Browsing by Author "Maricic, Sanja B. (6701608824)"

Torsion of the fallopian tube is rare and generally isolated and unilateral. We report a case of acute abdominal pain in an adolescent virgin female caused by a complete torsion that resulted in an infarction of the left fallopian tube. On surgery, extremely large hydatid of Morgagni was found, that caused torsion of the fallopian tube threefold. Case: An 18-year-old virgin presented with severe abdominal pain in the left lower quadrant accompanied by vomiting for three hours. Abdominal examination revealed tenderness and guarding in the left lower abdominal part while on rectal examination there was a palpable mass in the left adnexal region, but no mass or tenderness in the cul-de-sac. Blood (CBC, ESR, CA -125, and serum β-human chorionic gonadotrophin) and urine tests were all within a normal range. Ultrasound scan showed a left adnexal unilocular cyst approximately 10 cm in diameter with no solid areas or ascites. At laparotomy performed due to acute abdomen, the left fallopian tube was twisted threefold, distended and turned into a black colored cyst. The left salpingectomy was performed, electrosurgically, using Ligashure®. Microscopic examination showed a hemorrhagic and necrotic tube and fimbrial cyst lined with flat cuboidal epithelium indicating origin from the hydatid of Morgagni. The postoperative course was uneventful, and she was discharged on the 3rd postoperative day. Conclusion: Large Morgagni hydatid is an extremely rare cause of tubal torsion that is usually detected at surgery. Surgical treatment should not be delayed, although a majority of adolescent females loose function of the twisted oviduct at the time of surgery. © 2011 Versita Warsaw and Springer-Verlag Berlin Heidelberg.

Hydatidiform mole is a pregnancy disorder, of a benign nature. We present a case of molar tissue within a uterine myoma, the first such entity reported in the literature. In May 2006, a thirty-eight year old infertility patient was admitted for myomectomy. She had anamnesis for chronic pelvic inflammatory disease and surgeries performed for tubal pregnancies. After the sixth intracytoplasmal spermatozoa injection procedure performed in January 2006, she conceived, but curettage was performed in March 2006 for a missed abortion. Following the routine preoperative evaluation in May 2006, four months after the last artificial reproductive technology procedure, myomectomy was performed as uneventful operation, but the histological report appeared unusual, showing degenerated chorionic villi within the uterine myoma. Molar tissue within uterine myoma might evolve even after artificial reproductive procedures. Furthermore, this finding might be misinterpreted as a fibromyoma degeneration. This is the first, and a unique case, of molar tissue within uterine myoma reported in the literature. copy; Versita Sp. z o.o.