scholarly journals Isolated Fallopian Tubal Torsion Complicated by a Large Hydrosalpinx in a Perimenopausal Woman

2021 ◽  
Author(s):  
Masanori Kanemura ◽  
Atsushi Yoshida ◽  
Akihiko Toji ◽  
Yumi Murayama ◽  
Emi Iwai
Keyword(s):  
Laparoscopic Surgery ◽  
Fallopian Tube ◽  
Acute Abdominal Pain ◽  
Abdominal Cavity ◽  
Ovarian Tumour ◽  
Cystic Mass ◽  
Lower Abdomen ◽  
Acute Pelvic Pain ◽  
Magnetic Resonance Imaging Mri ◽  
Left Fallopian Tube

Adnexal torsion frequently causes acute pelvic pain in women. Ovarian tumour torsion is common; twisting and torsion of a fallopian tube are rare. This report presents a rare case of fallopian tubal torsion requiring the management of a large hydrosalpinx with laparoscopic surgery. A 48-year-old woman reported with acute abdominal pain and lower abdomen tenderness. Transvaginal ultrasonography and Magnetic Resonance Imaging (MRI) showed a cystic mass on the anterior uterine surface. Emergency surgery was performed for a suspected torsion of the left ovarian cyst. In the abdominal cavity, the left fallopian tube was enlarged (neonatal head size), dark purple coloured, and exhibited a 180° torsion; the left ovary was normal. Laparoscopic left salpingectomy was performed and the postoperative course was uneventful. Surgical pathology revealed hydrosalpinx with torsion. As diagnosing isolated fallopian tube torsion before surgery is difficult, laparoscopic surgery is useful in diagnosing and treating isolated tubal torsion.

scholarly journals N.I. Kuskov. - A case of a teratoid tumor. - (Collection of Labor. Doctors of St. Petersburg. Maryinskaya Hospital. Issue II, St. Petersburg, 1893, p. 85).

2020 ◽  
Vol 9 (9) ◽  
pp. 811-812
Author(s):  
N. Kakushkin
Keyword(s):  
Small Intestine ◽  
Fallopian Tube ◽  
Constant Pressure ◽  
Abdominal Cavity ◽  
Left Fallopian Tube

When a 28-year-old woman who had died of putrefactive peritonitis was opened, an opening was found in the small intestine (at the border of the lean and ileal), communicating with the abdominal cavity and with the cavity formed into the omentum. In the hole protruded a bone with teeth - the remains of a teratoma. The gland cavity is connected to a cord that goes directly into the left Fallopian tube. The author believes that at the known time of uterine life, the left tube with the ovary, in which the teratoma developed, did not descend into the pelvis, but grew to the omentum and overgrown with it; the bone of the teratoma with constant pressure ulcerated the wall of the adjacent intestine.

scholarly journals Mature cystic teratoma arising from the fimbrial end of the left fallopian tube. a case report

2019 ◽  
Vol 48 (2) ◽  
pp. 030006051988219
Author(s):  
Szu-Yuan Chou ◽  
Chi-Huang Chen ◽  
Shang-Yu Tzeng ◽  
Yu-Ching Wen ◽  
Ming-Cheih Lin ◽  
...  
Keyword(s):  
Fallopian Tube ◽  
Histopathological Examination ◽  
Cystic Teratoma ◽  
Exploratory Laparotomy ◽  
Abdominal Discomfort ◽  
Mature Cystic Teratoma ◽  
Lower Abdomen ◽  
Less Invasive Surgery ◽  
Palpable Mass ◽  
Left Fallopian Tube

We present a rare case of a woman with a mass containing soft tissue, fat, and calcified components attached to the fimbrial end of the left fallopian tube. A 38-year-old nulligravida woman who visited our clinic for infertility counseling had mild abdominal discomfort and a palpable mass in the lower abdomen. Multiple examinations were performed. Preoperatively, we considered that the patient had teratoma or teratocarcinoma of the left ovary. On exploratory laparotomy, we found that she had a mass with protuberances and a bulbous projection at one surface that was attached to the fimbrial end of the left fallopian tube. A histopathological examination showed a mature cystic teratoma that arose from the fimbrial end of the fallopian tube. Obstetricians should be aware of this abnormality. Early detection of this abnormality is advantageous for infertility counseling and planning of less invasive surgery in the hospital.

scholarly journals Isolated Fallopian Tube Torsion in Adolescents

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
S. Rajaram ◽  
S. Bhaskaran ◽  
S. Mehta
Keyword(s):  
Fallopian Tube ◽  
Adolescent Girls ◽  
Surgical Intervention ◽  
Cystic Mass ◽  
Reproductive Age ◽  
Imaging Features ◽  
Lower Abdomen ◽  
Women Of Reproductive Age ◽  
First Case ◽  
Paratubal Cyst

Background. Fallopian tube torsion is a rare cause of acute abdomen, occurring commonly in females of reproductive age. It lacks pathognomonic symptoms, signs, or imaging features, thus causing delay in surgical intervention.Case. We report two cases of isolated fallopian tube torsion in adolescent girls. In the first case a 19-year-old patient presented with acute pain in the left iliac region associated with episodes of vomiting for one day and mild tenderness on examination. Laparoscopy revealed left sided twisted fallopian tube associated with hemorrhagic cyst of ovary. The tube was untwisted and salvaged. In another case an 18-year-old virgin girl presented with similar complaints since one week, associated with mild tenderness in the lower abdomen and tender cystic mass on per rectal examination. On laparoscopy right twisted fallopian tube associated with a paratubal cyst was found. Salpingectomy was done as the tube was gangrenous.Conclusion. Fallopian tube torsion, though rare, should be considered in women of reproductive age with unilateral pelvic pain. Early diagnostic laparoscopy is important for an accurate diagnosis and could salvage the tube.

scholarly journals Benign papillary cystadenofibroma of fallopian tube presenting as posterior fornix cyst: case report

2020 ◽  
Vol 10 (1) ◽  
pp. 364
Author(s):  
Gude Prajakta Narayanrao ◽  
P. V. Srinivasan ◽  
R. Kala
Keyword(s):  
Fallopian Tube ◽  
Incidental Finding ◽  
Female Genital Tract ◽  
Cystic Mass ◽  
Uneventful Recovery ◽  
Rare Tumor ◽  
First Case ◽  
Posterior Fornix ◽  
Left Fallopian Tube

Benign papillary cystadenofibroma of fallopian tube is very rare tumor of female genital tract. Usually asymptomatic and incidental finding. Worldwide literature only 18 cases were found. On account of its rarity and best of our knowledge, is the first case of benign papillary cystadenofiboma presented as posterior fornix cyst, so we are presenting this case. We report a rare case of benign papillary cystadenofibroma of fallopian tube in a 30-years old female P3L3 presenting with abdominal pain. On examination abdomen was soft, per vaginally mobile non-tender cystic mass of 5×4 cm was noted. Laparotomy was planned. Intraoperatively 5x4 cm cyst arising from serosal surface of left fallopian tube near fimbrial end noted with bilateral ovaries normal. Left fimbrial cystectomy with salpingectomy was done with sparing both ovaries. Histopathology suggestive of benign papillary cystadenofibroma of fallopian tube. Patient had uneventful recovery in follow up period. Benign papillary cystadenofibroma of fallopian tube is rare tumor found incidentally. Tumor seems to have benign course only cystectomy is required for treatment.

scholarly journals Endosalpingiosis with concurrent endometriosis of ovary masquerading as ovarian malignancy

2020 ◽  
Vol 9 (6) ◽  
pp. 2595
Author(s):  
Amita Shah ◽  
Rinchen Zangmo ◽  
Kalpana Jain
Keyword(s):  
Abdominal Cavity ◽  
Female Genital Tract ◽  
Stable Condition ◽  
Exploratory Laparotomy ◽  
Posterior Wall ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Cystic Mass ◽  
Low Grade ◽  
Lower Abdomen

Endosalpingiosis is a rare gynecological disorder of müllerian origin, characterized by the presence of tubal epithelium outside the fallopian tube, which involves structures of the female genital tract, peritoneum, and sub-peritoneal tissues. Endosalpingiosis can be associated with endometriosis or endocervicosis, although it often appears alone. Authors report a case of endosalpingiosis with concurrent endometriosis in a 42-year-old P2L1 patient. The patient presented to us with complaints of heaviness in lower abdomen, a feeling a lump in the lower abdomen and low-grade fever for 15 days. On per abdominal examination, a large solid cystic mass up to 20 weeks size was felt, which was more on the left side. Cervix was normal on speculum examination, the same mass was felt on per vaginal examination, separate from the uterus, the right fornix appeared free. Patient was asked to get a set of investigations done and to review as early as possible. An exploratory laparotomy with peritoneal wash cytology, total abdominal hysterectomy, bilateral salpingo-ophorectomy with supracolic and infracolic omentectomy and bilateral pelvic lymph nodes dissection was done on 18/07/18. Per operatively, there was a large cystic mass occupying the abdominal cavity adhered to the bowel and to posterior wall of the uterus, adhesiolysis followed by staging laparotomy was done.Patient’s postoperative course was uneventful and she was discharged on the 5th day of surgery in stable condition. The final histopathology report was suggestive of endosalpingiosis with concurrent endometriosis.

scholarly journals Acute Mesenteric Vein Thrombosis in a Pregnant Patient at 10 Weeks Gestation: A Case Report

Diagnostics ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. 1348
Author(s):  
Ying-Ying Chen ◽  
Sheng-Mao Wu ◽  
Russell Oliver Kosik ◽  
Yi-Chien Hsieh ◽  
Tzu-I Wu ◽  
...  
Keyword(s):  
Acute Abdominal Pain ◽  
Clinical Manifestations ◽  
Pregnant Patient ◽  
Resonance Imaging ◽  
Advanced Imaging ◽  
Mesenteric Vein Thrombosis ◽  
Mesenteric Vein ◽  
Vein Thrombosis ◽  
Management Perspective ◽  
Magnetic Resonance Imaging Mri

Acute abdominal pain during pregnancy is challenging, both from a diagnostic and management perspective. A non-localized, persistent pain out of proportion to physical examination is a sign that advanced imaging may be necessary. Mesenteric venous thrombosis in a pregnant patient is extremely rare, but if diagnosis is delayed, can be potentially fatal to both the mother and the fetus. We present here a pregnant patient in the tenth week of gestation with classic clinical manifestations of mesenteric vein thrombosis and the corresponding findings on magnetic resonance imaging (MRI) and computed tomography (CT).

scholarly journals Minilaparotomy a Good Option in Specific Cases: A Case Report of Bilateral Ovarian Germ Cell Tumor

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
D. Bolla ◽  
N. Deseö ◽  
A. Sturm ◽  
A. Schöning ◽  
C. Leimgruber
Keyword(s):  
Acute Abdominal Pain ◽  
Adnexal Mass ◽  
Past History ◽  
Ovarian Tissue ◽  
Abdominal Cavity ◽  
Operating Time ◽  
Expectant Management ◽  
Small Incision ◽  
Risk Of Rupture ◽  
The Right

Mature cystic teratomas (MCTs) of the ovary represent 44% of ovarian neoplasmas. The surgical approach is important in young women especially for the cosmetic results. Nowadays most of the ovarian surgeries can be performed laparoscopically. An alternative between laparoscopy and laparotomy is the minilaparotomy (ML) which can be an interesting option, thanks to the small incision. We report a 39-year-old woman who was referred to our hospital with acute abdominal pain. In her past history the patient had an uncomplicated delivery. During pregnancy a 6 cm bilateral MCT was diagnosed and expectant management was followed. A left-sided ovarial torsion was postulated, and laparoscopic detorsion was performed. To avoid a rupture of the left MCT, the operation was interrupted. To remove the cyst, a ML was done two weeks later. A left-sided salpingo-oophorectomy was performed due to a large cyst including the entire ovary. On the other side, the right dermoid cyst was entirely removed. The advantage of a ML is not only shorter operating time with less learning curve compared to laparoscopy but also the possibility to extract the adnexal mass from the abdominal cavity with lower risk of rupture and in addition the possibility to preserve more ovarian tissue.

scholarly journals Misdiagnosis of a Giant Uterine Leiomyosarcoma: Clinic and Image Challenges

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Jila Agah ◽  
Sedighe Karimzadeh ◽  
Fateme Moharrer Ahmadi
Keyword(s):  
Abdominal Distension ◽  
Gastrointestinal Disorder ◽  
Cystic Mass ◽  
Pathology Report ◽  
Uterine Leiomyosarcoma ◽  
Peripheral Tissues ◽  
Chief Complaints ◽  
Magnetic Resonance Imaging Mri ◽  
Diagnostic Modalities ◽  
Serous Cyst Adenoma

A 41-year-old woman (G3P2L2Ab1) was referred to gynecology clinic with chief complaints of abdominal distension and localized abdominal wall pruritus for three months. She was misdiagnosed with gastrointestinal disorder and ultimately had undergone imaging. Ultrasonography and computed tomography (CT) scan disclosed a huge solid-cystic mass originating from the ovary. On clinical examination the patient had no pain or tenderness and no gynecologic complaints. Laboratory tests showed normal tumor markers and hemoglobin at 8 g/dl. Laparotomy was carried out as diagnosis of ovarian serous cyst adenoma, but a huge tumor with attachment to uterus and ovaries and extension to pelvic floor, peripheral tissues of ureter, and upper abdomen was found. Hysterectomy with bilateral salpingooophorectomy was done. Pathology report demonstrated uterine leiomyosarcoma measuring 40 centimeters and weighing 10 kilograms. In conclusion, as pelvic masses even in a large size may present unspecific symptoms misdiagnosis may occur which lead to overgrowth, local invasion, or other complications. So, it is rather to suggest ultrasonography in patients with persistent abdominal or pelvic symptoms and if needed, more exact diagnostic modalities like magnetic resonance imaging (MRI) could be offered to avoid misdiagnosis and mismanagement.

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