Normal or chronically inflamed fallopian tube can undergo torsion and present as acute abdomen, simulating clinically as ectopic gestation. Torsion of the fallopian tube is less frequent but significant cause of lower abdominal pain in reproductive age women that is difficult to recognize preoperatively. Authors present a rare case of hematosalpinx with torsion at its pedicle with hemoperitonium who presented as 28 years old female with acute abdomen that was successfully treated. In cases presenting with hemoperitoneum diagnosis of ruptured ectopic pregnancy should be made unless proved otherwise during reproductive age. Rarely ruptured ovarian cyst may also be a cause. Unfortunately, hematosalpinx sometimes can undergo torsion due to circulatory imbalance and can present as hemoperitoneum and circulatory collapse due to rupture. There have been no specific symptoms, clinical findings, imaging or laboratory characteristics identified for this condition. Imaging findings are non-specific in the preoperative diagnosis of torsed fallopian tubes. Therefore, most of cases with isolated fallopian tubal torsion had a delayed diagnosis and a subsequent delay of timely intervention that may result in failure to save tubal function. Torsion of tube can lead to hematosalpinx, hemoperitonium and necrosis of tube which necessitates urgent surgical management. This case report describes a twisted hematosalpinx presentation without any predisposing high-risk factors. A tubal torsion should be suspected in females with acute pelvic pain, of any age group. An early diagnosis and treatment are required to prevent complications. This rare case may highlight a new insight into pathogenesis of tubal torsion associated with hematosalpinx.
In this paper we have shown the performance analysis of DS-CDMA wireless communication system with and without Rake Receiver for multiple input using MATLAB simulator. It could satisfy the next generation requirement of multiple input environments. Here we use a simulator which simulates the multiple input waveform signals in the form of channels or fingers through wireless towards the Rake Receiver which will follow through the DS-CDMA technique due to its performance.As we know the CDMA is an excellent technique to analyze the cellular systems. The simulator will give the tremendous functional ideas about the different values of the design option.Here, the backbone of this system is a Matiab Simulator. As nowadays this becomes the iconic tradition to do the analysis.The effective method of system modeling is used to speed up the simulations. With the help of simulator we get the variations in the system parameters due to its different inputs. The transmitted data and the received data can be analyzed in the form of signal waveforms and channels. We can also analyze the input data with Rake and without Rake for different attenuation factor with Bit error rate.
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