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Query: UMLS:C0000737 (abdominal pain)
 31,184 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

We report a case of a 23-year old patient with extrauterine (tubal) pregnancy at 14 weeks gestational age. The patient was admitted to the Clinic with growing abdominal pain lasting few hours, with worsening general condition with no previous symptoms. In ultrasound examination a normal size uterus was described. On the right and behind the uterus the structures of an alive fetus, 13 weeks gestational age according to biometry (BPD, FL) and a large amount of blood clots were seen. Laparotomy was performed and 1500 ml of blood with clots were evacuated from the peritoneal cavity. The right fallopian tube, bulged in isthmal region (close to its intramural part) was ruptured about 2 cm from the uterine corn. The 10 cm long fetus and afterbirth were born into the peritoneal cavity. Right salpingectomy was performed with no complications in the postoperative period.
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PMID:[Ectopic pregnancy--still a live clinical issue --a case report]. 1721 12

Isolated fallopian tube torsion after menopause is a rare condition. Here we report the second case of isolated fallopian tube torsion in a post-menopausal woman. A 55-year-old post-menopausal woman presented with right lower abdominal pain. Sonography depicted a simple cystic mass adjacent to the right uterine border. Laparatomy revealed torsion of the right fallopian tube together with a paraovarian cyst. Total abdominal hysterectomy and bilateral salpingo-oophorectomy was performed. Histopathological examination revealed a simple paraovarian cyst with severe congestion, necrosis and hemorrhage. Tubal torsion should be considered in the differential diagnosis of acute lower abdominal pain, even in post-menopausal women.
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PMID:Isolated torsion of fallopian tube in a post-menopausal patient: a case report. 1731 47

Isolated torsion of the fallopian tube without ovarian involvement and associated pathology is a rare event. We report an 18-year-old single female who presented with acute lower abdominal pain during menstruation after a minor trauma of the pelvis. It was diagnosed as isolated torsion of normal right tube during laparatomy due to herniation of the tube through a tear in the broad ligament.
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PMID:Unusual mechanism of isolated torsion of fallopian tube following minor trauma. Herniation through a broad ligament tear. 1745 95

Primary fallopian tube carcinoma (PFTC) is the rarest gynecologic malignancy. We present the first documented case of this rare neoplasm in Ethiopia, in a 50 years old perimenopausal woman. The patient complained of irregular menses, on and off vaginal discharge and longstanding lower abdominal pain. She had longstanding infertility for which she did not seek medical help. The patient was subjected for laparotomy with the preoperative diagnosis of chronic pelvic inflammatory disease. Huge bilateral hydrosalpinges were found with pelvic adhesions involving the ovaries. Total hysterectomy with bilateral adnexectomy was performed following adhesiolysis. The diagnosis of low-grade papillary tubal carcinoma was made postoperatively when the specimen from total abdominal hysterectomy and bilateral salpingoopherectomy was examined histologically. The patient declined relaparatomy for proper staging or further adjuvant treatment. She was free of clinically demonstrable recurrence five months after discharge. Challenges in the detection of PFTC relating to its signs and symptoms, diagnostic difficulties, choice of treatment and factors that may influence survival are outlined It is prudent to perform histopathologic examination on all surgically excised specimens however obvious the clinical findings appear to be.
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PMID:Primary fallopian tube carcinoma (PFTC) comorbidity with infertility and bilateral hydrosalpinx. 1764 64

Granulocytic sarcoma is an extramedullary tumor associated with acute myelogenous leukemia (AML) and it is rarely seen in the female genital tract. We report an unusual case of granulocytic sarcoma of the uterus and fallopian tube in an AML patient who presented with vaginal bleeding and persistent abdominal pain. She was under chemotherapy. Biopsy did not reveal the diagnosis. After laparoscopic examination, hysterectomy with bilateral salpingo-oophorectomy was performed. Pathology showed atypical myeloid cells infiltrating the muscle bundles which was consistent with granulocytic sarcoma involving the uterus and right fallopian tube. Immunohistochemistry confirmed the diagnosis. The patient is in complete remission for AML and being followed-up for granulocytic sarcoma. Granulocytic sarcoma of the uterus and fallopian tube is very rare, and in AML patients with abnormal uterine bleeding but negative endometrial biopsy it should still be considered in the differential diagnosis.
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PMID:Granulocytic sarcoma involving the uterus and right fallopian tube with negative endometrial biopsy. 1771 90

A 13-year-old unmarried female presented with severe colicky lower abdominal pain, radiating to left side, not associated with fever. Ultrasound examination showed a dilated left fallopian tube with minimal free fluid in pelvis, and diagnosis of pelvic inflammatory disease was suggested. MRI of the pelvis showed a complex intensity mass in left adnexa, suggesting a germ cell tumour. Patient underwent diagnostic laparoscopy and laparoscopic removal of left fallopian tube. Histopathology finally established the diagnosis of left fallopian tube torsion.
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PMID:Torsion of fallopian tube in a 13-year-old unmarried girl. 1818 43

We describe a woman who presented to the Emergency Department (ED) with vaginal bleeding and abdominal pain. She was initially diagnosed by the emergency physician with a molar pregnancy by transvaginal ultrasound, which was confirmed and treated by the consulting obstetrical service with a dilatation and curettage the following day. The patient was discharged home later that same day and subsequently returned to the ED after several hours complaining of an acute worsening of her abdominal pain with associated fatigue and lightheadedness. Transabdominal ultrasound performed by the emergency physician demonstrated intra-abdominal free fluid, and the obstetrical service was immediately contacted. Subsequent operative management identified a separate ruptured ectopic pregnancy in the fallopian tube that was confirmed by pathologic analysis after laparoscopic removal.
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PMID:A case of intrauterine molar pregnancy with coexistent ectopic pregnancy. 1824 26

Isolated torsion of the fallopian tube is a rare cause of lower abdominal pain and commonly occurs after menarche. Prompt identification of this entity can prevent irreversible vascular damage, but the diagnosis is rarely made before surgery due to nonspecific clinical and imaging features. We report a case of isolated tubal torsion with specific imaging features on preoperative computed tomography and magnetic resonance imaging.
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PMID:Isolated tubal torsion: specific signs on preoperative computed tomography and magnetic resonance imaging. 1830 Jan 52

A 34-year-old woman presented with an intermittent abdominal pain 5 years after voluntary vacuum aspiration for interruption of a first-trimester pregnancy. Magnetic resonance imaging demonstrated complete septate uterus and a cystic mass that infiltrated the posterior myometrial wall of the right side of the uterus. Laparoscopy and hysteroscopy revealed an intra uterine fallopian tube incarceration.
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PMID:Intrauterine fallopian tube incarceration: an uncommon complication of termination of pregnancy by vacuum aspiration. 1830 6

Posthysterectomy ectopic pregnancy is an unusual condition that may present soon after hysterectomy or several years later. Similarly, although tubal ligation is a widespread method of contraception, tubal pregnancy after tubal ligation is not common either. If any of these conditions are rare, having an ectopic pregnancy after hysterectomy and tubal ligation is even more infrequent and only one of such cases was found in our review of the literature. We describe the case of a 35-year-old patient, with history of bilateral tubal ligation and vaginal hysterectomy that looked for medical attention due to abdominal pain. A pregnancy test was positive and a transvaginal ultrasound demonstrated the presence of a gestational sac at the vaginal cuff, adjacent to the ovary. An exploratory laparotomy showed a ruptured ectopic pregnancy located in the distal portion of the left fallopian tube. The occurrence of an ectopic pregnancy several years following tubal ligation and vaginal hysterectomy is a rare phenomenon that appears to be secondary to a fistulous connection into the peritoneal cavity.
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PMID:Ectopic tubal pregnancy after hysterectomy and tubal ligation. 1841 20


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