scholarly journals Right ovarian torsion and oophorectomy in second trimester of pregnancy with subsequent live birth at term

2021 ◽  
Vol 2 (4) ◽  
Author(s):  
Omotade A Ijarotimi ◽  
◽  
Olumide A Adeniyi Omitinde ◽  
Stephen O Omitinde ◽  
Akaninyene E Ubom ◽  
...  
Keyword(s):  
Acute Abdomen ◽  
Live Birth ◽  
Surgical Intervention ◽  
Delayed Diagnosis ◽  
Exploratory Laparotomy ◽  
First Trimester ◽  
Ovarian Torsion ◽  
Polycystic Ovaries ◽  
Case Presentation ◽  
In Pregnancy

Introduction: Ovarian torsion is a cause of acute abdomen in pregnancy with an incidence of less than 1% occurring most commonly in the first trimester. The symptoms are non-specific with a propensity for missed or delayed diagnosis which may worsen the morbidity associated with this condition. Management is mainly surgical and pregnancy outcome is usually satisfactory. Case presentation: We present the case of a 29-year-old G2 P0 +1 with background polycystic ovaries who complained of abdominal pains at an Estimated Gestational Age (EGA) of 21 weeks in pregnancy. Clinical suspicion was confirmed with a 2D abdominopelvic ultrasound and she subsequently had emergency exploratory laparotomy with right oophorectomy. Pregnancy progressed well and she had a live birth at term. Conclusion: Ovarian torsion is rare in pregnancy. Complications following prompt surgical intervention are however, few and pregnancy outcomes are usually favourable. Keywords: Ovarian cyst; torsion; acute abdomen; cyst accident; pregnancy.

scholarly journals Acute abdomen in a term pregnancy due to isolated tubal torsion

2020 ◽  
Vol 28 (3) ◽  
pp. 217-220
Author(s):  
Güneş Topçu ◽  
Yağmur Şimşek ◽  
Şenay Çetin ◽  
Murat Muhçu ◽  
Ayşegül Özel
Keyword(s):  
Acute Abdomen ◽  
Surgical Intervention ◽  
Lower Abdominal Pain ◽  
Rare Condition ◽  
Exploratory Laparotomy ◽  
Mri Findings ◽  
Obstetric Morbidity ◽  
Magnetic Resonance Imaging Mri ◽  
Early Surgical Intervention ◽  
In Pregnancy

Objective: Isolated tubal torsion in pregnancy is a rare condition we want to present this case. Case(s): In our study, we present a 23-year-old woman primigravida at 37 weeks of gestation with acute right lower abdominal pain. The clinical and Magnetic resonance imaging (MRI) findings led to diagnosis of acute appendicitis. Emergency exploratory laparotomy and cesarean section were performed. A twisted right Fallopian tube and Morgagni’s cyst was noted and right salpingectomy was performed. Conclusion: Although isolated tubal torsion during pregnancy is very rare, it should be included in the differential diagnosis of acute abdomen in pregnancy. Early surgical intervention will decrease obstetric morbidity.

scholarly journals Huge symptomatic pedunculated uterine fibroid in pregnancy: Antepartum myomectomy and term delivery at a specialist hospital in Kano, Nigeria

2021 ◽  
Vol 3 (2) ◽  
Author(s):  
Iman Usman Haruna ◽  
Jamilu Tukur ◽  
Idris Usman Takai ◽  
Abdullahi Mustapha Miko Mohammed ◽  
Ali Abdurrahman Bunawa
Keyword(s):  
Caesarean Section ◽  
Acute Abdomen ◽  
Live Birth ◽  
Uterine Fibroid ◽  
Recent Literature ◽  
Caesarian Section ◽  
Term Delivery ◽  
In Pregnancy

Myomas are common in pregnancy and can go unnoticed. One in ten patients, however, develops complications that would necessitate their removal. Myomectomy performed at caesarian section had come to the lime light over the last decade and recent literature have shown its safety. There is still paucity of literature on myomectomy performed during pregnancy. Our case was a 25 years old primigravida at 21 weeks with features of acute abdomen secondary to uterine fibroid which was diagnosed during pregnancy. She subsequently had antepartum myomectomy and a live birth at term via caesarean section.

scholarly journals Antenatal Spontaneous Renal Forniceal Rupture Presenting as an Acute Abdomen

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Jennifer Travieso ◽  
Omar M. Young
Keyword(s):  
Acute Abdomen ◽  
Delayed Diagnosis ◽  
Kidney Injury ◽  
Percutaneous Nephrostomy ◽  
Gravid Uterus ◽  
Intractable Pain ◽  
Second Trimester ◽  
Improved Outcomes ◽  
Maternal And Neonatal Outcomes ◽  
In Pregnancy

Background. Renal forniceal rupture is a lesser-known cause of acute abdomen in pregnancy. The ureteral compression by the gravid uterus places pregnant women at a higher risk. Sequelae in pregnancy could include intractable pain, acute kidney injury, and preterm birth.Case. A 22-year-old primigravida with no prior medical history presented with an acute abdomen in her second trimester. The diagnosis of renal forniceal rupture was made by a radiologist using MRI. A percutaneous nephrostomy catheter was placed, and the patient’s pain was relieved. She subsequently delivered at term.Conclusion. Upon presentation of an acute abdomen in pregnancy, providers may not include renal forniceal rupture in their differential as readily as obstetric or gynecologic causes, resulting in delayed diagnosis, unnecessary invasive interventions, and potentially adverse maternal and neonatal outcomes. Increasing provider awareness could result in improved outcomes.

scholarly journals A Rare Cause of Acute Abdomen: An Isolated Falciform Ligament Necrosis

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Ziya Taner Ozkececı ◽  
Mustafa Ozsoy ◽  
Bahadır Celep ◽  
Ahmet Bal ◽  
Coskun Polat
Keyword(s):  
Acute Abdomen ◽  
Leukocyte Count ◽  
Exploratory Laparotomy ◽  
Falciform Ligament ◽  
Test Results ◽  
Imaging Studies ◽  
Anatomical Structures ◽  
Case Presentation ◽  
Air Density ◽  
Laboratory Test Results

The falciform ligament is one of the anatomical structures which attach the liver to the diaphragm and anterior abdominal wall. Primary falciform ligament is very rare. In this article, we present a case of an isolated falciform ligament necrosis, a rare primary pathology of the falciform ligament, who was admitted with acute abdomen. Case presentation: A 64-year-old female patient was admitted with the complaints of pain. Laboratory test results showed a leukocyte count of 17,000/mm3. Imaging studies demonstrated intra-abdominal reactionary fluid along with a heterogeneous mass localized in the falciform ligament. Exploratory laparotomy revealed a necrotic mass of the falciform ligament. No other pathology responsible for falciform ligament necrosis was found. We believe that falciform ligament necrosis should be considered a preliminary diagnosis, if any ligament abnormality, tumor, intraligament air density, or the presence of reactionary fluid surrounding the ligament is detected through abdominal imaging studies.

Acute Abdomen in Pregnancy: Are Tocolytics and Early Surgical Intervention Justified?

1998 ◽  
Vol 18 (2) ◽  
pp. 181-184
Author(s):  
M. El-Amin Ali ◽  
M. Arshad Cheema ◽  
M. Yahia Al-Shehri ◽  
Z.M.S. Zaki ◽  
Saeed Abu-Eshy ◽  
...  
Keyword(s):  
Acute Abdomen ◽  
Surgical Intervention ◽  
Early Surgical Intervention ◽  
In Pregnancy

scholarly journals The elusive diagnosis and emergent management of a late-presenting ruptured interstitial pregnancy: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lauren M. Ahlschlager ◽  
David Mysona ◽  
A. Jenna Beckham
Keyword(s):  
Uterine Cavity ◽  
Exploratory Laparotomy ◽  
First Trimester ◽  
Intrauterine Pregnancy ◽  
Case Presentation ◽  
Interstitial Pregnancy ◽  
Fertility Sparing ◽  
Missed Diagnosis ◽  
Poor Outcomes ◽  
First Trimester Ultrasound

Abstract Background Interstitial pregnancies are rare and often difficult to diagnose given their proximal position to the uterine cavity, however most are identified by 12 weeks gestation. Delayed or missed diagnosis contributes to heightened incidence of poor outcomes including hemorrhage and death. Case presentation A 35-year-old woman at 15 weeks gestation with confirmed intrauterine pregnancy on first trimester ultrasound and prior negative MRI presented in hemorrhagic shock and was found to have a ruptured interstitial pregnancy. Exploratory laparotomy revealed the fetus to be in the abdomen as well as a large cornual defect and abnormal placentation that resulted in supracervical hysterectomy. Conclusions Interstitial pregnancy should be considered in a patient presenting with symptoms consistent with ectopic rupture, especially in the setting of equivocal or suboptimal prior imaging. Earlier diagnosis may allow for fertility-sparing intervention and decreased risk of morbidity and mortality.

Pregnancy in Essential Thrombocythemia (ET): Experience with 40 Pregnancies.

Blood ◽  
2004 ◽  
Vol 104 (11) ◽  
pp. 1511-1511
Author(s):  
Eeva Juvonen ◽  
Riitta Niittyvuopio ◽  
Risto Kaaja ◽  
Kalevi Oksanen ◽  
Heikki Hallman ◽  
...  
Keyword(s):  
Live Birth ◽  
Pregnancy Loss ◽  
Birth Rate ◽  
Live Birth Rate ◽  
First Trimester ◽  
Common Complication ◽  
Platelet Counts ◽  
Complicated Pregnancy ◽  
First Time ◽  
In Pregnancy

Abstract 40 pregnancies of 16 women with ET were analyzed retrospectively. In 6 patients ET was diagnosed before the first pregnancy. In 10 patients thrombocytosis was detected for the first time during a pregnancy, and the diagnosis of ET was confirmed in the median of 17 months from the delivery. Of the pregnancies 45% (18/40) were complicated, 55% (22/40) uncomplicated, and 63% (25/40) resulted in live birth. 9/16 women had at least one complicated pregnancy. The most common complication was spontaneous abortion during the first trimester, seen in 33% of all pregnancies and comprising 72% of all complications. 2 intrauterine fetal deaths occurred at weeks 22 and 28. 3 pregnancies were complicated by eclampsia or pre-eclampsia. The non-pregnancy-related symptoms of ET or platelet counts before conception or during pregnancy did not correlate with the risk of complications. The median of maximum platelet counts during the first trimester in 16 pregnancies resulting in live birth was 757 x 109/l (255 – 1561 x 109/l) and in 13 pregnancies ending in pregnancy loss 835 x 109/l (697 – 1525 x 109/l) (p=0.25). The intrauterine fetal deaths occurred with platelet counts 553 and 574 x 109/l. In patients with eclampsia or pre-eclampsia the platelet counts were normal at the onset of the symptoms. Only 2 patients had other ET-related symptoms during pregnancy. 9 patients had ET-related symptoms before or between the pregnancies. In 4 of them the pregnancies were uncomplicated. Treatment for ET was or had been given to 11/16 (67%) women in 13 pregnancies either during the pregnancy or before conception or both. Acetylsalicylic acid (ASA) was given in 10 pregnancies of 9 patients. 2 continued with ASA throughout the pregnancy. In 7 patients ASA was started at 4–27 weeks of gestation, in 4 of them during the first trimester. 7 patients had received platelet lowering drugs before conception. 5 were on interferon (IFN) before conception; 3 of them switched over to ASA after conception, one continued with IFN after a 4-week break from week 15 onwards, one continued with IFN throughout the pregnancy. Both patients on IFN during the pregnancy received also ASA. 2 women had been treated with busulphan before conception; one because of previous recurrent miscarriages successfully before two pregnancies, and the other with no pregnancy planning 26 months before the conception. Pregnancy complications occurred in 18/27 (67%) pregnancies in women without any treatment and in 0/13 pregnancies in those with treatment before or during the pregnancy (p<0.001). The live-birth rate in the treated patients (13/13 pregnancies, 100%) was higher than that in the untreated patients (12/27 pregnancies, 44%)(p<0.001). 8/8 pregnancies with ASA alone resulted in live birth (difference from untreated patients p=0.01). Conclusion: Nearly half of the pregnancies in patients with ET were complicated and one third resulted in pregnancy loss. Treatment with ASA alone during pregnancy or platelet-lowering drugs before or during pregnancy was associated with lower risk of complications.

scholarly journals Pediatric Ovarian Torsion: A Diagnostic Challenge in COVID-19 Times

2020 ◽  
Vol 18 (2) ◽  
pp. 120-123
Author(s):  
R. Chanchlani ◽  
M. Jangid ◽  
R. Ahmad ◽  
P. Sharma
Keyword(s):  
Abdominal Pain ◽  
Surgical Intervention ◽  
Lower Abdominal Pain ◽  
Exploratory Laparotomy ◽  
Ovarian Torsion ◽  
Diagnosis And Treatment ◽  
Diagnostic Challenge ◽  
Delay In Diagnosis ◽  
Functional Loss ◽  
Early Surgical Intervention

Ovarian torsion is a rare gynecological emergency in children and an early surgical intervention is needed to salvage the ovary. Herein, we present a case of eight year old girl who presented with complaints of lower abdominal pain during ongoing COVID-19 pandemic. She was diagnosed as a case of ovarian torsion on right side. She underwent exploratory laparotomy and ovarian cystectomy was performed. Delay in diagnosis and treatment of ovarian torsion may have grave consequences, resulting in functional loss of the ovary.

scholarly journals Right Testicular Artery Occlusion and Acute Appendicitis by Angiostrongylus costaricensis

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Luis Enrique Sánchez-Sierra ◽  
Roberto Antonio Martínez-Quiroz ◽  
Héctor S. Antúnez ◽  
Humberto Cabrera-Interiano ◽  
Fernando Josué Barrientos-Melara
Keyword(s):  
Acute Abdomen ◽  
Pediatric Patients ◽  
Surgical Intervention ◽  
Clinical Manifestations ◽  
Signs And Symptoms ◽  
Artery Occlusion ◽  
Histopathological Study ◽  
Testicular Artery ◽  
Case Presentation ◽  
First Case

Introduction. Angiostrongylus costaricensis is a nematode from the superfamily Metastrongyloidea, whose etymology is “roundworm that lives in blood vessels”. This parasite can be found from the southern United States to northern Argentina and southern Brazil. In 1983, Morera and Ruiz published the first case of a testicular artery occlusion by A. costaricensis. Case Presentation. A five year old boy presented with eight days of pain, denying trauma backgrounds and followed with an increase of volume. The treatment was a right simply orchiectomy, finding necrosis of the testicle, the biopsy showed reddish-purple aspect and soft consistency. Histologic studies reveled the presence of a worm inside the testicular artery. Conclusion. The diagnosis of A. costaricensis infection should be considered in all pediatric patients, with signs and symptoms of orchitis or acute abdomen, from endemic areas, may cause occlusion of the testicular artery and appendicular artery causing testicular and cecal appendix necrosis, respectively, even putting the patient’s life at risk. The diagnosis is complex, because the clinical manifestations are similar to an orchitis or acute abdomen, therefore, the definitive diagnosis is made during the surgical intervention and histopathological study.

scholarly journals Idiopathic spontaneous haemoperitoneum in pregnancy

2017 ◽  
Vol 6 (9) ◽  
pp. 4120
Author(s):  
Mazrin Nur M. A. ◽  
Rohana I. ◽  
Hamidah H. ◽  
Syauki H. ◽  
Roziana R.
Keyword(s):  
Acute Abdomen ◽  
Exploratory Laparotomy ◽  
In Utero ◽  
Careful Examination ◽  
Hypovolaemic Shock ◽  
Abdominal Organs ◽  
Post Operation ◽  
In Pregnancy

We report a case of a 43-year-old grandmultipara at 26 weeks pregnancy with acute abdomen and in hypovolaemic shock. Urgent exploratory laparotomy revealed massive haemoperitoneum of 9 litres but the exact source of bleeding is obscured despite careful examination of the abdominal organs and vasculature. The patient recovered well post operation but the baby died in-utero. 

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