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

The results of 486 laparoscopic procedures are reported. 70.3% of the procedures were for the purpose of sterilization and 27.9% were performed for fertility studies and diagnostic purposes. There were 3 pregnancies following 342 sterilization procedures. Laparoscopic diagnosis uncovered various contributing causes to abdominal pain: pelvic variocele, ovarian cysts of difficult palpation, uterine myomas, and adherent tissues with endometriosis. There was 1 case of puncture of the inferior vena cava and 2 cases of abscess of the abdominal wall. Preoperative and operative procedures are briefly described.
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PMID:Laparoscopy in Colon, Panama. 13 15

A 32-year-old gravida 4, para 4, was seen at the University of Wisconsin Hospital in 1976 requesting reversal of her tubal sterilization. She had undergone a colpotomy with removal of 1.8 cm of each Fallopian Tube (confirmed histologically) in 1970. A laparotomy in 1975, for abdominal pain, resulted in the removal of a hemorrhagic ovarian cyst, but the pathology report did not mention the distal 1.8 cm of the right Fallopian Tube as being part of the surgical specimen. A short time later, 3 of the patient's children died in a house fire. At laparoscopy, the right tube was unencumbered, measuring 6 cm from the cornu to its blunt end. On the left, a short (less than 5 mm) segment of the tube at the cornu and a normal fimbrial segment were visualized. The intervening portion of the tube was absent. Laparotomy was undertaken with the intent of performing a left cornual-ampullary anastomosis, but, when the cornual segment was shaved, a definitive lumen could not be identified. Anastomosis of the left fimbrial segment to the right proximal fallopian tube as a pedicle graft was performed without the aid of magnification. Five 6-0 Dexon sutures were placed in a through-and-through manner involving secrosa, muscularis, and mucosa. A final 4-0 silk suture brought the two mesosalpinges together at the base of the tube. The patient was treated with dexamethasone and phenergan. 18 months following surgery, the patient conceived. A 9-month pregnancy ended in spontaneous labor and the vaginal delivery of a healthy infant.
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PMID:Tubal anastomosis of a fimbrial segment pedicle graft. 48 39

A series of 106 cases of polycystic kidneys in adults is presented. The main clinical, exploratory and therapeutic data are analyzed. The average age of the patients at the time of the first clinical manifestation was 35 years; average age at the time of diagnosis was 43 years. The most common forms of presentation included renal colics, blood hypertension, noncolic lumbar pain, macroscopic hematuria, and polydipsia-polyuria. The most frequent symptoms were: abdominal pain of any type (73 patients), polydipsia-polyuria (66 patients), blood hypertension (61 patients), macroscopic hematuria (47 cases), episodes of urinary infection (41 cases), and passing of calculi (22 cases). Seventy-eight subjects had arterial high blood pressure; it was easily controlled in all except 14 cases. Proteinuria was slight in all except two cases. Values for hematocrit and hemoglobin remained high in relation to the degree of renal insufficiency. The mean value of hematocrit in patients with creatinine clearance below 10 ml/min was 30 percent. Renal function decreased gradually, from normal to a clearance of less than 10 ml/min over a period of 12 years on the average. Diagnosis was based mainly on abdominal physical examination and intravenous urography; 89 patients had palpable abdominal masses. Urography revealed typical images of polycystic kidney in every case. The following associated conditions were also discovered: liver cysts (17 cases among 57 liver scanning; bilateral ovarian cysts in one case; Cacci-Ricci's disease in one case; and cerebral arterial aneurysms in another patient. Treatment was conservative with the aim to control arterial blood pressure and urinary infection. Twenty-nine patients required saline replacement; peritoneal dialysis was practiced in two cases and permanent hemodialysis was prescribed for 15 individuals.
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PMID:[Polycystic kidneys in adults. A clinical study of 106 cases (author's transl)]. 52 27

This is a review of cases of ovarian cyst encountered in childhood in the Manchester children's hospitals. The patients presented with acute or recurrent abdominal pain or an abdominal or pelvic mass. The commonest cyst found was a teratoma, which was discovered because of its size or because of a complication. All but one of the girls with teratomas had not reached puberty. After puberty the cysts were follicular or luteal in type, although there was one case of cystadenoma. Complications in the form of torsion, rupture which haemoperitoneum or haemorrhage into the cyst were common. Treatment consisted of ovarian cystectomy, oophorectomy or salpingo-oophorectomy, and the results were satisfactory.
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PMID:Ovarian cysts in childhood. 106 61

Three cases of women in the reproductive age group who received warfarin sodium therapy for pulmonary embolism are presented. The therapy was complicated by rupture of ovarian cysts with intraperitoneal hemorrhage necessitating exploratory laparatomy. The possibility of intraperitoneal hemorrhage must be considered in patients who present with abdominal pain and a history of anticoagulant therapy. Lack of awareness of the complication may result in delay in making a correct diagnosis and instituting appropriate therapy.
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PMID:Ovarian hemorrhage complicating warfarin sodium anticoagulant therapy. 125 38

A case is described of an autoimmune oophoritis that was diagnosed unexpectedly after a hysterectomy and bilateral salpingo-oophorectomy had been performed on the suspicion of ovarian cysts. The patient was a 43-year-old multiparous woman who presented with vaginal bleeding and lower abdominal pain which she had had for one month. Grossly, the ovaries were enlarged and multicystic. The cysts measured up to 3.0 cm. The major histological change was a lymphoplasmacytic infiltrate in close relation to the theca interna of developing, cystic and atretic follicles, but sparing the primordial follicles. The infiltrate increased in density with the follicular maturation and culminated against the corpus luteum. With involution of the developing follicles, the inflammatory infiltrate subsided to some extent. The proportion of the plasma cells increased with the density of the infiltrates. Immunohistochemical study of the ovarian mononuclear cell infiltrate revealed a mixture of B- and T-lymphocytes. The plasma cells were polyclonal. These histological features of the present case are typical of autoimmune oophoritis although the presence of autoantibodies and hormonal level in the patient's serum were unknown. This case may be identified as in the early active stage of autoimmune oophoritis.
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PMID:Autoimmune oophoritis--a case report. 128 30

The clinical features of 39 children with ovarian cysts and tumours are presented. Over two-thirds presented as an emergency with abdominal pain. Thirty-four patients had benign ovarian disease. Only two of the five malignant tumours were of primary ovarian origin. Ultrasonography and computed tomographic scanning can be of valuable assistance in diagnosis and planning surgery. The diagnosis of ovarian cysts and tumours should be considered among the less common causes of acute abdominal pain in children.
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PMID:Ovarian cysts and tumours in childhood. 157 6

Wandering spleen is uncommon and of difficult diagnosis. New Imaging Modalities (Eco; TC), can suggest or confirm the preoperative diagnosis of wandering spleen, permitting conservative surgery, mainly in children. We report two cases of wandering spleen. The first one, with acute surgical abdomen and tumor on left iliac fossa, operated as an ovarian cyst torsion: the laparotomy showed a necrotic spleen in pelvis. The second case presented as intestinal sub-occlusion with recurrent abdominal pain, and a left iliac fossa movable tumor. It was diagnosed by eco and radionuclides before laparotomy. Even diagnosed in different ways, the surgical treatment was the same.
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PMID:[Torsion of wandering spleen. An unusual case of abdominal pain]. 159 86

Thirty patients with clear ovarian cysts underwent aspiration guided by vaginal ultrasound. In 23 cases a complete aspiration was accomplished. In 4 only partial aspiration was possible, and in the remaining 3 failed aspiration led to surgery. Histological findings correspond to retroperitoneal lipoma and mucinous cystadenoma (2 cases). Malignant cells were not detected in the fluid of any of the 27 aspirates. Eight of the ten patients presenting with abdominal pain experienced a relief following aspiration. Recurrence of the cyst occurred in 12 cases (40%) with significantly smaller dimensions (P less than 0.01). Vaginal ultrasound aspiration of clear cyst is easy and safe and can be considered as an outpatient procedure.
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PMID:Clear ovarian cyst aspiration guided by vaginal ultrasonography. 177 90

Seventeen girls were treated following the diagnosis of ovarian cysts. Four patients were operated on within the first 6 months of age and the other 13 patients were 10-15 years old at the time of diagnosis. Antenatal diagnosis was made in 3 cases. The presenting symptoms in the infants were distended abdomen in 3 cases, abdominal pain in 1 and vomiting in 1. In the older children the presenting symptoms were abdominal pain in 12, vomiting in 5 and elevated temperature in 6. Preoperative ultrasound was performed in 5 patients, 3 neonates and 2 older children. Sixteen of the 17 girls were operated on. The indication for surgery was an ovarian cyst with complication in the infants and in the older children the suspicion of acute appendicitis. The operative procedure was cyst uncapping in 7 cases, salpingo-oophorectomy in 4, ovarian resection in 2, ovarian fixation only in 1 and no ovarian intervention in 2. Asymptomatic infants with an ovarian cyst less than 4 cm in diameter can be managed conservatively. Surgery can be recommended after documented change of the cyst on ultrasound, large cysts giving rise to symptoms or presentation of an acute abdomen. Salvage of variable ovarian tissue is desirable.
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PMID:Diagnosis and treatment of ovarian cysts in children. 188 16


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