Journal of Yeungnam Medical Science

Case report

Isolated tubal torsion in the third trimester of pregnancy managed with simultaneous salpingectomy and cesarean section: Seong Nam Park; Yeungnam Univ J Med. 2019;36(1):59-62. Published online December 14, 2018; DOI: https://doi.org/10.12701/yujm.2019.00024

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Isolated tubal torsion is an uncommon cause of acute abdomen in pregnancy. Tubal torsion may occur in the absence of adnexal disease. Diagnosing tubal torsion is especially difficult in pregnancy because no precise preoperative radiological and biochemical investigations have been conducted. Most patients are diagnosed during surgery. Here, we present a case of isolated tubal torsion in a pregnant woman at 35 weeks and 6 days of gestation that was managed with salpingectomy and cesarean section simultaneously.

Citations

Citations to this article as recorded by

Adnexal torsion in pregnancy: A systematic review of case reports and case series
Hamidreza Didar, Hanieh Najafiarab, Amirreza Keyvanfar, Bahareh Hajikhani, Elena Ghotbi, Seyyedeh Neda Kazemi
The American Journal of Emergency Medicine.2023; 65: 43. CrossRef
Isolated Tubal Torsion in a Term Pregnancy: Case Report and Systematic Review of Literature of the Last 10 Years
Ferdinando Antonio Gulino, Carla Ettore, Gianfranco Morreale, Stefano Siringo, Emanuele Russo, Marco D'Asta, Francesco Cannone, Giuseppe Ettore
Frontiers in Surgery.2022;[Epub] CrossRef
Laparoscopic surgery for fallopian tube torsion due to benign tumour in the third trimester of pregnancy: a case report and literature review
Jae Yoon Jo, In Ae Cho, Jeong Kyu Shin, Soon Ae Lee, Won Jun Choi
Journal of Obstetrics and Gynaecology.2022; 42(7): 2566. CrossRef

Case Reports

Ultrasonographic findings in Fitz-Hugh-Curtis syndrome: a thickened or three-layer hepatic capsule: You Ho Moon, Jung ho Kim, Won joon Jeong, Sin-Youl Park; Yeungnam Univ J Med. 2018;35(1):127-129. Published online June 30, 2018; DOI: https://doi.org/10.12701/yujm.2018.35.1.127

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Abstract PDF

Fitz-Hugh-Curtis syndrome (FHCS) is characterized by inflammation of the perihepatic capsules associated with the pelvic inflammatory disease (PID). FHCS is not a serious disease, but if not treated properly, it can result in increased medical costs, prolonged treatment, and dissatisfaction with treatment. However, early recognition of FHCS in the emergency department can be difficult because its symptoms or physical findings may mimic many other diseases. Although contrast-enhanced computed tomography (CECT) is the useful imaging modality for recognition of FHCS, it is available only when a high suspicion is established. We performed point-of-care ultrasonography in an 18-year-old woman who had a sharp right upper quadrant (RUQ) abdominal pain without PID symptoms and found a thickened or three-layer hepatic capsule. These findings coincided with areas showing increased hepatic capsular enhancement in the arterial phase of CECT. These results show that if the thickened or three-layer hepatic capsule without evidence of a common cause of RUQ pain is observed on ultrasonography in women of childbearing age with RUQ abdominal pain, the physician can consider the possibility of FHCS.

Citations

Citations to this article as recorded by

Analysis of Misdiagnosis of FHCS Syndrome as Cholecystitis and Literature Review
旭旗申
Advances in Clinical Medicine.2022; 12(06): 5608. CrossRef

Adult intussusception caused by inverted Meckel's diverticulum treated with operation.: Sung Yun Lee, Jae Yoon Jeong, Seung Hyun Hong, Seung Min Woo, Su Heui Lee, Hyun Joo You, Dong Won Kim; Yeungnam Univ J Med. 2016;33(2):116-119. Published online December 31, 2016; DOI: https://doi.org/10.12701/yujm.2016.33.2.116

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Abstract PDF: Intussusception is a serious disease where part of the intestine slides into an adjacent part of the intestine. Adult intussusception is mainly due to benign or malignant neoplasm. Therefore, in most cases of adult intussusception, treatment by surgery would be preferable to conservative therapy. However, we report on a 28-year-old female patient who underwent intussusception operation delayed 3 months. Abdominal computed tomography 3 months ago showed a small bowel intussusception measuring 20 cm long. Three months later, the previously identified small bowel intussusception appeared without change. The patient underwent surgery, and ectopic gastric mucosa was observed in the biopsy. Therefore, Meckel's diverticulum was diagnosed.

Original Article

Treatment of Henoch-Sch?nlein Purpura with Intravenous Immunoglobulin.: Hyo Seok Chung, Won Duck Kim, Eun Sil Lee, Kwang Hae Choi, Yong Hoon Park, Yong Jin Kim; Yeungnam Univ J Med. 2001;18(2):246-252. Published online December 31, 2001; DOI: https://doi.org/10.12701/yujm.2001.18.2.246

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Abstract PDF: We report the result of a high-dose intravenous immunoglobulin therapy in a Henoch-Sch?nlein purpura patient with severe abdominal pain and nephrotic syndrom who did not respond to methylprednisolone pulse therapy. Kidney bbiopsy showed diffuse mesangial cell proliferative glomerulonephritis with fibrocellular crescent formation in approximately 50% of glomeruli. Mesangium of all glomeruli were strong positive for IgA and C3 antibodies. High-dose intravenous immunoglobulin treatment was introduced and dramatic improvement of gastrointestinal symptom and proteinuria as well as hematuria was noted. Immunoglobulin administration should be considered in Henoch-Schnlein purpura patients with sterois-resistant intractable dastrointestinal manifestation and renal involvenment.

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