US and CT Evaluation of Acute Pelvic Pain of Gynecologic Origin in Nonpregnant Premenopausal Patients

Potter, Andrew W; Chandrasekhar, Chitra

doi:10.1148/rg.286085504

Cited by 88 publications

(63 citation statements)

References 37 publications

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“…Doppler ultrasound can demonstrate normal adnexal and uterine arterial waveforms, but these do not exclude torsion [6]. The ultrasound of this patient showed a solid uterine mass with heterogenous echogenicity, which may mean the beginning of necrotic degeneration [7]. Regrettably, color Doppler ultrasound could not be performed due to emergency department equipment settings at that time.…”

Section: Discussionmentioning

confidence: 76%

A case of torsion of a pedunculated subserosal uterine leiomyoma accompanied with acute gastroenteritis: A possible diagnostic pitfall

Han

Jung

Jeon

et al. 2011

Korean J Obstet Gynecol

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A literature search on acute abdomen caused by a leiomyoma does not yield many specifi c reports of myoma-related complications or the presenting features. We describe a case of torsion of a pedunculated subserosal uterine leiomyoma in a 25-year-old virgin female who noticed lower abdominal pain with severe diarrhea, which was assumed to be typical acute gastroenteritis undoubtedly. Awareness of the condition and a high index of suspicion are keys to early diagnosis and prompt intervention. A description of unique clinical features and radiologic evaluation is discussed.Keywords: Leiomyoma; Uterus; Torsion; Abdominal pain; Gastroenteritis Received: 2011. 4.28. Revised: 2011. 6.23. Accepted: 2011. Corresponding author: Nan-Hee Jeong, MD Department of Obstetrics and Gynecology, KyungHee University College of Medicine, 1 Hoegi-dong, Dongdaemun-gu, Seoul 130-701, Korea Tel: +82-2-958-8314 Fax: +82-2-958-8328 E-mail: writtable@naver.com Acute abdominal pain is one of the most common presenting symptoms of emergency department patients. The classic guidelines in surgical medicine are that abdominal pain with diarrhea suggests a diagnosis of gastroenteritis [1]. However, a substantial number of these patients need emergency surgical intervention. In one retrospective study which evaluated emergency patients with abdominal pain and diarrhea, 9% of such patients underwent emergency surgery [2]. Of note, torsion of a pedunculated subserosal uterine leiomyoma can also present with acute abdominal pain and diarrhea. A literature search on this topic does not yield many specific reports of leiomyoma-related complications or the presenting features [3]. Herein, we describe one case of torsion of a pedunculated subserosal uterine leiomyoma in a woman who noticed lower abdominal pain with severe diarrhea, which was assumed to be typical acute gastroenteritis. Case ReportA 25-year-old virgin sought evaluation in our emergency department with acute lower abdominal pain and diarrhea on 21 January 2010. The abdominal pain developed 2 days ago, and increased in intensity over the past few hours. She had 10 episodes CASE REPORT Korean J Obstet Gynecol 2011;54(10):647-650 http://dx

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Section: Discussionmentioning

confidence: 76%

A case of torsion of a pedunculated subserosal uterine leiomyoma accompanied with acute gastroenteritis: A possible diagnostic pitfall

Han

Jung

Jeon

et al. 2011

Korean J Obstet Gynecol

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“…The minimum size to be considered a cyst is 2.5-3.0 cm [3]. Two types of functional ovarian cysts are described.…”

Section: Discussionmentioning

confidence: 99%

Massive hemoperitoneum from a ruptured corpus luteum cyst masquerading as biliary colic

Belsky¹,

Nagarwala²,

Tokarski³

2015

IJCRI

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International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations.IJCRI publishes Review Articles, Case Series, Case Reports, Case in Images, Clinical Images and Letters to Editor. Website: www.ijcasereportsandimages.comMassive hemoperitoneum from a ruptured corpus luteum cyst masquerading as biliary colic Justin B. Belsky, Jumana F. Nagarwala, Glenn F. Tokarski ABSTRACT Introduction: Corpus luteum cysts are functional cysts that secrete progesterone in preparation for pregnancy. If conception does not occur, they typically dissipate, however, they may collect with fluid or blood and form a cyst that can rupture. Although cyst rupture is generally benign, causing mild pain to the patient, it can result in massive hemoperitoneum requiring emergent surgical intervention. Case Report: A 23-year old female presented to the emergency department after experiencing several hours of right upper quadrant abdominal pain. Emergency department evaluation included normal liver function studies and a negative urine and serum pregnancy test. Abdominal ultrasound revealed a large amount of intra-peritoneal fluid but no biliary disease was identified. While in the emergency department, she developed signs of acute hypovolemic shock. Serial hemoglobin revealed a four-gram drop after arrival in emergency department. She underwent emergent exploratory laparoscopy where massive hemoperitoneum (750 cm3 of blood) was identified. A ruptured corpus luteum cyst was identified as the source of acute blood loss. Conclusion:We present the first known case of a ruptured corpus luteum cyst resulting in massive hemoperitoneum masquerading as biliary colic. It is paramount that clinicians consider a ruptured ovarian cyst in females with abdominal pain, regardless of the location of pain.

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“…Corpus luteum is a thin walled vascular structure, prone to haemorrhage even bleeding is usually contained into the cyst or sometimes ruptured into the peritoneal cavity. 2 Corpus luteum may rupture leading to hemoperitoneum. It may occur spontaneously or triggered by coitus, trauma, exercise or vaginal examination.…”

Section: Discussionmentioning

confidence: 99%

Anticoagulant Induced Life Threatening Corpus Luteal Cyst Haemorrhage

Thombarapu¹,

Koneru²,

Kodey³

2015

jemds

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US and CT Evaluation of Acute Pelvic Pain of Gynecologic Origin in Nonpregnant Premenopausal Patients

Cited by 88 publications

References 37 publications

A case of torsion of a pedunculated subserosal uterine leiomyoma accompanied with acute gastroenteritis: A possible diagnostic pitfall

A case of torsion of a pedunculated subserosal uterine leiomyoma accompanied with acute gastroenteritis: A possible diagnostic pitfall

Massive hemoperitoneum from a ruptured corpus luteum cyst masquerading as biliary colic

Anticoagulant Induced Life Threatening Corpus Luteal Cyst Haemorrhage

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