Cases reported "Salpingitis"

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1/20. Group A streptococcus causing PID from an initial pharyngeal infection. A case report.

    BACKGROUND: pelvic inflammatory disease (PID) is a difficult diagnosis. Five billion dollars is spent on over 1 million women diagnosed each year. Atypical organisms and prior history of tubal ligation may complicate the diagnosis. CASE: A woman who had undergone tubal ligation and abstained from intercourse for over two years developed group A streptococcal salpingitis. It occurred following an upper respiratory infection with the same organism. CONCLUSION: PID is rare in a woman with prior tubal ligation who is not engaging in intercourse. In this case it followed an upper respiratory infection with group A streptococcus. Low diagnostic suspicion must be maintained for uncommon pathogens in PID in women with prior tubal ligation who are not engaging in intercourse.
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2/20. Cutaneous umbilical endosalpingiosis with severe abdominal pain.

    Cutaneous endosalpingiosis is a very rare entity, and to our knowledge umbilical location has been reported in only one patient who developed salpingectomy shortly after. We report cutaneous umbilical endosalpingiosis associated with severe abdominal pain that disappeared after surgical treatment.
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ranking = 1448.2959377395
keywords = abdominal pain
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3/20. salpingitis due to entamoeba histolytica.

    We describe the pathology of a unique case of Fallopian tube amebiasis, associated with hydrosalpinx, in a 21-year-old woman. She complained of lower abdominal pain, had a foul-smelling green vaginal discharge and fever during one week. There was a discrete increase in body temperature and a painful abdominal palpation at the lower right side, with signs of local peritoneal irritation. Pathological examination showed a marked dilatation of the fallopian tube and hydrosalpinx. Microscopic examination showed a poorly formed granuloma composed of large macrophages with many entamoeba histolytica trophozoites inside the fallopian tube. Even though it is a rare disease the correct diagnosis of female genital tract amebiasis is of great importance for the indication of proper therapy.
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ranking = 289.6591875479
keywords = abdominal pain
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4/20. Viable intrauterine pregnancy with acute salpingitis progressing to septic abortion. A case report.

    BACKGROUND: A viable intrauterine pregnancy with salpingitis has been reported rarely. CASE: A 27-year-old woman at 10 weeks' gestation developed abdominal pain, fever, leukocytosis, peritoneal signs, closed cervix and a viable pregnancy. Progression from acute salpingitis to septic abortion was documented. CONCLUSION: Acute salpingitis in the presence of a viable pregnancy warrants aggressive intervention.
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ranking = 289.6591875479
keywords = abdominal pain
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5/20. Xanthelasma or xanthoma of the fallopian tube.

    We report a case of a 24-year-old woman who presented with abdominal pain, a tense abdomen, and rebound tenderness. A vague, ill-defined mass was palpated, and an ultrasound examination revealed a cystic lesion in the left adnexal region. At laparotomy, a slightly dilated fallopian tube was seen and excised. light microscopy showed intact fallopian tube mucosa, with a diffuse infiltrate of foam cells in the lamina propria. There were no associated inflammatory cells. The foam cells were positive for CD68 and negative for AE1/AE3. Discontinuous areas of the epithelium also showed epithelial cells with "foamy cytoplasm." These cells were negative for CD68 but positive for AE1/AE3. To our knowledge, this represents the first case of a fallopian tube xanthelasma that shows a resemblance to lesions encountered in the stomach. Fallopian tube xanthelasma must be distinguished from xanthogranulomatous salpingitis, which is associated with an inflammatory cell infiltrate, often including giant cells. However, this lesion may share pathogenetic similarities with xanthogranulomatous salpingitis, since both processes are mediated by inflammation.
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ranking = 289.6591875479
keywords = abdominal pain
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6/20. Tubo-ovarian abscess occurring 16 years after supracervical hysterectomy.

    BACKGROUND: Supracervical hysterectomy is seldom performed and there are few reports of tubo-ovarian abscess (TOA) after supracervical hysterectomy. CASE: The case of a 49-year-old woman with a right TOA is reported. This patient had received a supracervical hysterectomy 16 years earlier due to rupture of the uterus. At this admission, she presented with complaints of, lower abdominal pain and fever. Bimanual and transvaginal ultrasound examinations demonstrated a tender mass in the right adnexal region. laparotomy, pathologic examination and microbiologic study confirmed the diagnosis of right TOA. CONCLUSION: After supracervical hysterectomy, patients may develop endocervicitis, parametritis and/or TOA. This series may be a subtype of ascending infections in the female genital tract.
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ranking = 289.6591875479
keywords = abdominal pain
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7/20. A unique case of descending salpingitis and functioning endometrium in a Mullerian remnant in a woman with Mayer-Rokitansky-Kuster-Hauser syndrome.

    OBJECTIVE: To describe a unique case of descending salpingitis and functioning endometrium in a noncavitated mullerian remnant in a patient with Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome. DESIGN: Case report. SETTING: Second Department of obstetrics and gynecology, University of Athens, Aretaieion Hospital, Athens, greece. PATIENT(S): A 25-year-old patient with MRKH syndrome who presented with lower abdominal pain. INTERVENTION(S): Clinical examination, transabdominal ultrasonography, laparoscopy, laparotomy. MAIN OUTCOME MEASURE(S): Clinical symptoms of salpingitis and hematometra; laparoscopic and laboratory confirmation. RESULT(S): laparoscopy revealed an infection of the right salpinx, and surgical excision by laparotomy revealed a noncanalized mullerian remnant with functioning endometrium. CONCLUSION(S): salpingitis can present in patients with MRKH syndrome. Probable presence of functioning endometrium must be taken under consideration.
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ranking = 289.6591875479
keywords = abdominal pain
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8/20. Beta hemolytic streptococcus group f causing pelvic inflammatory disease in a 14-year-old girl.

    BACKGROUND: pelvic inflammatory disease in prepubertal and non-sexually active adolescents is rare and poorly understood. Various organisms have been named as causative agents in adolescent pelvic infections. early diagnosis and treatment of pelvic inflammatory disease in young girls is imperative to future fertility and long term sequela. CASE: We present a 14-year-old, menarchal, non-sexually active female with a 3-week history of abdominal pain and fever. Surgical exploration and cultures revealed Stage IV pelvic inflammatory disease caused by Beta streptococcus Group F. CONCLUSION: Various organisms including streptococcal infections should be considered in the differential diagnosis of pelvic inflammatory disease in young girls without risk factors.
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ranking = 289.6591875479
keywords = abdominal pain
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9/20. Acute chlamydial salpingitis with ascites and adnexal mass simulating a malignant neoplasm.

    chlamydia trachomatis is a well-known cause of acute and chronic salpingitis, accounting for approximately half of all cases of pelvic inflammatory disease. Typically, patients with acute chlamydial salpingitis present with acute lower abdominal pain, tenderness on bimanual pelvic examination, or vaginal discharge. We describe a case of acute chlamydial salpingitis with marked ascites and an adnexal mass that simulated a malignant neoplasm. Microscopically, a severe lymphofollicular salpingitis and a marked lymphofollicular hyperplasia of the omentum and retroperitoneal lymph nodes were found. Chlamydial inclusions in the fallopian tube epithelium were demonstrated by immunohistochemistry using a mouse monoclonal antibody to a genus-specific outer membrane lipoprotein. Chlamydial infection may cause marked ascites and a palpable adenexal mass and should be considered whenever marked chronic inflammation with a lymphofollicular hyperplasia involves the fallopian tube or other female genital tract sites.
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ranking = 289.6591875479
keywords = abdominal pain
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10/20. Pyosalpinx subsequent to tubal ligation.

    A case of salpingitis with pyosalpinx subsequent to tubal ligation is described. The procedure was performed at the time of cesarean section 7 years earlier. The pyosalpinx included the distal portion of the ligated tube, with no evidence of infection in the proximal segment. Although pelvic peritonitis, salpingitis and tubo-ovarian abscess are rare following tubal ligation, they should be suspected in any patient presenting with lower abdominal pain.
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ranking = 289.6591875479
keywords = abdominal pain
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