Cases reported "Ovarian Diseases"

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1/30. Beta-2 microglobulin amyloidosis presenting as bilateral ovarian masses: a case report and review of the literature.

    We report a case of systemic beta-2 microglobulin amyloidosis (B2M) in which the initial clinical presentation was that of bilateral ovarian masses. A 56-year-old woman who had been on renal dialysis for 12 years because of familial glomerulonephritis underwent a total hysterectomy and bilateral salpingo-oophorectomy for suspected ovarian malignancy. Pathologic findings included extensive amyloid infiltration of both ovaries, fallopian tubes, and focal perivascular deposition in the myometrium. The diagnosis of amyloidosis was confirmed with congo red stain, B2M immunohistochemistry, and electron microscopy. Systemic amyloidosis in renal dialysis patients commonly presents as bone and/or joint disease, although visceral involvement has been reported. This is the first report in the English language literature to describe amyloidosis presenting as bilateral ovarian masses.
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ranking = 1
keywords = fallopian tube, tube
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2/30. Clear cells carcinoma of fallopian tubes associated with tubal endometriosis. Case report and review.

    Our case report describes a patient with clear cell fallopian tube carcinoma (histological grade 3; stage (FIGO): III c.) associated with an endometrial cyst of the tube wall.
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ranking = 5.0054627085714
keywords = fallopian tube, tube
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3/30. Actinomycotic tubo-ovarian abscess mimicking pelvic malignancy.

    A 39-year-old multipara was admitted to hospital with lower abdominal pain. She had used an intrauterine device (IUD) for 10 years. Three years ago, her tubes were ligated. Ultrasound examination revealed a 9.5 x 6 cm multiloculated cystic mass in the right part of her lower abdomen. CA-125 was also found to be increased. Since ovarian malignancy was suspected, laparotomy was performed. Pathologically, an actinomycotic tubo-ovarian abscess with sulfur granules was disclosed.
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ranking = 0.0054627085714222
keywords = tube
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4/30. A case of tubo-ovarian abscess 6 years after hysterectomy.

    Tubo-ovarian abscesses are uncommon complications from pelvic inflammatory disease. The theoretical basis for bacterial seeding of the Fallopian tube and ovary is an ascending infection through the uterus. This paper presents a case of a tubo-ovarian abscess in a woman 6 years after a hysterectomy. Although it is known that tubo-ovarian abscesses can occur in the presence of adjacent appendicitis or diverticulitis, neither of these was present in this patient. Therefore, the mechanism for infection in this patient was either a subacute condition preceding her hysterectomy or hematogenous seeding of her adnexal structures. Either of these mechanisms for infection challenge the currently held theories that have been put forth to describe the formation of tubo-ovarian abscesses.
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ranking = 0.0054627085714222
keywords = tube
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5/30. Primary carcinoma of the fallopian tube mimicking tubo-ovarian abscess.

    PURPOSE: The aim of the study is to report that the primary fallopian tube cancer can be presented as a tubo-ovarian abscess preoperatively. methods: A patient with a preoperative diagnosis of a tubo-ovarian abscess with abdominal pain, tenderness and an elevated fever with leukocytes underwent urgent exploratory laparotomy. RESULTS: Explorative laparotomy and accompanied frozen section revealed a right-sided tubal carcinoma. There was an inflammatory and purulent reaction in the tube that was adherent to the anterior uterus. Total hysterectomy and bilateral salpingo-oophorectomy were performed. CONCLUSION: carcinoma of the fallopian tube should be considered in the differential diagnosis of acute pelvic peritonitis like a tubo-ovarian abscess.
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ranking = 6.0054627085714
keywords = fallopian tube, tube
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6/30. Cystic adenomyosis with florid glandular differentiation mimicking ovarian malignancy.

    We report a case of cystic adenomyosis, presenting as a huge exophytic cystic mass with florid glandular differentiation. MR findings of the mass mimicked ovarian carcinoma associated with endometriosis. The presence of signal voids bridging the uterus and tumour should suggest a mass of uterine origin. Hyperintense protuberance in a hypointense loculus on T(2) weighted images may suggest benign disease. However, surgical exploration and resection is still required to exclude an ovarian malignancy.
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ranking = 0.0054627085714222
keywords = tube
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7/30. Pelvic actinomycosis in pregnancy: a case report and review of the literature.

    The first reported case in thailand of pelvic actinomycosis during pregnancy is presented. It occurred in a 38-year-old Thai female with a history of IUD wearing for 2 years until the symptoms of intermittent lower abdominal pain. She had a history of postcoital bleeding at 16 weeks' pregnancy and bleeding per vagina during labor at 40 weeks' pregnancy. Speculum examination showed an irregular, friable, easily bleeding mass (3-4 cm in diameter). The specimens of the mass at the posterior fornix were obtained for culture and pathological examination. Right tubo-ovarian complex measured 10 x 4 x 4 centimeters in diameter, extending through the cul-de-sac to the vaginal canal at the posterior fornix, was identified during exploratory laparotomy. Low transverse cesarean section was performed. The pathological diagnosis was actinomycosis of right fallopian tube and ovary. The patient was treated with tetracycline.
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ranking = 1
keywords = fallopian tube, tube
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8/30. Mullerian agenesis and ovarian torsion. A case report and review of literature.

    A case report of a premenarcheal patient with an ovarian torsion and mullerian agenesis is presented. An 11-year-old prepubertal girl presented with severe left lower quadrant abdominal pain and mild rebound. A computed tomography showed a normal appendix; an ultrasound showed a left ovary measuring 3 x 2 cm with multiple 0.5-mm simple cysts. A diagnostic laparoscopy showed the left ovary tube to be twisted, but the uterus was absent, and the right ovary and tube were not visualized in the appropriate location; instead, a right adnexal structure was buried in the right sidewall. The ovary was untwisted and fixed to the pelvic sidewall. chromosomes were 46,XX, and her hormonal evaluation was normal. Ovarian torsion and mullerian agenesis are rarely reported. An association between the lax attachment of the adnexa and torsion may be a contributing factor in this condition.
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ranking = 0.010925417142844
keywords = tube
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9/30. Sliding indirect hernia containing both ovaries.

    Although sliding indirect inguinal hernias containing the ipsilateral ovary and fallopian tube are not uncommon in infant girls, sliding hernias containing both ovaries are rare. This report describes a large indirect inguinal hernia in a 1-year-old infant girl that contained the left uterine fundus, left bladder ear, as well as both ovaries and fallopian tubes.
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ranking = 2
keywords = fallopian tube, tube
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10/30. Partial tubal salvage through neosalpingostomy in a 12-year-old girl with combined ovarian and fallopian tube torsion.

    The combined torsion of both the ovary and the fallopian tube in the pediatric population has been a rarely encountered pathology. Although detorsion of the twisted adnexa is an option, most torsion cases reported in the pediatric literature have undergone adnexectomy as the primary treatment modality. We believe that, in an attempt to maximize the future reproductive potential, a viable portion of the fallopian tube can be salvaged in selected cases. This is the first reported case where a partially necrotic twisted tube is salvaged through neosalpingostomy after the resection of the necrotic distal portion. In this article, we are presenting a 12-year-old girl with a combined torsion of the right ovary and fallopian tube as well as the surgical management of this rare condition.
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ranking = 7.0054627085714
keywords = fallopian tube, tube
(Clic here for more details about this article)
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