Diagnosis and Analysis of Transabdominal and Intracavitary Ultrasound in Gynecological Acute Abdomen

In order to explore the effective diagnosis method of gynecological acute abdomen, this paper takes hospital gynecological acute abdomen patients as samples and selects gynecological acute abdomen patients admitted to the hospital to be included in this study. They are divided into transabdominal ultrasound group, intracavitary ultrasound group, and combined group. Moreover, this paper uses mathematical statistics to carry out sample statistics. The statistical data mainly include ectopic pregnancy, torsion of ovarian tumor pedicle, acute suppurative salpingitis, torsion of fallopian tube, hemorrhagic salpingitis, acute pelvic inflammatory disease, rupture of corpus luteum cyst, and diagnosis accuracy rate. In addition, this paper compares the diagnostic accuracy of the abdominal ultrasound group, the intracavitary ultrasound group, and the combined group. The experimental research shows that the combined ultrasound diagnosis method can effectively improve the accuracy of the diagnosis of gynecological acute abdomen.

A twisted giant corpus luteum cyst in the third trimester of pregnancy in a multigravida: A case report

Corpus luteum cyst is common in early pregnancy and seldom exceeds 5 cm in diameter; many of which resolve before the end of the first trimester of pregnancy. Giant corpus luteum cyst in third trimester is very rare especially in naturally-conceived pregnancies. We hereby report a rare case of twisted giant corpus luteum cyst in the third trimester in a 33-year-old multigravida. She presented with acute abdominal pain and vomiting at a gestational age of 34 weeks. Ultrasound scan revealed a twisted giant right ovarian cyst. She underwent an emergency cesarean delivery and right oophorectomy. Histology report showed features that were diagnostic of corpus luteum cyst.

The predicting factors for indication of surgery in patients with hemoperitoneum caused by corpus luteum cyst rupture

The aim of the study was to determine the risk factors for surgery in patients with hemoperitoneum caused by corpus luteum cyst rupture. A retrospective review of medical records of 155 patients diagnosed with hemoperitoneum caused by corpus luteum cyst rupture was conducted between January 2010 and March 2015. The patients were divided into two groups: surgical and conservative management. The differences in characteristics between the two groups were compared. The indicators that determine the need of a surgery at the initial visit were also compared between the two groups. Initial hemoglobin level was lower (11.3 ± 1.4 g/dL vs. 12.2 ± 1.2 g/dL; p = 0.007) in the surgery group. There were significant differences in posterior cul-de-sac (PCDS) fluid collection depth (6.2 ± 2.5 cm vs. 4.5 ± 1.6 cm, p = 0.000), total fluid collection depth (8.4 ± 1.8 cm vs. 6.5 ± 2.1 cm, p = 0.000), single deepest pocket depth (6.7 ± 2.2 cm vs. 5.1 ± 1.5 cm, p = 0.006), liver-dome fluid (78.9% vs. 35.6%; p = 0.002), and estimated intrapelvic bleeding amount (325 ± 250 cc vs. 206 ± 146.5 cc, p = 0.002). The extravasation over grade 2 was more often in surgery group (68.4% vs. 30.1%; p = 0.001). PCDS fluid collection depth, the presence of liver-dome fluid, and the severity of contrast extravasation through ultrasonography and computed tomography are good indicators for determining the management of hemoperitoneum resulting from corpus luteum cyst rupture in healthy women.

Benign tumors and tumor-like lesions of the ovaries: structure, diagnostic methods, tactics of medical care

Relevance of the study. Benign ovarian tumors (hereinafter referred to as BOT) and tumor-like lesions of the ovaries are an acute problem in gynecology, since they develop mainly in women of childbearing age (75-87%) and cause a decrease in reproductive potential. The aim of the study was to study the structure of the BOT and tumor-like lesions of the ovaries, to identify defects in the treatment. Research materials: in compliance with the legislation on the protection of personal data, with the preservation of medical secrecy, the medical records of 350 women who underwent inpatient treatment in 2017-2020 in the gynecological department of Maternity Hospital No. 3 in Tyumen were studied. Results of the study. Only 151 (43%) patients were admitted with complaints, the main complaint was nagging pain in the lower abdomen. The structure of the pathology: corpus luteum cyst – 95 (27%), follicular cyst – 63 (18%), benign endometrioma – 77 (22%). More rare cases: benign cystadenoma – 36 (10%), paraovarian cyst – 30 (9%), benign teratoma – 28 (8%), paratubar (inflammatory) cyst – 21 (6%). There were no statistically significant differences in the frequency of localization (right, left ovaries). The accuracy of ultrasound diagnostics was 99%. Conservative treatment was used in 89 (56%) patients with tumor-like ovarian formations (follicular cyst, corpus luteum cyst). The gynecological history of patients is characterized by a high frequency of inflammatory diseases of the pelvic organs, including chronic salpingo-oophoritis (22%), chronic metroendometritis (10%), inflammatory disease of the cervix (27%). The infertility rate was 7%. Normal CA-125 values were in 83%, increased in 17%. In the tactics of surgical treatment of various forms of BOT and tumor-like lesions of the ovaries, laparoscopy (73%) and Pfannenstiel laparotomy (25%) prevailed. Conclusion. The corpus luteum cyst and follicular cyst are the most frequent nosological form of pathological processes of the ovaries, they require careful diagnosis and, if necessary, the timely appointment of conservative treatment. Surgical treatment in the absence of indications for that or due to inappropriate therapy at the prehospital stage is considered as a defect in the provision of gynecological care.

Effect of some Nigerian traditional alcoholic beverages on the estrous cycle and histological assessment of the ovaries and uterus of albino rats

Alcohol related health challenges have lingered over the years. Such associated with locally brewed alcoholic beverages have received little attention. The urgency to explore this becomes imperative. This study aimed at evaluating the effect of regular consumption of local alcoholic beverages on the estrous cycle and histological image of the ovaries and uterus thus fertility of female albino rats. Thirty screened female albino rats weighing 180-220g were divided into five groups and daily administered each with 10ml/kg of pito, burukutu, ogogoro, goskolo and 0.5ml/kg normal saline respectively for 21 days. Effect of the beverages on the estrous cycle as well as histopathological evaluation was carried out on the isolated ovaries and uterus. Results showed significant increase proestrous phase of the estrous cycle with ingestion of pito, burukutu, ogogorogo and goskolo. Also the histology of the ovary was basically without obvious pathological changes with pito, while there was alteration of histological parameters by burukutu, marked with formation of fibrosis, corpus luteum cyst resulting immature ovarian follicle, ogogoro marked with formation of fibrosis, corpus luteum cyst resulting immature ovarian follicle and goskolo marked with formation of multiple follicular cyst resulting in complete collapse of the ovarian section. The effect of traditional alcoholic beverages revealed the classical effects of alcoholic drinks by way of significant alteration in the estrous cycle of albino rats with marked alteration of the histological architecture of ovarian tissues. Pito, burukutu, ogogoro, and goskolo have a reprotoxic effect on the ovaries and uterus thus a deleterious effect on fertility of female albino rats.

Observations on the Diagnostic Effects of CT Examination (Enhanced Scan) on Hemorrhage Corpus Luteum Cyst

Objective: To investigate the diagnostic effects of enhanced CT scan on hemorrhage corpus luteum cyst (HCLC). Methods: The clinical data of 24 patients with hemorrhage corpus luteum cyst diagnosed by surgery and pathology in our hospital were collected. All patients received enhanced CT scan to evaluate the diagnostic value of CT. Results: The average diameter of the cysts in this group of patients was 5.1cm by CT. Further detection of the ruptured cyst wall showed that there was a liquid low-density shadow. Some of the cysts were accompanied by signs of increased density, indicating the presence of blood clots; all patients received surgical treatment. Intraoperative ultrasound examination of the cysts had an average diameter of 5.2cm and a wall of 0.2~0.4mm. Among them, 19 cases of cysts contained "coffee-colored" liquid with varying degrees of blood clots, and 5 cases had no blood clots in the cysts but there were a lot of blood clots beside the cysts. Conclusion: The application of enhanced CT scan in patients with hemorrhage corpus luteum cyst is of great value. It can provide accurate data reference for clinical treatment and is worthy of promoting its clinical application.

A CASE OF HAEMORRHAGIC OVARIAN CYST CURED WITH HOMOEOPATHIC SIMILIMUM

Haemorrhage in an ovarian cyst is very common. These cyst are known as haemorrhagic ovarian cysts (HOCs).Most of the cyst disappears spontaneously, but certain cyst requires surgical intervention. HOCs are formed because of occurrence of bleeding into a follicular or corpus luteum cyst. Allopathic system of medicines used various hormonal pills for its management which may have adverse drug reactions. Homoeopathic medicines are very helpful to manage such conditions. This article is about a case of 27 years old female who was suffering from haemorrhagic cyst. Homoeopathic medicine was given on the basis of totality of symptoms and patient cured within three months of treatment. Patient’s consent has been taken for the publication of this case report.