scholarly journals Spontaneous Rupture of the Non Gravid Uterus: A Case Report

2021 ◽  
Vol 11 (11) ◽  
pp. 108-111
Author(s):  
Saima Najam ◽  
Sana Abady Mohmed ◽  
Shehla Aqeel
Keyword(s):  
Uterine Rupture ◽  
Lower Abdominal Pain ◽  
Exploratory Laparotomy ◽  
Pelvic Trauma ◽  
Gravid Uterus ◽  
Spontaneous Uterine Rupture ◽  
Asymptomatic Patients ◽  
Gravid Females ◽  
The Right ◽  
Uterine Dehiscence

Uterine rupture can cause serious morbidity and mortality to the women. A complete uterine rupture is a diagnosis made when all three layers of the uterus are separated, while uterine dehiscence is a similar condition in which there is incomplete division of the uterus that does not penetrate all three layers of the uterus. Uterine dehiscence is most often an occult finding in asymptomatic patients. Mostly the uterine rupture is seen in gravid females however it has been reported in non gravid patients as well. Spontaneous uterine rupture is extremely rare to be seen in non gravid patients, but should be included in the differential diagnosis of acute abdomen and shock in a non pregnant woman of any age due to its catastrophic consequences. In non gravid uterus the most common cause of the uterine rupture is pelvic trauma, uterine myomas, infection or uterine carcinoma. We hereby report a case of 44 years old female with previous 4 caesarean sections who came on12th day of her cycle with heavy bleeding, lower abdominal pain and anaemia. She was found to have small fibroids which were blamed for the menorrhagia and she was admitted for the conservative management. She collapsed on day 2 of admission suddenly and after stabilization of the patient her exploratory laparotomy was done and uterine rupture was detected on the right side of the previous scar. The uterus was repaired as the patient refused for hysterectomy. Her post op recovery was uneventful. Her first periods after the surgery was normal with average amount of blood loss. Key words: Uterine rupture, haemorrhage, non -gravid, caesarean, hysterectomy, laparotomy.

HETEROTOPIC PREGNANCY WITH INEVITABLE ABORTION (RIGHT ADNEXAL LIVE ECTOPIC AND COEXISTING INTRAUTERINE TRIPLETS WITH ABSENT FETAL CARDIAC ACTIVITY)

2021 ◽  
pp. 58-59
Author(s):  
Jayanta Sarkar ◽  
Mini Sengupta
Keyword(s):  
Ectopic Pregnancy ◽  
Abdominal Cavity ◽  
Lower Abdominal Pain ◽  
Cardiac Activity ◽  
Exploratory Laparotomy ◽  
Sudden Onset ◽  
Heterotopic Pregnancy ◽  
Intrauterine Pregnancy ◽  
Short Period ◽  
The Right

Heterotopic pregnancy describes the occurrence of two or more pregnancies in different implantation sites simultaneously, intrauterine pregnancy coexists withectopic pregnancies (ampullary in 80%). A 27-year-old women (P ,L1) presented to the emergency department with a complaint of sudden onset of right-sided lower abdominal pain with 1+1 vaginal bleeding and had a short period of Amenorrhea. Ultrasonography demonstrated three intrauterine gestational sacwith foetal pole noted but Cardiac activity was absent . The right adnexa showed a heteroechoic area andmoderate amount of free uid was present in the lower abdominal cavity. Ectopic pregnancy was disturbed. An emergency exploratory laparotomy was performed under general anesthesia. Haemoperitoneum was found with a ruptured righttubal ectopic pregnancy as well. Both the ovaries appeared normaland a corpus luteal cyst was presentin right ovary. Right sided salpingectomy was performed with removal of the ectopic mass,heamostasis secured ,on table blood transfusion had been given.Suction evacuation had also been performed by manual vacuum aspirationon same sitting.Both the specimen send for histopathology. Histology conrmedGestational sac suggestive of an intra uterine pregnancy coexists with ectopic pregnancy. Left tube and both ovaries were found healthy. Episodes of PID also have a strong correlation with occurrence of ectopic gestation. Once diagnosis of heterotrophic pregnancy has been made the management is essentially surgical.

scholarly journals Huge Ovarian Cyst- A Case Report

2020 ◽  
Vol 2 (2) ◽  
pp. 87-90
Author(s):  
Sunita Maharjan ◽  
Ganesh Dangal ◽  
Aruna Karki ◽  
Hema Pradhan ◽  
Ranjana Shrestha ◽  
...  
Keyword(s):  
Ovarian Cyst ◽  
Ovarian Tissue ◽  
Delayed Diagnosis ◽  
Lower Abdominal Pain ◽  
Exploratory Laparotomy ◽  
Sudden Onset ◽  
Ultrasound Finding ◽  
Emergency Laparotomy ◽  
Diagnosis And Management ◽  
The Right

Ovarian cyst torsion (also termed as adnexal torsion) refers to partial or complete rotation of the ovary and a portion of fallopian tube along with its supply to vascular pedicle. It occurs commonly in females of all age group, more on the right side (60%) and often with acute lower abdominal pain lasting for few hours up to 24 hours. Ovarian cyst torsion is one of the devastating conditions hampering blood supply of ovary which may lead to total necrosis of ovarian tissue like in our case. Delayed diagnosis and management can lead to various complications. Here, we present a case of 46 years old perimenopausal female, para 2, living 2 who presented to our emergency department with complain of sudden onset severe pain abdomen since morning. Emergency exploratory laparotomy was done due to high clinical suspicion of torsion based on previous ultrasound finding of ovarian cyst done a day prior to the presentation. On intraoperative finding, the cyst was already necrosed. Due to timely diagnosis and management by emergency laparotomy, anticipated complications were reduced.    

scholarly journals Congenital right diaphragmatic hernia in an adult

2019 ◽  
Vol 2019 (12) ◽  
Author(s):  
Faisal Al-Zayer ◽  
Abdulla H Aljaroof ◽  
Maram Al-Marhoun ◽  
Basem Abualsaud ◽  
Mohammed Al-Zaher ◽  
...  
Keyword(s):  
Diaphragmatic Hernia ◽  
Rare Condition ◽  
Late Presentation ◽  
Postoperative Recovery ◽  
Gravid Uterus ◽  
Asymptomatic Patients ◽  
Uneventful Postoperative Recovery ◽  
The Right ◽  
Right Diaphragmatic Hernia ◽  
Made In

Abstract Diaphragmatic hernia in the absence of trauma in adults is very rare. It occurs as a result of unilateral diaphragmatic agenesis. The diagnosis of this rare condition is typically made in early infancy. However, in asymptomatic patients, the diagnosis is often delayed for months and even years. We present a case of a 27-year-old female, who was referred 48-hours after Caesarean section with suspected pulmonary embolism. Computed tomography scan revealed herniation of the liver as well as bowel loops into the right hemi-thorax. Exploration through a right thoracotomy revealed right diaphragmatic agenesis. The contents were reduced into the abdomen, and the defect was repaired using a mesh. The patient had an uneventful postoperative recovery and was discharged home 10 days later. This case highlights the acute late presentation of right diaphragmatic eventration with abdominal visceral herniation in adulthood. The condition may be triggered by the increasing size of gravid uterus.

Torsion of ovarian endometrioma in pregnancy: a case report and review of the literature

2019 ◽  
Vol 49 (3) ◽  
pp. 221-223
Author(s):  
Dingchao Hua ◽  
Peng Zhao ◽  
Lianyun Jiang
Keyword(s):  
Lower Abdominal Pain ◽  
Exploratory Laparotomy ◽  
Acute Onset ◽  
Diagnosis And Treatment ◽  
Adnexal Torsion ◽  
Surgical Emergencies ◽  
Pelvic Ultrasonography ◽  
Logical Method ◽  
The Right ◽  
Resource Conditions

Adnexal torsion induced by an endometrioma has seldom been reported. Because of its rarity and its complexity in respect of fetal health during pregnancy, the diagnosis and treatment is challenging. We report a 25-year-old primigravida in the eighth week of gestation presenting with acute onset lower abdominal pain. A pelvic ultrasonography showed an intrauterine single viable embryo with a right ovarian cyst measuring 6 × 6 cm in diameter. Exploratory laparotomy revealed torsion of the right adnexa by 360°. After a right adnexectomy was performed, the patient proceeded to full-term pregnancy. Adnexal torsion is defined as rotation of > 45° in the long axis of the adnexae. Its occurrence during gestation is reported as 2%, accounting for 2.7% of surgical emergencies in pregnant women. Most cases are caused by dermoid and functional ovarian cysts. Because of the rarity of torsion induced by an endometrioma, the diagnosis and treatment are challenging. In poor-resource conditions, a diagnostic laparoscopy (or laparotomy) remains a logical method of diagnosis, offering simultaneous therapeutic options.

scholarly journals Spontaneous Rupture of an Unscarred Gravid Uterus in a Primigravid Woman at 32 Weeks of Gestation

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Etsuko Mizutamari ◽  
Tomoko Honda ◽  
Takashi Ohba ◽  
Hidetaka Katabuchi
Keyword(s):  
Cesarean Section ◽  
Uterine Rupture ◽  
Spontaneous Rupture ◽  
Gravid Uterus ◽  
Uterine Perforation ◽  
Primigravid Woman ◽  
Scarred Uterus ◽  
Operative Findings ◽  
The Right

Uterine rupture usually occurs in a scarred uterus, especially secondary to prior cesarean section. Antepartum uterine rupture in an unscarred uterus is extremely rare. We report a case of spontaneous rupture of an unscarred gravid uterus at 32 weeks of gestation in a primigravid woman. Ultrasonography and magnetic resonance imaging showed a bulging cystic lesion communicating with the intrauterine cavity. Operative findings during emergent cesarean section revealed uterine perforation in the right cornual area and a prolapsed, nonbleeding amniotic sac. The left cornual area was also focally thin. An arcuate uterus was suspected based on follow-up hysterosalpingography. Antepartum uterine rupture tends to occur in the uterine cornual area. In this case, Müllerian duct anomalies may have been associated with focal myometrial defects.

scholarly journals Rare case of torsion of giant ovarian mass post-colonoscopy

2021 ◽  
Vol 2021 (3) ◽  
Author(s):  
Irene A T Ng ◽  
Jolene S M Wong ◽  
Jermaine Wong ◽  
Claramae S Chia ◽  
Chin-Ann J Ong
Keyword(s):  
Abdominal Pain ◽  
Ovarian Cyst ◽  
Frozen Section ◽  
Lower Abdominal Pain ◽  
Exploratory Laparotomy ◽  
Serous Cystadenoma ◽  
Ovarian Torsion ◽  
Ovarian Mass ◽  
Large Ovarian Cyst ◽  
The Right

ABSTRACT We present an unprecedented case of torsion of a large ovarian cyst following colonoscopy. A 43-year-old female was found to have a 20 × 13 × 19 cm pelviabdominal mass possibly arising from the right ovary. Endoscopic evaluation was performed prior to planned resection of the ovarian mass. The patient experienced progressive lower abdominal pain after the procedure with a computed topography finding of torsion. She underwent exploratory laparotomy, right salpingo-oophorectomy with intra-operative frozen section and omentectomy. Final histology revealed features of benign serous cystadenoma with extensive haemorrhagic infarction in keeping with torsion. To our knowledge, this is the first reported case of torsion of a large ovarian cyst after colonoscopy. We propose a postulated mechanism of this patient’s ovarian torsion and urge clinicians to be cognizant of acute ovarian torsion as a cause of severe abdominal pain following endoscopy.

scholarly journals Uterine Rupture in the Second Trimester of Pregnancy as an Iatrogenic Complication of Laparoscopic Myomectomy

Medicina ◽  
2012 ◽  
Vol 48 (4) ◽  
pp. 26
Author(s):  
Andrzej Torbé ◽  
Wioletta Mikołajek-Bedner ◽  
Wojciech Kałużyński ◽  
Danuta Gutowska-Czajka ◽  
Sebastian Kwiatkowski ◽  
...  
Keyword(s):  
Uterine Rupture ◽  
Ultrasound Examination ◽  
Contemporary Literature ◽  
Reproductive Age ◽  
Laparoscopic Myomectomy ◽  
Spontaneous Uterine Rupture ◽  
Obstetric Emergencies ◽  
Laparoscopic Intervention ◽  
The Right ◽  
Laparoscopic Removal

Uterine rupture is one of the most dangerous obstetric emergencies carrying a high risk for the mother and the fetus. Reports about uterine rupture in pregnancy following previous laparoscopic surgery have not been frequent; however, an increasing rate of the occurrence of this complication has been observed and reviewed in contemporary literature. We report a case of a spontaneous uterine rupture at 22 weeks of gestation in a 25-year old primigravida, who had had a laparoscopic removal of a small, peduncular, asymptomatic myoma located in the right uterine horn 20 months earlier. Ultrasound examination and subsequent urgent laparotomy confirmed a spontaneous uterine rupture with a nonviable fetus in the peritoneal cavity. Women planning to become pregnant should be qualified for laparoscopic myomectomy with special carefulness. Special attention must be paid to the potential solutions that limit the risk of postoperative uterine rupture, if the absolute necessity for the enucleation of myomas during the reproductive age occurs and a decision about laparoscopic intervention is made.

scholarly journals Spontaneous uterine rupture of gravid uterus detected on antenatal MRI

2020 ◽  
Vol 3 (2) ◽  
Author(s):  
Mounisha Kethineni ◽  
Venkatesh Manchikanti ◽  
Sundeep NVK
Keyword(s):  
Uterine Rupture ◽  
Gravid Uterus ◽  
Spontaneous Uterine Rupture

scholarly journals Spontaneous uterine rupture of an unscarred uterus in primigravida: case report

2020 ◽  
Vol 9 (4) ◽  
pp. 1750
Author(s):  
Minakshi D. Bansode
Keyword(s):  
Uterine Rupture ◽  
Spontaneous Rupture ◽  
Anterior Wall ◽  
Postoperative Recovery ◽  
Lower Margin ◽  
Spontaneous Uterine Rupture ◽  
Maternal Morbidity And Mortality ◽  
Primigravid Woman ◽  
Operative Findings ◽  
The Right

A spontaneous rupture of the unscarred uterus in a primigravid patient is extremely rare and is associated with high perinatal and maternal morbidity and mortality. Study report a case of spontaneous rupture of an unscarred uterus at 36 weeks of gestation in a 22-years primigravid woman. Ultrasonography showed posterior low-lying placenta praevia with lower margin touching internal OS. Operative findings during emergent caesarean section revealed e/o 2 L of hemoperitoneum, uterus was bicornuate and pregnancy was in the right horn. There was fundal rupture of right horn measuring approximately 6-7 cm anteroposterior. Incision was taken on the lower part of right horn and placenta was seen on anterior wall. Baby delivered as breech after incising placenta. Postoperative recovery was uneventful. In, conclusion, bicornuate uterus may be an independent risk factor for uterine rupture, which can occur in primigravid patients and at any gestation.

Intraperitoneal Urinary Bladder Rupture as a Cause of Pneumoperitoneum

2021 ◽  
pp. 000313482110257
Author(s):  
Dar Parvez M ◽  
Kour Supreet ◽  
Sharma Ajay ◽  
Kumar Subodh
Keyword(s):  
Urinary Bladder ◽  
Primary Repair ◽  
Exploratory Laparotomy ◽  
Pelvic Trauma ◽  
Bladder Rupture ◽  
Abdominal Pressure ◽  
Trauma Patients ◽  
Hollow Viscus ◽  
Sudden Rise ◽  
Intraperitoneal Bladder Rupture

The most common cause of pneumoperitoneum in trauma patients is hollow viscus injury; however, in patients with pneumoperitoneum on imaging and normal hollow viscus during the laparotomy, other rare causes of pneumoperitoneum like intraperitoneal urinary bladder rupture should be ruled out. Urinary bladder can rupture either extraperitoneally or intraperitoneally or both. Rupture of the urinary bladder is commonly seen in patients with abdominal trauma; however, pneumoperitoneum is usually not seen in patients with traumatic bladder rupture. Intraperitoneal bladder rupture is usually due to the sudden rise in intra-abdominal pressure following abdominal or pelvic trauma. However, it is a rare cause of pneumoperitoneum and is managed by surgical repair. We present a case of blunt trauma abdomen with pneumoperitoneum due to isolated intraperitoneal bladder rupture who was managed by exploratory laparotomy and primary repair of the urinary bladder.

Sign in / Sign up

Export Citation Format

Share Document