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Colorectal Disease : the Official... Dec 2023
Topics: Humans; Dissection; Lymph Node Excision; Laparoscopy; Pelvis; Rectal Neoplasms
PubMed: 37872883
DOI: 10.1111/codi.16793 -
BMJ Case Reports Jul 2021A 58-year-old asymptomatic woman was referred to our gynecologic oncology unit for the management of a left adnexal mass found during a routine gynecologic examination....
A 58-year-old asymptomatic woman was referred to our gynecologic oncology unit for the management of a left adnexal mass found during a routine gynecologic examination. Her personal history included an emergency splenectomy at the age of 4 years old, following traumatic splenic laceration after a car accident. The patient's work-up (including transvaginal ultrasound and MRI) confirmed a pelvic solid mass, which was reported as suspicious for malignancy and classified as Ovarian-Adnexal Reporting & Data System-MRI 5. An exploratory laparoscopy was performed, showing a reddish blue lesion located at the left broad ligament. Histologic analysis showed the presence of splenic tissue and normal adnexa. The postoperative follow-up was uneventful.Pelvic splenosis is a challenging diagnosis rarely made preoperatively due to concern for malignancy. In the presence of a pelvic mass, the collection of a detailed patient's history, including information about previous splenic rupture, might raise suspicion for pelvic splenosis.
Topics: Adnexal Diseases; Diagnosis, Differential; Female; Humans; Middle Aged; Pelvis; Splenectomy; Splenosis
PubMed: 34257126
DOI: 10.1136/bcr-2021-243505 -
Postgraduate Medical Journal Jun 1997
Review
Topics: Castleman Disease; Diagnosis, Differential; Humans; Male; Middle Aged; Pelvis; Tomography, X-Ray Computed
PubMed: 9246348
DOI: 10.1136/pgmj.73.860.371 -
Radiology Aug 1983A case of actinomycosis involving the pelvic cavity is reported. The patient had a pelvic mass clinically and radiographically. Barium enema examination showed a mass...
A case of actinomycosis involving the pelvic cavity is reported. The patient had a pelvic mass clinically and radiographically. Barium enema examination showed a mass with extrinsic compression and fixed narrowing of the rectum with mucosal irregularity. A computed tomographic scan showed a pelvic mass displacing the rectum.
Topics: Actinomycosis; Adult; Female; Humans; Pelvis; Radiography
PubMed: 6867330
DOI: 10.1148/radiology.148.2.6867330 -
Journal of Pediatric and Adolescent... Oct 2022Lymphovascular malformations (LVMs) uncommonly present outside the head and neck region as slow-growing nontender masses. Given their rarity, LVMs are not regularly on...
BACKGROUND
Lymphovascular malformations (LVMs) uncommonly present outside the head and neck region as slow-growing nontender masses. Given their rarity, LVMs are not regularly on the differential for genitopelvic masses. These anomalies are not usually dangerous due to their slow progression and distance from vital structures. Recognition of benign LVMs is important to appropriately counsel regarding treatment options and follow-up.
CASE
We describe an occurrence of an extensive pelvic LVM in an adolescent female presenting as a persistent, increasingly uncomfortable growing vulvar mass, highlighting the importance of keeping this diagnosis in mind when dealing with unusual genital masses.
SUMMARY AND CONCLUSION
A multidisciplinary approach including consultation with an interventional radiologist and pediatric hematologist is paramount in providing timely care when dealing with a rare diagnosis.
Topics: Adolescent; Child; Female; Genitalia; Humans; Pelvis; Referral and Consultation; Vulvar Diseases
PubMed: 35429636
DOI: 10.1016/j.jpag.2022.04.003 -
Archives of Gynecology and Obstetrics Mar 2011Endosalpingiosis is a disorder of Mullerian system characterized by benign glands lined by tubal type epithelium and involves the peritoneum, subperitoneal tissues, and... (Review)
Review
INTRODUCTION
Endosalpingiosis is a disorder of Mullerian system characterized by benign glands lined by tubal type epithelium and involves the peritoneum, subperitoneal tissues, and retroperitoneal lymph nodes. Endosalpingiosis is almost an incidental finding on microscopic examination. Seldom it appears as a cyst and it can be confused clinically for an ovarian tumor.
DESIGN
A case report and a systematic review about pelvic mass-like florid endosalpingiosis of the uterus from PUB MED database were performed.
PATIENT(S)
We describe a case report of a 50-year-old woman with a pedunculated uterine neoformation, for which the preoperative exams could be compatible with an adnexal mass. Twelve patients with similar clinical history were discussed in the review.
TREATMENT
Laparoscopy with radical exeresis was performed.
RESULTS
Microscopic exam revealed florid cystic endosalpingiosis of the uterus.
CONCLUSIONS
Endosalpingiosis is a rare mullerian disorder and the main problem is that the symptomatology is not specific and it may be initially misinterpreted. In relation to the papillary aspect of the lesion and focal calcifications, the histological differential diagnosis could include serous adenocarcinoma, but the lack of cellular stratification in absence of mitotic activity, and the presence of slight nuclear atypia contradict the diagnosis of carcinoma. The differential diagnosis for endosalpingiosis also includes multiple peritoneal inclusion cysts (benign cystic mesothelioma). The aim of this case report has not been only to describe the rarity of this pathology, but it contributes to consider endosalpingiosis as a possible diagnostic hypothesis for which may be indicated a conservative surgical treatment.
Topics: Cysts; Diagnosis, Differential; Endometriosis; Fallopian Tube Diseases; Female; Humans; Laparoscopy; Middle Aged; Pelvis; Treatment Outcome
PubMed: 20931212
DOI: 10.1007/s00404-010-1700-1 -
American Journal of Obstetrics and... Jan 2020Without cesarean delivery, obstructed labor can result in maternal and fetal injuries or even death given a disproportion in size between the fetus and the maternal... (Review)
Review
Without cesarean delivery, obstructed labor can result in maternal and fetal injuries or even death given a disproportion in size between the fetus and the maternal birth canal. The precise frequency of obstructed labor is difficult to estimate because of the widespread use of cesarean delivery for indications other than proven cephalopelvic disproportion, but it has been estimated that at least 1 million mothers per year are affected by this disorder worldwide. Why is the fit between the fetus and the maternal pelvis so tight? Why did evolution not lead to a greater safety margin, as in other primates? Here we review current research and suggest new hypotheses on the evolution of human childbirth and pelvic morphology. In 1960, Washburn suggested that this obstetrical dilemma arose because the human pelvis is an evolutionary compromise between two functions, bipedal gait and childbirth. However, recent biomechanical and kinematic studies indicate that pelvic width does not considerably affect the efficiency of bipedal gait and thus is unlikely to have constrained the evolution of a wider birth canal. Instead, bipedalism may have primarily constrained the flexibility of the pubic symphysis during pregnancy, which opens much wider in most mammals with large fetuses than in humans. We argue that the birth canal is mainly constrained by the trade-off between 2 pregnancy-related functions: while a narrow pelvis is disadvantageous for childbirth, it offers better support for the weight exerted by the viscera and the large human fetus during the long gestation period. We discuss the implications of this hypothesis for understanding pelvic floor dysfunction. Furthermore, we propose that selection for a narrow pelvis has also acted in males because of the role of pelvic floor musculature in erectile function. Finally, we review the cliff-edge model of obstetric selection to explain why evolution cannot completely eliminate cephalopelvic disproportion. This model also predicts that the regular application of life-saving cesarean delivery has evolutionarily increased rates of cephalopelvic disproportion already. We address how evolutionary models contribute to understanding and decision making in obstetrics and gynecology as well as in devising health care policies.
Topics: Animals; Biological Evolution; Cephalopelvic Disproportion; Cesarean Section; Female; Gait; Hominidae; Humans; Parturition; Pelvic Bones; Pelvimetry; Pelvis; Pregnancy; Pubic Symphysis; Selection, Genetic
PubMed: 31251927
DOI: 10.1016/j.ajog.2019.06.043 -
Journal of Pediatric and Adolescent... Feb 2019Castleman disease (CD) is a rare lymphoproliferative disorder that might present as an adnexal mass. We report a case of pelvic CD in an adolescent girl who presented...
BACKGROUND
Castleman disease (CD) is a rare lymphoproliferative disorder that might present as an adnexal mass. We report a case of pelvic CD in an adolescent girl who presented with abdominal pain.
CASE
A 13-year-old girl presented with severe abdominal pain, nausea, and vomiting, and was found to have a solid adnexal mass. Repeat imaging revealed the mass to be retroperitoneal and in the left pelvic side wall. She underwent surgical removal via an open retroperitoneal approach, and pathology revealed CD, hyaline vascular variant subtype.
SUMMARY AND CONCLUSION
Pelvic CD should be considered in the differential diagnosis for an adnexal mass in a young woman. Surgical planning is critical because of the possibility of extension and mass effect. Most pelvic CD is unicentric, hyaline vascular variant subtype, and does not recur after surgical removal.
Topics: Adnexal Diseases; Adolescent; Castleman Disease; Diagnosis, Differential; Female; Humans; Magnetic Resonance Imaging; Pelvis; Retroperitoneal Space; Ultrasonography
PubMed: 30223024
DOI: 10.1016/j.jpag.2018.09.002 -
Scottish Medical Journal Feb 2015Inflammatory myofibroblastic tumour (IMT) is a rare benign mesenchymal tumour. However, IMT may arise from a wide variety of tissues and is very rare in the elderly. IMT... (Review)
Review
Inflammatory myofibroblastic tumour (IMT) is a rare benign mesenchymal tumour. However, IMT may arise from a wide variety of tissues and is very rare in the elderly. IMT may mimic the mass in which it originates. Although IMT has been defined as uncertain behaviour, it is treated surgically. We present a-65-year old man whose mass was diagnosed as IMT extending from scrotum to pelvis. The mass was independent of any surrounding anatomic structures. According to our best knowledge this is the first case in the literature that pelvic IMT was diagnosed in an elderly man and successfully treated surgically with a long term follow-up period. Aetiology of IMT is still unknown, and more studies are needed for exact continuum of IMT.
Topics: Aged; Diagnosis, Differential; Granuloma, Plasma Cell; Humans; Inflammation; Male; Neoplasms, Muscle Tissue; Pelvic Neoplasms; Pelvis; Rare Diseases; Scrotum; Testicular Diseases; Treatment Outcome
PubMed: 25468366
DOI: 10.1177/0036933014563240 -
Journal of Clinical Ultrasound : JCU Mar 2019Splenosis is an unusual condition representing auto-transplantation of splenic tissue following splenic trauma or surgery. When detected on imaging studies, the...
Splenosis is an unusual condition representing auto-transplantation of splenic tissue following splenic trauma or surgery. When detected on imaging studies, the splenosis deposits are usually misinterpreted as pathological masses. We present a case where a pelvic mass incidentally visualized on an MRI examination, was proven to represent a deposit of splenosis by contrast enhanced ultrasound (CEUS). CEUS demonstrated persistent late-phase enhancement characteristic of splenic tissue. Ultrasound practitioners should be aware of this condition when an unusual abdominal or pelvic mass is encountered in a patient with a history of splenic trauma or surgery. CEUS is ideally suited to confirming the diagnosis.
Topics: Contrast Media; Humans; Magnetic Resonance Imaging; Male; Middle Aged; Pelvis; Splenic Diseases; Splenosis; Ultrasonography
PubMed: 30443965
DOI: 10.1002/jcu.22671