Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0000737 (abdominal pain)
 31,184 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Pelvic actinomycosis has been associated with IUD use. This study assesses the occurence of pelvic actinomycosis in South Glamorgan, Wales, its association with IUD usage, gynecological problems and cervical cytology findings. Cervical cytology smears (Papanicolau) were taken from 1919 family planning clinic patients during the period October 1979 to February 1980. Chi-square analysis was used to test for significance. Of the 1919 women, 147 had IUDs in situ. Actinomyces-like structures were identified in 38 IUD users. 4 had complained of abnormal vaginal bleeding, 5 of vaginal discharge, and 1 of abdominal pain. Of the remaining 109 women with IUD in situ, 9 complained of vaginal bleeding, 17 of vaginal discharge and 6 of abdominal pain. No statistically significant differences in symptomatology or physical signs were observed between the 2 groups. No malignant cells were seen in any of the smears. The differences in cytological findings between the 2 groups is statistically significant (p 0.001). No evidence of pelvic infection or significant increase in gynecological problem was seen in the 38 women, although there was a significant increase in atypical and dyskaryotic cells in their cervical smears. The findings suggest that removal of the IUD or antibiotic treatment is not necessary under the circumstances described. It is recommended however, that there should be continued close observation of IUD users unless pelvic inflammatory disease becomes evident.
 ...
PMID:Actinomyces-like structures and their association with intrauterine contraceptive devices, pelvic infection and abnormal cervical cytology. 727 67

Among 830 women attending a clinic for sexually transmitted disease, Chlamydia trachomatis was isolated from 180 (22%) and Neisseria gonorrhoeae from 84 (10%). Retrospective analysis showed that 43 of the women were given outpatient treatment for acute pelvic inflammatory disease because they had low abdominal pain, deep dyspareunia, or unusual vaginal bleeding, or all of these, for less than 2 months in association with cervical motion or adnexal tenderness, or both. None had adnexal masses. C. trachomatis was isolated from 22 and N. gonorrhoeae from 15 of this subgroup of 43 women. This presentation of pelvic inflammatory disease occurred in 10 of the 37 women in the whole study with both C. trachomatis and N. gonorrhoeae, 12 of 143 women with C. trachomatis alone, five of 47 women with N. gonorrhoeae alone, and 16 of 603 women with neither organism. Thus, in North America, C. trachomatis is associated with a syndrome usually diagnosed as mild pelvic inflammatory disease and managed on an outpatient basis.
 ...
PMID:Acute pelvic inflammatory disease in outpatients: association with Chlamydia trachomatis and Neisseria gonorrhoeae. 730 45

The purpose of this case report is as follows: to attempt to establish an association between the observed increase in hydrosalpinx and the phenomenal increase in surgical sterilization; to present a credible etiology for iatrogenic hydrosalpinx; and to discuss the pathogenesis of a disease process henceforth referred to as post tubal ligation syndrome. A 36-year-old white woman was admitted to Park View Hospital in Nashville, Tennessee on January 7, 1981 for evaluation of continuous lower abdominal pain, abdominal pressure, and dyspareunia for several months. The woman had 2 children who were delivered vaginally. An abdominal tubal ligation was performed for sterilization when she was 27, and vaginal hysterectomy, with anterior and posterior colporrhaphy, was done for symptomatic pelvic relaxation at age 33. Physical examination showed tenderness without palpable masses in the pelvic adnexal areas. Laboratory studies were within normal limits. On January 9, 1981, the patient underwent exploratory laparotomy, and bilateral salpingo-oophorectomy. She was found to have bilateral hydrosalpinx. Historically, hydrosalpinx has been considered an intermediary step in pelvic inflammatory disease. Iatrogenic hydrosalpinx is, in essence, initiated by an initial insult, e.g., tubal ligation, fulguration, or application of a mechanical clip or band. Theoretically, single point interruption of a fallopian tube should produce no ill effects. The popularity and success of tubal ligation attest to single point interruption of an otherwise normal fallopian tube as an innocuous procedure. A schematic drawing is provided of the same tube insulted a 2nd time and consequently the situation is prefactory to development of hydrosalpinx, i.e., a tube lined with secretory epithelium is closed at both ends. Secretion within this closed system will produce dilatation. This "2nd" insult to the normal fallopian tube, post tubal ligation, may take 1 of several forms. The symptoms of iatrogenic hydrosalpinx are not pathognomonic. The most useful diagnostic tools are a high degree of suspicion, history of previous tubal ligation, and history of tubal ligation followed by hysterectomy with conservation of ovarian function.
 ...
PMID:Post tubal ligation syndrome or iatrogenic hydrosalpinx. 731 12

Ten women with acute right upper-quadrant abdominal pain but negative results for biliary investigations had a current or past history of pelvic inflammatory disease. A diagnosis of the Curtis-Fitz-Hugh syndrome was made and was confirmed in five patients by laparoscopy. Neisseria gonorrhoeae was not isolated from the cervical and urethral swabbings of seven patients tested. Chlamydia trachomatis was isolated from the endocervical canal in one of six patients examined. Of sera from nine patients tested by a micro-immunofluorescence test, nine and six samples respectively showed type-specific IgG and IgM antibodies against C trachomatis serotypes D-K. Type-specific IgG and IgA antibodies were also detected in the cervical and urethral discharge of two out of five patients and in the peritoneal aspirate of two. The presence of high titres of IgG or IgM in sera and IgG or IgA in the local discharges of our patients suggests that C trachomatis was probably the cause of the CFH syndrome.
 ...
PMID:Chlamydia and the Curtis-Fitz-Hugh syndrome. 732 53

We reviewed the records of 501 patients with ectopic pregnancy (EP) seen at the Kings County Hospital during a five-year period (January 1973-December 1977). Our population characteristics and anamnestic data correlated well with those reported in the literature, except for lower incidence of a previous pelvic infection. Abdominal pain, amenorrhea, and vaginal bleeding were the most common presenting symptoms. While the ultrasound studies demonstrated adnexal masses of a non-specific nature, the laparoscopy constituted an accurate diagnostic tool. Ruptured EP was found in 339 patients (67.6%). Salpingectomy only was the mode of treatment in 369 cases (73.6%). In 28.4% of the cases there a microscopic evidence of chronic inflammatory changes of the tube. There were two fatalities. This study appears to indicate an increasing incidence of EP in our institution, along with, and despite, a decreasing frequency of chronic pelvic inflammatory disease in these patients.
 ...
PMID:Ectopic pregnancy. A retrospective study of 501 consecutive patients. 732 75

Two cases of chlamydial pelvic inflammatory disease (PID) are presented. Each was clinically assessed and followed by laboratory methods now available to practitioners. These patients presented with vaginal discharge and chronic abdominal pain. They initially had positive chlamydia cultures which became negative after treatment with tetracycline. Their chlamydia titers increased throughout the course of their disease and treatment. Patient two is a case of the Fitz-Hugh-Curtis syndrome due to chlamydia. The importance of this disease in adolescents and the potential sequelae and complications of chlamydial PID are discussed.
 ...
PMID:Chlamydial pelvic inflammatory disease in adolescents. 732 86

A pelvic abscess is the end stage in the progression of a genital tract infection and is frequently preventable. The abscess may fill the pelvis and occasionally the lower abdomen, and is usually posterior to the uterus and bound by the sigmoid colon, loops of small bowel, cul-de-sac, and sidewalls of the pelvis. A tubo-ovarian abscess may occur in the acute stage of pelvic inflammatory disease (PID) but is more common with chronic or subacute PID. An abscess occurs when pus from the fallopian tube spills onto the ovary and infects it at the site of follicular rupture or by direct penetration. Pelvic and abdominal pain which is bilateral and aggravated by motion and intercourse, and fever possibly exceeding 103 degrees fahrenheit with leucocytosis, tachycardia, and prostration are the most common symptoms of pelvic abscess. The pelvic examination may reveal all gradations of pathology, but because of the degree of guarding and tenderness it elicits, the abscess may elude the examiner. The rectal examination, computerized tomography, and ultrasonography are useful in diagnosis. Other disorders such as acute appendicitis and ecoptic pregnancy may be mistaken for abscess. Patients with pelvic abscesses should be immediately admitted to hospital regardless of the size of the abscess because the broad-spectrum anerobic antibiotic coverage needed is most effectively provided there. Preservation of normal tubal function is rarely possible in patients developing tubal abscesses. Bed rest, fluid and electrolyte replacement, nasogastric suction when indicated, and antibiotics are the basis of medical treatment. Controversy exists regarding appropriate antibiotic therapy, but the probable presence of anaerobic organisms should be kept in mind. Patients with pelvic abscesses are frequently given a triple antibiotic regimen including clindamycin, gentamicin, and aqueous penicillin. Guidelines for the failure of medical management in patients with a pelvic abscess include persistent fever, increase in size of abscess, persistent ileus, suspicion of rupture, septic shock, and uncertainty of the diagnosis. A posterior colpotomy is preferable to a laparotomy if surgical treatment is necessary, but it is only suitable for selected patients. Removal of a pelvic abscess frequently involves a total abdominal hysterectomy. Operating instructions and diagrams are included. Rupture of a pelvic abscess is life threatening and requires immediate surgery.
 ...
PMID:Medical and surgical management of the pelvic abscess. 733 45

A case of severe pelvic inflammatory disease and peritonitis following Falope Ring tubal ligation is described. Pelvic viscera appeared normal at the time of laparoscopy. Severe pelvic inflammatory disease and peritonitis should be included in the differential diagnosis of patients presenting with significant abdominal pain following Falope Ring tubal ligation. The problem of serious pelvic infection following Falope Ring tubal ligation is reviewed.
 ...
PMID:Severe pelvic inflammatory disease and peritonitis following Falope Ring tubal ligation. Case report and review of the literature. 733 80

From July 1970 to July 1976, 212 confirmed cases of ectopic pregnancy were seen at Ben Taub General Hospital. Amenorrhea, abdominal pain, and vaginal bleeding were present in most patients, of which 24% demonstrated shock when first seen. The majority (94%) were admitted directly from the Emergency Center, the remainder had been seen initially in the outpatient clinic. The patients ranged in age from 14-42 years; the average age was 26.4. There were 44 primagravidas and 168 multigravidas. Previous pelvic inflammatory disease was found in 127 patients (59.9%). Of the 212 procedures, there were 102 salpingectomies and 80 salpingo-oophorectomies. Total hysterectomy was performed in 29 patients. The right tube was involved in 54.2% of the cases; the left tube was involved in 45.8%. The pregnancy was located in the ampullary portion of the tube in 110 patients (51.8%), the isthmic portion in 64 (30.2%), the cornual portion in 13 (6.1%). In 25 patients (11.8%) the exact site could not be determined. An incidental appendectomy was performed in 51 (24%) patients. Major postoperative complications occurred in 5.2% of patients. 138 patients were Black; 27 Mexican American; 46 Anglo; and, 1 Oriental. There was 1 maternal death in the series.
 ...
PMID:Ectopic pregnancy: a review of 212 cases. 738 71

Teso District in eastern Uganda with low fertility (crude birth rate in 1969 was 37/1000), and Ankole District in western Uganda with high fertility (55/1000), were selected to study malaria, nutrition, gonorrhea, and syphilis. The gonorrhea methodology for women included genital examination and endocervical smears and cultures. Husbands of gonococcal-negative fertile and infertile women also were examined for the presence of gonorrhea and evidence of infection in the past. Three hundred and forty-three women in Teso and 250 in Ankole underwent medical examination. In the Teso District, 84 (25%) of the women, as compared with 22 (8.9%) in Ankole, complained of lower abdominal pain (p 0.001). Seven women in Teso but none in Ankole had signs of bartholinitis. Mucopurulent discharge in the vagina was found in 56 (19%) of the Teso women as compared with 17 (10%) of the Ankole women (p 0.02). 90 (30.5%) of the women in Teso but only 21 (12.5%) women in Ankole had an eroded and/or infected cervix (p 0.001). Evidence of salpingitis was obtained in 56 (19%) of the Teso women as compared with 10 (5.9%) Ankole women (p 0.001). A tender adnexal mass was felt in 23 (7.8%) of the Teso sample but in only one (0.6%) in Ankole. Among the women in Teso, 54 (18.3%) had a positive cervical smear or culture for gonorrhea, but only four (2.4%) in Ankole had similar positive tests (p 0.001). Evidence of pelvic inflammatory disease was present in 17% of the infected Teso women. None of the infected Ankole women, however, had PID. Cervical secretions showed gonococci in only 10% of the infertile women as compared with 23% of the fertile women. However, 24.5% of husbands of the gonococcal-negative infertile women, as compared with 6.7% of husbands of the gonococcal-negative fertile women, were found to have active gonorrhea (p 0.01). In this group 75.5%, and 57.7% of husbands, respectively, had a past history of urethral discharge (p 0.05), while 18.4% and 5.8%, respectively, had bilaterally thickened epididymides (p 0.05).
 ...
PMID:Gonorrhea and female infertility in rural Uganda. 746 80


<< Previous 1 2 3 4 5 6 7 8 9 10 Next >>