scholarly journals Chocolate cyst (disambiguation)

2020 ◽  
Author(s):  
Candace Moore
Keyword(s):  
2021 ◽  
Author(s):  
Yu Huang ◽  
Fangyuan Luo

Abstract Background: Simultaneously malignant transformation from both uterine adenomyoma and deep endometriotic lesions is very rare. Case presentation: We present a case of a 44-year-old nulliparous woman begun with abdominal pain and intestinal obstruction. Past medical history showed laparoscopic ovarian endometriotic cyst excision. Ultrasound indicated adenomyoma and a parametrial hypoechoic nodule with abundant blood flow signals and unclear boundaries. Deep invasive endometriosis was considered preoperatively. The patient underwent laparoscopic subextensive hysterectomy and bilateral adnexa resection. Chocolate cyst-like lesion was observed in the parametiral lesion. Postoperative pathological examinations suggested endometrioid adenocarcinoma arising from eutopic endometrium and adenomyoma. Left parametrial lesions suggested poorly differentiated endometrioid adenocarcinoma combined with clear cell carcinoma. CD10+ endometrial stromal cells was observed surrounding tumor cell masses. The patient underwent subsequent transabdominal tumor cell reduction surgery and chemotherapy.Conclusion: Combined with surgical founding and pathological characters of the left parametrial adenocarcinoma, it was more likely to be carcinomatous changes of the original deep endometriosis.


1970 ◽  
Vol 37 (2) ◽  
pp. 66-67
Author(s):  
Hasina Afroz ◽  
Rabeya Akhter ◽  
Shahela Jesmin

Haemoperitoneum secondary to ruptured corpus luteum is a rare complication for women of reproductive life. The differential diagnosis of hemoperitoneum includes various types of acute abdomen that usually associated with acute lower abdominal pain and swelling lower abdomen. The differential diagnosis includes ruptured ectopic pregnancy, ruptured chocolate cyst, twisted ovarian tumor, pelvic inflammatory disease and pelvic peritonitis. Ruptured hemorrhagic corpus luteum is an uncommon cause of acute abdomem. Its occurrence is unknown but is likely quite frequent and without symptoms. Most cases are self limiting; enquire only observation with abdominal pain relieved with analgesics. Some need laparoscopy or laparotomy to achieve homeostasis if the patient is haemodynamically unstable. Key word: Haemoperitoneum, Appendicitis, Ruptured Corpus luteum.   DOI: 10.3329/bmj.v37i2.3596 Bangladesh Medical Journal 37(2) 2008 66-67


2017 ◽  
Vol 1 (1) ◽  
pp. 5-10
Author(s):  
BS Jodha ◽  
Preeti Chawla

ABSTRACT Objectives To study the role of combined diagnostic laparoscopy and hysteroscopy in evaluation of female infertility. To find out different factors associated with infertility. To provide concurrent therapeutic management. Materials and methods A total of 100 women underwent combined diagnostic laparoscopy and simultaneous diagnostic hysteroscopy during the period from January 2015 to December 2015 in the Obstetrics and Gynecology Department, Umaid Hospital, Dr. Sampurnanand Medical College, Jodhpur, Rajasthan, India. Results Age ranged from 21 to 38 years, and mean age was 25.98 years. Abnormal laparoscopic findings were noted in 41% cases, abnormal hysteroscopy seen in 24% cases, and 17% cases showed abnormality in both. Bilateral tubal patency was demonstrated in 81% cases. Tubal blockage was bilateral in 5% and unilateral in 9% cases. In 2% cases, bilateral block with beaded appearance found suggestive of tuberculosis. Of total 100 cases, 12% cases were found to have endometriosis, 8% had polycystic ovarian syndrome (PCOS), chocolate cyst was found in 5% cases, and 7% had functional cyst of ovary. Pelvic adhesions were found in 15% patients. Myomas were found in 8% cases. Endometrial polyps were revealed in 5% and Asherman’s syndrome in 6% patients. Combined laparoscopy and hysteroscopy was diagnostic in 17% of cases, 41% were diagnosed through laparoscopy alone, 24% through hysteroscopy alone, while in 18% cases findings were normal. In our study, tuboperitoneal factors were responsible for infertility in 40% cases, ovarian factors in 26% cases, and PCOS in 8% cases. Conclusion In our study, 74% of the cases had some form of tubo-ovarian pathology, which makes laparoscopy an essential tool of infertility workup. Although hysteroscopy alone was diagnostic in 30% of cases, its simultaneous use with laparoscopy provides cost-effective, comprehensive, and single setup diagnostic aid in these kinds of patients. How to cite this article Jodha BS, Chawla P. Study of Combined Laparoscopic and Hysteroscopic Findings in 100 Cases of Infertility. Int J Gynecol Endsc 2017;1(1):5-10.


2014 ◽  
Vol 4 (1) ◽  
pp. 9-12
Author(s):  
MI Khan ◽  
J Jerin ◽  
S Jesmin ◽  
TA Chowdhury

Objective: The aim of the study is to describe the tuboperitoneal findings in selected infertile patients by laparoscopy. Methods and Materials: This cross-sectional study was carried out at the infertility center in BIRDEM during the period of September 2002 to February 2003. A total of 50 patients were selected for laparoscopy and dye test. Those patients who had medical disorder and contraindications for laparoscopy were excluded from the study. Patients with infertility due to male factors were also excluded from this study. Laparoscopy was scheduled in secretory phase of menstruation. Results: Among the study population, 35 (70%) patients were primary infertile group while 15 (30%) patients were secondary infertile group. According to age distribution, 20 (57%) patients of primary infertility and 8 (53%) patients of secondary infertility belonged to age group 25-30 years. Duration of infertility was between 2 yrs to 5 yrs in 45% of patient where 30% cases had been infertile for 5 yrs to 10 yrs. Laparoscopy revealed normal findings in 14 (28%) patients and ovarian cause like chocolate cyst and polycystic ovary in 21 (42%). Peritoneal pathology like adhesion or endometriosis was detected in 19 (38%) cases. Bilateral tubal occlusion was found in 4 (8%) cases and unilateral tubal occlusion in 7 (14%) cases. Conclusion: Laparoscopy is a necessary diagnostic tool for evaluation of tubo-peritoneal pathology in infertile women. DOI: http://dx.doi.org/10.3329/birdem.v4i1.18546 Birdem Med J 2014; 4(1): 9-12


2014 ◽  
Vol 6 (1) ◽  
pp. 46-48
Author(s):  
Shyam V Desai ◽  
Gaurav S Desai

ABSTRACT Background Pelvic inflammatory disease is usually associated with gonococcal sexually transmitted infection. Its association with endometriosis has not been well documented. Case Report The authors report an unusual case of an endometriotic cyst in a 29-year-old nulliparous patient with clinical features of pelvic inflammatory disease. On treatment with antibiotics, the symptomatology subsided and signs of infection diminished. But subsequent imaging revealed a persistent right adnexal mass. A right chocolate cyst was found on laparoscopy and was treated with drainage and enucleation. Patient was administered three doses of GnRH analogs thereafter and is awaiting treatment for infertility. Conclusion Endometriotic cysts commonly manifest with dyspareunia and dysmenorrhea. The patient in this report presented with signs and symptoms suggestive of pelvic inflammatory disease which was secondary to a slow leak from a chocolate cyst. How to cite this article Desai GS, Desai SV. An Unusual Presentation of an Endometriotic Chocolate Cyst. J South Asian Feder Obst Gynae 2014;6(1):46-48.


1988 ◽  
Vol 106 (10) ◽  
pp. 1457-1457 ◽  
Author(s):  
N. Loya ◽  
I. Kremer ◽  
M. Goldenfeld ◽  
E. Swetliza
Keyword(s):  

1933 ◽  
Vol 22 (2) ◽  
pp. 356-357 ◽  
Author(s):  
Charles Everett Haines
Keyword(s):  

2017 ◽  
Vol 33 (2) ◽  
pp. e52 ◽  
Author(s):  
Juan C. Jiménez-Pérez ◽  
Jonathan Chou ◽  
Suzanne K. Freitag

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