Hydrosalpinx in adolescent girls: What did two cases teach?

2021 ◽  
Author(s):  
Ahmet Hikmet Şahin
Keyword(s):  
Abdominal Pain ◽  
Adolescent Girls ◽  
Cystic Lesion ◽  
Lower Abdominal Pain ◽  
Fallopian Tubes ◽  
Abdominal Ultrasonography ◽  
Palpable Mass ◽  
Abdominal Magnetic Resonance Imaging ◽  
First Case ◽  
Abdominal Exploration

Hydrosalphinx is the fallopian tubes getting filled with fluid due to their blockage. It usually occurs with obstruction of fallopian tubes after infection in women of sexually active age. The aim of this article is to draw attention to hydrosalpinx in adolescent girls because of two adolescent cases. First case; a cystic lesion of 38x51x76 mm in the right adnexal region was detected in the lower abdominal magnetic resonance imaging of a 13-year-old girl who presented with the complaint of abdominal pain and vomiting. Right tubal torsion and hydrosalpinx were detected during abdominal exploration. The tube was detorsioned and marsupialization was applied to the hydrosalpinx. Second case; a cystic lesion with dimensions of 24x12x35 cm was detected in the abdominal ultrasonography of a 16-year-old girl who presented with the complaint of abdominal pain and a palpable mass. On abdominal exploration, a right hydrosalpinx filling the entire abdomen was detected. Tubal excision was performed. Both cases have not been undergone any intraabdominal surgery previously. Hydrosalpinx is very rare in adolescent girls. Hydrosalpinx also should be considered in lower abdominal pain. Cases should be examined in terms of preventing infertility problems in future carefully, development of adhesion should be curtailed and parents should be informed in detail.

scholarly journals Lipoleiomyosarcoma an extremely unusual sarcoma of uterus: A case report

1970 ◽  
Vol 2 (1) ◽  
pp. 67-70 ◽  
Author(s):  
Abhimanyu Jha ◽  
Gita Sayami ◽  
Deepti Adhikari
Keyword(s):  
Smooth Muscle ◽  
Abdominal Pain ◽  
Case Report ◽  
Postmenopausal Woman ◽  
Unusual Case ◽  
Histopathological Examination ◽  
Abdominal Mass ◽  
Lower Abdominal Pain ◽  
First Case ◽  
Well Differentiated

Uterine lipoleiomyosarcoma is a heterologous sarcoma composed of variable proportions of malignant lipoblasts histologically corresponding to well differentiated liposarcoma and malignant smooth muscle cells corresponding to leiomyosarcoma. Finding of benign lipomatous component in a typical leiomyoma (lipoleiomyoma) is not an uncommon, however, lipoleiomyosarcoma is an extremely rare malignant tumor and only very few cases have been reported so far. We report a case of lipoleiomyosarcoma of uterine corpus in a postmenopausal woman presenting with lower abdominal pain and abdominal mass. Diagnosis of lipoleiomyosarcoma was confirmed by histopathological examination of hysterectomy specimen. This is the first case of lipoleiomyosarcoma of uterus reported from Nepal. Keywords: Lipoleiomyosarcoma, uterus, histopathology, unusual case.   doi:10.3126/njog.v2i1.1482    N. J. Obstet. Gynaecol Vol. 2, No. 1, p. 67 - 70 May -June 2007

A Palpable Mass in a Young Man With Chronic Lower Abdominal Pain

2012 ◽  
Vol 142 (1) ◽  
pp. e16-e17 ◽  
Author(s):  
Ching-Wei Chang ◽  
Tsang-En Wang ◽  
Shou-Chuan Shih
Keyword(s):  
Abdominal Pain ◽  
Lower Abdominal Pain ◽  
Palpable Mass

scholarly journals Ovarian Hemangioma: a rare entity

2018 ◽  
Vol 7 (6) ◽  
pp. 2490
Author(s):  
Mona Dahal ◽  
Paricha Upadhyaya ◽  
Purbesh Adhikari ◽  
Diksha Karki ◽  
Niraj Regmi
Keyword(s):  
Abdominal Pain ◽  
Cavernous Hemangioma ◽  
Cystic Lesion ◽  
Radical Surgery ◽  
Histopathological Examination ◽  
Correct Diagnosis ◽  
Lower Abdominal Pain ◽  
Surgical Excision ◽  
Vascular Tumors ◽  
Rare Entity

Ovarian hemangiomas are uncommon benign vascular tumors of ovary. Most of them are asymptomatic and detected incidentally during surgery. Authors report a case of 41 years female, parity 2; with complain of lower abdominal pain for 6 months. Ultrasonography showed a cystic lesion at right adnexa with a heterogeneously echogenic component within and devoid of internal vascularity. Laparoscopic right adnexal cystectomy was done, which on histopathological examination demonstrated features of cavernous hemangioma replacing the ovarian parenchyma. As surgical excision is treatment of choice, correct diagnosis is essential to avoid unnecessary radical surgery and treatment.

scholarly journals Conservative Treatment of Spontaneous Rectus Sheath Hematomas: Single Center Experience and Literature Review

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Banu Karapolat ◽  
Halil Afsin Tasdelen ◽  
Hatice Ayca Ata Korkmaz
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Correct Diagnosis ◽  
Rectus Sheath ◽  
Length Of Hospital Stay ◽  
Initial Symptom ◽  
Abdominal Ultrasonography ◽  
Palpable Mass ◽  
Lower Quadrant

Introduction. Spontaneous rectus sheath hematoma (SRSH) is characterized by bleeding within the rectus abdominis muscle sheath, one of the rare causes of acute abdominal pain. Early diagnosis is imperative in SRSH to prevent complications and the treatment is usually conservative. We intended to present in this study our experience with SRSH patients with respect to diagnostic evaluation and management of their disease. Materials and Methods. In this retrospective study, 14 patients who had received treatment for SRSH in our clinic between January 2012 and December 2017 were assessed in terms of demographic and clinical characteristics, comorbidities, laboratory parameters, diagnostic approach methods, treatment practices, length of hospital stay, and patient outcomes. Results. The patients consisted of 10 (71.4%) females and 4 males (28.6%). The age of the patients ranged between 47 and 93 with a mean age of 66.5 ± 12.1. Anticoagulant treatments were being administered to 5 (35.7%) patients, antiplatelet treatments to 4 (28.5%) patients, and both anticoagulant and antiplatelet treatments to 4 (28.5%) patients. The most common triggering factor was severe cough and the most common initial symptom acute abdominal pain (71.4%). In physical examinations, the entire patients had generalized abdominal tenderness, 10 (71.4%) voluntary guarding and 7 (50%) a right lower quadrant mass. The diagnosis was confirmed by abdominal ultrasonography and computed tomography. Based on the computed tomography findings, the disease was classified as Type 2 found in 9 (64.3%) patients, Type 1 in 3 (21.4%) patients, and Type 3 in 2 (14.2%) patients. All the patients were treated conservatively. They were hospitalized for 1 to 23 days. There was no mortality. All the patients were followed up between 3 months and 2 years and no recurrence was recorded. Conclusion. Considering the presence of SRSH particularly in older female patients who use anticoagulant drugs and have newly developed an abdominal pain and a palpable mass after coughing spells is the key to make an early and correct diagnosis and to prevent possible morbidity and mortality with an appropriate treatment method.

Splenic Lymphangioma: A Rare Tumour of Spleen in Adults

JMS SKIMS ◽  
2019 ◽  
Vol 21 (2) ◽  
pp. 122-124
Author(s):  
Nisar A Chowdri ◽  
Syed Muzamil Andrabi ◽  
Javaid Ahmad Bhat ◽  
Mubashir Ahmad Shah
Keyword(s):  
Cystic Lesion ◽  
Paediatric Population ◽  
Abdominal Discomfort ◽  
Surgical Removal ◽  
Rare Tumour ◽  
Abdominal Ultrasonography ◽  
Palpable Mass ◽  
History Of ◽  
History Of Pain ◽  
Loss Of Appetite

Splenic Lymphangioma is a rare, benign, cystic lesion arising from malformations of splenic lymphatic channels. They are usually found in paediatric population and rarely in adults. Isolated lesions are asymptomatic and detected incidentally. However larger lesions present with abdominal discomfort, loss of appetite or a palpable mass. Surgical removal of spleen remains the treatment of choice. A 25-year-old, unmarried female presented 2 months history of pain epigastrium. Abdominal ultrasonography revealed a well defined hypoechoic area in relation to the lower pole of spleen with normal splenic and portal vein. Computed tomography with contrast enhancement showed mild splenomegaly with multiple hypodense lesions with peripherally enhancing rim and decreased central attenuation with likely possibility of angiosarcoma of spleen. JMS 2018: 21 (2):122-124

Case 12.14

2014 ◽  
pp. 590-591
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Abdominal Pain ◽  
Cystic Lesion ◽  
Lower Abdominal Pain ◽  
Posterior Portion ◽  
Prostatic Utricle ◽  
Prostatic Utricle Cyst ◽  
T2 Weighted Images

24-year-old man with left-sided lower abdominal pain Axial (Figure 12.14.1), sagittal (Figure 12.14.2), and coronal (Figure 12.14.3) FSE T2-weighted images demonstrate a small midline cystic lesion in the posterior portion of the prostate base. Prostatic utricle cyst...

scholarly journals Cryptomenorrhea Secondary to Past Childhood Pelvic Trauma in Young Adolescent Girls: Case Series

2019 ◽  
Vol 01 (03) ◽  
pp. 119-121
Author(s):  
Syeda Batool Mazhar ◽  
Javeria Mumtaz ◽  
Qurratulain Saeed ◽  
Farzana Nawaz
Keyword(s):  
Abdominal Pain ◽  
Urinary Retention ◽  
Adolescent Girls ◽  
Diagnostic Laparoscopy ◽  
Case Series ◽  
Lower Abdominal Pain ◽  
Pelvic Trauma ◽  
Young Adolescent ◽  
Primary Amenorrhea ◽  
Detailed History

Primary amenorrhea secondary to childhood pelvic trauma is very rare. We report two cases of adolescent girls with cryptomenorrhoea. Case 1 presented at 14 years of age with primary amenorrhea and cyclical lower abdominal pain for 1 year. She was run over by a tractor when she was three years old. Ultrasonography pelvis showed hematometra. Examination under anesthesia with diagnostic laparoscopy proceed laparotomy revealed uterine avulsion at level of isthmus. The second case presented at 13 years of age with urinary retention. Catheterization was not possible due to malpositioning of urethra so suprapubic catheterization was performed by urologists. Ultrasonography pelvis revealed hematocolpos. Detailed history revealed run over injury by a vehicle when she was two years old. Examination under anesthesia showed obstruction due to adhesions high up in vagina which were divided.

Cesarean scar endometriosis: our recent experiences

2021 ◽  
Vol 100 (1) ◽  
Keyword(s):  
Abdominal Pain ◽  
Abdominal Wall ◽  
Uterine Cavity ◽  
Lower Abdominal Pain ◽  
Definitive Treatment ◽  
Palpable Mass ◽  
Scar Endometriosis ◽  
Cesarean Scar ◽  
Abdominal Wall Endometriosis ◽  
Complete Surgical Excision

Introduction: Endometriosis is defined as the presence of endometrial tissue, endometrial glands or endometrial stroma outside the uterine cavity causing chronic inflammatory response. The prevalence of abdominal wall endometriosis is less than 1%. Cesarean scar endometriosis is the most common type of abdominal wall endometriosis. Chronic lower abdominal pain amplified during menstruation and palpable mass in the area of scar are the main symptoms. Generally, surgical resection with negative resection margins offers the best chance for definitive treatment of abdominal wall endometriosis. Case report: The authors present two female patients in fertile age with chronic pain in the area of Cesarean scar. The preoperatively assumed endometriosis was histologically confirmed after complete surgical excision. Conclusion: Abdominal wall endometriosis is rare. However, it is a possible cause of constant lower abdominal pain, impacting quality of life of the patient.

scholarly journals Diagnostic role of Ultrasonography in acute appendicitis

2015 ◽  
Vol 10 (1) ◽  
pp. 45-49
Author(s):  
Md Khairul Islam ◽  
Md Selim ur Rahman ◽  
Syed Zoherul Alam ◽  
Arif Ahmed Khan ◽  
Md Tarikul Islam ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Predictive Value ◽  
Histopathological Examination ◽  
Iliac Fossa ◽  
Lower Abdominal Pain ◽  
Armed Forces ◽  
Compression Technique ◽  
Abdominal Ultrasonography

Introduction: Abdominal Ultrasonography (USG) is the most commonly used method for diagnosing acute appendicitis the most common surgical cause of acute abdomen. In this study, we observed the reliability of USG for diagnosing acute appendicitis. Objectives: To evaluate the role of ultrasonography in the diagnosis of acute appendicitis. Methods: In this study, we performed abdominal USG of 100 patients admitted with lower right abdominal pain and diagnosed as acute surgical abdomen according to the physical examination and laboratory findings. These patients were surgically treated by appendecectomy, and excised specimens were sent for histopathological examination. Results: One hundred patients were assessed in this study. Out of them 82.0% patients had acute appendicitis and diameter of their appendices were more or equal to 6 mm. Twenty nine percent of the patients were below 21 years of age. Intraluminal fluid was present in 81% of patients and peri-appendicular fluid was present in 66.7% of patients. Leucocytosis was present in 49% of the cases and neutrophilia in 84% of the cases. All of the patients presented with lower abdominal pain with migration of pain in 52% cases and they had right iliac fossa tenderness. The sensitivity, specificity, Positive Predictive Value (PPV), Negative Predictive Value (NPV) and accuracy rate of ultrasonography was 76.8%, 88.9%, 96.9%, 45.7% and 79.0%, respectively. 45 JAFMC Bangladesh. Vol 10, No 1 (June) 2014 Conclusion: Acute appendicitis is a common indication for emergency abdominal surgery. Proper clinical assessment is the mainstay of diagnosis in acute appendicitis and addition of routine abdominal ultrasound by graded compression technique can improve the diagnostic accuracy and adverse outcome. DOI: http://dx.doi.org/10.3329/jafmc.v10i1.22904 Journal of Armed Forces Medical College Bangladesh Vol.10(1) 2014

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