scholarly journals Notes of a case of hæmorrhage into the broad ligament arising from the stump of an ovarian cyst, and complicating the puerperium

1897 ◽  
Vol 15 (1) ◽  
pp. 372-374
Author(s):  
J. H. Glenn
Keyword(s):  
2020 ◽  
Vol 9 (9) ◽  
pp. 814
Author(s):  
N. Kakushkin

The operation was made by Ya. A. Muzhenkov. Patient 25 years old, giving birth. Cut along the white line. Ovarian cyst with a thick leg, which directly passes into the broad ligament. Splicing with an oil seal. The leg is tied first with five ligatures, then with two; sheathed with a peritoneum; pinched with pulp, reinforced in the abdominal wound. After the operation, once the temperature was 38.4 . Zhom fell off on the 20th day. Convalescence.


2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Babatola Bakare ◽  
Olumide Akadiri ◽  
Akinyemi Akinsoji Akintayo

Torsion of ovarian cyst is a common cause of acute abdomen especially in women of reproductive age-group. It commonly presents with colicky abdominal pain associated with nausea and vomiting. It could however mimic acute intestinal obstruction. The patient was a 32-year-old multipara with no previous history of pelvic or abdominal surgery. She was admitted with colicky lower abdominal pain associated with repeated episodes of vomiting and nausea. Laboratory investigations were essentially normal. Abdominopelvic USS showed a hypoechoic mass lesion in the left adnexium measuring 7.1 × 5.5 cm; surrounding bowel loops were hypoactive, dilated, and fluid filled. Diagnosis of acute abdomen secondary to suspected torsion of ovarian cyst was made. Management began for acute abdomen with intravenous hydration, prophylactic antibiotics, and analgesics. An emergency laparotomy revealed about 6 cm defect in the left broad ligament in which a 20 cm segment of terminal ileum was encased. Liberation of the ileal segment was done and the broad ligament defect closed. Bowel obstruction requires high index of suspicion in a patient with acute abdomen due to suspected torsion ovarian cyst most especially in the absence of previous pelvic or abdominal surgery.


2016 ◽  
Vol 36 (8) ◽  
pp. 971-973 ◽  
Author(s):  
Abigail Natalie Sharpe ◽  
Howard Klys ◽  
Meenakshi Choudhary

2020 ◽  
Vol 5 (5) ◽  
pp. 445-451
Author(s):  
S. V. Ter-Mikaelyants

Hysteropexia abdominalis anterior - suturing of the uterus to the anterior abdominal wall is a relatively new operation. Although it was first adopted by Koeberl) back in 1869, it was forgotten until the 80s. The free Coeberl suffered from strong constipation, which did not give in to any cure, the cause of which Koeberl saw in the pressure on the rectum of the bent back of the uterus. The patient reached such a state that energetic intervention was necessary. In view of these indications, Koeberl decided to make the womb and to strengthen the uterus in the abdominal wound in such a position that its body could not be thrown backwards. Opening the abdominal cavity, the operator removed the healthy ovary; the resulting leg, i.e. broad ligament, tube and lig. ovarii sewed it into the abdominal wound. The result was satisfactory. Ten years later, Schroeder) performed this operation on a patient with a posterior bend of the uterus and a small ovarian cyst, accompanied, in addition, by the dance of St. Witt. After removing the cyst, he sewed the leg to the anterior abdominal wall. In 1880, L. Tait) performed two operations, one in February, the other in April. In both cases, it was about the backward bends; In addition, the patients suffered from ovarian inflammation, which did not respond to any other methods of treatment. The operator removed the inflamed, slightly enlarged ovaries, lifted the uterus and, when suturing the abdominal wound, passed the needle so that it captured part of the tissue in the area of ​​the fundus of the uterus and, thus, sewed the fundus of the uterus to the abdominal wall. In both cases, the results were satisfactory, at least until 1883. In 1881, he also, in one case of persistent retroflexio uteri, performed a blanching and a ligament of the right ovary and a left wide ligament in the belly. This case is cited by Snger in Centr. f.Gyn. 1888, No. 2.


2020 ◽  
Vol 8 ◽  
pp. 2050313X2096263
Author(s):  
Sisay Tesfaye ◽  
Mequanent Tariku ◽  
Agete Tadewos Hirigo

Left ovarian vein thrombosis is a very rare and infrequent thrombotic condition that mainly occurs in the postpartum or postoperative period. We report a case of a 25-year-old para-1 woman who presented with 2 weeks of postpartum fever and dull aching abdominal pain more on the left side. Before operation, the diagnosis was left adnexal mass secondary to questionable ovarian cyst torsion and she underwent laparotomy. Her intraoperative findings revealed a firm left broad ligament mass with extension to retroperitoneum and it was difficult to demarcate the proximal end. Moreover, on the second day of postoperation, abdominal Doppler ultrasound indicated enlargement of the left ovarian vein that was filled with thrombi having hypoechoic and intermediate echogenicity. After the confirmation of left ovarian vein thrombosis, the case was treated with anticoagulants and broad-spectrum antibiotics and then well improved. Our case climaxes an instant diagnosis and therapeutic significance concerning ovarian vein thrombosis to early manage/avert complications. Besides, the ovarian vein thrombosis diagnosis requires a high index of suspicion for a case presented with fever and abdominal pain.


2020 ◽  
Author(s):  
Keyword(s):  

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Yoshifumi Hashimoto ◽  
Tatsuo Kanda ◽  
Tadasu Chida ◽  
Kazuyoshi Suda

Abstract Background Bowel herniation through a defect in the broad ligament of the uterus is a rare disease and few cases of recurrence have been reported. We report herein a recurrence case of a patient with broad ligament hernia (BLH), along with a review of the literature. Case presentation A 53-year-old woman complaining of abdominal pain was transported to our hospital. She had a history of laparotomy for small-bowel obstruction associated with hernia in the broad ligament of the uterus 10 years ago at a local hospital. Abdominal pelvic contrast-enhanced computed tomography revealed that the mesentery of the dilated bowels converged at a thick band in the pelvis, suggesting closed loop obstruction of the small bowel. The patient underwent urgent laparotomy and was diagnosed with bowel herniation through an opening in the broad ligament of the uterus on the right side, which was ipsilateral with the previous surgery. The hernia orifice was widened by incision and incarcerated bowel segments were released and preserved because ischemia was reversible. The membranous defect of BLH was closed by suture with braded silk strings. Conclusions Although BLH is a rare disease, patients face a significant risk of disease recurrence. Nonabsorbable suture may be advisable for closure of the hernia orifice in BLH.


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