scholarly journals Uterine Torsion Masquerading as Abruptio Placentae: Diagnosed on Laparotomy

2020 ◽  
Author(s):  
Niranjan Mayadeo ◽  
Anusha Devalla
Keyword(s):  
Caesarean Section ◽  
Acute Abdomen ◽  
Postoperative Period ◽  
Clinical Presentation ◽  
Diagnostic Dilemma ◽  
Abruptio Placentae ◽  
Obstetric Emergency ◽  
Uterine Torsion ◽  
Life Threatening ◽  
The Right

Uterine torsion is a rare, life-threatening and unexpected obstetric emergency. It is almost always diagnosed at caesarean section. Its ill-defined clinical presentation may pose a diagnostic dilemma. Here the authors present a case of 32-year-old, Primigravida, 36 weeks pregnancy with acute abdomen and intrauterine foetal demise. Clinical features resembled Abruptio Placentae. The diagnosis of uterine torsion (180°) was established on laparotomy where the left ovarian ligament was seen on the right side anteriorly. A posterior hysterotomy was done to extract the baby which was followed by detorsion of the uterus. The postoperative period was uneventful.

scholarly journals A Painful Shoulder Revealing Langerhans Cell Histiocytosis

2020 ◽  
pp. 24-27
Author(s):  
N. A. R. Ranaivo ◽  
M. L. Rakotomahefa Narison ◽  
M. Bemena ◽  
S. H. Raobijaona
Keyword(s):  
Langerhans Cell Histiocytosis ◽  
Clinical Presentation ◽  
Bone Lesion ◽  
Langerhans Cell ◽  
Irregular Boundary ◽  
X Ray ◽  
Multidisciplinary Consultation ◽  
Life Threatening ◽  
Spontaneous Improvement ◽  
The Right

Introduction: Langerhans cell histiocytosis is a systemic proliferative disease. It is a rare disease that can affects all tissues. Evolution can be spontaneously favorable. Multi-organ involvement may be life-threatening. We report the case of an toddler with bone lesion and issues. Case Report: It was a 33-month-old infant with right shoulder pain. Clinically, she had a swelling in the front side of the right shoulder with a limited abduction. X-ray of the right shoulder showed osteolysis with an irregular boundary of the right humeral head. The blood work was normal. In view of the painful swelling of the right shoulder, a biopsy was performed. Histological examination confirmed the diagnosis of Langerhans histiocytosis. A conservative treatment was decided after a multidisciplinary consultation meeting. After six months, spontaneous improvement was noted. Conclusion: Langerhans cell histiocytosis is a proliferative pathology that can affect one or more organs. The clinical presentation is polymorphic according to the affected organ. An extension assessment is fundamental in the management in order to determine the treatment.

scholarly journals Giant mesenteric cystic lymphangioma: a rare cause of intra-abdominal catastrophe

2019 ◽  
Vol 6 (11) ◽  
pp. 4184
Author(s):  
Gopalakrishnan Gunasekaran ◽  
Debasis Naik ◽  
Sakthivel Chinnakkulam Kandhasamy ◽  
Dhirendra Nath Soren
Keyword(s):  
Head And Neck ◽  
Acute Abdomen ◽  
Rare Case ◽  
Clinical Presentation ◽  
Abdominal Mass ◽  
Cystic Lymphangioma ◽  
Life Threatening ◽  
Benign Tumours

Lymphangiomas are uncommon benign tumours and occur mainly in children with the most common sites being head and neck followed by the axilla and mediastinum. Intra-abdominal lymphangiomas are rare. Clinical presentation is diverse ranging from incidentally discovered abdominal mass to symptoms of acute abdomen. Life threatening complications are more likely to develop in children. We here present a rare case of giant mesenteric cystic lymphangioma causing intra-abdominal catastrophe in an adult.

scholarly journals Atypical presentation of thyroid storm: a diagnostic dilemma

2019 ◽  
Vol 12 (8) ◽  
pp. e231090 ◽  
Author(s):  
Arnab Banerjee ◽  
Renu Bala ◽  
Richa Aggarwal
Keyword(s):  
Early Diagnosis ◽  
Acute Abdomen ◽  
Thyroid Storm ◽  
Atypical Presentation ◽  
Successful Management ◽  
Diagnostic Dilemma ◽  
Life Threatening

Thyroid storm (accelerated hyperthyroidism) is an uncommon life-threatening emergency. The diagnosis is difficult and at times delayed owing to atypical presentation. Early diagnosis is the key to its successful management. We came across a patient who had presentations of acute abdomen but later diagnosed in thyroid storm. Multiorgan involvement leads all resuscitative measures futile and prevented us to salvage the patient.

scholarly journals A Rare Case Study of Torsion of a Non-Gravid Uterus

2018 ◽  
Vol 2 (3) ◽  
pp. 309-311
Author(s):  
Tulasa Basnet ◽  
Padam Raj Panta ◽  
Jyoti Sharma ◽  
Amrit Pokhrel
Keyword(s):  
Acute Abdomen ◽  
Clinical Diagnosis ◽  
Rare Case ◽  
Clinical Presentation ◽  
Abdominal Mass ◽  
Gravid Uterus ◽  
Ischemic Damage ◽  
Operative Finding ◽  
Uterine Torsion

Torsion of a non gravid uterus is a rare but potentially fatal event. It may lead to rapid clinical deterioration causing irreversible ischemic damage to the uterus. The rarity of the condition and its non specific clinical presentation make the clinical diagnosis difficult. In this report we discuss a case of uterine torsion in a 55 year old postmenopausal lady who presented in emergency with acute abdomen. On examination a huge abdominal mass arising from pelvis was noted. The operative finding was huge fundal myoma with uterine torsion.Birat Journal of Health SciencesVol.2/No.3/Issue 4/Sep- Dec 2017, Page: 309-311 

scholarly journals A Case of Pelvic Abscess Caused by Edwardsiella tarda followed by Laparoscopic Resection of a Hematoma Derived from Caesarean Section

2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
Koji Yamanoi ◽  
Koji Yasumoto ◽  
Jumpei Ogura ◽  
Takahiro Hirayama ◽  
Koh Suginami
Keyword(s):  
Abdominal Pain ◽  
Caesarean Section ◽  
Perinatal Period ◽  
Pelvic Abscess ◽  
Edwardsiella Tarda ◽  
Ileocecal Resection ◽  
Life Threatening Illness ◽  
Pelvic Hematoma ◽  
Life Threatening ◽  
The Right

Edwardsiella tarda (E. tarda) infections are rare and can be fatal. We report a case of an E. tarda abscess which developed in the hematoma originally derived from a caesarean section. A 24-year-old gravida 1 woman was admitted to our hospital with a complaint of abdominal pain. Approximately one month before her admission, pelvic hematoma had developed derived from caesarean section. Followed by the failure of conservative management, she underwent laparoscopic surgery to remove the hematoma 6 days before her admission. On computed tomography examination, we found that the abscess with a diameter of 9 cm was located in the right pelvic space. We punctured the abscess and identified E. tarda in the abscess. We continued administering antibiotics, but her symptoms, including fever and abdominal pain, became worse, and the abscess enlarged. We performed laparotomy drainage and ileocecal resection on the 10th posthospitalization day. After drainage surgery, the patient’s condition improved gradually, and the patient was discharged uneventfully. There are no reports in patients of E. tarda infection during the perinatal period. E. tarda infection can be a life-threatening illness even in immunocompetent patients. In the case of E. tarda infection, intensive care and surgical procedures should be considered.

Gluteal Compartment Syndrome Following Abdominal Aortic Aneurysm Treatment

2016 ◽  
Vol 15 (4) ◽  
pp. 354-359 ◽  
Author(s):  
Emanuela Viviani ◽  
Anna Maria Giribono ◽  
Donatella Narese ◽  
Doriana Ferrara ◽  
Giuseppe Servillo ◽  
...  
Keyword(s):  
Compartment Syndrome ◽  
Postoperative Period ◽  
Lower Limb ◽  
Acute Ischemia ◽  
Aorta Aneurysm ◽  
Abdominal Aortic ◽  
Life Threatening ◽  
Kissing Stent ◽  
The Right ◽  
Gluteal Compartment Syndrome

Compartment syndrome (CS) is a pathological increase of the interstitial pressure within the closed osseous fascial compartments. Trauma is the most common cause, followed by embolization, burns, and iatrogenic injuries; it usually involves the limbs. The major issue when dealing with CS is the possibility to do an early diagnosis in order to intervene precociously, through a fasciotomy, reducing the risk of tissue, vascular and nervous damage. Although it is an infrequent condition, it is potentially life threatening. In our case report, we present a 59-year-old patient, smoker, affected by hypertension, dyslipidemia, chronic renal failure, and morbid obesity who came at our attention for a 6-cm abdominal aorta aneurysm, treated with an aorto-aortic graft. Within 24 hours from surgery, the patient presented acute ischemia of the right lower limb due to thrombosis of the common iliac artery and underwent the positioning of a kissing stent at the aortic bifurcation. In the immediate postoperative period, a relevant increase in serum creatinine, creatine phosphokinase, and myoglobin value was recorded, associated with clinical presentation of swelling in the right buttock with intense pain. The diagnosis of gluteal CS was confirmed by the measurement of the gluteal compartment pressure, which resulted of 110 mm Hg. The treatment of the CS consisted in gluteal dermofasciotomy, surgical debridement of the buttock, and positioning of negative pressure medication, associated with infusive therapy, avoiding hemodialysis. Because of the epidural anesthesia only later on it was possible to observe a persistent plegia of the right lower limb, which was solved within 1 month of neurological and physical therapy. With our experience, we can state that the CS is an extremely severe complication that can occur in vascular surgeries and it should therefore be kept in mind in the short-term postoperative period in order to guarantee a precocious diagnosis and immediate treatment.

scholarly journals Native pulmonary valve infective endocarditis with septic embolisms and an infra-annular abscess

2020 ◽  
Author(s):  
Javier Rodriguez Lega ◽  
Uxue Murgoitio Esandi ◽  
Angel Gonzalez Pinto
Keyword(s):  
Risk Factors ◽  
Case Report ◽  
Infective Endocarditis ◽  
Postoperative Period ◽  
Clinical Presentation ◽  
Pulmonary Valve ◽  
Drug Abusers ◽  
Valvular Surgery ◽  
The Right ◽  
Annular Abscess

Infective endocarditis is nowadays one of the main indications for valvular surgery. When occurring in the right chambers of the heart, the tricuspid valve is the most commonly affected. Although this disease is usually present in injecting-drug abusers or patients with other predisposing risk factors, the incidence of native pulmonary valve infective endocarditis is the least frequent. This case report presents a 51-year-old patient with no relevant medical history that was admitted to our institution with sepsis. Further studies revealed a native pulmonary valve infective endocarditis complicated with infra-annular abscess and pulmonary septic embolisms. The following describes the clinical presentation of the case, echocardiograms, the surgical procedure, and the postoperative period. To date, few cases of native pulmonary valve infective endocarditis with no previous risk factors have been reported.

Possibilities of early ultrasound diagnosis of placenta accreta

2021 ◽  
Author(s):  
I.A. Pestrukhin , N.A. Vlasova
Keyword(s):  
Pregnant Woman ◽  
Caesarean Section ◽  
Postoperative Period ◽  
Apgar Score ◽  
Ultrasound Examination ◽  
Placenta Accreta ◽  
Ultrasound Diagnosis ◽  
Left Fallopian Tube ◽  
The Right ◽  
Screening Ultrasound

A case of ultrasound diagnosis of placenta accreta during early (8 weeks) and screening ultrasound examination at 12 weeks 4 days in a pregnant woman with a burdened obstetric history is presented. At 38 weeks, a planned caesarean section was performed, followed by hysterectomy and removal of the right ovary and left fallopian tube. A live girl was born, 3520 g / 54 cm, Apgar score 8/9. The course of the postoperative period in the woman was adequate to the severity of the operation. The child is now healthy. The diagnosis of true placenta percreta was confirmed intraoperatively and by the results of histological examination.

scholarly journals Clinical Presentation, Diagnosis, and Management of Idiopathic Enlargement of the Right Atrium: An Analysis Based on Systematic Review of 153 Reported Cases

Cardiology ◽  
2020 ◽  
pp. 1-10
Author(s):  
Jing Zhang ◽  
Li Zhang ◽  
Lin He ◽  
He Li ◽  
Yuman Li ◽  
...  
Keyword(s):  
Sudden Cardiac Death ◽  
Surgical Resection ◽  
Right Atrium ◽  
Cardiac Death ◽  
Clinical Presentation ◽  
Clinical Manifestations ◽  
Diagnosis And Management ◽  
Presenting Symptoms ◽  
Life Threatening ◽  
The Right

Idiopathic enlargement of the right atrium (IERA) is a rare cardiac anomaly, and only sporadic cases have been reported. Little is known about its clinical relevance, and inconsistencies in medical and surgical management remain among different settings. In this paper, we systematically reviewed the published cases of the IERA in terms of clinical presentation, diagnosis, and management. A total of 153 cases of IERA were covered. Arrhythmia, dyspnea, and palpitation were found to be the most common clinical manifestations. It tends to be associated with life-threatening complications and sudden cardiac death. Diagnosis was mostly established by using echocardiography. Presenting symptoms, abnormal ECG findings, and therapeutic modalities were significantly related to the prognosis of IERA. Symptomatic patients were significantly more likely to have poor outcomes than asymptomatic patients (<i>p</i> = 0.044), and conservative treatment was more associated with adverse outcomes compared to surgical resection (<i>p</i> = 0.016). In conclusion, IERA, although rare, tends to be associated with potential life-threatening complications and sudden cardiac death. Echocardiography is the most common diagnostic modality. Surgical resection is indicated for symptomatic patients.

scholarly journals Chronic Uterine Inversio due to Myoma Geburt

2020 ◽  
Vol 4 (1) ◽  
pp. 110-113
Author(s):  
Bobby Indra Utama, SpOG(K)
Keyword(s):  
Severe Pain ◽  
Vaginal Bleeding ◽  
Hypovolemic Shock ◽  
Total Hysterectomy ◽  
Obstetric Emergency ◽  
Uterine Inversion ◽  
Threatening Condition ◽  
Life Threatening ◽  
Low Incidence ◽  
The Right

Background: Uterine inversion is a rare obstetric emergency but potentially serious complication of labour. This disease characterized by severe pain and can cause life threatening condition. If these not immediately identified, the massive and underestimated blood loss can lead to hypovolemic shock. There for, early diagnosis and management of this condition is desirable.Objective: Report on the management of chronic uterine inversion due to myoma geburtMethods: Case reportCase: A 46 years old patient was admitted to the gynaecology ward of Dr. M. Djamil Central General hospital with slight bleeding from vagina since 1 month ago with 2-3 pieces of underware dark-red colored, with pain. Bleeding from the vagina often recurs. There was a mass revealed from vagina with size as big  as baby’s head. The mass  had pus and necrotic tissue.Conclusion: Uterine inversion is an serious obstetric complication due to life threaten of the patient. Its low incidence leads to scarce experience in solving this kind of situation. There are some risk factors or mechanism as an underlying etiology of uterine inversion. The authors concluded that the presence of myoma geburt can be assosiated with the chronic uterine inversion. Surgical approach by eksterpation of myoma geburt with  total hysterectomy can be the right procedure. Therefore, it is essential to keep in mind this diagnosis in all cases of vaginal bleeding. Keywords: uterine inversion; myoma geburt

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