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

This article briefly reviews the clinical settings and imaging findings of gynecologic/obstetric disorders presenting with abdominal pain. MR imaging is considered to be an excellent modality for the diagnosis of these disorders because of its high sensitivity to blood. Although CT allows images to be obtained within a shorter time than does MR imaging, the possibility of pregnancy should be excluded prior to the examination. Hemorrhagic ovarian cyst exhibits hyperintensity on T1-weighted images or hematocrit effect on CT or MR images. Hemoperitoneum associated with hemorrhagic cyst strongly indicates rupture of the cyst. Rupture of endometrial cysts and dermoid cysts can cause acute chemical peritonitis. In ectopic pregnancy, findings of hematosalpinx associated with strong enhancement of the tubal wall frequently contribute to the diagnosis. Torsion of the adnexa can be diagnosed by the pedicle between the ovary and uterus, and the lack of contrast enhancement. Tuboovarian abscess is recognized as a cystic mass having a thick wall that is strongly enhanced. Among complications of uterine leiomyoma, red degeneration shows characteristic MR findings, hyperintense rim on T1-WI, hypointense rim on T2-WI, and lack of contrast enhancement. Because of the high incidence of OHSS associated with normal pregnancy, CT is contraindicated.
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PMID:[Gynecologic and obstetric disorders presenting with abdominal pain]. 1126 25

Spontaneous ovarian hyperstimulation syndrome (sOHSS) usually occurs in patients with a spontaneous ovulation cycle, especially in those with multiple pregnancies combined with hypothyroidism and polycystic ovary syndrome. sOHSS rarely occurs in women who are not pregnant. A 23-year-old woman with obvious abdominal distension visited our hospital. The patient was not pregnant and had not undergone controlled superovulation. Apart from abdominal distension, the patient denied any symptom of obvious incentives, abdominal pain, abnormal vaginal bleeding, or drainage. Biochemical analysis showed a high carbohydrate antigen-125 level and low total protein and albumin levels. Abdominal ultrasound and computed tomography showed a large amount of ascites and cystic uneven masses with an irregular shape in the area of the ovaries and fallopian tubes. Post-surgical histopathology indicated the diagnosis of sOHSS. Wedge resection of both ovaries was performed. Symptomatic treatment was further performed and the patient recovered well. Our findings indicate that sOHSS can occur in women who are not pregnant. Additionally, besides the follicle-stimulating hormone receptor gene mutation hypothesis, the pathogenesis of sOHSS should be further studied.
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PMID:Spontaneous ovarian hyperstimulation syndrome in a nonpregnant female patient: a case report and literature review. 3298 2