scholarly journals Adnexal torsion during puerperium as a complication of delayed surgical treatment of ovarian tumor in pregnancy

2012 ◽  
Vol 59 (1) ◽  
pp. 119-121 ◽  
Author(s):  
Radmila Sparic ◽  
Snezana Buzadzic ◽  
Rajka Argirovic ◽  
Jasna Opalic
Keyword(s):  
Tumor Marker ◽  
Ovarian Tumor ◽  
Reference Range ◽  
Adnexal Torsion ◽  
Progressive Reduction ◽  
Treatment Protocols ◽  
Individual Evaluation ◽  
Adnexal Tumors ◽  
Diagnostics And Therapy ◽  
In Pregnancy

Ovarian tumors in pregnancy represent a significant issue both in terms of diagnostics and therapy. Increased use of the ultrasound in pregnancy in the last several decades has contributed to the rise in the number of diagnosed asymptomatic adnexal tumors with pregnant women. We present a case of a patient treated in our clinic for asymptomatic ovarian tumor, which was diagnosed in pregnancy. The patient underwent check-ups every four weeks, comprising clinical and sonographical examinations and relevant laboratory and tumor marker tests. The course of pregnancy was normal, with no detected tumor growth and with the tumor marker levels within the reference range. Following an uneventful delivery, she developed abdominal pains during the puerperium, and the adnexal torsion was diagnosed intraoperatively. The attitudes to treating of adnexal tumors in pregnancy are controversial, and there exist no defined treatment protocols. It is, therefore, necessary to make an individual evaluation of each case, and the relevant decisions should be made with the pregnant woman?s informed consent. The adnexal torsion in the presented case can be explained by the size of the tumor as well as the progressive reduction of the size of the uterus due to the physical involution during puerperium.

scholarly journals Introduction of new tumor marker age score in clinical practice: Validity evaluation for differentiation benign from malignant adnexal masses

2012 ◽  
Vol 59 (3) ◽  
pp. 49-56
Author(s):  
Ivana Likic-Ladjevic ◽  
Milan Terzic ◽  
Nebojsa Ladjevic ◽  
Jelena Dotlic ◽  
Igor Pilic ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Tumor Marker ◽  
Tumor Markers ◽  
Ca 125 ◽  
Benign Tumors ◽  
Tumor Type ◽  
Adnexal Masses ◽  
Combined Tumor ◽  
Adnexal Tumor ◽  
Adnexal Tumors

OBJECTIVE: The aim of the study was to examine several tumor markers and their correlation with pathohistological findings in patients with adnexal masses. METHODS: Study involved 139 patients, 84 of them with benign, 47 with malignant and 8 with borderline adnexal tumor. Levels of CA 125, CA 19-9, CEA and CA 15-3 were obtained preoperatively and assessed regarding the specific pathohistological diagnose and the patient?s age. Obtaining these results led us to divide the patient?s CA 125 levels with age and by doing that we have attained a new Tumor Marker Age score (TMA score). Results: Patients with malignant adnexal tumors had significantly higher levels of CEA (p<0.05), CA 125, CA 19-9 and CA 15-3 tumor markers (p<0.01), in comparison with patients with benign tumors. TMA score highly statistically correlate with the tumor type (benignant/malignant). CONCLUSIONS: With the increase of tumor marker levels and the patient?s age the malignant nature of adnexal tumors is more often. Results of our study highlight the importance of the use of combined tumor markers (at least CA-125 and CA 19-9) in women with adnexal masses. Those levels along with the patient?s age and new TMA score could preoperatively predict malignant nature of the tumor.

scholarly journals Further Experience with Free Thyroxine Assays with Particular Reference to Pregnancy

1982 ◽  
Vol 19 (5) ◽  
pp. 374-378 ◽  
Author(s):  
Jw Tuttlebee
Keyword(s):  
Oral Contraceptives ◽  
Reference Range ◽  
Acute Illness ◽  
Free Thyroxine ◽  
Elderly Subjects ◽  
Blood Samples ◽  
Open Question ◽  
In Pregnancy

The Amerlex FT4 radioimmunoassay has been assessed. It is simple, quick, and precise. The assay is as good as the FTI or the Immo Phase FT4 assay in hyperthyroid, hypothyroid, or elderly subjects and in women on oral contraceptives. In acute illness and pregnancy, however, over half the values lie below the euthyroid reference range. Further work on blood samples obtained from pregnant subjects demonstrated that while FT4 values given by the Immo Phase and Liquisol kits remain constant, those given by the GammaCoat, Amerlex, and Lisophase kits show a significant decrease with gestation. What the ‘true’ FT4 is in acute illness and in pregnancy remains an open question.

3016 Management of Adnexal Torsion in Pregnancy

2019 ◽  
Vol 26 (7) ◽  
pp. S127
Author(s):  
TYT Ngan ◽  
P Thiel ◽  
H Kamencic
Keyword(s):  
Adnexal Torsion ◽  
In Pregnancy

Spontaneous hematoma of the rectus abdominal wall in pregnancy

2013 ◽  
Vol 2 (1-2) ◽  
Author(s):  
Mihaela Grigore ◽  
Camelia Cojocaru ◽  
Alina Mares
Keyword(s):  
Abdominal Pain ◽  
Abdominal Wall ◽  
Ovarian Tumor ◽  
Rectus Sheath ◽  
Pregnant Patient ◽  
Rare Entity ◽  
Resonance Imaging ◽  
Rectus Sheath Hematoma ◽  
Spontaneous Hematoma ◽  
In Pregnancy

AbstractRectus sheath hematoma is an uncommon and often clinically misdiagnosed cause of abdominal pain. We report such a case of a 42-year-old woman who developed an abdominal-wall hematoma at 32 weeks of gestation. Initially, she was suspected as having a complicated ovarian tumor associated with pregnancy, because of the intense abdominal pain. Both ultrasound and magnetic resonance imaging proved to be useful in diagnosing rectus sheath hematoma. A conservative management was applied for the rectus sheath hematoma and the patient recovered uneventfully. Although it is a very rare entity, rectus sheath hematoma should be included in the differential diagnosis of every pregnant patient who presents with abdominal pain.

A case of Adnexal Torsion in Pregnancy

1999 ◽  
Vol 16 (1) ◽  
pp. 137
Author(s):  
Kwang Young Hwang ◽  
Kyung Sook Jeon ◽  
Bong Gyu Lee ◽  
Eun Ji Lee ◽  
Tae Hyung Lee ◽  
...  
Keyword(s):  
Adnexal Torsion ◽  
In Pregnancy

scholarly journals Struma Ovarii: A Thyroxine-Producing Ovarian Tumor in Pregnancy

Cureus ◽  
2021 ◽  
Author(s):  
Karim Botros ◽  
Nadiha Noor Chelsea ◽  
John Bermingham
Keyword(s):  
Ovarian Tumor ◽  
Struma Ovarii ◽  
In Pregnancy

scholarly journals GIANT OVARIAN CYST IN PREGNANCY

2016 ◽  
Vol 3 (1) ◽  
pp. 23-28
Author(s):  
G. Radu ◽  
Nicoleta Prună ◽  
S. Prună ◽  
Mirela Moarcăș ◽  
Adriana Andrei ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Correct Diagnosis ◽  
First Trimester ◽  
Maximum Diameter ◽  
Abdominal Mri ◽  
Giant Tumor ◽  
Adnexal Tumors ◽  
Abdominal Cyst ◽  
In Pregnancy

Before the use of ultrasound, many ovarian tumors remained undiagnosed until cesarean section oruntil they became symptomatic. Now, many symptomatic or non-symptomatic adnexal tumors arediagnosed by ultrasound during pregnancy follow-up.In most cases, the adnexal tumors discoveredduring pregnancy are benign with a maximum diameter of 5 cm. Approximately 70% of the cysticadnexal tumors identified in the first trimester resorb spontaneously until the beginning of thesecond trimester (usually those are functional cysts). Persistent adnexal tumors larger than 5 cmare generally mature teratomas (dermoid).In this case, at the emergency room a 34 year-old-women came with almost 20 weeks pregnancy, accusing acute abdominal pain, nausea andvomiting. One week before, the patient went for a routine ultrasound for pregnancy and the doctordiscovered a giant tumor larger than 15 cm (due to the size it could not be measured) with fluidcontent. Two days before the symptoms, the patient went for an abdominal MRI where a voluminouspelvic-abdominal cyst with almost 30 cm in diameter was discovered. Differential diagnosis:ovarian torsion or ruptured cyst complicating pregnancy. What is the correct diagnosis and what isto be done since there is a 20 weeks pregnancy?

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