1/7. Accidentally delayed diagnosis of ruptured ovarian carcinoma in a young woman: a care report.Ovarian carcinoma commonly occurs in postmenopausal women and often presents with an insidious course. Acute abdomen is rarely an initial symptom. When these patients present with abdominal discomfort, the disease has already spread throughout the peritoneal cavity. We present a case of mucinous cystadenocarcinoma in a young woman who presented with acute abdomen and intra-abdominal bleeding. This 24-year-old woman was previously diagnosed with a ruptured left ovarian cystic tumor at a primary clinic. She underwent emergency exploratory laparotomy, followed by unilateral salpingo-oophorectomy at the clinic. No thorough examination of the peritoneal cavity was done during surgery. The diagnosis of mucinous cystadenocarcinoma was accidentally over-looked until one month later when she returned for routine follow-up. Upon referral to our clinic, the patient underwent a repeat laparotomy. The surgicopathologic diagnosis was intraperitoneal carcinomatosis stage IIIC that could not be excised completely, even though rigorous staging surgery including washing cytology, total abdominal hysterectomy, salpingo-oophorectomy, retroperitoneal lymphadenectomy, appendectomy, infracolic omentectomy and excision of any suspicious and removable lesions were performed. This case alerts us to consider the possibility of ovarian malignancy when a young woman presents with an acute abdomen secondary to ruptured ovarian cystic tumor and intraperitoneal hemorrhage. Careful preoperative preparation and thorough intrasurgical examination of the peritoneal cavity along with a prompt pathologic diagnosis of suspicious lesions will prevent missed diagnoses.- - - - - - - - - - ranking = 1keywords = accident (Clic here for more details about this article) |
2/7. Needle perforation of the bowel in childhood.Accidental ingestion of foreign bodies occurs frequently in childhood. The majority of them are passed spontaneously, and conservative management generally is recommended for foreign bodies in the stomach and duodenum. However, in some cases, operative intervention should be considered to prevent undesirable complications, such as intestinal perforation. Two cases of intestinal perforation owing to accidental ingestion of a needle are reported.- - - - - - - - - - ranking = 1keywords = accident (Clic here for more details about this article) |
3/7. Splenic infarct: a rare cause of spontaneous rupture leading to massive haemoperitoneum.A 76-year-old woman presented to the accident and emergency department with an acute surgical abdomen. She did not have any significant medical history or history of trauma. Examination findings revealed generalized peritonitis. Preliminary investigations were unhelpful in revealing a cause. On urgent exploratory laparotomy, a ruptured spleen was found and splenectomy performed. The hollow viscera were normal. The gross and microscopic appearances were suggestive of splenic rupture occurring through areas of infarction. We proceed to analyse the causes of spontaneous rupture of the spleen in our discussion of this case.- - - - - - - - - - ranking = 1keywords = accident (Clic here for more details about this article) |
4/7. Acute abdomen caused by a perforated inflammatory myofibroblastic tumor of the jejunum.Inflammatory myofibroblastic tumors are rare pseudosarcomatous tumors found in virtually all anatomic sites. Our case report describes an elderly female patient with an inflammatory myofibroblastic tumor in the proximal jejunum, accidentally discovered at laparotomy for an acute abdomen. The localization in the jejunum is a very rare finding, and perforation has not been described before.- - - - - - - - - - ranking = 1keywords = accident (Clic here for more details about this article) |
5/7. Ovarian dysgerminoma and acute abdomen.BACKGROUND: Ovarian dysgerminoma cases are very rarely presented together with acute abdomen. The purpose of this study is to present dysgerminoma ovarii with abdominal pain in lower right abdominal part after abdominal trauma as an abdominal emergency. patients AND methods: Our 12-year old female patient was admitted to our hospital after traffic accident with abdominal trauma. On physical examination the abdomen was acute and the mass in lower abdomen was palpated. Ultrasound and CT examinations showed the presence of large, multilobulated and predominantly solid pelvic mass. Fluid was found in the lower part of pelvis. Immediate exploratory laparotomy was performed. It exposed a superficial actively bleeding tumour vessel. We stopped the bleeding and did a biopsy of the tumour because it was too big for surgical treatment. CONCLUSION: Ovarian dysgerminoma should be part of the differential diagnosis in female children with acute surgical abdomen when a solid mass is detected by ultrasonographic scan (Fig. 4, Ref. 11).- - - - - - - - - - ranking = 1keywords = accident (Clic here for more details about this article) |
6/7. Perforation of the gall bladder following blunt abdominal trauma.A 66-year-old man presented after having been involved in a motor vehicle accident. He was not wearing his seatbelt, and his vehicle had a deformed steering wheel after the incident. In the emergency department, his only complaint was mild right lower quadrant abdominal pain without signs of rebound or guarding. His laboratory and radiologic evaluations were unremarkable and he was observed in the intensive care unit. Nine hours after the accident, he developed an acute abdomen; exploratory laparotomy revealed a perforation of the gall bladder. Gall bladder injuries secondary to blunt trauma are infrequent events.- - - - - - - - - - ranking = 2keywords = accident (Clic here for more details about this article) |
7/7. Sigmoid colon perforation: result of accidental swallowing of a toothpick.Acute surgical abdomen is a very serious situation that arises in various medical conditions. Common among them are appendicitis, foreign-body ingestion, and intestinal obstruction or perforation. These complications usually require emergency abdominal surgery. A case of rectal bleeding accompanied by acute surgical abdomen following the accidental ingestion of a toothpick is described in this report.- - - - - - - - - - ranking = 5keywords = accident (Clic here for more details about this article) |