A case of a lacerated dermoid ovarian cyst

1937 ◽  
Vol 33 (5) ◽  
pp. 626-628
Author(s):  
N. S. Sokolova
Keyword(s):  
General Practitioner ◽  
Blood Circulation ◽  
Abdominal Cavity ◽  
Broad Ligament ◽  
Ovarian Cysts ◽  
Long Time ◽  
Circulatory Disorders ◽  
Immediate Surgery ◽  
Turn Over ◽  
Reverse Development

Ovarian cysts are quite common among gynecological patients. Surgically available for small hospitals, they are undoubtedly of interest to the general practitioner. Often unnoticed for a long time, ovarian cysts nevertheless always pose for a woman a threat of either cancerous degeneration, or the possibility of twisting, with all its consequences: subsequent fusion with surrounding organs, hemorrhages into the tumor, suppurations, ruptures, peritonitis and lacing. The reason for such detachments is, in essence, still unclear. Franz, Slavyansky believe that the pedicle of the tumor often makes a 90 turn over the upper edge of the broad ligament. With greater twisting, the blood circulation of the tumor is disrupted until it stops completely. With a slow malnutrition of the tumor, the latter first stagnates and then shrinks. Its walls undergo reverse development, and the cyst, thus, can heal itself. With rapid twisting and severe circulatory disorders in the cyst, we have a clinical picture of an "acute abdomen", which requires immediate surgery. Sometimes the cyst leg, twisted with thrombosed vessels, from lack of nutrition, atrophies, becomes thinner and interrupted. The tumor is detached, made either completely free in the abdominal cavity, or feeds through adhesions with the surrounding organs.

scholarly journals On the question of the treatment of uterine blood tumors

2020 ◽  
Vol 11 (4) ◽  
pp. 403-417
Author(s):  
Gr. N. Egorov
Keyword(s):  
Blood Vessel ◽  
Whole Blood ◽  
Total Mass ◽  
Lymphatic System ◽  
Blood Clot ◽  
Abdominal Cavity ◽  
The Body ◽  
Long Time ◽  
Life Threatening

The abdominal cavity is, in essence, an appendage of the lymphatic system, therefore, it cannot represent a completely foreign container for the blood poured out here. Indeed, the observations of Virchow, Wintrich and others show that whole blood can remain in this cavity for a long time (several days) without undergoing clotting (Pashutin). In view of this fact, it is natural to expect, as is confirmed by experiments, that most of the blood that has entered the abdominal cavity has time to be absorbed before it begins to coagulate. If a part of it, which failed to be absorbed in time, undergoes clotting, then this does not represent any particular disturbances in the overall economy of blood, the blood clot is completely absorbed after preliminary disintegration (fat). In this sense, hemorrhage into the abdominal cavity is not life-threatening, since the blood does not disappear for the body, but soon again, almost entirely, enters the total mass of the blood vessel.

scholarly journals Kinetics of the cercaria-schistosomul um transformation in vivo: 2. The effect of oxamniquine

1985 ◽  
Vol 18 (4) ◽  
pp. 251-255 ◽  
Author(s):  
A. L. Melo ◽  
L.H. Pereira
Keyword(s):  
Peritoneal Cavity ◽  
Abdominal Cavity ◽  
Long Time ◽  
Peritoneal Washings ◽  
High Doses ◽  
Kinetics Of

To study the cercaria-schistosomulum transformation in vivo, underthe influence of an antischistosomal compound (oxamniquine), a model using cercarial infections into the abdominal cavity of mice was chosen. This procedure provided easy and reproducible recoveries of larvae from peritoneal washings with appropriate solutions for a long time (30 to 180 min) after inoculation. The results show that high doses of oxamniquine (given intramuscularly one hour before the infection) produce a marked delay in the kinetics of the cercaria-schistosomulum transformation. Cercariae, tail-less cercarial bodies and schistosomula were recovered from the peritoneal cavity ofdrug treated mice in numbers significantly different from those recovered from untreated mice.

scholarly journals To the 50th anniversary of hematology service of the Republic of Tatarstan

2018 ◽  
Vol 99 (5) ◽  
pp. 851-854
Author(s):  
A R Akhmadeev ◽  
M A Kunst ◽  
A V Kosterina ◽  
S N Terekhova ◽  
A A Gaybaryan ◽  
...  
Keyword(s):  
Abdominal Cavity ◽  
50Th Anniversary ◽  
Deficiency Anemia ◽  
Blood Picture ◽  
New Methods ◽  
The World ◽  
Long Time ◽  
B12 Deficiency ◽  
The Republic ◽  
Blood Elements

The article presents an overview of the development of hematology service in the Republic of Tatarstan. The well-known scientist Nikolay Konstantinovich Goryaev (1875-1943), who worked in Kazan for a long time, began to develop this direction and after passing an internship in Germany proposed an improved device for calculating the blood elements known throughout the world. Adherents of Professor Goryaev continued research in the field of hematology, a blood transfusion station was organized. Professor S.I. Sherman proposed new methods of diagnosis and treatment of B12 deficiency anemia. Professor Sh.I. Ratner studied the changes in the blood picture in diseases of the abdominal cavity. The first 15 specialized hematological beds were opened in 1968 in the hospital named “Old Clinic”. The physician who treated such patients was Rakhil Sholomovna Dashevskaya, PhD. At present, hematology service is provided by three hospitals in Kazan, hematological and therapeutical beds in Naberezhnye Chelny and Nizhnekamsk, outpatient hematology service in Zelenodolsk. In recent years, the introduction of stem cell therapy has begun, and modern combined methods of chemotherapy have been introduced.

Bioinspired nanocarriers for an effective chemotherapy of hepatocellular carcinoma

2018 ◽  
Vol 33 (1) ◽  
pp. 72-81 ◽  
Author(s):  
Lei Xu ◽  
Shuo Wu ◽  
Xiaoqiu Zhou
Keyword(s):  
Hepg2 Cells ◽  
Blood Circulation ◽  
Antitumor Effect ◽  
Membrane Vesicles ◽  
Controlled Drug Release ◽  
Coated Nanoparticles ◽  
Rbc Membrane ◽  
Long Time

Drug-loaded nanoparticles have been widely researched in the antitumor. However, some of them are unsatisfactory in the long blood circulation and controlled drug release. Red blood cell (RBC) membrane vesicles (RV)-coated nanoparticles have gained more and more attention in drug delivery for their many unique advantages, such as excellent stability, long blood circulation, and reduced the macrophage cells uptake. Herein, by utilizing the advantages of RV, we fabricated RV-coated poly(lactide- co-glycolide) (PLGA)–docetaxel (RV/PLGA/DTX) nanoparticles to enhance the antitumor efficiency in vivo. The RV/PLGA/DTX showed spherical morphology with particle size of about 100 nm and zeta potential at −12.63 mV, which could maintain stability for a long time. The RV/PLGA/DTX significantly enhanced cellular uptake of DTX compared to PLGA/DTX in HepG2 cells. Moreover, RV/PLGA/DTX showed the strongest antitumor effect in vitro. Prolonged blood circulation and enhanced DTX accumulation at the tumor site through enhanced permeability and retention (EPR) effect were achieved by RV/PLGA/DTX, which eventually obtained satisfactory antitumor effect and depressed system toxicity on mice bearing HepG2 xenografts mouse models when compared with free DTX. The hematoxylin and eosin (H&E) and immunofluorescence assays further proved the advantages of RV/PLGA/DTX in vivo antitumor. These RV-coated nanoparticles provide a mimetic therapy, completely inhibited the growth of the HepG2 cells, and with simple compositions, suggesting it to be an ideal strategy for improving the antitumor effect of drug-loaded nanoparticles.

scholarly journals European Paediatric Surgeons' Association Survey on the Management of Pediatric Appendicitis

2018 ◽  
Vol 29 (01) ◽  
pp. 053-061 ◽  
Author(s):  
Nigel Hall ◽  
Abidur Rahman ◽  
Francesco Morini ◽  
Alessio Pini Prato ◽  
Florian Friedmacher ◽  
...  
Keyword(s):  
Abdominal Cavity ◽  
Perforated Appendicitis ◽  
Full Blood Count ◽  
First Episode ◽  
Abdominal Ultrasonography ◽  
Reactive Protein ◽  
Immediate Surgery ◽  
Evidence Based Guidelines ◽  
Work Up

Aim To define patterns in the management of pediatric appendicitis. Methods A total of 169 delegates from 42 (24 European) countries completed a validated survey administered at the EUPSA 2017 annual congress. Results In the work-up of children with suspected acute appendicitis, most surgeons rely on full blood count (92%), C-reactive protein (82%), and abdominal ultrasonography (76%), but rarely on computed tomography scans or magnetic resonance imaging. In suspected simple appendicitis, most surgeons (76%) do not perform appendectomy at night in clinically stable patients and start antibiotic preoperatively (64%), but only 15% offer antibiotic therapy alone (no appendectomy). In suspected perforated appendicitis, 96% start antibiotic preoperatively, and 92% perform an appendectomy. Presence of phlegmon/abscess is the main contraindication to immediate surgery. In case of appendix mass, most responders (75%) favor a conservative approach and perform interval appendectomy always (56%) or in selected cases (38%) between 2 and 6 months from the first episode (81%). Children with large intraperitoneal abscesses are managed by percutaneous drainage (59% responders) and by surgery (37% responders). Laparoscopy is the preferred surgical approach for both simple (89%) and perforated appendicitis (81%). Most surgeons send the appendix for histology (96%) and pus for microbiology, if present (78%). At the end of the operation, 58% irrigate the abdominal cavity only if contaminated using saline solution (93%). In selected cases, 52% leave a drain in situ. Conclusion Some aspects of appendicitis management lack consensus, particularly appendix mass and intraperitoneal abscess. Evidence-based guidelines should be developed, which may help standardize care and improve clinical outcomes.

scholarly journals Giant lymphatic malformation causing abdominal compartment syndrome in a neonate: a rare surgical emergency

2020 ◽  
Vol 2020 (8) ◽  
Author(s):  
Paolo Gasparella ◽  
Georg Singer ◽  
Christoph Castellani ◽  
Erich Sorantin ◽  
Emir Q Haxhija ◽  
...  
Keyword(s):  
Compartment Syndrome ◽  
Abdominal Compartment Syndrome ◽  
Abdominal Cavity ◽  
Complete Removal ◽  
Lymphatic Malformation ◽  
Ileocecal Resection ◽  
Lymphatic Malformations ◽  
Gestational Week ◽  
Immediate Surgery ◽  
Abdominal Compartment

Abstract Abdominal lymphatic malformations in neonates require sophisticated management. In symptomatic cases, acute complications may necessitate immediate surgery. We present the case of a giant abdominal lymphatic malformation diagnosed in the 18th gestational week. Sonographic concerns about intestinal hypoperfusion in the 33rd week of gestation indicated caesarean section. Postnatal imaging confirmed a macrocystic lymphatic malformation occupying almost the complete abdominal cavity; the intestinal perfusion was normal. Clinical deterioration on Day 13 of life required laparotomy. Intraoperatively, the lymphatic mass was located in the ileocecal mesentery. Two major cysts showed recent hemorrhage explaining the onset of abdominal compartment syndrome. The malformation was completely removed. An ileocecal resection with an ileocolic anastomosis was performed. The postoperative course was uneventful. In neonates with abdominal lymphatic malformations, an onset of abdominal compartment syndrome requires surgical exploration. If feasible, the complete removal of the lesion represents a curative option.

scholarly journals GAMBARAN PENGETAHUAN REMAJA MENGENAI BAHAYA ALKOHOL DENGAN STROKE

2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Edward Khosuma ◽  
Mieke Kembuan ◽  
Winifred Karema
Keyword(s):  
High School ◽  
Descriptive Study ◽  
International School ◽  
Senior High School ◽  
Long Time ◽  
Level Of Knowledge ◽  
Circulatory Disorders ◽  
Definition Of

Abstract.Stroke or brain circulatory disorders as a major problem in the field of neurology. Not only the number of events is increasing, but also that interfere kemungkinasekuel for a long time, and decreased morbidity and increased mortality. During this time, most people just assume that strokes only happen to people in adulthood or old. In fact, stroke can also occur in teenagers. This study aims to describe the level of knowledge of adolescents about the dangers of alcohol and stroke. This is a descriptive study using survey method.The sample were 81 adolescents aged 15-19 years, whose enrolling study at Kristen 1 Senior High School and Manado Internasional School.Datas were collected by questionnaire and short interview. There are 81% of samples at Sonder Christian Senior High School and 80% of samples atManado International Schoolknew the definition of alchohol. 88% of samples at Sonder Christian 1 Senior High School also 80% of samples at Manado International Schoolknew the definition of stroke.59% of sampelsat Sonder Christian Senior High Schooland 61% of samples at Manado International School knew alchohol was one of the cause in stroke incident.Conclusion: More than 50% of sampelsat both schoolscategorized in the group of people who knew the danger of alchohol in relation with stroke. Keywords: Adolelescents, knowledge, alchohol, stroke  Abstrak.Stroke atau gangguan peredaran darah otak merupakan problem utama dibidang neurologi. Bukan hanya angka kejadiannya yang makin meningkat, tapi juga kemungkinan tersisanya sekuel yang menggangu untuk waktu yang lama, serta menurunnya morbiditas serta meningkatnya mortalitas. Selama ini, kebanyakan orang hanya menganggap bahwa stroke hanya dialami oleh mereka pada usia dewasa atau tua. Padahal, stroke juga bias terjadi pada remaja. Penelitian ini bertujuan untuk mengetahui gambaran tingkat pengetahuan remaja mengenai bahaya alkohol dengan stroke. Penelitian ini bersifat deskriptif dengan metode survei.Sampel adalah 81 remaja berusia 15-19 tahun yang bersekolah di SMA Kristen 1 Sonderdan SMA MIS. Data didapatkan lewat kuesioner dan wawancara singkat. Sebanyak 81% siswaSMA Kr 1 Sonder dan 80% siswa SMA MIS Manado menjawab ya mereka tahu alkohol itu apa. 88% SMA Kr 1 Sonder dan 80% SMA MIS Manado menjawab mereka sudah tahu tentang stroke, dan 59% SMA Kr 1 Sonder serta 61% SMA MIS Manado sudah mengetahui bahwa alkohol merupakan salah satu penyebab stroke.Simpulan: lebih dari50% responden dikedua sekolah paling banyak dikategori ya mereka tahu mengenai bahaya alkohol dengan stroke. Kata kunci: Remaja, pengetahuan, alkohol, stroke

scholarly journals Small intestinal herniation through the broad ligament in a mare outside of the gestation period – a case report

2018 ◽  
Vol 87 (4) ◽  
pp. 331-337
Author(s):  
Cristian Crecan ◽  
Iancu Morar ◽  
Mircea V. Mircean ◽  
Daniela Oros ◽  
Alexandra Muresan ◽  
...  
Keyword(s):  
Post Partum ◽  
Abdominal Cavity ◽  
Broad Ligament ◽  
Abdominal Ultrasound ◽  
Uterine Horn ◽  
Presumptive Diagnosis ◽  
Ultrasound Evaluation ◽  
Persistent Abdominal Pain ◽  
One Year ◽  
The Right

A Furioso-North Star mare, aged 8 years, was examined for colic signs. The mare had a history of dystocia and post partum vaginal lacerations, acute endometritis and laminitis approximately one year before the admission for colic. Signs of persistent abdominal pain, moderate distended abdomen, non-passage of manure, fever, tachycardia, tachypnoea, congested mucus membranes, and “toxic line” were recorded. No intestinal borborygmi were present in the four quarters of the abdomen. On rectal examination, the colon, the ventral band of the caecum, the right ovary and the uterine horn were palpated on the right side of the abdomen. The spleen, the nephrosplenic ligament, the left ovary and a firm, distended and painful small intestine (SI) loop were palpated on the left side. The left uterine horn and the adjacent broad ligament were not detectable. Percutaneous abdominal ultrasound evaluation revealed a large amount of fluid in the abdominal cavity, SI distention and absence of peristalsis. Abdominocentesis yielded approximately 20 ml of red-tinged peritoneal fluid with increased mean protein concentration (5.2 mg/dl), white blood cell count (12,550 cells/μl), and lactate (14 mmol/dl). A presumptive diagnosis of SI strangulation was made. Surgical resection of the affected intestinal loops was recommended. Due to poor prognosis and financial limitations, the mare was euthanized. Post mortem macroscopic diagnosis was a herniation of 3 metres of the mid-jejunum through the left mesometrium, resulting in a complete and complicated strangulation. To prevent this type of SI strangulation, we recommend transrectal palpation of the urogenital tract (including the broad ligament) after foaling. If a defect is identified, we recommend flank laparoscopy for correction.

scholarly journals A new minimally invasive surgical technique for the treatment of ovarian cysts in children

2021 ◽  
Vol 23 (5) ◽  
pp. 677-682
Author(s):  
O. V. Spakhi ◽  
A. H. Zaporozhchenko ◽  
V. V. Morhun ◽  
O. P. Pakholchuk
Keyword(s):  
Surgical Technique ◽  
Minimally Invasive ◽  
Hospital Stay ◽  
Ovarian Neoplasms ◽  
Abdominal Cavity ◽  
Length Of Hospital Stay ◽  
Ovarian Cysts ◽  
Group Iii ◽  
Group I ◽  
Duration Of Surgery

The topical issue of pediatric surgery is the treatment of ovarian cysts based on the development of new technologies for surgical correction of the disease. Aim. To analyze the effectiveness of using a new minimally invasive method for removal of cystic ovarian neoplasms in children. Material and methods. A retrospective analysis of 77 female patients with ovarian cysts, aged from 3 months to 17 years, was carried out. The patients were divided into 3 groups depending on the various surgical techniques used for their treatment. Group I consisted of 32 (41 %) girls who underwent cystectomy according to the new transabdominal technique for removing ovarian cysts in children. Group II included 19 (25 %) children who underwent a laparoscopic surgery. Group III comprised 26 (34 %) children who underwent a hybrid laparoscopy-assisted cystectomy. The following indicators were analyzed: the age of patients, the nature and number of complications of the disease course, the size of cystic neoplasms, the duration of surgical interventions, the number of cases accompanied by cyst contents leaking into the abdominal cavity during surgical manipulations, and the length of hospital stay. Results. The mean age of all patients was 11.23 ± 0.57 years. Planned hospitalizations amounted to 46 (59.7 %) cases. The duration of surgery in group I was almost 1.5 times lower (P < 0.05) than that in patients of group II and 2 times shorter than in children of group III (P < 0.05). Free cyst contents leaking into the abdominal cavity was observed in 35 (91.4 %) patients of Group III, which required additional measures aimed at the abdominal cavity sanation. The proposed minimally invasive transabdominal surgical technique prevented this complication in all 32 patients of Group I. The length of hospital stay did not differ significantly (P > 0.05) between children groups I and II and did not exceed 7.50 ± 0.35 (M ± SEM) days. This indicator was almost 1.5 times higher in Group III patients. Conclusions. The new minimally invasive transabdominal method for removing cystic ovarian neoplasms in children provided minimal trauma with maximum ablasticity and cosmetic effect of the operation. The proposed technique made it possible to prevent the development of intraoperative and postoperative complications, significantly reduce the duration of surgery and the recovery time of patients.

scholarly journals Giant Ovarian Tumor Presenting as a Huge Abdomino-Pelvic Mass in a Teenage Girl: A Case Report

2021 ◽  
Vol 39 (2) ◽  
pp. 137-141
Author(s):  
Muhammad Jamaluddin ◽  
Hajrah Hilal Ahmed
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Ovarian Tumor ◽  
Abdominal Cavity ◽  
Lower Abdominal Pain ◽  
Pelvic Mass ◽  
Interesting Case ◽  
Ovarian Cysts ◽  
Teenage Girl ◽  
Common Causes

Ovarian cysts are common causes of lower abdominal pain and abdominal distention in females. While most of them are benign and rarely grow immensely to achieve a huge size, they may be neoplastic in origin, reaching enormous dimensions with minimum or without raising any symptoms.Here, we present an interesting case of a 19-year-old female,who presented with huge abdominal swelling and pain in whole abdomen from whom a 9.1 kg borderline mucinous ovarian cyst, occupying the whole abdominal cavity was removed. J Bangladesh Coll Phys Surg 2021; 39(2): 137-141

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