scholarly journals Mixed Mullerian Tumour (Carcinosarcoma) - A Rare Cervical Tumour

KYAMC Journal ◽  
2017 ◽  
Vol 7 (2) ◽  
pp. 818-820
Author(s):  
Mst Atia Sultana ◽  
Kh Shahnewaj ◽  
Md Saiful Islam ◽  
Masuma Khatun ◽  
Nure Saba Rahman ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Vaginal Bleeding ◽  
Vaginal Discharge ◽  
Lower Abdominal Pain ◽  
Vaginal Examination ◽  
Lower Abdomen ◽  
Vaginal Canal

We report a 70 years old postmenopausal lady Mrs Johura Begum presented to us with the complaints of watery and foul smelling per vaginal discharge for 4-5 months, occasional per vaginal bleeding for 2-3 months lower abdominal pain for 15 days, fever for 7 days. On general examination she was restless, her temperature was 1020F and lower abdomen was tender. On per vaginal examination there were foul smelling discharge and a large ulcerated and necrossed mass in the vaginal canal that bleeds on touch. She was managed surgically. Now she is on chemotherapy and well.KYAMC Journal Vol. 7, No.-2, Jan 2017, Page 818-820

scholarly journals Non-haemorrhagic uterine rupture at 28 weeks of pregnancy following previous caesarean section: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Alfred Lumala ◽  
Vicent Atwijukire
Keyword(s):  
Heart Rate ◽  
Abdominal Pain ◽  
Caesarean Section ◽  
Uterine Rupture ◽  
Fetal Heart Rate ◽  
Vaginal Bleeding ◽  
Vaginal Discharge ◽  
Fetal Heart ◽  
Lower Abdominal Pain ◽  
Previous Caesarean Section

Abstract Background There is need to put forward more symptoms and signs that could suggest a diagnosis of uterine rupture so that clinicians’ suspicion is increased; there is also need to put forward uncommon intraoperative findings in patients with uterine rupture to correlate with the signs and symptoms of patients. Case presentation A 33 year old Gravida 5 Para 4 + 0 with 2 previous caesarean section scars at 28 weeks of amenorrhoea, presented to hospital complaining of lower abdominal pain for 11 h. She had no vaginal bleeding or vaginal discharge or pain on passing urine. On examination she had no pallor, pulse rate was 84 bpm, blood pressure was 110/80 mm of mercury (mmHg), fundal height was 27 cm (cm), fetal heart rate was regular at 150 beats per minute (bpm) and her cervix had a parous os. She was diagnosed with preterm labour and given dexamethasone intramuscularly, then an obstetric ultrasound scan was done and it revealed severe oligohydramnios. Decision do deliver her by emergency caesarean section was made and intraoperative findings were of a uterine rupture along the uterine scar with a fetal arm protruding through and vernix caseosa in the peritoneal cavity, without active uterine bleeding. The patient recovered well postoperatively. Conclusions There is need to suspect uterine rupture in pregnant women with previous caesarean section scars if they present with abdominal pain and are found to have severe oligohydramnios despite having no history of any vaginal discharge, even when the fetal heart rate is normal and they are haemodynamically stable and without vaginal bleeding and remote from term.

scholarly journals Pyometra: An Atypical Cause of Abdominal Pain

2021 ◽  
Vol 9 ◽  
pp. 232470962110224
Author(s):  
Leonidas Walthall ◽  
Marc Heincelman
Keyword(s):  
Abdominal Pain ◽  
Vaginal Discharge ◽  
Elderly Women ◽  
Lower Abdominal Pain ◽  
Endometrial Biopsy ◽  
Laboratory Evaluation ◽  
Inpatient Service ◽  
Gynecologic Malignancy ◽  
Intravenous Contrast ◽  
Lower Quadrant

Pyometra, a purulent infection of the uterus, is a rare cause of a very common complaint—abdominal pain. Risk factors include gynecologic malignancy and postmenopausal status. The classically described presentation includes abdominal pain, fever, and vaginal discharge. In this article, we present an atypical presentation of nonperforated pyometra in an 80-year-old female who was admitted to the internal medicine inpatient service. She initially presented with nonspecific subacute right lower quadrant abdominal pain. Physical examination did not demonstrate vaginal discharge. Laboratory evaluation failed to identify an underlying etiology. Computed tomography scan of the abdomen and pelvis with oral and intravenous contrast demonstrated a 6.5 × 6.1 cm cystic containing structure within the uterine fundus, concerning for a gynecologic malignancy. Pelvis ultrasound confirmed the mass. Endometrial biopsy did not reveal underlying malignancy, but instead showed frank pus, leading to the diagnosis of pyometra. This report illustrates that pyometra should be considered in the differential diagnosis of lower abdominal pain in elderly women.

scholarly journals LAPAROSCOPY;

2012 ◽  
Vol 19 (01) ◽  
pp. 033-039
Author(s):  
NAZIA MUSSARAT ◽  
SIAMA QURESHI ◽  
AWAIS SHUJA ◽  
Mehnaaz Roohi
Keyword(s):  
Abdominal Pain ◽  
Gold Standard ◽  
Open Surgery ◽  
Diagnostic Laparoscopy ◽  
Data Entry ◽  
Lower Abdominal Pain ◽  
Descriptive Study ◽  
Lower Abdomen ◽  
Patient Case ◽  
Polycystic Ovarian Disease

Introduction: Diagnostic Laparoscopy is considered to be the gold standard for the evaluation of the pelvis and is considered asafe procedure. Diagnostic Laparoscopy is a technique in the routine investigation and treatment of infertility as well as other gynecologicalproblems. Objectives: To determine, Laparoscopic findings in different gynecological conditions, different causes of infertility andcomplications of laparoscopy Design: Retrospective, descriptive study. Material And Methods: We reviewed case records of all patients whounderwent laparoscopy for their different Gynecological problems. Data were collected from patient case records in a data entry sheet Results:In our study a total of Thirty patients under went laparoscopy for investigation of different gynecological problems. There were 17 patients whohave primary infertility and 6 have secondary infertility while 7 presented with Lower abdominal pain. In our study the leading cause of primaryinfertility was Polycystic Ovarian Disease(29%).Other causes were bilateral tubal blockade (23.53 %) ,17% has PID and fibroid uteri, While onepatients shown Endometriosis as well as one patient had no obvious pathology.(5.88 %).On laparoscopic examination of secondaryinfertility 50% shown Tubal blocked while 16.67 shown Fibroid uterus and PID.One patient had normal pelvic findings(16.67). Regardingpatients presented with pain lower abdomen 57.15% has ovarian cyst,28.58% has Ectopic pregnancy while one case(14.29%) had hetrotropicpregnancy. In 24 patients had no complication and recovery was smooth. laparoscopy had to be converted into Laparotomy due to significanthemorrhage in two patient and wound infection was observed in two patients. One patient presented with post operative fever and onepresented with abdominal pain. Conclusions: Laparoscopy is a valuable diagnostic tool for females in different gynecological problems. Thebenefit of the laparoscopy to open surgery include less pain, less scarring, less disability and quicker recovery.

scholarly journals Haemorrhagic Corpus Lutem Mimic Appendicitis

1970 ◽  
Vol 37 (2) ◽  
pp. 66-67
Author(s):  
Hasina Afroz ◽  
Rabeya Akhter ◽  
Shahela Jesmin
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Corpus Luteum ◽  
Ovarian Tumor ◽  
Rare Complication ◽  
Lower Abdominal Pain ◽  
Lower Abdomen ◽  
Key Word ◽  
Reproductive Life ◽  
Chocolate Cyst

Haemoperitoneum secondary to ruptured corpus luteum is a rare complication for women of reproductive life. The differential diagnosis of hemoperitoneum includes various types of acute abdomen that usually associated with acute lower abdominal pain and swelling lower abdomen. The differential diagnosis includes ruptured ectopic pregnancy, ruptured chocolate cyst, twisted ovarian tumor, pelvic inflammatory disease and pelvic peritonitis. Ruptured hemorrhagic corpus luteum is an uncommon cause of acute abdomem. Its occurrence is unknown but is likely quite frequent and without symptoms. Most cases are self limiting; enquire only observation with abdominal pain relieved with analgesics. Some need laparoscopy or laparotomy to achieve homeostasis if the patient is haemodynamically unstable. Key word: Haemoperitoneum, Appendicitis, Ruptured Corpus luteum.   DOI: 10.3329/bmj.v37i2.3596 Bangladesh Medical Journal 37(2) 2008 66-67

scholarly journals Experience with Ectopic Pregnancy in a Tertiary Care Teaching Hospital

2018 ◽  
Vol 27 (2) ◽  
pp. 22-26
Author(s):  
NA Parveen ◽  
MM Sarker ◽  
MK Sarker
Keyword(s):  
Abdominal Pain ◽  
Ectopic Pregnancy ◽  
Vaginal Bleeding ◽  
Tertiary Care ◽  
Lower Abdominal Pain ◽  
Reproductive Age ◽  
Age Group ◽  
Treatment Morbidity ◽  
Incidence Risk ◽  
Abnormal Vaginal Bleeding

Ectopic pregnancy is a common life-threating condition. Diagnosis is frequently missed and should be considered in any women in the reproductive age group presenting with abdominal pain or vaginal bleeding. This prospective observational study was conducted in RMCH to determine the incidence, risk factors, clinical presentation, treatment, morbidity and mortality associated with ectopic pregnancy. A total of 50 cases of ectopic pregnancy were operated during the study period giving the incidence of ectopic pregnancy of 8.02/1000 pregnancies. The age of the patient ranged from 18-37 years, with maximum (40%) between 26-30 years age group. 36% patients had delivered one child and 24% were nulliparous. 30% patients had pelvic inflammatory disease and 22% had history of previous abortion/ MR. All patients presented with lower abdominal pain, 68% presented with abnormal vaginal bleeding and 60% had amenorrhoea. Most of the patients were diagnosed by high clinical suspicion and confirmed by USG. 96% cases ectopic pregnancy occurred in the fallopian tube and ampullary part was mainly affected. Laparotomy followed by unilateral salphingectomy was performed in majority (60%) of cases. 22% cases ipsilateral salpingectomy with tubectomy other side and 12% cases salpingostomy were performed. The recovery of majority of patients was smooth and uneventful. There was no death in this study.TAJ 2014; 27(2): 22-26

scholarly journals Uterine Perforation & Abortion- A Case Report

KYAMC Journal ◽  
2017 ◽  
Vol 5 (1) ◽  
pp. 491-493
Author(s):  
Mst Atia Sultana ◽  
Rakib Uddin ◽  
Rubiyat Farzana Hussain ◽  
Masuma Khatun
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Vaginal Bleeding ◽  
Abdominal Cavity ◽  
Uterine Cavity ◽  
Lower Abdominal Pain ◽  
Placental Tissue ◽  
Uterine Perforation ◽  
Gentle Traction ◽  
Cord Prolapse

Sreemoti Ratna Sarker 30 years old lady presented to us with the complaints of amenorrhea for 5 months, lower abdominal pain for 5 days, slight per vaginal bleeding for 2-3 days, a cord like structure is coming down p/v on the day of admission. On general examination she was stable and on p/v examination there was cord prolapse. A gentle traction was given and it was expelled out along with a small piece of placental tissue without any fetal parts and bleeding. Then she was advised for USG of abdomen. USG reported a fetus like structure in the abdominal cavity and the empty uterine cavity . She was managed surgically. Now she is doing well.KYAMC Journal Vol. 5, No.-1, Jul 2014, Page 491-493

scholarly journals A Woman With Chronic Lower Abdominal Pain, Vaginal Discharge, and Infertility After a Stay in Mali

2020 ◽  
Vol 7 (5) ◽  
Author(s):  
Steven Van Den Broucke ◽  
Idzi Potters ◽  
Marjan Van Esbroeck ◽  
Lieselotte Cnops ◽  
Vasiliki Siozopoulou ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Vaginal Discharge ◽  
Lower Abdominal Pain

scholarly journals Haemorrhagic Corpus Luteum Mimic Appendicitis

2009 ◽  
Vol 22 (2) ◽  
pp. 276-278
Author(s):  
S Jesmin ◽  
R Akhter ◽  
H Afroz ◽  
M Hassan
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Corpus Luteum ◽  
Acute Abdomen ◽  
Ovarian Tumor ◽  
Rare Complication ◽  
Lower Abdominal Pain ◽  
Lower Abdomen ◽  
Reproductive Life ◽  
Chocolate Cyst

Haemoperitoneum secondary to ruptured corpus luteum is a rare complication for women of reproductive life. The differential diagnosis of hemoperitoneum includes various of acute abdomen that usually associated with acute lower abdominal pain and swelling lower abdomen. The differential diagnosis includes ruptured ectopic pregnancy, ruptured chocolate cyst, twisted ovarian tumor, pelvic inflammatory disease and pelvic peritonitis. Ruptured hemorrhagic corpus luteum is an uncommon cause of acute abdomen. Its occurrence is unknown but is likely quite frequent and without symptoms. Most cases are self-limiting; enquire only observation with abdominal pain relieved with analgesics. Some need laparoscopy or laparotomy to achieve homeostasis if the patient is haemodynamically unstable.TAJ 2009; 22(1): 276-278

scholarly journals Incidental finding of thoracic outlet syndrome in a case of right tubal ruptured ectopic pregnancy

2020 ◽  
Vol 9 (9) ◽  
pp. 3880
Author(s):  
Niranjan Chavan ◽  
Shalini Mahapatra ◽  
Meenakshi Ruhil ◽  
Shweta Mohokar
Keyword(s):  
Blood Pressure ◽  
Abdominal Pain ◽  
Ectopic Pregnancy ◽  
Vaginal Bleeding ◽  
Thoracic Outlet Syndrome ◽  
Incidental Finding ◽  
Lower Abdominal Pain ◽  
Pelvic Ultrasound ◽  
Provisional Diagnosis ◽  
Tubal Ectopic Pregnancy

A 30-year-old woman, (multigravida) suffering from lower abdominal pain and slight vaginal bleeding was transferred to our hospital. She came with a pelvic ultrasound report. The provisional diagnosis of right tubal ectopic pregnancy was made. A laparotomy was carried out. Intraoperatively, blood pressure in both the arms were taken which revealed different blood pressure in different arms. A diagnosis of thoracic outlet syndrome was made. No postoperative complications were observed. 

scholarly journals A 7 years old girl with abdominal lump and per-vaginal bleeding - A rare presentation of Hypothyroidism

2014 ◽  
Vol 3 (2) ◽  
pp. 41-44
Author(s):  
Nibedita Roy ◽  
Kamrun Nahar ◽  
Badrunnesa Begum ◽  
Ayesha Beg ◽  
Sabita Dhar ◽  
...  
Keyword(s):  
Vaginal Bleeding ◽  
Lower Abdominal Pain ◽  
Thyroid Function Test ◽  
Primary Hypothyroidism ◽  
Serum Prolactin ◽  
Lower Abdomen ◽  
Rare Presentation ◽  
Laboratory Findings ◽  
Serum Lh ◽  
Clinical Awareness

Hypothyroidism is a common endocrine disorder resulting from decreased secretion of thyroid hormone. The diagnosis of hypothyroidism is suggested from the clinical and laboratory findings. Its occurrence in childhood is rare. Here we present a case report on this disease with rare presentation of abdominal lump and pervaginal bleeding in childhood. A 7 years old girl admitted in tertiary level hospital with abdominal lump and irregular per vaginal bleeding. Abdominal swelling was gradually increasing in size & associated with lower abdominal pain for last 5 months. On examination the girl was moderately anaemic, mildly oedematous, distended lower abdomen and a mass in left iliac region. Her thyroid function test, serum FSH, serum LH, serum Prolactin was done and high FSH, LH, Prolactin levels were found. USG of lower abdomen revealed bulky uterus and bilateral ovarian cysts. MRI of Brain showed feature of pituitary microadenoma. Finally the patient was diagnosed as primary hypothyroidism and bilateral follicular ovarian cyst with pituitary adenoma developed as its consequence. The case is reported for clinical awareness & to share our experience. CBMJ 2014 July: Vol. 03 No. 02 P: 41-44

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