Hydatid cyst (HC) disease, which is endemic in Turkey, is mainly located in the liver. Cyst rupture is the most common complication of HC. Ultrasonography (US) and computerized tomography (CT) are the main diagnostic ...Hydatid cyst (HC) disease, which is endemic in Turkey, is mainly located in the liver. Cyst rupture is the most common complication of HC. Ultrasonography (US) and computerized tomography (CT) are the main diagnostic modalities for HC disease. Presented herein was a case of an elderly female patient who died shortly after presenting to the emergency department with severe abdominal pain. A giant HC was detected on initial evaluation by US. However, the presence of significant amounts of free fluid in the peritoneal space following a CT of the abdomen. The patient died despite medical and surgical intervention.展开更多
BACKGROUND Endometriosis(EMs),an estrogen-dependent disease,refers to the appearance of mucosa-covered endometrial tissues(glandular and interstitial)growing in the uterine cavity outside the uterine myometrium.It is ...BACKGROUND Endometriosis(EMs),an estrogen-dependent disease,refers to the appearance of mucosa-covered endometrial tissues(glandular and interstitial)growing in the uterine cavity outside the uterine myometrium.It is commonly seen in women aged 25 to 45,with an incidence of approximately 10%-15%.CASE SUMMARY A 35-year-old unmarried female who denied a history of sex with an intact hymen had multiple dysmenorrhea and pain in the left lower abdomen that recurred during menstruation.Ultrasound examination revealed a dark cystic area measuring 4.9 cm×4.6 cm on the left side with poor light transmittance,which suggested a left endometriotic cyst.The patient was treated with pain medications(four capsules t.i.d.,p.o.).After one month,computed tomography of the abdomen and pelvis revealed a low-density focus measuring approximately 38 mm in diameter,a blurred mesentery fat plane in the pelvic cavity,and pelvic effusion.Ultrasound showed a complex echo density measuring 5.2 cm×3.0 cm×4.2 cm in the left ovarian area and a fluid sonolucent area with a depth of 2.0 cm in the pelvic cavity.Left ovarian cystectomy,electrocautery for endometriotic lesions,myomectomy,and pelvic adhesion lysis were performed under laparoscopy.The postoperative diagnosis was left ovarian chocolate cyst rupture and EMs(stage III,ovarian type,peritoneal type).CONCLUSION Laparoscopic surgery can safely control the symptoms of EMs and effectively eradicate the disease.展开更多
Echinococcosis is a severe helminthic zoonosis largely caused by Echinococcus granulosus and frequently encountered in endemic areas.The liver and lung are the most frequently involved organs.Cyst rupture into the per...Echinococcosis is a severe helminthic zoonosis largely caused by Echinococcus granulosus and frequently encountered in endemic areas.The liver and lung are the most frequently involved organs.Cyst rupture into the peritoneal cavity represents a rare but serious complication.Herein,we describe an acute occurrence of anaphylactic shock due to a spontaneous rupture of hydatid cyst in a 21-year-old Turkish patient unwittingly infected by Echinococcosis.Resection surgery of the perforated cyst in combination with cleaning of the abdominal cavity was performed.The patient rapidly improved and no relapse occurred during a follow-up of 8 months.Anaphylaxis is a serious complication of hydatid cyst rupture and needs to be promptly diagnosed.The main objective of our report is to underscore this life-threatening complication that should be considered when anaphylactic shock of unknown origin occurs,even in non-endemic regions.Moreover,we emphasize the need for a radical surgical approach to avoid widespread dissemination.展开更多
A 36-year-old unmarried woman with no sexual history presented with 12 days of uncontrollable yellowish vaginal discharge,bloating,lower back pain,frequent urination,and urgency.Her menstrual cycles were regular with ...A 36-year-old unmarried woman with no sexual history presented with 12 days of uncontrollable yellowish vaginal discharge,bloating,lower back pain,frequent urination,and urgency.Her menstrual cycles were regular with moderate flow and worsening dysmenorrhea.Ultrasound and magnetic resonance imaging identified uterine and cervical masses.Laparoscopic surgery and postoperative gonadotropin-releasing hormone agonist injections led to significant lesion reduction.The patient is currently on oral dienogest acetate with ongoing follow-up.展开更多
文摘Hydatid cyst (HC) disease, which is endemic in Turkey, is mainly located in the liver. Cyst rupture is the most common complication of HC. Ultrasonography (US) and computerized tomography (CT) are the main diagnostic modalities for HC disease. Presented herein was a case of an elderly female patient who died shortly after presenting to the emergency department with severe abdominal pain. A giant HC was detected on initial evaluation by US. However, the presence of significant amounts of free fluid in the peritoneal space following a CT of the abdomen. The patient died despite medical and surgical intervention.
文摘BACKGROUND Endometriosis(EMs),an estrogen-dependent disease,refers to the appearance of mucosa-covered endometrial tissues(glandular and interstitial)growing in the uterine cavity outside the uterine myometrium.It is commonly seen in women aged 25 to 45,with an incidence of approximately 10%-15%.CASE SUMMARY A 35-year-old unmarried female who denied a history of sex with an intact hymen had multiple dysmenorrhea and pain in the left lower abdomen that recurred during menstruation.Ultrasound examination revealed a dark cystic area measuring 4.9 cm×4.6 cm on the left side with poor light transmittance,which suggested a left endometriotic cyst.The patient was treated with pain medications(four capsules t.i.d.,p.o.).After one month,computed tomography of the abdomen and pelvis revealed a low-density focus measuring approximately 38 mm in diameter,a blurred mesentery fat plane in the pelvic cavity,and pelvic effusion.Ultrasound showed a complex echo density measuring 5.2 cm×3.0 cm×4.2 cm in the left ovarian area and a fluid sonolucent area with a depth of 2.0 cm in the pelvic cavity.Left ovarian cystectomy,electrocautery for endometriotic lesions,myomectomy,and pelvic adhesion lysis were performed under laparoscopy.The postoperative diagnosis was left ovarian chocolate cyst rupture and EMs(stage III,ovarian type,peritoneal type).CONCLUSION Laparoscopic surgery can safely control the symptoms of EMs and effectively eradicate the disease.
文摘Echinococcosis is a severe helminthic zoonosis largely caused by Echinococcus granulosus and frequently encountered in endemic areas.The liver and lung are the most frequently involved organs.Cyst rupture into the peritoneal cavity represents a rare but serious complication.Herein,we describe an acute occurrence of anaphylactic shock due to a spontaneous rupture of hydatid cyst in a 21-year-old Turkish patient unwittingly infected by Echinococcosis.Resection surgery of the perforated cyst in combination with cleaning of the abdominal cavity was performed.The patient rapidly improved and no relapse occurred during a follow-up of 8 months.Anaphylaxis is a serious complication of hydatid cyst rupture and needs to be promptly diagnosed.The main objective of our report is to underscore this life-threatening complication that should be considered when anaphylactic shock of unknown origin occurs,even in non-endemic regions.Moreover,we emphasize the need for a radical surgical approach to avoid widespread dissemination.
基金supported by Foundation for Discipline Construction of Fujian Medical University Union Hospital(2100201).
文摘A 36-year-old unmarried woman with no sexual history presented with 12 days of uncontrollable yellowish vaginal discharge,bloating,lower back pain,frequent urination,and urgency.Her menstrual cycles were regular with moderate flow and worsening dysmenorrhea.Ultrasound and magnetic resonance imaging identified uterine and cervical masses.Laparoscopic surgery and postoperative gonadotropin-releasing hormone agonist injections led to significant lesion reduction.The patient is currently on oral dienogest acetate with ongoing follow-up.
