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239 Possible Causes for Adnexal Mass, Vaginal Discharge

  • Malignant Neoplasm

    We describe a case of acute chlamydial salpingitis with marked ascites and an adnexal mass that simulated a malignant neoplasm.[ncbi.nlm.nih.gov] Typically, patients with acute chlamydial salpingitis present with acute lower abdominal pain, tenderness on bimanual pelvic examination, or vaginal discharge.[ncbi.nlm.nih.gov]

  • Appendicitis

    Massive ovarian edema is a benign clinical entity, the imaging findings of which can mimic an adnexal mass or ovarian torsion.[ncbi.nlm.nih.gov] Other symptoms include fever, cervical or vaginal discharge and dyspareunia.[foamcast.org] On Doppler, peripheral vascularity with high velocity and low impedance can be seen around the adnexal mass, separate from the ovary, called the “ring of fire” sign. 33 Echogenic[jaocr.org]

  • Ectopic Pregnancy

    A positive urine pregnancy test (UPT) with adnexal mass in ectopic pregnancy is not the ultimate diagnosis.[ncbi.nlm.nih.gov] discharge and 2 days history of painless vaginal bleeding.[ncbi.nlm.nih.gov] The vaginal bleeding can vary from being slight or brown vaginal discharge to being like a normal period.[netdoctor.co.uk]

  • Acute Pelvic Inflammatory Disease

    Abnormal HSG was most likely to occur in women who had antichlamydial antibodies present in the serum, an adnexal mass detected on the initial bimanual examination, or had[ncbi.nlm.nih.gov] The most frequent signs and symptoms were abnormal vaginal discharge (100%), adnexal tenderness (97.1%), cervical motion tenderness (94.3%) and fever 38.3 degrees C (82.9%[ncbi.nlm.nih.gov] Variables that were good predictors of acute pelvic inflammatory disease were purulent vaginal discharge, erythrocyte sedimentation rate greater than or equal to 15 mm/hr,[ncbi.nlm.nih.gov]

  • Tubal Pregnancy

    After ovulation induction and IVF with ET of two embryos, transvaginal sonography at 6 weeks revealed two separate gestational sacs in the left adnexal mass.[ncbi.nlm.nih.gov] The vaginal bleeding can vary from being slight or brown vaginal discharge to being like a normal period.[netdoctor.co.uk] mass that is separate from the ovary is the most common finding, and may be seen on in up to 89-100% of cases 4 the presence of an adnexal mass becomes more specific for[radiopaedia.org]

  • Metastatic Ovarian Carcinoma

    A pelvic computed tomography scan revealed a 7-cm complex, right adnexal mass.[scholars.northwestern.edu] Vaginal bleeding that is heavy or irregular, especially after menopause. Vaginal discharge that is clear, white, or colored with blood. A lump in the pelvic area.[northshore.org] mass, often solid, irregular, and fixed, may be discovered incidentally.[merckmanuals.com]

  • Labor

    The hydatid disease should be considered in differential diagnosis of adnexal masses obstructing the labor in pregnancy (Fig. 3, Ref. 9).[ncbi.nlm.nih.gov] Examination revealed a crowning fetal head, no fetal heart tones, and purulent vaginal discharge.[ncbi.nlm.nih.gov] Vaginal discharge (lochia). Immediately following birth you will experience a bloody discharge heavier than a regular period.[webmd.com]

  • Fallopian Tube Carcinoma

    mass.[symptoma.com] This is an unusual presentation of papilliferous tubal carcinoma presenting with vaginal discharge through a large sinus approximately 2-3 cm in size, located posterior to[ncbi.nlm.nih.gov] During laparotomy, bilateral adnexal masses were identified, presumed to be of ovarian origin, and total abdominal hysterectomy, bilateral salpingo-oophorectomy, infracolic[ncbi.nlm.nih.gov]

  • Pelvic Inflammatory Disease

    The patient underwent bilateral salpingooopherectomy with presumptive diagnosis of adnexal mass with cystic component. Intraoperative pathology consultation was done.[ncbi.nlm.nih.gov] Culture of the vaginal discharge revealed the presence of E. coli.[ncbi.nlm.nih.gov] A 49-year-old woman presented with pelvic pain, fever (38 degrees C), elevated white blood cell count and a right adnexal mass.[ncbi.nlm.nih.gov]

  • Ovarian Cyst

    Careful evaluation and consultation must be the mainstay of surgery for adnexal masses.[ncbi.nlm.nih.gov] This instrument opens the vagina so the doctor can see the vaginal walls and the cervix, and can get samples of vaginal discharge (called a Pap smear).[healthcentral.com] A 47-year-old woman was referred for an incidental finding of a right adnexal mass on pelvic sonography, suspected to be an ovarian cyst.[ncbi.nlm.nih.gov]

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