Clinical Characteristics and Surgical Treatment for Inguinal Endometriosis in Young Women of Reproductive Age

2018 ◽  
Vol 36 (2) ◽  
pp. 166-172 ◽  
Author(s):  
Hiroaki Niitsu ◽  
Hiroaki Tsumura ◽  
Tetsuya Kanehiro ◽  
Hiroaki Yamaoka ◽  
Hiroyuki Taogoshi ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Clinical Characteristics ◽  
Reproductive Age ◽  
Pathological Examination ◽  
Type I ◽  
Women Of Reproductive Age ◽  
Hernia Sac ◽  
The Right ◽  
Hiroshima City ◽  
Mass Median

Aim: To study the characteristics and surgical treatment of inguinal endometriosis (IEM), which can occur in women of reproductive age. Methods: Patients who underwent groin surgery at the Hiroshima City Funairi Citizens Hospital between 2004 and 2017 were retrospectively examined. Patients with IEM were divided into 3 groups based on the site of occurrence as follows: at a hernia sac or hydrocele of Nuck’s canal (type I), round ligament (type II), or subcutaneous area (type III). Clinical characteristics were compared among groups. Results: Of 2,798 patients investigated, 28 were pathologically diagnosed as having IEM with 15, 10, and 3 classified as type I, II, and III respectively. All patients presented with a mass (median 20 mm) and/or bulge that mainly occurred at the right inguinal region. Sixteen patients presented with inguinal pain associated with menstruation. While the groups did not differ in terms of most clinical characteristics, the lack of a preoperative diagnosis of IEM occurred more frequently for type I than for types II and III. Conclusions: Because IEM-type I might be underdiagnosed preoperatively, complete resection of a hernia sac or hydrocele of Nuck’s canal with subsequent pathological examination is required for women of reproductive age with an inguinal disease.

Giant fibroepithelial vulvar polyp in a pregnant woman

2021 ◽  
Vol 14 (1) ◽  
pp. e236106
Author(s):  
Carolina Smet ◽  
Tatiana Gigante Gomes ◽  
Lurdes Silva ◽  
Júlio Matias
Keyword(s):  
Pregnant Woman ◽  
Elective Caesarean Section ◽  
Reproductive Age ◽  
Benign Lesions ◽  
Third Trimester ◽  
Women Of Reproductive Age ◽  
Spontaneous Bleeding ◽  
The Third ◽  
Fibroepithelial Polyps ◽  
The Right

Fibroepithelial polyps are benign lesions that may appear in the vulvovaginal region. They usually occur in women of reproductive age and tend to grow up to 5 cm, but there are some rare cases in which they grow up to 20 cm. We report a case of a 22-year-old woman in the third trimester of her first pregnancy with spontaneous bleeding from a pedunculated mass measuring 15 cm in the widest diameter on the right side of the vulva. Features of this case are discussed as well as its implications, especially regarding the decision of labour. Due to the big size of the mass and its propensity to bleed, we decided to perform an elective caesarean section as well as its excision.

scholarly journals Clinical Characteristics of Patients with Trigeminal Neuralgia Referred to Neurosurgery

2009 ◽  
Vol 03 (03) ◽  
pp. 207-212 ◽  
Author(s):  
Silvia RDT Siqueira ◽  
Manoel J Teixeira ◽  
José TT Siqueira
Keyword(s):  
Surgical Treatment ◽  
Trigeminal Neuralgia ◽  
Clinical Characteristics ◽  
Orofacial Pain ◽  
Cardiac Diseases ◽  
Systemic Diseases ◽  
Pain Questionnaire ◽  
Neurological Findings ◽  
Neurological Abnormalities ◽  
The Right

ABSTRACTObjectives: To investigate the clinical characteristics of patients with trigeminal neuralgia referred to surgery in a center of reference.Methods: We evaluated the general characteristics of 395 patients with trigeminal neuralgia referred to neurosurgery as treatment. They corresponded to 2 samples of 1984 and 2004. The EDOFHC protocol (Orofacial Pain Questionnaire) and the medical profile were used.Results: In the first study (1984), with 290 patients, the higher prevalence was: women (57.3%), white (95.5%), with mean age of 62.5. The most affected trigeminal branches were the maxillary and / or mandibular branches (65.5%), and the right side was the most affected (57.6%). From the second study (2004), with 105 patients, 57.1% were women, 75.2% white, with a mean age of 60.8. The maxillary and / or mandibular branches (79.0%) and the right side (69.5%) were the most affected. Both samples had neurological abnormalities and systemic diseases (mainly cardiovascular).Conclusions: General characteristics of these patients were similar to other samples of trigeminal neuralgia. Neurological findings were also present in patients with no previous surgical treatment for TN. Hypertension and cardiac diseases were also frequent and make the monitoring of the patients during crises necessary. (Eur J Dent 2009;3:207-212)

scholarly journals Experience of treatment of endometriosisrelated pneumothorax

2017 ◽  
Vol 176 (3) ◽  
pp. 56-60
Author(s):  
V. G. Pishchik ◽  
A. D. Obornev ◽  
M. A. Atyukov ◽  
A. S. Petrov ◽  
A. I. Kovalenko
Keyword(s):  
Surgical Treatment ◽  
Hormone Therapy ◽  
Spontaneous Pneumothorax ◽  
Pleural Cavity ◽  
Reproductive Age ◽  
Control Group ◽  
Visual Examination ◽  
Women Of Reproductive Age ◽  
Course Of Disease

OBJECTIVE. The article analyzed the experience of treatment of endometriosis-related pneumothorax (ERP). MATERIAL AND METHODS. The diagnosis of ERP was detected in 30 women at the period from 2004 to 2015. A control group consisted of 149 women. RESULTS. Statistically significant differences associated with presence of ERP were the elder age, right-side localization and recurrence course of disease. Diaphragmatic fenestrations and endometriotic ectopy and their combinations were specific findings in ERP-group. This group of patients characterized by frequent recurrences and higher rate of complications. The most effective method of treatment of ERP was diaphragm resection with pleurectomy and hormone therapy from 3 to 6 months after surgery. CONCLUSIONS. Endometriosis-related pneumothorax could cause up to 34 % cases of spontaneous pneumothorax in women of reproductive age. Diaphragmatic fenestrations and endometriotic lesions were specific signs of EAP. Direct visual examination of the pleural cavity was inevitable for reliable diagnostics of the disease. Surgical treatment of ERP was determined by higher rates of complication and recurrence. Postoperative hormone therapy could significantly improve the results of surgical treatment of ERP.

CLINICAL CHARACTERISTICS, RESULTS OF SURGICAL TREATMENT IN CONGENITAL CYST AND FISTULAS OF THE OTORHINOLARYNGOLOGY

2017 ◽  
pp. 226-232
Author(s):  
Manh Hoang Le ◽  
Tu The Nguyen ◽  
Van Dung Phan
Keyword(s):  
Surgical Treatment ◽  
Clinical Characteristics ◽  
Neurological Complications ◽  
University Hospital ◽  
Type I ◽  
Branchial Cleft Cyst ◽  
Congenital Cyst ◽  
Pathologic Features ◽  
Key Words Cyst ◽  
Branchial Cleft

Background: To study the clinical characteristics, results of surgical treatment in congenital cyst and fistulas of the otorhinolaryngology. Patients: 74 patients diagnosed congenital cyst and fistulas of the otorhinolaryngology was treated with surgery, from May 2016 to June 2017 at Hue University Hospital, Hue Central Hospital and Da Nang Hospital for women and children. Main outcome measure: diagnosis, the clinical and pathologic features, the method and the results of surgical treatment. Results: We identified 74 patients, 83.8% of them had the preauricular fistula, 9.5% had thyroglossal fistula, 4.1% had type II branchial cleft cyst, 1.4% had type I branchial cleft cyst and 1.4% had pyriform sinus fistula. The pathologic feature: inflammation, abscess accounted for 52.7%, normal accounted for 47.3%. Complications after surgery: 1.4% of mild complications are hematoma and 1.4% of infection after surgery, without neurological complications. Recurrence after surgery: 1.4%. Conclusions: In all types of congenital cyst and fistulas of the otorhinolaryngology, preauricular fistula is the highest, the most common form of injury is inflammation, abscesses. Complications after surgery are mild, without neurological complications. Key words: cyst, fistula, congenital, results of surgical treatment

scholarly journals The right to deworming: The case for girls and women of reproductive age

2018 ◽  
Vol 12 (11) ◽  
pp. e0006740 ◽  
Author(s):  
Theresa W. Gyorkos ◽  
Antonio Montresor ◽  
Vicente Belizario ◽  
Beverley-Ann Biggs ◽  
Mark Bradley ◽  
...  
Keyword(s):  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
The Right

scholarly journals Pancreatic and Hepatic Metastasis of an Undiagnosed Choriocarcinoma: An Exceptional Cause of Haemoperitoneum in Young Women – Report of a Rare Case

2016 ◽  
Vol 9 (3) ◽  
pp. 633-638 ◽  
Author(s):  
Nishat Fatema ◽  
Neeru Vinod Arora ◽  
Fatma Majid Al Abri ◽  
Yaseer Muhammad Tareq Khan
Keyword(s):  
Hepatic Metastasis ◽  
Rare Case ◽  
Previous History ◽  
Gestational Trophoblastic Disease ◽  
Reproductive Age ◽  
Childbearing Age ◽  
Women Of Reproductive Age ◽  
Positive Pregnancy Test ◽  
History Of ◽  
The Right

Haemoperitoneum in women of reproductive age usually suggests either ruptured ectopic pregnancy or ruptured ovarian cysts. Metastatic choriocarcinoma is considered the least common cause of haemoperitoneum in women of childbearing age. We report a rare case of pancreatic and hepatic metastasis of choriocarcinoma in a young, 30-year-old female who had delivered 10 months prior at term gestation with no previous history of gestational trophoblastic disease or molar pregnancy. She had a short history of fever and pain in the right hypochondrium, with findings of hypovolaemic shock due to intraperitoneal haemorrhage. Unfortunately, the patient expired with massive uncontrolled bleeding from liver metastasis despite 2 emergency laparotomies within 12 h. This case report is an apt reminder to clinicians to include metastatic choriocarcinoma on the list of differential diagnoses for haemoperitoneum with a positive pregnancy test in women of reproductive age to diagnose early and to avoid life-threatening consequences.

scholarly journals Vulval aggressive angiomyxoma – a rare entity

2021 ◽  
Vol 11 (4) ◽  
pp. 100-102
Author(s):  
Jayakar Thomas
Keyword(s):  
Surgical Excision ◽  
Reproductive Age ◽  
Soft Tissue Tumour ◽  
Aggressive Angiomyxoma ◽  
Age Group ◽  
Rare Entity ◽  
Women Of Reproductive Age ◽  
Tissue Tumour ◽  
The Right ◽  
Reproductive Age Group

Aggressive Angiomyxoma is a very rare, distinctive, locally invasive soft tissue tumour, that occurs most commonly in the perineum, pelvis, vulva and vagina. It is seen mostly in women of reproductive age group. It has a tendency for recurrence locally, treatment being surgical excision. We hereby describe a case of 38-year-old patient with a pedunculated growth on the right labium majora.

scholarly journals POLYCYSTIC OVARIAN DISEASE

2006 ◽  
Vol 13 (02) ◽  
pp. 186-191
Author(s):  
SHAHID IRSHAD RAO ◽  
HINA KOKAB ◽  
RASHIDA SADIQ
Keyword(s):  
Surgical Treatment ◽  
Sample Size ◽  
Clomiphene Citrate ◽  
Reproductive Age ◽  
Gnrh Analogue ◽  
Age Group ◽  
Women Of Reproductive Age ◽  
Polycystic Ovarian Disease ◽  
Ovarian Disease ◽  
Us Scan

Introduction: Poly Cystic Ovarian Disease (PCOD) is probably one of the most commonendocrinological disorders amongst the women during their reproductive years. Using USG criteria only 20-33% ofapparently healthy women in childbearing period, have been found to have PCOD in population study. Whereasprevalence of 4-10% in women of reproductive age is commonly reported when the diagnosis is based on clinical,biochemical and US scan features. Objective:-Diagnosis and management of polycystic ovarian disease. Setting SeyalMedical Centre, Multan. Duration From January 2002 to December 2003. Material and Methods: Sample size: 200patients. Results: Most of he patients were in the age group of 21-30 years. The youngest patient was of 17 years andeldest was of 42 years. Majority of the women were nulliparous or of low parity comprising 92% of cases. Thecommonest symptom was menstrual disorder in 168 Patients (84%). Ultrasound is very helpful for diagnosis of POD.About 80% of patients were diagnosed as PCOD on ultrasound. There is increased level of LH in 72% patients, 8%have raised prolactin levels. All patients were first treated with clomiphene citrate while surgical treatment is done inonly 30% of cases. GnRH analogue and purified FSH were not used because they are quite expensive. Conclusion:PCOD is found to be one of the commonest problem in reproductive years of life. Clomiphene citrate is first linetreatment in PCOD for infertility. Laparoscopic drilling has very good results especially in clomiphene resistant cases.

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