Tubo Ovarian Mass in Reproductive Age Group-Chronic Ectopic Pregnancy –Late Presentation, a Case Report

2017 ◽  
Vol 16 (06) ◽  
pp. 19-20
Author(s):  
Dr. Nasiya Mohamad Ac ◽  
Dr. Neeraja . S ◽  
Dr .K . Saraswathi
Keyword(s):  
Case Report ◽  
Ectopic Pregnancy ◽  
Late Presentation ◽  
Reproductive Age ◽  
Age Group ◽  
Ovarian Mass ◽  
Reproductive Age Group

scholarly journals Clinico-Ultrasonographic Profile of Ectopic Pregnancy in Western Nepal

2018 ◽  
Vol 8 (1) ◽  
pp. 2-6
Author(s):  
Sangeeta Devi Gurung ◽  
Prakash Sharma
Keyword(s):  
Ectopic Pregnancy ◽  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Radiological Finding ◽  
Previous History ◽  
First Trimester ◽  
Reproductive Age ◽  
Age Group ◽  
Type Iii ◽  
Reproductive Age Group

Introduction: Ectopic pregnancy (EP) is one of the major complications in first trimester pregnancy, resulting in increased maternal morbidity and mortality. It accounts for 1.3-2.4% of all pregnancies. Previously, though laparoscopy was considered as the gold standard for diagnosis of ectopic pregnancy, due to availability of high resolution ultrasound, it has become the first line investigation for the diagnosis of ectopic pregnancy.Methods: It is a prospective study conducted in Manipal Teaching Hospital, Pokhara, from January 2015 till December 2017. All the cases diagnosed with ectopic pregnancy were included in the study.  Ultrasonological and intraoperative findings were recorded. Data was analyzed using SPSS (VERSION 16).Results: Twenty six patients were diagnosed with ectopic pregnancies. The incidence was 0.35%. It was most common among the reproductive age group between 20-40 years with mean age of 30.50 years. Pelvic inflammatory disease (n=10, 38.5%) was considered as risk factor. Radiological finding of Type III ectopic pregnancy (n=21, 80.8%) was the most common type.Conclusion: Ectopic pregnancy is common among reproductive age group with previous history of pelvic inflammatory disease. Type III is the most common type.

scholarly journals Twisted Fimbrial Cyst (Paraovarian Cyst): A Rare Cause of Acute Abdomen

2013 ◽  
Vol 6 ◽  
pp. CCRep.S13527
Author(s):  
Monika Rathi ◽  
Rehana Najam ◽  
Satish Kumar Budania ◽  
Seema Awasthi ◽  
Faiyaz Ahmad ◽  
...  
Keyword(s):  
Ectopic Pregnancy ◽  
Acute Abdomen ◽  
Clinical Diagnosis ◽  
Reproductive Age ◽  
Age Group ◽  
Paraovarian Cyst ◽  
Reproductive Age Group

We present a case of a 22-year-old female who presented with acute abdomen and amenorrhea. Emergency laprotomy was done with a clinical diagnosis of ectopic pregnancy. On laprotomy, twisted fimbrial cysts were found. Thus, although fimbrial cysts are rarely twisted, they should be considered as a cause of acute abdomen in a female of reproductive age group.

scholarly journals A clinical study on ectopic pregnancy

2017 ◽  
Vol 5 (11) ◽  
pp. 4776
Author(s):  
Mamata Soren ◽  
Ranjita Patnaik ◽  
Bismoy Kumar Sarangi
Keyword(s):  
Ectopic Pregnancy ◽  
Reproductive Age ◽  
Medical Emergency ◽  
Diagnostic Tools ◽  
Age Group ◽  
Lower Abdomen ◽  
The Past ◽  
Surgical Emergencies ◽  
Β Hcg ◽  
Reproductive Age Group

Background: Ruptured ectopic pregnancy is a medical emergency; therefore, it is imperative to diagnose the unruptured ectopic pregnancy such that timely intervention will prevent morbidity and mortality Today with availability of monoclonal β-HCG, high resolution transvaginal scan and laparoscopy it is possible to make early diagnosis even before rupture.Methods: Prospective study of two years duration with sample of 72 cases of suspected ectopic pregnancy observed and treated out of total 20193 pregnant women admitted were included in this study.Results: The incidence was 0.36%, maximum between the age group of 26-30 years (33.3%). Risk factors were tubectomy (30.56%), D and C (6.94%), PID (5.6%), previous ectopic (1.39%), IUCD (2.78%). The typical triad of amenorrhoea, pain abdomen and bleeding was observed in 54.2% of cases. 19 patients were brought in shock (26.4%). Ultrasonography done in 56 cases.Conclusions: There is an increase in the incidence of ectopic pregnancy but a decrease in maternal mortality during the past two decades. Although the early diagnostic tools were available, we had to manage most of our patients as surgical emergencies, as they were brought late in the trial, with established diagnosis of ruptured ectopic pregnancy. Physicians should be sensitive to the fact that in the reproductive age group any women presenting with pain in the lower abdomen, diagnosis of ectopic pregnancy should be entertained irrespective of the presence or absence of amenorrhoea, whether or not she has undergone sterilization. 

scholarly journals Acute abdomen with adnexal masses in the reproductive age group: diagnosis and management

2020 ◽  
Vol 9 (6) ◽  
pp. 2337
Author(s):  
Anuradha D. Murki ◽  
Vasundhara Kamineni ◽  
Sowmya R. Velagapudi ◽  
Ashok K. Deshpande
Keyword(s):  
Ectopic Pregnancy ◽  
Acute Abdomen ◽  
Adnexal Mass ◽  
Abdominal Distension ◽  
Reproductive Age ◽  
Age Group ◽  
Adnexal Masses ◽  
Benign Ovarian Tumours ◽  
The Common ◽  
Reproductive Age Group

Background: Women with adnexal masses can present with acute symptoms such as abdominal pain, nausea and vomiting. As there is insufficient evidence on the frequency, presentation and management of adnexal masses we conducted this study to evaluate the clinical profile, surgical findings and histopathology of adnexal masses in women presenting with acute abdomen and needing surgical intervention.Methods: In this prospective observational study, history, examination, investigations and ultrasound of abdomen and pelvis were evaluated in women presenting with acute abdomen with adnexal mass and needing surgical intervention. Diagnosis was confirmed from the operative findings and histopathology. Etiology and its correlation with clinical symptoms and signs and radiological diagnosis formed the primary objective of the study.Results: Of the 79 patients enrolled in the study, the mean age was 30.82±6.69 years. Younger women were likely to have ectopic pregnancy while older women (>35 years) other tubal pathologies. Pain abdomen (n=70) and nausea (n=53), bleeding per vagina(n=33), menstrual irregularities (n=18), fever (n=10) abdominal distension (n=10) and dysuria (4) were the common symptoms. Etiology of the adnexal mass was ectopic pregnancy (57%), ovarian mass (34%), tubal mass (7.5%), tube and ovary (2.5%) in 46, 25, 6 and 2 patients respectively. 61% (n=48) of the women underwent laparoscopic management. Women with ruptured ectopic pregnancy were more likely to have abdominal distension, pallor, hypotension, cervical motion tenderness and need for blood transfusions.Conclusions: In women from reproductive age group with adnexal mass and needing surgery, ectopic pregnancies and benign ovarian tumours were the common etiologies. Urine pregnancy test and ultrasound are useful tests to differentiate ectopic from ovarian and tubal pathology.

scholarly journals A Case Study on Ayurvedic Management of Ovarian Endometrioma

2021 ◽  
pp. 103-105
Author(s):  
Asha Sreedhar ◽  
Kavitha K.S
Keyword(s):  
Ovarian Cancer ◽  
Case Report ◽  
Natural Process ◽  
Uterine Bleeding ◽  
Reproductive Age ◽  
Age Group ◽  
Ovarian Endometrioma ◽  
Malignant Changes ◽  
Reproductive Age Group

Menstruation is purely a natural process occurring in a woman’s body each month. It is the visible manifestation of cyclic uterine bleeding due to shedding of endometrium. Endometriosis is a common health problem for women. It is the occurrence of benign ectopic endometrial tissues outside the uterus. Ovarian endometrioma is the most common form of endometriosis. It increases the risk of ovarian cancer in reproductive age group among woman. Although most of the endometriomas are benign, some of them may undergo malignant changes. This is the case report of a 38 year old lady who presented with increased menstrual bleeding with excessive clots, dysmenorrhoea, burning micturition, and dyspareunia. On USG she was detected to have bilateral hydrosalpinx and ovarian endometrioma. Based on the clinical features presented by the patient amapachana, kaphapittasamana and vataanulomana mode of management was given. After six months of internal medications symptoms reduced considerably and there was no endometrial cysts and features of hydrosalpinx in USG.

scholarly journals A Ruptured Granulosa Cell Tumor of Ovary in a Postmenopausal Women presented with Acute Abdomen

2012 ◽  
Vol 4 (3) ◽  
pp. 167-168
Author(s):  
Deepti Shrivastava ◽  
Anuradha Kakani ◽  
Neha Pryadarsani
Keyword(s):  
Ectopic Pregnancy ◽  
Postmenopausal Women ◽  
Acute Abdomen ◽  
Granulosa Cell ◽  
South Asian ◽  
Granulosa Cell Tumor ◽  
Cell Tumor ◽  
Reproductive Age ◽  
Age Group ◽  
Reproductive Age Group

ABSTRACT Gynecological emergencies may be encountered in postmenopausal ladies like that of ruptured ectopic pregnancy in the reproductive age group. We report a case of ruptured granulosa cell tumor in a 60-year-old woman who presented with acute abdomen and hemoperitoneum. How to cite this article Kakani A, Pryadarsani N, Shrivastava D. A Ruptured Granulosa Cell Tumor of Ovary in a Postmenopausal Women presented with Acute Abdomen. J South Asian Feder Obst Gynae 2012;4(3):167-168.

scholarly journals Sonographic and histopathological findings in ovarian dermoid cyst

2017 ◽  
Vol 4 (2) ◽  
pp. 27-32
Author(s):  
Pooja Jaiswal ◽  
Shital Bhandary ◽  
Shreejana Shrestha ◽  
Yogita Dwa ◽  
Binod Parmar ◽  
...  
Keyword(s):  
Dermoid Cyst ◽  
Ovarian Cyst ◽  
Wide Spectrum ◽  
Reproductive Age ◽  
Age Group ◽  
Ovarian Mass ◽  
Abdominal Sonography ◽  
Histopathological Findings ◽  
Ovarian Dermoid Cyst ◽  
Reproductive Age Group

Introductions: Ovarian dermoid cyst occurs most commonly in reproductive age group. It consists all three layers of germ cells, in variable composition resulting in wide spectrum of USG findings. This study aimed to find the association between sonographic and histopathological findings of dermoid cyst. Methods: This was a retrospective study consisting of 55 cases of complex ovarian cysts with features of dermoid cyst, during two years 2013-2015. The diagnostic accuracies of trans-abdominal sonography findings were compared with post-operative histopathology reports. Results: Among 55 cases of complex ovarian cyst with sonographic features of dermoid, histopathology was benign in 52 (94.5%) and malignant in 3 (5.5%). In 52 benign cysts, 25 (48.0%) were teratoma and 27 (51.9%) were other benign masses. Conclusions: The accuracy of ultrasound was 95% in the diagnosis of ovarian cyst and is the modality of choice for initial workup of ovarian mass.  

scholarly journals Krukenburg Tumour Presented as Multiple Abdominal Lumps - A Case Report

2018 ◽  
Vol 9 (1) ◽  
pp. 38-40
Author(s):  
Sami Ahmad ◽  
Jawhar Lal Singha ◽  
Nadim Ahmed
Keyword(s):  
Case Report ◽  
Gastric Resection ◽  
Malignant Cell ◽  
Primary Site ◽  
Reproductive Age ◽  
Age Group ◽  
Women Of Reproductive Age ◽  
Gastric Tumour ◽  
Ovarian Involvement ◽  
Reproductive Age Group

Krukenberg tumour is metastatic ovarian involvement of adenocarcinoma in women of reproductive age group. The primary site is commonly in stomach but less commonly from other parts of gastrointestinal tract and uncommonly from other organs. The route of metastasis of this tumour is still not proven though the raw ovarian surface and transperitoneal invitation of malignant cell is one of the postulations. As is the etiology so is the resection of either ovarian or gastric tumour failed to show any improvement of this condition. Ovarian resection can be done in the form of salphingo-oophorectomy with or without hysterectomy. Gastric resection is also done in the same or subsequent sitting according to stage and presentation. We report such an uncommon entity in a 33 year old lady presenting with lower abdominal lump.J Shaheed Suhrawardy Med Coll, June 2017, Vol.9(1); 38-40

Tampon-Associated Toxic Shock Syndrome—A Case Report

1981 ◽  
Vol 26 (3) ◽  
pp. 254-256 ◽  
Author(s):  
C. G. Semple ◽  
I. Fogelman
Keyword(s):  
Case Report ◽  
Toxic Shock Syndrome ◽  
Reproductive Age ◽  
Age Group ◽  
Toxic Shock ◽  
The Usa ◽  
Reproductive Age Group

We report a case of tampon-associated toxic shock syndrome occurring in a 16-year-old girl. While this condition has been reported almost exclusively from the USA it is likely that TSS will be recognised elsewhere with increasing frequency as physicians become more aware of its existence. We consider that TSS must be considered in any hypotensive female in the reproductive age group with diarrhoeal illness.

A very large leiomyoma of the urethra: A case report

2017 ◽  
Vol 85 (2) ◽  
pp. 79-82 ◽  
Author(s):  
Paolo Fedelini ◽  
Francesco Chiancone ◽  
Maurizio Fedelini ◽  
Marco Fabiano ◽  
Francesco Persico ◽  
...  
Keyword(s):  
Case Report ◽  
Foley Catheter ◽  
Reproductive Age ◽  
Age Group ◽  
Women Of Reproductive Age ◽  
The Mean ◽  
Tract Infections ◽  
Mesenchymal Tumours ◽  
Reproductive Age Group

Introduction: Leiomyomas are benign mesenchymal tumours of smooth muscle origin. They are the most common uterine masses in women of reproductive age group and may be related to the hormonal status. Urethral leiomyomas are very rare. According to the literature, the mean diameter of the urethral leiomyomas is 3.7 cm. Case report: We report a case of a very large leiomyoma of the urethra. A 40-year-old women woman was admitted to our department for a giant vaginal mass. She complained of haematuria, dysuria, recurrent urinary tract infections and dyspareunia. The physical evaluation demonstrated a 6 × 5.5 cm neoformation involving the distal tract of the urethra. The patient underwent an ultrasonography and then a magnetic resonance that suggested the diagnosis of leiomyoma. The neoformation was excised through a suburethral incision. Conclusions: The patient was discharged after 3 days and no intraoperative and postoperative complications occurred. The Foley catheter was removed after a week. The patient was continent to urine, and at 6 months follow-up, the patient was symptom free and no recurrences occurred.

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