Atypical midcycle pain (original) (raw)

Non-Tender Huge Abdominal Mass in an Adolescent

Sultan Qaboos University Medical Journal [SQUMJ], 2021

Paraovarian cysts constitute about 10% of all adnexal masses in females and occur most commonly in the third and fourth decades of life. These cysts are benign and usually uncommon in adolescence. Such cysts pose a diagnostic challenge while distinguishing them from ovarian cysts clinically and during radiological investigations. We report a rare case of a 13-year-old female patient with bilateral paraovarian cysts, including a giant cyst in right mesosalpinx presenting to Sohar hospital, Oman in 2018. The definitive origin of the huge mass on the right side of abdominal cavity could not be established in the current case despite contrast enhanced computerized tomography. It was only on laparoscopic exploration that this mass was identified as a giant paraovarian cyst. Both the giant cyst and a smaller paraovarian cyst on the left side were enucleated with minimally invasive surgery while preserving the fertility of the patient. Only one other similar case of bilateral paraovarian c...

Pelvic Pain and Adnexal Mass: Be Aware of Accessory and Cavitated Uterine Mass

Case Reports in Medicine

Accessory and cavitated uterine mass (ACUM) is a rare form of Mullerian anomaly that usually presents in young females with chronic cyclic pelvic pain and/or dysmenorrhea. This clinical entity is often underdiagnosed as it may be mistaken for other differential diagnoses, such as pedunculated myoma or adnexal lesions. Imaging modalities, including ultrasonography and magnetic resonance imaging (MRI), accompanied with relevant and suspicious clinical findings are important tools in making acorrect diagnosis. To date, surgical excision of the mass remains the mainstay of treatment,which provides significant symptom relief. In this study, we present a female adolescent with chronic pelvic pain since menarche who underwent laparotomy with the presumed diagnosis of a left-sided ovarian mass. Retrospective evaluation of pelvic MR images demonstrated that the lesion was in fact an ACUM, which was further confirmed by histopathological examination.

Intra Abdominal Mass in Female Young Patient. The Challenge Case Report

The abdominal region of the body is extremely complex because of the organs and systems it contains all of them generating abdominal masses, the discovery of which often poses significant diagnostic difficulties. A previously healthy, 21-yearold woman presented to the hospital with a severe abdominal pain and an abdominal mass, approximately 10cm in size, raising a strong suspicion of a malignant tumor in the upper abdomen. She had history of abdominal cesarean. The patient elected to undergo exploratory surgery.

A Rare Cause of Pelvic Pain in a Teenage Girl

2018

Author(s): Hathcock, Amber; Shah, Manish; Dietrich, Jennifer; Sampayo, Esther | Abstract: ABSTRACT: History of present illness: A 14-year-old female presented with rectal pain, pelvic pressure, urinary hesitancy and difficulty defecating despite daily laxative use. She had a history of irregular periods and was currently menstruating. Her vital signs were normal. Her abdominal exam was unremarkable and the external genitourinary exam showed a visible vaginal introitus and no masses. Significant findings: Due to pain out of proportion to her exam, an ultrasound of her pelvis was obtained and showed a blood-filled distended uterus, or hematometrocolpos (white arrow), with a 4.9 cm right ovarian cyst (blue arrow). A pelvic magnetic resonance imaging (MRI) then revealed an obstructed right hemi-vagina, normal left uterus and vagina and ipsilateral renal agenesis (red arrow) with normal left kidney (double arrow) consistent with obstructed hemivagina, ipsilateral renal agenesis (OHVIRA) ...

Abdominal emergency in young women: gynecological or bowel disease? Two case reports

Il Giornale di chirurgia

Abdominal pain is a frequent symptom in Emergency Departments. Often is not so easy make a diagnosis of cause. Particular importance in young women has differential diagnosis with gynecological diseases. Often laboratory exams have not good specificity. US and TC are the imaging techniques most used to make a diagnosis, but both have ours limits. Definitely surgeon's experience is the most important resource for a correct approach to abdominal pain. We present two cases of low abdominal pain in young women due to ovarian teratoma erroneously diagnosed as appendicitis.

Difficulties in the Diagnosis of Giant Abdominopelvic Masses in Women

Gazeta Médica

Massive abdominopelvic masses usually arise from the female reproductive organs. However, these masses may also arise from the gastrointestinal system, urinary system, adjacent soft tissues, peritoneum, retroperitoneum or be metastatic. Differential diagnosis is very important in these huge masses and imaging techniques are usually the best method of assessing, but in some cases, they cannot provide conclusive results and a definitive diagnosis is only achieved after surgical resection.We present three cases of giant abdominopelvic tumors with different etiologies and outcomes. We intend to highlight the importance of early detection, preoperative evaluation, and subsequent surgical management with a multidisciplinary approach to decrease pre and postoperative complications and to improve the quality of live.