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12 Possible Causes for Hypogastric Mass, Tenderness of the Hypogastrium

  • Pelvic Abscess

    There was mild tenderness in the periumblical area and hypogastrium but no muscle guarding or rebound tenderness was noted. The liver and spleen were not palpable.[] Per abdominal examination revealed a firm, tender, intra-abdominal lump present in the hypogastrium and extending into the pelvis.[]

  • Tubo-Ovarian Abscess

    Pseudomonas aeruginosa is an uncommon cause of infection in the female genital tract. We report a case of postmenopausal tubo-ovarian abscess (TOA) due to P. aeruginosa in a renal transplant recipient. The presentation included mild abdominal symptoms with rapid progression of peritonitis and surgical abscess[…][]

  • Transitional Cell Carcinoma of the Bladder

    Cancer following augmentation cystoplasty is a recognized risk factor. The procedure has only gained popularity in pediatric urology within the last 25 years, limiting the population being studied by statistical power and the lack of long-term followup. The majority of reported cases of post-augmentation malignancy[…][]

  • Endometrioma

    A multiparous obese patient with prior abdominal surgeries complained of cyclic abdominal pain located near the surgical scar. A 1 cm lesion was identified on imaging. Computed tomography-guided needle localization was performed immediately before surgery. This allowed for complete excision of the abdominal wall[…][]

  • Pelvic Actinomycosis

    A case of Actinomyces hongkongensis pelvic actinomycosis in an adult woman is described. Conventional phenotypic tests failed to identify the Gram-positive bacillus isolated from a fluid aspirate of a pelvic abscess. The bacterium was identified by 16S rRNA gene sequencing and analysis using the SmartGene Integrated[…][]

  • Endometriosis

    To report the medical and surgical management of a rare case of recurrent moss-like endometriosis and associated hemorrhagic ascites. Video description of the case, demonstration of the surgical technique, discussion of the histology, and review of endometriosis-associated ascites. Tertiary referral center. A[…][]

  • Pelvic Inflammatory Disease

    Pelvic inflammatory disease (PID) is an infection of the upper genital tract that is often caused by an ascending sexually transmitted infection. The complications of PID include pyosalpinx and tubo-ovarian abscess, infertility or ectopic pregnancy, and chronic pelvic pain of varying degrees. These sequelae underscore[…][]

  • Hydatidiform Mole

    There was mild tenderness in hypogastrium and left iliac fossa. Pelvic examination showed mild bleeding per vaginum and fullness in both fornices.[]

  • Bladder Calculus

    On examination, a non-tender, firm lump was palpable in the hypogastric region. Per rectal examination revealed a hard and mobile mass in the urinary bladder.[]

  • Urinary Tract Hemorrhage

    Abnormal hypervascularity or even a mass may be seen at angiography, but visualization of extravasation is unusual.[] Vesical and prostatic arteries can arise as discrete branches of the anterior division of the hypogastric artery, as previously mentioned, as well as branches from the pudendal[]

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