1/32. Neurologic disease presenting as chronic pelvic pain.Neurologic disease as a cause of chronic pelvic pain may be more common than previously reported. We report three cases wherein patients with complaints of pelvic pain were subsequently found to have neurologic disease involving the lumbosacral spine. In all three cases, the presenting features were complaints of cyclic or noncyclic lower abdominal pain attributed to endometriosis, pelvic inflammatory disease, or uterine fibroids. When conventional therapies failed to resolve the pain, magnetic resonance imaging (MRI) of the lumbosacral spine showed a neoplasm in one patient and disk herniation in two patients. Evolving lumbar disk disease or intradural neoplasms in the upper lumbar area can produce symptoms interpreted as pelvic pain. Symptoms consistent with radiculopathy occurred late in the course of each of the three cases reported.- - - - - - - - - - ranking = 1keywords = abdominal pain, upper (Clic here for more details about this article) |
2/32. Primary non Hodgkin's lymphoma of the vagina.The genital tract as a primary site of malignant lymphoma in women is extremely rare. This report concerns a 64 year old patient with a primary vaginal non-Hodgkin lymphoma (large cell B lineage according to the REAL classification--centroblastic type according to the Kiel classification--"G" according Working Formulation) with an unusual clinical presentation--pelvic discomfort accompanied by frequent ureteral-like colic. Due to gynecological onset symptoms and the rarity of this extranodal primary site misinterpretation of a primary vaginal lymphoma as a benign inflammatory disease or endometriosis may occur. We emphasize the importance of their recognition and also the differential diagnosis of cervical lymphoma from other neoplastic and non-neoplastic lesions.- - - - - - - - - - ranking = 0.97465389156385keywords = discomfort (Clic here for more details about this article) |
3/32. Transvaginal ultrasonographic identification of appendicitis in a setting of chronic pelvic pain and endometriosis.Our patient had a history of chronic endometriosis and pelvic pain and complained of recent onset of right-sided abdominal pain, nausea, and vomiting. Transvaginal ultrasonography revealed a thick-walled mass superior and medial to the right ovary, which was thought to be an inflamed appendix. The woman was not pregnant, and the structure appeared to be anatomically separate from the uterus. Subsequent laparoscopy confirmed the diagnosis of acute appendicitis; uncomplicated laparoscopic appendectomy followed. In the setting of chronic endometriosis, other nongynecologic sources of acute pelvic pain must be considered. Surgical intervention is appropriate whenever clinical suspicion for an acute abdomen is high, and the a priori diagnosis of endometriosis should not result in operative delay.- - - - - - - - - - ranking = 0.99851786462596keywords = abdominal pain (Clic here for more details about this article) |
4/32. Primary psoas abscess complicating a normal vaginal delivery.BACKGROUND: psoas abscess is a rare and potentially dangerous complication of normal delivery. CASE: We describe a case of primary psoas abscess after normal vaginal delivery. A young woman presented with fever, left back pain, left lower abdominal pain, and hip pain starting on postpartum day 2. Computed tomography demonstrated a large retroperitoneal collection. Aspiration drainage of the abscess under computed tomography guidance isolated streptococcus viridans, which responded to antibiotic therapy and percutaneous drainage with complete resolution. CONCLUSION:A high index of suspicion is necessary for diagnosis of psoas abscess, which should be considered in postpartum patients with pyrexia, back and hip pain, and a normal neurologic examination. Computed tomography is effective for diagnosis and allows percutaneous drainage of the abscess.- - - - - - - - - - ranking = 1.1881908574198keywords = abdominal pain, back pain, back (Clic here for more details about this article) |
5/32. Ectopic pregnancy after cesarean hysterectomy.BACKGROUND: Ectopic pregnancy after a total abdominal hysterectomy is rare and, for this reason, delay in diagnosis may occur when such a patient presents with abdominal pain. CASE: A multiparous patient with a history of cesarean hysterectomy 12 years before presented to the emergency department with abdominal pain and incidental positive urine beta-human chorionic gonadotrophin (hCG). A computed tomography scan revealed a loculated left cystic mass in the pelvis. laparotomy findings revealed a left adnexal mass; pathology revealed chorionic villi consistent with pregnancy. CONCLUSION: Ectopic pregnancy may occur after hysterectomy, but typically presents near the time of surgery and is more commonly associated with vaginal hysterectomy. However, because ectopic pregnancy is possible after hysterectomy, it should be considered in the differential diagnosis of adnexal mass in such a patient.- - - - - - - - - - ranking = 1.9970357292519keywords = abdominal pain (Clic here for more details about this article) |
6/32. Midgut carcinoid tumor identified from a metastasis in the uterosacral ligament.Chronic pelvic pain is common in women of reproductive age and accounts for more than 40% of all laparoscopic procedures. In up to 40% of these patients laparoscopic findings are negative. As a result, many gynecologists frequently excise portions of the uterosacral ligaments and biopsy inconspicuous pelvic lesions in an effort to perform uterosacral nerve ablation and also to identify subclinical endometriosis. During diagnostic laparoscopy for chronic intermittent pelvic and abdominal pain, a 37-year-old woman was noted to have an incidental, 5-mm, pink-white nodule in the right uterosacral ligament. Pathologic examination reported features typical of a carcinoid tumor. Further evaluation by computerized tomographic scan and indium-III octreotide scan identified a 1.6-cm lesion in the mesentery. At laparotomy a 2-cm primary mucosal tumor in the terminal ileum and a 2-cm nodule in the adjacent mesentery were present. carcinoid tumor was confirmed in 2 nodules and in 7 of 17 mesenteric lymph nodes. liver and lung metastases were not seen.- - - - - - - - - - ranking = 0.99851786462596keywords = abdominal pain (Clic here for more details about this article) |
7/32. pelvic pain, low blood pressure, and hemolysis after outpatient hysteroscopy in a patient with glucose-6-phosphate dehydrogenase deficiency.OBJECTIVE: To report hemolytic crisis in a woman with glucose-6-phosphate dehydrogenase (G6PD) deficiency who underwent diagnostic hysteroscopy using endoscopic instruments sterilized in gluteraldehyde and phenol disinfectant. DESIGN: Case report. SETTING: Surgical unit of a university hospital. PATIENT(S): A 53 year-old woman with endometrial thickening on ultrasonography. INTERVENTION(S): Diagnostic hysteroscopy. MAIN OUTCOME MEASURES: Laboratory tests. RESULT(S): The patient experienced abdominal pain and acute hypotension 10 minutes after diagnostic hysteroscopy. We attributed this event to the exposure of her genital mucosa caused by the hysteroscopic chemical disinfectant. CONCLUSION(S): Chemical sterilization of endoscopes can cause clinical manifestations in people with G6PD deficiency, a common enzyme abnormality. The phenol content in some chemical disinfectants for endoscopic instruments can also cause hemolytic crisis.- - - - - - - - - - ranking = 0.99851786462596keywords = abdominal pain (Clic here for more details about this article) |
8/32. pelvic floor physical therapy in urogynecologic disorders.physical therapists are uniquely qualified to treat pelvic floor dysfunction with conservative management techniques. Techniques associated with incontinence and support functions of the pelvic floor include bladder training and pelvic floor rehabilitation: pelvic floor exercises, biofeedback therapy, and pelvic floor electrical stimulation. Pain associated with mechanical pelvic floor dysfunction can be treated by physical therapists utilizing various manual techniques and modalities. research documents that conservative management is effective in treating many conditions associated with pelvic floor dysfunction. research should be conducted to determine if addressing diastasis recti and contracture of the pelvic floor musculature should be a component of the standard physical therapy protocol.- - - - - - - - - - ranking = 0.02489379717904keywords = back (Clic here for more details about this article) |
9/32. Forgotten needle--an unusual cause of chronic pelvic pain.CASE REPORT: A case presented with chronic pelvic pain since a Fothergills repair 9 years back. Over the years she had received multiple courses of antibiotics and anti-inflammatory drugs to no avail. RESULTS: Thorough evaluation revealed the presence of a foreign body in the form of a surgical needle in the cervix.- - - - - - - - - - ranking = 0.02489379717904keywords = back (Clic here for more details about this article) |
10/32. Retroperitoneal benign schwannoma: report of three cases and analysis of clinico-radiologic findings.Retroperitoneal schwannoma is a rare tumor that originates in the neural sheath and accounts for only a small percentage of retroperitoneal tumors. Presentation is typically varied and non-specific ranging from abdominal pain, abdominal mass or an incidental finding and the diagnosis is quite often fortuitous being confirmed by anatomopathological study afterwards. We report 3 cases of benign retroperitoneal pelvic schwannoma with varied presentations. Main symptoms were abdominal and pelvic pain whereas a patient with left parailiac mass had urinary incontinence and left lower extremity pain. Surgical exploration and complete excision of tumors were successful. The histological diagnosis of the tumors was reported as benign schwannoma. All patients are doing well and had no symptoms of motor or sensory disturbances after surgery with a mean follow up of 18 mounts.- - - - - - - - - - ranking = 0.99851786462596keywords = abdominal pain (Clic here for more details about this article) |
| | Next -> |