scholarly journals Presacral schwannoma. Case description

2015 ◽  
Vol 84 (4) ◽  
pp. 264-270
Author(s):  
Roman Jankowski ◽  
Jeremi Kościński ◽  
Bartosz Sokół ◽  
Stanisław Malinger ◽  
Janusz Szymaś
Keyword(s):  
Mr Imaging ◽  
Vertebral Column ◽  
Abdominal Cavity ◽  
Diagnostic Procedures ◽  
Precise Location ◽  
Pelvic Organs ◽  
Gynecological Examination ◽  
Giant Schwannoma ◽  
Vascular Structures ◽  
Anatomic Region

Schwannomas in the presacral region of vertebral column occur sporadically and are usually diagnosed incidentally during diagnostic procedures applied as a response to nonspecific complaints associated with vertebral column or abdominal cavity. This study focuses not only on the presentation of the case of the patient with giant schwannoma in the retrorectal area, but on the highlighting of the problems associated with diagnosis and treatment of tumours located in this anatomic region as well. The presented case involves a 23-year old woman. The diagnosis of the disease was made during gynecological examination accompanied by ultrasonography of pelvic organs. Neurological examination disclosed no deviations from the normal condition. MR imaging allowed to determine precise location of the tumour and its anatomic relations to pelvic visceral and vascular structures. The patient underwent a successful surgery using laparotomy. Histological examination revealed structures of schwannoma. Surgical radicality and the lack of relapse were confirmed by MR imaging taken five years after the surgery.

scholarly journals Endometriosis as a Reason of Intraabdominal Bleeding in Pregnancy. Clinical Case

2019 ◽  
Vol 23 (3) ◽  
pp. 283-289
Author(s):  
Y. A. Revzoeva ◽  
E. Y. Shakurova
Keyword(s):  
Cesarean Section ◽  
Pregnant Women ◽  
Laboratory Tests ◽  
Clinical Case ◽  
Abdominal Cavity ◽  
Diagnostic Procedures ◽  
Reproductive Period ◽  
Diagnostic Methods ◽  
Dark Blood ◽  
Abdominal Bleeding

The article defines the significance and relevance of the problem of endometriosis during pregnancy. 10% of women in the reproductive period have different localization of endometriosis. 25% of pregnancies with endometriosis are complicated by preterm labor. The article presents a clinical case of intra-abdominal bleeding in a 28-year-old pregnant woman with retrocervical endometriosis at gestation age of 32 weeks and 6 days. The article covers the results of examination and special diagnostic procedures of intra-abdominal bleeding in pregnant women with retrocervical endometriosis. The main diagnostic methods were the study of past medical history, ultrasound examination, and laboratory tests. Due to their infrequency during pregnancy internal bleedings present difficulties in their diagnosis. Ultrasound reliably revealed a large amount of fluid in the abdominal cavity and small pelvis and excluded the presence of intrauterine bleeding. Clinical and laboratory tests indicated the severity of the patient's condition. Symptoms of moderate fetal distress were also identified. Therefore, a decision was made about an emergency delivery by the cesarean section followed by an abdominal revision. During the cesarean section, 500 ml of blood in the form of dark blood clots was found in the abdominal cavity. The condition of the premature newborn was in conformity with his gestational age. The source of bleeding were the of endometriosis on the back wall of the uterus. These focuses most likely caused hemoperitoneum. The revision of the abdominal cavity did not find any other foci of bleeding. The postoperative period was uneventful. The article provides general guidelines for the management of pregnant women with severe forms of endometriosis.

scholarly journals Trendelenburg's position with an elevated pelvis as a position for gynecological examination

2020 ◽  
Vol 5 (5) ◽  
pp. 456-457
Author(s):  
N. Aleksenko
Keyword(s):  
Pelvic Organs ◽  
Pathological Conditions ◽  
Gynecological Examination

The position with an elevated pelvis in the last time is hotly recommended as a significant relief in the production of fetuses about pathological conditions of the pelvic organs.

A pneumatized anterior clinoid mimicking an aneurysm on MR imaging

1989 ◽  
Vol 71 (1) ◽  
pp. 128-132 ◽  
Author(s):  
Alisa D. Gean ◽  
John Pile-Spellman ◽  
Roberto C. Heros
Keyword(s):  
Mr Imaging ◽  
Spin Echo ◽  
Diagnostic Procedures ◽  
Cautionary Note ◽  
Imaging Protocol ◽  
Content Type ◽  
New Era ◽  
Paraclinoid Aneurysm ◽  
Air Space ◽  
Flowing Blood

✓ The advent of magnetic resonance (MR) imaging has marked a new era in neuroimaging — particularly in terms of diminishing the need for more invasive diagnostic procedures. A cautionary note should be sounded, however, about an important limitation of standard spin-echo MR studies. Two patients were referred for angiography because MR imaging indicated the presence of a “paraclinoid aneurysm.” In retrospect, these findings were due instead to a pneumatized anterior clinoid. Angiography could have been avoided had this pitfall been recognized, and had a gradient-echo flow-imaging protocol been utilized. This latter approach (which does not replace spin-echo imaging) is more sensitive to flowing blood and thus allows differentiation of an air space from a nonthrombosed aneurysm.

scholarly journals Znacaj laparoskopije u proceni tupe abdominalne traume

2010 ◽  
Vol 57 (4) ◽  
pp. 33-38 ◽  
Author(s):  
Pavle Gregoric ◽  
Djordje Bajec ◽  
Dejan Radenkovic ◽  
Ana Sijacki ◽  
Aleksandar Karamarkovic ◽  
...  
Keyword(s):  
Abdominal Cavity ◽  
Patient Positioning ◽  
Diagnostic Procedures ◽  
Definitive Diagnosis ◽  
Laparoscopic Technique ◽  
Abdominal Organs

Laparoscopic diagnostics provides fast, reliable, clear, and obvious information on extent and depth of abdominal organs injury with minimizing additional trauma to the patient. It is performed without any specific preparations and, if needed, it may be promptly converted into conventional laparotomy. Through use of optical equipment with various refraction angles and through variable patient positioning, laparoscopic technique enables visualization of whole abdominal cavity. In approximately 20% of cases of unclear findings, and after other performed diagnostic procedures, laparoscopy provides definitive diagnosis. Abdominal surgeons are familiar with this method, making interpretation of the results very fast and reliable and, what is the most important, this method avoids additional trauma caused by conventional laparotomy.

scholarly journals Adhesive disease of the pelvic organs and abdominal cavity

2014 ◽  
Vol 0 (17) ◽  
pp. 22
Author(s):  
В. Л. Дронова ◽  
Е. В. Луценко ◽  
Р. С. Теслюк ◽  
М. И. Насташенко
Keyword(s):  
Abdominal Cavity ◽  
Pelvic Organs

Pathways for the outflow of lymph from the abdominal cavity

1926 ◽  
Vol 22 (1) ◽  
pp. 101
Author(s):  
V. S.
Keyword(s):  
Adrenal Glands ◽  
Abdominal Cavity ◽  
Pelvic Organs ◽  
Abdominal Organs

To clarify the scheme of the lymph outflow, the abdominal organs, according to A.A. Troitskaya (Moscow M. Zh., 1925, No. 9), should be divided into 2 sections: the upper section includes the liver, stomach, pancreas, spleen, kidneys and adrenal glands , to the bottom - the intestines and pelvic organs.

Radiology

2019 ◽  
pp. 811-820
Keyword(s):  
Radiation Dose ◽  
Nuclear Imaging ◽  
3D Modelling ◽  
Sound Waves ◽  
Pelvic Organs ◽  
Plain Films ◽  
Wide Range ◽  
Mri Scans ◽  
Vascular Structures ◽  
Detailed Imaging

This chapter discusses the main imaging modalities used to aid diagnosis and treatment in patients. It explains the physics behind the plain X-ray and the six main densities seen on plain films. Indications for plain films, for example, chest and abdominal films, trauma, and orthopaedics, are discussed, including limitations such as 2D representation of 3D structures and radiation dose. Through the use of sound waves and echoes, ultrasound can be used for a wide variety of imaging, including abdominal and pelvic organs, vascular structures, and even the neonatal brain via the baby’s open fontanelle. The chapter also covers the detailed imaging and 3D modelling obtained from computed tomography (CT) and magnetic resonance imaging scans, including their drawbacks (high radiation dose from CT scans, contrast can induce nephropathy in renal impairment, while MRI scans are time-consuming and cannot be used in patients with ferromagnetic implants). Indications for fluoroscopy (dynamic studies, e.g. barium contrast to delineate gastrointestinal tract pathology) and nuclear imaging are also covered. A wide range of vascular and non-vascular interventional radiology techniques are also outlined.

Incidental vertebral lesions

2011 ◽  
Vol 31 (6) ◽  
pp. E17
Author(s):  
Jean-Valery C. E. Coumans ◽  
Brian P. Walcott
Keyword(s):  
Back Pain ◽  
Clinical Practice ◽  
Mr Imaging ◽  
Incidental Findings ◽  
Vertebral Column ◽  
Aging Population ◽  
Class Iii ◽  
Contributing Factors ◽  
Review Management ◽  
Practice Style

Incidental vertebral lesions on imaging of the spine are commonly encountered in clinical practice. Contributing factors include the aging population, the increasing prevalence of back pain, and increased usage of MR imaging. Additionally, refinements in CT and MR imaging have increased the number of demonstrable lesions. The management of incidental findings varies among practitioners and commonly depends more on practice style than on data or guidelines. In this article we review incidental findings within the vertebral column and review management of these lesions, based on available Class III data.

Laparoscopic Resection of Retroperitoneal Presacral Schwannoma: A Case Report

2018 ◽  
Vol 37 (04) ◽  
pp. 326-329
Author(s):  
Melina Ruoso ◽  
Luiza Feranti ◽  
Paulo Andriguetto ◽  
Leonardo Andriguetto ◽  
Solena Fidalski ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Case Report ◽  
Magnetic Resonance ◽  
Laparoscopic Resection ◽  
Resonance Imaging ◽  
Precise Location ◽  
Gynecological Examination ◽  
Adjacent Structures ◽  
Magnetic Resonance Imaging Mri

AbstractRetroperitoneal presacral schwannomas are uncommon and are usually diagnosed accidentally. We present here the case of a 23-year-old woman diagnosed with an expansive pelvic lesion during a routine gynecological examination. The precise location of the tumor, as well as its relation to adjacent structures, was determined through magnetic resonance imaging (MRI). The patient underwent laparoscopic lesion resection and the diagnosis was confirmed by immunohistochemistry. An MRI performed 2 months after surgery confirmed complete lesion resection.

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