scholarly journals Management of an Infected Vesicourachal Diverticulum in a 42-Year-Old Woman

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Maria Erodotou ◽  
Maria Isaia ◽  
Georgios Fragkiadakis ◽  
Theocharis Tontikidis ◽  
Kosmas Tyriakidis ◽  
...  
Keyword(s):  
Histopathological Examination ◽  
Abdominal Mass ◽  
Lower Abdominal Pain ◽  
Surgical Excision ◽  
Imaging Studies ◽  
Intravenous Antibiotic ◽  
Urachal Remnant ◽  
Clinical Conditions ◽  
Jj Stent ◽  
Palpable Abdominal Mass

Urachal remnant anomalies are uncommon in adults and can be confused with a variety of clinical conditions when symptomatic or infected. Vesicourachal diverticulum is the rarest type, accounting for approximately 3% to 5% of congenital urachal anomalies. We report the case of a 42-year-old female patient, who presented to the emergency department with lower abdominal pain and a palpable abdominal mass. An infected vesicourachal diverticulum was diagnosed after imaging studies and was initially treated with intravenous antibiotic therapy and drainage of the urachal diverticulum to the urinary bladder through a JJ stent. Finally, the patient underwent open surgical excision of the urachal remnant. The postoperative course was uneventful, and the histopathological examination confirmed the diagnosis of vesicourachal diverticulum. We recommend drainage of an infected vesicourachal diverticulum through the bladder by JJ stent placement inside its lumen during cystoscopy, as an alternative to percutaneous drainage reported in the literature.

scholarly journals Lipoleiomyosarcoma an extremely unusual sarcoma of uterus: A case report

1970 ◽  
Vol 2 (1) ◽  
pp. 67-70 ◽  
Author(s):  
Abhimanyu Jha ◽  
Gita Sayami ◽  
Deepti Adhikari
Keyword(s):  
Smooth Muscle ◽  
Abdominal Pain ◽  
Case Report ◽  
Postmenopausal Woman ◽  
Unusual Case ◽  
Histopathological Examination ◽  
Abdominal Mass ◽  
Lower Abdominal Pain ◽  
First Case ◽  
Well Differentiated

Uterine lipoleiomyosarcoma is a heterologous sarcoma composed of variable proportions of malignant lipoblasts histologically corresponding to well differentiated liposarcoma and malignant smooth muscle cells corresponding to leiomyosarcoma. Finding of benign lipomatous component in a typical leiomyoma (lipoleiomyoma) is not an uncommon, however, lipoleiomyosarcoma is an extremely rare malignant tumor and only very few cases have been reported so far. We report a case of lipoleiomyosarcoma of uterine corpus in a postmenopausal woman presenting with lower abdominal pain and abdominal mass. Diagnosis of lipoleiomyosarcoma was confirmed by histopathological examination of hysterectomy specimen. This is the first case of lipoleiomyosarcoma of uterus reported from Nepal. Keywords: Lipoleiomyosarcoma, uterus, histopathology, unusual case.   doi:10.3126/njog.v2i1.1482    N. J. Obstet. Gynaecol Vol. 2, No. 1, p. 67 - 70 May -June 2007

scholarly journals Ovarian Hemangioma: a rare entity

2018 ◽  
Vol 7 (6) ◽  
pp. 2490
Author(s):  
Mona Dahal ◽  
Paricha Upadhyaya ◽  
Purbesh Adhikari ◽  
Diksha Karki ◽  
Niraj Regmi
Keyword(s):  
Abdominal Pain ◽  
Cavernous Hemangioma ◽  
Cystic Lesion ◽  
Radical Surgery ◽  
Histopathological Examination ◽  
Correct Diagnosis ◽  
Lower Abdominal Pain ◽  
Surgical Excision ◽  
Vascular Tumors ◽  
Rare Entity

Ovarian hemangiomas are uncommon benign vascular tumors of ovary. Most of them are asymptomatic and detected incidentally during surgery. Authors report a case of 41 years female, parity 2; with complain of lower abdominal pain for 6 months. Ultrasonography showed a cystic lesion at right adnexa with a heterogeneously echogenic component within and devoid of internal vascularity. Laparoscopic right adnexal cystectomy was done, which on histopathological examination demonstrated features of cavernous hemangioma replacing the ovarian parenchyma. As surgical excision is treatment of choice, correct diagnosis is essential to avoid unnecessary radical surgery and treatment.

scholarly journals Complete Surgical Enucleation of a Giant Chylous Mesenteric Cyst

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Maria Isaia ◽  
Maria Erodotou ◽  
Georgios Nakos ◽  
Nikolaos Nikolaou
Keyword(s):  
Bowel Resection ◽  
Histopathological Examination ◽  
Incidental Finding ◽  
Abdominal Mass ◽  
Mesenteric Cyst ◽  
Abdominal Tumors ◽  
Mesenteric Cysts ◽  
Laparoscopic Enucleation ◽  
Chylous Mesenteric Cyst ◽  
Palpable Abdominal Mass

Mesenteric cysts are rare benign abdominal tumors, and they can appear anywhere in the mesentery of the gastrointestinal tract, from the duodenum to the rectum. They are generally asymptomatic and may present as an incidental finding. The diagnosis is confirmed by the laparotomy findings and the results of the histopathological examination. Complete surgical (open or laparoscopic) enucleation of the cyst is the treatment of choice. We present a case of a female patient who presented with abdominal pain and a giant palpable abdominal mass. The patient underwent a surgical exploration which showed a giant mesenteric cyst. A complete surgical enucleation of the cyst was successfully performed without the need of bowel resection. The histopathological examination of the cyst was compatible with the diagnosis of chylous mesenteric cyst.

scholarly journals Genital tuberculosis mimic as a genital malignancy in post menopausal women

2021 ◽  
Vol 10 (3) ◽  
pp. 1195
Author(s):  
Monalisa Mahajan
Keyword(s):  
Histopathological Examination ◽  
Abdominal Mass ◽  
Pelvic Mass ◽  
Final Diagnosis ◽  
Ovarian Malignancy ◽  
Genital Tuberculosis ◽  
Menopausal Women ◽  
Post Menopausal ◽  
High Level ◽  
Palpable Abdominal Mass

Genital tuberculosis tends to be an indolent infection and the disease may not manifest for year after initial seeding. The most common presentation reported in general population are pelvic pain, postmenopausal bleeding, ascites, abdominal mass, ovarian mass. The diagnosis is made by histopathological examination. Surgery is indicated as presence of abdominal pelvic mass with severe pain. Preoperative diagnosis of genital tuberculosis is often difficult because of confusion with ovarian malignancy. A 60 years old women present with weight loss, palpable abdominal mass with ascites, prominent bilateral ovaries and increase level of CA125. Pelvic malignancy was initially suspected but a diagnosis of tuberculosis was made following postoperative peritoneal wash biopsy. Patient managed with surgical laparotomy under a provisional diagnosis of ovarian malignancy but the final diagnosis was genital tuberculosis followed by anti tubercular regimen. Genital tuberculosis with high level of CA125 mimicking ovarian carcinoma. 

scholarly journals Abdominopelvic Actinomycosis Mimicking Peritoneal Carcinomatosis: A Case Report

2020 ◽  
Vol 36 (6) ◽  
pp. 417-420
Author(s):  
Sungjin Kim ◽  
Sung Il Kang ◽  
Sohyun Kim ◽  
Min Hye Jang ◽  
Jae Hwang Kim
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Peritoneal Carcinomatosis ◽  
Histopathological Examination ◽  
Lower Abdominal Pain ◽  
Preoperative Imaging ◽  
Imaging Studies ◽  
Complete Excision ◽  
Pelvic Masses ◽  
History Of

Actinomycosis is a rare chronic bacterial infection primarily caused by <i>Actinomyces israelii</i>. A 47-year-old woman presented to our clinic with a 1-week history of lower abdominal pain. Preoperative imaging studies revealed multiple peritoneal and pelvic masses suggestive of malignancy. The primary tumor could not be identified despite further endoscopic and gynecological evaluation. On exploration for tissue confirmation, excisional biopsies from multiple masses were performed because complete excision was not possible. Histopathological examination confirmed actinomycosis with multiple abscesses, and the patient was treated with antibiotics. We present a case of disseminated peritoneal actinomycosis that mimicked malignant peritoneal carcinomatosis on imaging studies.

scholarly journals A rare case of fallopian tube lymphangioma

2020 ◽  
Vol 9 (12) ◽  
pp. 5169
Author(s):  
Srikala Doddareddy ◽  
Shravya Manohar ◽  
Sumana Manohar
Keyword(s):  
Fallopian Tube ◽  
Rare Case ◽  
Lymphatic System ◽  
Abdominal Mass ◽  
Lower Abdominal Pain ◽  
Neck Region ◽  
Head And Neck Region ◽  
Rare Lesion ◽  
The Right ◽  
Palpable Abdominal Mass

Lymphangioma of the fallopian tube is a very rare lesion, usually present as benign lesions of the lymphatic system. They are generally diagnosed incidentally, may be asymptomatic or present as a palpable abdominal mass. Lymphangiomas are usually seen in the head and neck region, intra-abdominal localisation is rare. A very limited number of cases of fallopian tube lymphangiomas have been reported. We present an extremely rare case of unilateral fallopian tube lymphangioma (right side) in a 32 year old parous lady who was presented to us with right lower abdominal pain. Clinically no significant findings were noted. CECT abdomen reported as a probable endometriotic cyst. On laparoscopy she was found to have a cystic lesion arising from the right fallopian tube. Patient underwent right salphingo-oophorectomy and histopathology reported as lymphangioma of the fallopian tube.

scholarly journals Infected Completely Isolated Enteric Duplication Cyst Management with Percutaneous Drainage and Surgical Excision after Retreat of Infection: A Case Report

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Neofytou Kyriakos ◽  
Chysochos Andreas ◽  
Sammouti Elena ◽  
Andreou Charalampos ◽  
Georgiou Chrisanthos
Keyword(s):  
Abdominal Pain ◽  
Percutaneous Drainage ◽  
Congenital Malformations ◽  
Alimentary Tract ◽  
Abdominal Mass ◽  
Surgical Excision ◽  
Duplication Cyst ◽  
Enteric Duplication Cyst ◽  
Enteric Duplication ◽  
Palpable Abdominal Mass

Duplication cysts (DCs) of alimentary tract are rare congenital malformations. They are firmly attached to the wall of the gastrointestinal tract and they are supplied by surrounding mesenteric blood vessels. More than 80% of cases occur before the age of two years and only a minority of cases present in adulthood. “Completely isolated duplication” of the alimentary tract is an extremely rare variety of gastrointestinal duplications. They have gastrointestinal epithelial and wall characteristics without an anatomic association with the alimentary tract. Their main characteristic is that they have their own blood supply. A 20-year-old male was admitted to our department with symptoms persisting for a period of one week prior to admission, which included abdominal pain, fever, and a palpable abdominal mass. CT revealed an unexplained intraperitoneal abscess. This case represents a rare clinical example of infected isolated duplication cyst managed with percutaneous drainage and surgical excision of the cyst 3 weeks later. To the best of our knowledge, this is the first reported case to use this approach.

scholarly journals Histomorphological spectrum of Leiomyoma – a one year retrospective study

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Reetu Sharma Baral ◽  
Oshan Shrestha
Keyword(s):  
Histopathological Examination ◽  
Abdominal Mass ◽  
Degenerative Change ◽  
Lower Abdominal Pain ◽  
College Teaching ◽  
The Body ◽  
Histopathological Analysis ◽  
Pathology Laboratory ◽  
Gynecology And Obstetrics ◽  
One Year

Aims: To analyze the histomorphology of leiomyoma in specimens received in Pathology. Methods: This is a retrospective descriptive study of histopathology database of histomorphologic spectrum of leiomyoma at Pathology Laboratory of Nobel Medical College Teaching Hospital, Biratnagar, Nepal from April 2020 to April 2021. Data for the leiomyoma were analyzed descriptively. Ethical approval was obtained from the Institutional review committee. Results: A total of 1705 histopathology specimens were received in one year from April 2020 to April 2021 out of which 620 (37%) were from the Department of Gynecology and Obstetrics for histopathological analysis of various specimens. Total of 106 specimens of hysterectomy and myomectomy were included. Maximum number of leiomyoma was seen in the body 48 (45%) followed by fundus 34 (32%) and one from the lateral wall of the vagina 1 (0.9%). Mean age was 42 (24-70) years. Maximum size was 35 cm and minimum was 0.5 cm in diameter. Out of the rare ones one case of STUMP, Lipoleiomyoma and Mitotically active leiomyoma each were seen. Degenerative change was in 40 cases with hyaline type as the commonest one (33%); 61% were intramural; and 12% were multiple. Presentation was lower abdominal pain and abnormal uterine bleeding in 39.6%. Conclusions: Cases of leiomyoma may present with abdominal mass, pain and bleeding but the degenerative changes and malignant transformation can't be identified without histopathological examination.

scholarly journals TO STUDY THE INPATIENT SURGICAL TREATMENT PATTERNS FOR PATIENTS WITH PALPABLE ABDOMINAL MASS IN GYNAECOLOGICAL PATIENTS.

2019 ◽  
Vol 3 (3) ◽  
Author(s):  
Dr. Suchita Bajaj ◽  
Dr. Neeta Natu ◽  
Dr. Nitin Mandani
Keyword(s):  
Surgical Treatment ◽  
Histopathological Examination ◽  
Abdominal Mass ◽  
Treatment Patterns ◽  
Obstetrics And Gynecology ◽  
Ovarian Mass ◽  
Minimally Invasive Surgical ◽  
Mass Size ◽  
Criteria For Diagnosis ◽  
Palpable Abdominal Mass

Background: Patients admitted in Gynecological ward in Department of Obstetrics and Gynecology in diagnosed with uterine fibroid and ovarian mass were selected for the study.  The Criteria for diagnosis either by clinical features, USG findings and hysterectomy or confirmed by histopathological examination. Result: There are 104 cases of abdominal mass of which 55 cases are of ovarian mass and 46 are of fibroid and 3 are other masses. Conclusion: Management of these giant intraabdominal cysts has traditionally required a full midline laparatomy. Minimally invasive surgical technique has been applied to the management of these giant cysts. Ultrasound is effective in detecting the abdominal mass, size and type of abdominal mass, so that early diagnosis can be done and treatment can be given as soon as possible. Keywords: Surgical, Abdominal Mass & Gynaecological.

Treatment Methods Conditioned by the Gravity of Drug-Induced Gingival Hyperplasias

2017 ◽  
Vol 68 (11) ◽  
pp. 2618-2622
Author(s):  
Alina Mihaela Calin ◽  
Mihaela Debita ◽  
Raluca Dragomir ◽  
Ovidiu Mihail Stefanescu ◽  
Cristian Budacu ◽  
...  
Keyword(s):  
Dental Treatment ◽  
Histopathological Examination ◽  
Transplant Rejection ◽  
Surgical Excision ◽  
Channel Blockers ◽  
Gingival Hyperplasia ◽  
Drug Induced ◽  
Treatment Methods ◽  
Systemic Medication ◽  
Bacterial Plaque

The first drug discovered to be involved in the development of gingival hyperplasia is phenytoin, which is indicated in the treatment of epileptic patients. The other drugs are calcium channel blockers with vasodilating effect. The most important one is Nifedipine, while Ciclosporin A, which is used as an immunosuppressant in the prevention of transplant rejection, causes gingival hyperplasia as a secondary effect. Gingival hyperplasia can reach an impressive volume, completely covering the dental crown and affecting the masticatory and physiognomic functions. The elucidation of the mechanism, by which drug-induced gingival hyperplasia occurs, favoring factors and the choice of conservative or surgical treatment methods, emphasizing the prophylactic treatment. The study batch was subject to intraoral and extraoral clinical examinations and the data were included in the dental treatment sheet of each patient, 11 patients aged over 60 years, who came to the Clinic ... in the period 2014-2016. The diagnosis was based on the anamnesis, the clinical aspect of the lesions and the histopathological examination. After the surgical excision of the hyperplasia affected area, recurrence was prevented by dispensarizing the patients and controlling the bacterial plaque through rigorous oral hygiene. Treatment depends on the severity of the lesions, as well as on the physionomic and masticatory functions. Conservative etiological therapy is attempted, by removing the bacterial plaque and local irritant factors, by reducing the dose of drugs, or by changing the systemic medication.

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