The extravasation of chyle into the peritoneal space usually does not accompany an abrupt onset of abdominal pain with symptoms and signs of peritonitis. The rarity of this condition fails to reach preoperative diagnosis prior to laparotomy. Here, we introduce a case of chylous ascites that presented with acute abdominal pain mimicking peritonitis caused by ovarian torsion in a 41-yr-old female...

Diagnosis of adnexal torsion can be difficult, especially during pregnancy. Delay in diagnosis can lead to necrosis and loss of the affected ovary compromising the reproductive capacity, especially in young women. A 22-year-old primigravida presented to the emergency room at 10 weeks of gestation with acute onset left iliac fossa pain. Ultrasound examination showed a live intra-uterine gestatio...

Bilateral adnexal torsion is a rare event in children. A high index of suspicion, together with prompt surgical treatment, would help to save the ovaries and preserve its function. We report a case of entangled bilateral adnexal torsion managed successfully via laparoscopy. An 11-year-old premenarchal girl complained of chronic intermittent abdominal pain that worsened over 24 hours. Computed t...

Ovarian cyst torsion is a well-known cause of acute abdominal pain in female patients. However, torsion of a normal ovary is extremely rare and predominantly occurs in premenarchal female patients. The objective of this report is to describe a rare case of acute abdomen during the early postpartum period that was ultimately diagnosed as torsion of a normal ovary by laparoscopic surgery. A 29-ye...

BACKGROUND Uterine myomas are common pelvic masses during pregnancy. The pain and rapid growth of myomas are among the most common complications during pregnancy. We evaluate management of painful cystic degeneration of myomas during pregnancy. CASE A 27-year-old primigravida had a pelvic mass. We have managed a case in which the diagnosis of cystic degeneration of uterine myomas could not be...

A 22 years old primi-gravida was diagnosed to have a 6.3×5×5.37 cm hemorrhagic gonadal cyst in fetus at 38 weeks of gestation by growth scan, on follow-up. At term gestation, she delivered female baby vacuum assisted vaginal delivery, weighed 2.86 kg, no other anomalies. X-ray done 1st hour life showed mass the right side. USG abdomen an intraperitoneal cystic lesion (5.7×3.9×6.3 cm) lumbar qua...

Mature cystic teratoma (MCT), or dermoid tumor, was described for thefirst time300 years ago, and is themost common ovarian tumor in adolescents and young women.1 It accounts for 10–25% of all ovarian neoplasms, and 60% of all benign ovarian tumors.2,3 Although most women presenting MCT are asymptomatic, 20% can have complications such as torsion, rupture, infection and malignant transformation...

Ovarian vein thrombosis (OVT) is a rare type of venous thromboembolism most common diagnosed in the postpartum period and peaking around 2-6 days after delivery. Clinical symptoms are not specific including fever abdominal pain right ovarian more frequently involved (70-80% cases). The diagnosis OVT clinical challenge because there multiple other conditions that can present similarly, torsion, ...