Anchored fallopian tube through the drain tube is rare. We present a case of a 27-year-old female patient who underwent right salpingectomy with the fenestrated drain tube in the pelvic cavity. Postoperatively, the drain could not be removed. Laparotomy revealed the left fallopian tube entering through the fenestration of the drain tube.
Intracranial mature cystic teratoma is rare. The temporal lobe is a very unusual location and can pose a considerable diagnostic challenge. Proper histological diagnosis and long‐term follow‐up are imperative.
Introduction and importance
Gastrointestinal stromal tumors (GIST) are rare mesenchymal tumors originating in the wall of the gastrointestinal tract. Jejunal GIST is the rarest subtype. Large GIST can present with an abdominopelvic mass which can be preoperatively misdiagnosed as a gynecological tumor.
Case history
A 44-year regularly menstruating woman presented with lower abdominal pain which was diagnosed as a malignant ovarian tumor preoperatively with an MRI. However, intraoperatively, a lobulated mass was present in the abdominal cavity arising from a jejunal portion of the small intestine. With an intraoperative diagnosis of jejunal GIST, the mass was excised and jejunum anastomosed. Histopathology examination report showed GIST which was further confirmed by immunohistochemistry.
Discussion
GIST presenting as a large abdominopelvic mass can mimic a gynecological tumor. Contrast-enhanced CT scan is the preferred imaging modality for the evaluation of patients with suspected GIST to determine the extent of the tumor, the presence or absence of metastatic disease alongside evaluation of the possibility of complete resection. Adjuvant imatinib therapy following complete excision can decrease the disease recurrence.
Conclusion
Gynecologists should keep in mind that primary gastrointestinal tumors can present as a pelvic mass. A proper histopathological examination helps to confirm the diagnosis. Complete surgical removal of the tumor should be obtained as it determines the prognosis of the disease.
Succenturiate placenta can be associated with vasa previa, retained
placenta, post-partum hemorrhage and infection. Prior knowledge of
presence of succenturiate placenta can be helpful to take quick and
rational decisions during the labor. We present a case of placenta
succenturiate suspected at 34+3 weeks of gestation using findings from
ultrasonography.
Stuck drain tube is a rare postoperative complication. We present a case
of 27 years female who underwent right salpingectomy with abdominal
drain on left side. Postoperatively drain couldn’t be removed and
diagnosis of stuck drain was made. Laparotomy revealed Fallopian tube
entering through both eyes of the drain tube.
Synchronous tumors of the female genital tract are rare and should be differentiated from primary endometrial or ovarian tumors with metastasis as the two entities have different therapeutic and prognostic implications.
Synchronous ovarian and endometrial tumor is a rare entity. We report a
case of a 38-year woman with an endometrioid variant of synchronous
primary endometrial and left ovarian carcinoma. Patient underwent total
abdominal hysterectomy with bilateral salphingo-oophorectomy with
lymphadenectomy and is disease free till 9 months.
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