINAL TRAUMA: ABOUT ONE CASE REPORT

2020 ◽  
Vol 8 (11) ◽  
pp. 504-505
Author(s):  
H. Zahi ◽  
◽  
S.El Haddad ◽  
N. Allali ◽  
L. Chat ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Urinary Tract ◽  
Upper Urinary Tract ◽  
Pelvic Kidney ◽  
Ectopic Kidney ◽  
Abdominal Ct ◽  
Urinary Tract Abnormalities ◽  
Abdominal Ct Scan ◽  
Upper Urinary Tract Abnormalities

Pelvic kidney ectopia is one of most frequent upper urinary tract abnormalities exposed to trauma injuries.In that matter a patient presented with hematuria and abdominal pain in a trauma setting should make us consider this diagnosis.The abdominal CT scan is the key to make the diagnosis and allows to assess the type and severity of the lesions.

scholarly journals Pregnancy in non-communicating rudimentary horn

2017 ◽  
Vol 6 (4) ◽  
pp. 1691
Author(s):  
Ram Kanwar Deora ◽  
Preeti Chawla ◽  
Nikhila G. Shetty
Keyword(s):  
Abdominal Pain ◽  
Blood Loss ◽  
General Anesthesia ◽  
Gestational Age ◽  
Bicornuate Uterus ◽  
Rudimentary Horn ◽  
Estimated Blood Loss ◽  
Gestational Sac ◽  
Operative Findings

A 25-year old G3P2L2 presented to casuality of OBG Dept, Ummaid Hospital, Jodhpur with5 months amenorrhea and bleeding per vaginum for last 5 days associated with abdominal pain. On per abdomen examination, a mass arising from pelvis corresponding to the size of a 16 weeks pregnancy was seen. A repeat ultrasound was performed in our hospital and the findings were - normally visualised uterus with a gestational sac with thin myometrium rim seen on right side with single dead fetus of gestational age 14 weeks 3 days, pregnancy in rudimentary horn, bicornuate uterus with pregnancy in right horn. Patient was counselled and prepared for laparotomy which was performed under general anesthesia. Intra -operative findings were normal sized uterus, right sided rudimentary horn pregnancy was seen. Both tubes and ovaries were normal. Hence, right sided rudimentary horn excision along with ipsilateral salpingo – oophorectomy was planned and done by clamping and cutting. Hemostasis was achieved. There was no communication between the rudimentary horn and the main uterus. The estimated blood loss was 200ml.

scholarly journals Incidental finding of thoracic outlet syndrome in a case of right tubal ruptured ectopic pregnancy

2020 ◽  
Vol 9 (9) ◽  
pp. 3880
Author(s):  
Niranjan Chavan ◽  
Shalini Mahapatra ◽  
Meenakshi Ruhil ◽  
Shweta Mohokar
Keyword(s):  
Blood Pressure ◽  
Abdominal Pain ◽  
Ectopic Pregnancy ◽  
Vaginal Bleeding ◽  
Thoracic Outlet Syndrome ◽  
Incidental Finding ◽  
Lower Abdominal Pain ◽  
Pelvic Ultrasound ◽  
Provisional Diagnosis ◽  
Tubal Ectopic Pregnancy

A 30-year-old woman, (multigravida) suffering from lower abdominal pain and slight vaginal bleeding was transferred to our hospital. She came with a pelvic ultrasound report. The provisional diagnosis of right tubal ectopic pregnancy was made. A laparotomy was carried out. Intraoperatively, blood pressure in both the arms were taken which revealed different blood pressure in different arms. A diagnosis of thoracic outlet syndrome was made. No postoperative complications were observed. 

scholarly journals Bordetella hinzii: an Unusual Pathogen in Human Urinary Tract Infection

2021 ◽  
Author(s):  
Nived Collercandy ◽  
Camille Petillon ◽  
Maryam Abid ◽  
Charlotte Descours ◽  
Claudia Carvalho-Schneider ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Abdominal Pain ◽  
Urinary Tract ◽  
Tract Infection ◽  
Physical Examination ◽  
Medical History ◽  
Tobacco Consumption ◽  
Chronic Alcohol ◽  
Left Flank

A 37-year-old man with no prior medical history except chronic alcohol and tobacco consumption was admitted for fever at 38.5°C and abdominal pain starting two days before. Physical examination confirmed tenderness of the left flank with no other abnormalities.…

scholarly journals A Case of Ruptured Rudimentary Horn of Uterus during Pregnancy

2020 ◽  
Vol 32 (2) ◽  
pp. 121-123
Author(s):  
Ruman U ◽  
Khanam K ◽  
Akhter S ◽  
Karim R
Keyword(s):  
Abdominal Pain ◽  
Gestational Age ◽  
Hypovolemic Shock ◽  
Emergency Laparotomy ◽  
Rudimentary Horn ◽  
Unicornuate Uterus ◽  
Severe Haemorrhage ◽  
Life Threatening ◽  
History Of ◽  
Threatening Situation

Pregnancy in a rudimentary horn of an unicornuate uterus is a rare and life threatening situation for mother and fetus. Usually pregnancy continues upto approximately 18-20 weeks of gestational age. Then it usually ruptures and severe haemorrhage ensues. Emergency laparotomy is the treatment of choice. Here we report a case of 36 years woman with secondary subfertility who has history of taking ovulation inducing drug. She presented with 20 weeks amenorrhoea with severe abdominal pain and hypovolemic shock. Urgent laparotomy was done and the diagnosis was confirmed. Bangladesh J Obstet Gynaecol, 2017; Vol. 32(2) : 121-123

scholarly journals A rare case: ileo-ileal intussusception with acute appendicitis

2018 ◽  
Vol 5 (7) ◽  
pp. 2642
Author(s):  
Raadhika Raja ◽  
P. N. Sreeramulu ◽  
Srinivasan D. ◽  
Rahul Singh R.
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Physical Examination ◽  
Rare Case ◽  
Pediatric Population ◽  
Emergency Laparotomy ◽  
Ileocolic Intussusception ◽  
Colicky Abdominal Pain

The occurrence of intussusception and appendicitis in the same patient has seldom been described in the pediatric population. Authors report a case of two- level ileo- ileal intussusception associated with acute appendicitis. A 2-year-old boy presented with colicky abdominal pain, vomiting and non-passage of stools and flatus since 4 hours. On physical examination, he was irritable and restless. Abdomen was distended, borborygmi was heard on auscultation, ultrasound of abdomen suggested ileocolic intussusception. Emergency laparotomy was performed and an ileoileal intussusception was visualized and was reduced manually. After reduction, appendix was visualized, and it was found to be inflamed and elongated. Appendectomy was performed. Authors present this case because of its rarity in occurrence in a toddler in a rural setup as ours.

B-Lymphoblastic Lymphoma of the Small Bowel: An Extremely Rare Occurrence

2021 ◽  
pp. 000313482199867
Author(s):  
Nikolaos G Symeonidis ◽  
Kalliopi E Stavrati ◽  
Efstathios T Pavlidis ◽  
Kyriakos K Psarras ◽  
Eirini Martzivanou ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Small Bowel ◽  
Soft Tissues ◽  
Lymphoblastic Lymphoma ◽  
Emergency Laparotomy ◽  
Rare Occurrence ◽  
Small Bowel Tumor ◽  
Gastrointestinal Lesions ◽  
Immature B Cells ◽  
B Lymphoblastic Lymphoma

B-lymphoblastic lymphoma is a neoplasm of immature B cells and is characterized by aggressive behavior and disease progression. Common sites of involvement are skin, lymph nodes, bone, soft tissues, breast, and the mediastinum. Gastrointestinal lesions are rarely encountered and therefore not fully described. We herein report the case of a 28-year-old male, who presented with abdominal pain and CT scan showed a tumor involving the small bowel and its mesentery. He underwent emergency laparotomy and enterectomy. Histopathology report revealed B-lymphoblastic lymphoma affecting the small bowel and the adjacent mesentery. This is the first documented case of a small bowel tumor diagnosed as B-lymphoblastic lymphoma in published literature.

scholarly journals 17. Comparative Safety of Antibiotic Therapy for Outpatient Treatment of Uncomplicated Urinary Tract Infections

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S9-S10
Author(s):  
Anne M Butler ◽  
Michael Durkin ◽  
Matthew R Keller ◽  
Yinjiao Ma ◽  
William Powderly ◽  
...  
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Abdominal Pain ◽  
Urinary Tract ◽  
Skin Rash ◽  
Adverse Drug Events ◽  
Vulvovaginal Candidiasis ◽  
First Line ◽  
Research Support ◽  
Comparative Safety

Abstract Background Urinary tract infection (UTI) is one of the most common indications for outpatient antibiotic prescriptions in otherwise healthy women, yet the comparative safety of antibiotics for empirical therapy is not well established. We compared the risk of adverse drug events by antibiotic treatment regimen among premenopausal women with uncomplicated UTI. Methods Using the IBM MarketScan Commercial Database (2006–2015), we identified healthy, non-pregnant women aged 18–44 who were diagnosed with UTI and prescribed a same-day antibiotic with activity against common uropathogens. Patients were followed for outcomes with varying follow-up periods: 3 days (anaphylaxis), 14 days (acute renal failure, skin rash, urticaria/hives, nausea/vomiting, abdominal pain), 30 days (vaginitis/vulvovaginal candidiasis, non-C. difficile diarrhea) and 90 days (C. difficile diarrhea, pneumonia, tendinopathy, retinal detachment). We estimated propensity score-weighted hazard ratios (HR) and 95% confidence intervals (CI) using Cox proportional hazards models. Results Of 1,140,602 eligible women, the distribution of antibiotic receipt was fluoroquinolones (44%), trimethoprim-sulfamethoxazole (TMP/SMX) (28%), nitrofurantoin (24%), narrow-spectrum β-Lactam / β-Lactamase inhibitor combinations (“β-Lactams”) (3%), broad-spectrum β-Lactams (1%) and amoxicillin/ampicillin (1%). Of two first-line agents, we observed higher risk of outcomes among TMP/SMX vs. nitrofurantoin initiators: acute renal failure (HR 2.46, 95% CI 1.46–4.14), skin rash (HR 2.43, 95% CI 2.13–2.77), urticaria (HR 1.35, 95% CI 1.18–1.56), nausea/vomiting (HR 1.19, 95% CI 1.10–1.29) and abdominal pain (HR 1.14, 95% CI 1.09–1.19). Compared to nitrofurantoin, non-first-line agents (fluoroquinolones, broad-, and/or narrow-spectrum β-Lactams) were associated with higher risk of acute renal failure, skin rash, nausea/vomiting, abdominal pain, vaginitis/vulvovaginal candidiasis, diarrhea (C. difficile & non-C. difficile), pneumonia and tendinopathy. Conclusion The risk of adverse drug events differs widely by antibiotic agent, with substantial differences in first-line agents. Understanding antibiotic safety is critical to prevent suboptimal antibiotic prescribing and reduce adverse events. Disclosures Margaret A. Olsen, PhD, MPH, Merck (Grant/Research Support)Pfizer (Consultant, Grant/Research Support)

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