Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0001577 (adnexitis)
 232 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Total postoperative complications after induced abortion in the German Democratic Republic is 9.7%. This increases to 20% in women over 35 years old with a uterine myoma and concurrent pregnancy. Necrotic degeneration of a myoma following induced abortion is rare in the literature. A 43 year old patient presented for therapeutic abortion at 3 months pregnancy. A uterine myoma of the posterior wall was found at preoperative evaluation. Vaginal suction evacuation was performed under anesthesia. After subsiding of symptoms further gynecological palpation showed a fist-size, painful, retroflexed uterus with painful adnexa and Douglas' pouch. Antibiotics were used to treat the adnexitis. Diminishing of symptoms did not result in decrease of uterine size and laparotomy was done for suspected degenerative softening of the myoma. Partially necrotized uterine myoma, solidly encased in the Douglas' pouch, was found and radical hysterectomy was performed. Except for a successfully treated urinary infection the postoperative course was smooth and patient was discharged on day 17. Histology findings were nonmalignant, fibrosed intramural leiomyoma of the uterus. Degenerative changes of uterine myomas are most likely caused by nutritional deficiency of the myoma. Space restriction following therapeutic abortion, risk of possible tissue trauma, thrombus formation and bacterial infection can all induce the necrotic process. Necrosis of uterine myomas should be considered as a possible complication in a typical postoperative course of therapeutic abortion.
 ...
PMID:[Necrotic uterine myomatosis--a rare complication following vaginal termination of pregnancy by suction (author's transl)]. 726 82

Morbidity data from the dispensary of the district of Sangha, Mali, are analyzed. The morbidity data do not precisely mirror the health situation of the district because some villages located 2 or 3 hours away have less recourse to the dispensary. Data were collected for May, when the dry season ends, and September, when significant rainfall occurs. 578 persons were treated in May. The parasite Schistosoma haematobium, which is present in shallow and stagnant water and around onion fields, was the largest single cause of consultation. Schistosoma haematobium causes genital bilharziasis leading to sterility in women, genitourinary infections, and neoplastic bladder disease. A number of women had combined vaginitis-adnexitis causing tubal obstruction, and some also had uterine fibromas. Almost 20% of consultations were concerned with pathologies of the urinary or genital tracts. In all, 47.2% of consultations were for parasitic diseases including 28.4% for bilharziasis; 17.8% for bacterial diseases including 8.1% for gonorrhea, 5.7% for anemia, 5.3% for gastroenterologic problems, 3.1% for ophthalmologic problems, and 20.9% for other or poorly defined causes. The dusty air in the end of the dry season was the cause of colds which sometimes led to bronchopneumopathies. Intestinal parasites accounted for less than 3% of consultations. There were 537 consultations in September 1991. Parasite infections again accounted for 45.7% of consultations, with 15.1% due to malaria. Bacterial diseases accounted for 16.9%, with gonorrhea responsible for 9.2%. 4.3% of consultations were for anemia, 9.8% for gastroenterological problems, 4.5% for ophthalmologic problems, and 18.8% for other or poorly defined causes.
 ...
PMID:[Aspects of the pathology of the Dogon of Sangha]. 1228 96