scholarly journals Fallopian Tube Torsion as a Cause of Acute Pelvic Pain in Adolescent Females

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Claudia Mueller ◽  
Sandra Tomita
Keyword(s):  
Fallopian Tube ◽  
Pelvic Pain ◽  
Surgical Intervention ◽  
Clinical Signs ◽  
Operative Management ◽  
Adolescent Females ◽  
Diagnostic Dilemma ◽  
Acute Pelvic Pain ◽  
Future Fertility

Purpose. Torsion of the fallopian tube, involving hydatids of Morgagni, though a rare cause of acute pelvic pain in young girls, can pose significant risks to future fertility. Tubal torsion may present as a diagnostic dilemma since the ovary itself usually appears normal on ultrasound. Thus, surgical intervention may be delayed which can lead to worsening necrosis and result in the need for resection of the affected tube.Methods. We reviewed two cases of fallopian tube torsion associated with hydatids of Morgagni in adolescent females.Results. The patients were premenarchal in both cases, aged 10 and 13 years. Both presented with acute clinical signs of ovarian torsion but ultrasound showed the ovary itself to be normal with an adjacent cystic structure. In both cases, the fallopian tube was detorsioned laparoscopically and preserved. The associated cyst was excised in one case and marsupialized in the other.Conclusions. We propose that prompt recognition and operative management of this relatively uncommon source of pelvic pain may prevent unnecessary tubal resection and improve long-term fertility in this population.

scholarly journals A case of a three-month-old female infant with incarcerated femoral hernia

2019 ◽  
Vol 147 (5-6) ◽  
pp. 368-370
Author(s):  
Jovan Mladenovic ◽  
Nebojsa Videnovic ◽  
Milan Filipovic ◽  
Rasa Mladenovic ◽  
Zlatan Elek
Keyword(s):  
Fallopian Tube ◽  
Femoral Hernia ◽  
Surgical Intervention ◽  
Clinical Signs ◽  
Left Ovary ◽  
Female Infant ◽  
Preoperative Preparation ◽  
Hernia Sac

Introduction. Femoral hernia in children is very rare and it appears in 0.2% of all hernias during childhood. It is three times more frequent in girls. The aim of this paper is to present a female infant with incarcerated femoral hernia. Case outline. A female infant aged three months was hospitalized with classical clinical signs of incarcerated left femoral hernia. After preoperative preparation, a transversal inguinal incision was performed on the left side and an incarcerated femoral hernia was confirmed with a torn and gangrenous left ovary and fallopian tube. Following adnexectomy, the hernia sac was ligated and resected and hernioplasty was made by the reconstruction of the Cooper?s ligament. Conclusion. A delayed surgical intervention for incarcerated femoral hernia in a female can result in a loss of the ovary and the fallopian tube, which may lead to serious consequences later in life.

scholarly journals Does Recurrence of Carpal Tunnel Syndrome (CTS) after Complete Division of the Transverse Ligament Really Exist?

2021 ◽  
Vol 10 (18) ◽  
pp. 4208
Author(s):  
Fatma Kilinc ◽  
Bedjan Behmanesh ◽  
Volker Seifert ◽  
Gerhard Marquardt
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Surgical Intervention ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Long Term Results ◽  
Transverse Ligament ◽  
Tunnel Syndrome ◽  
Clinical Signs And Symptoms

The aim of this study was to evaluate whether recurrent carpal tunnel syndrome (CTS) after complete and sufficient division of the transverse ligament really exists. Another goal was to analyze the underlying reasons for recurrent CTS operated on in our department. Over an observation period of eleven years, 156 patients underwent surgical intervention due to CTS. The records of each patient were analyzed with respect to baseline data (age, gender, affected hand), as were clinical signs and symptoms pre- and postoperatively. To assess long-term results, standardized telephone interviews were performed using a structured questionnaire in which the patients were questioned about persisting symptoms, if any. Of the 156 patients, 128 underwent first surgical intervention due to CTS in our department. In long-term follow-up, two-thirds of these patients had no symptoms at all; one-third of the patients described mild persisting numbness. None of the patients experienced a recurrence of CTS. The 28 patients who received their first operation outside of our department were operated on for recurrent CTS. The cause of recurrence was incomplete division of the distal part of the transverse carpal ligament in all cases. The results suggest that recurrent CTS after complete and sufficient division of the transverse ligament is very unlikely.

Torsion of the fallopian tube and acute pelvic pain: an unusual presentation of genital tuberculosis

2008 ◽  
Vol 89 (6) ◽  
pp. 1810-1811 ◽  
Author(s):  
Tirso Perez-Medina ◽  
Beatriz Bueno ◽  
Teresa Redondo ◽  
Isabel Gallego ◽  
José Bajo-Arenas
Keyword(s):  
Fallopian Tube ◽  
Pelvic Pain ◽  
Unusual Presentation ◽  
Genital Tuberculosis ◽  
Acute Pelvic Pain

scholarly journals Indirect Inguinal Hernia Containing a Fallopian Tube and Ovary in a Reproductive Aged Woman

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Ashley Graul ◽  
Emily Ko
Keyword(s):  
Inguinal Hernia ◽  
Fallopian Tube ◽  
Surgical Intervention ◽  
Reproductive Organs ◽  
General Surgeon ◽  
Indirect Inguinal Hernia ◽  
Sonographic Examination ◽  
Aged Woman ◽  
Future Fertility ◽  
Current Report

An indirect inguinal hernia containing an incarcerated fallopian tube and ovary is extremely rare in adult females. The current report describes a woman of reproductive years presenting with an irreducible indirect hernia which required the surgical intervention of a general surgeon as well as counseling regarding future fertility by a gynecologist. The diagnosis was made by physical and sonographic examination and was confirmed by CT scan and surgical intervention. We suggest a multimodel and multidisciplinary approach in order to safely and efficiently preserve ovarian and fertility function in young women who present with an inguinal hernia containing reproductive organs.

scholarly journals Isolated Fallopian Tube Torsion Presenting as Acute Pelvic Pain

2018 ◽  
Vol 25 (7) ◽  
pp. 1122-1123 ◽  
Author(s):  
Megan N. Wasson ◽  
Maitray D. Patel
Keyword(s):  
Fallopian Tube ◽  
Pelvic Pain ◽  
Acute Pelvic Pain

scholarly journals Isolated Fallopian Tube Torsion

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
S. Kardakis ◽  
A. Barranca ◽  
A. Vitelli ◽  
I. Amore ◽  
F. Trento ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Fallopian Tube ◽  
Pelvic Pain ◽  
Lower Abdominal Pain ◽  
Laboratory Findings ◽  
Clinical Imaging ◽  
Adnexal Masses ◽  
Preoperative Ultrasound ◽  
Cystic Component ◽  
Acute Pelvic Pain

Isolated torsion of the Fallopian tube is a rare gynecological cause of acute lower abdominal pain, and diagnosis is difficult. There are no pathognomonic symptoms; clinical, imaging, or laboratory findings. A preoperative ultrasound showing tubular adnexal masses of heterogeneous echogenicity with cystic component is often present. Diagnosis can rarely be made before operation, and laparoscopy is necessary to establish the diagnosis. Unfortunately, surgery often is performed too late for tube conservation. Isolated Fallopian tube torsion should be suspected in case of acute pelvic pain, and prompt intervention is necessary.

Presentation, surgical intervention, and long-term survival in patients with Marfan syndrome

2020 ◽  
Vol 72 (2) ◽  
pp. 480-489
Author(s):  
Nathan J. Aranson ◽  
Priya B. Patel ◽  
Jahan Mohebali ◽  
Robert T. Lancaster ◽  
Emel A. Ergul ◽  
...  
Keyword(s):  
Marfan Syndrome ◽  
Surgical Intervention ◽  
Term Survival ◽  
Long Term Survival

scholarly journals Brain Abscess Caused by Nocardia: Case Report and Literature Review

2020 ◽  
Author(s):  
Guilherme Finger ◽  
Maria Eduarda Conte Gripa ◽  
Tiago Paczko Bozko Cecchini ◽  
Tobias Ludwig do Nascimento
Keyword(s):  
Case Report ◽  
Antibiotic Therapy ◽  
Brain Abscess ◽  
Clinical Signs ◽  
Occipital Lobe ◽  
High Morbidity ◽  
Rare Clinical Entity ◽  
Brain Abscesses

AbstractNocardia brain abscess is a rare clinical entity, accounting for 2% of all brain abscesses, associated with high morbidity and a mortality rate 3 times higher than brain abscesses caused by other bacteria. Proper investigation and treatment, characterized by a long-term antibiotic therapy, play an important role on the outcome of the patient. The authors describe a case of a patient without neurological comorbidities who developed clinical signs of right occipital lobe impairment and seizures, whose investigation demonstrated brain abscess caused by Nocardia spp. The patient was treated surgically followed by antibiotic therapy with a great outcome after 1 year of follow-up.

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