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Cul De Sac Mass


Presentation

  • Abstract A newborn female presented with a perineal and pelvic pseudotumor due to genital hypertrophy. This entity should not be confused with interlabial or cul-de-sac masses that require surgical intervention.[link.springer.com]
  • CONCLUSION: Patients with endometriosis of the posterior cul-de-sac frequently present with atypical noncyclic symptoms.[ncbi.nlm.nih.gov]
  • In this article, we present the MR imaging features of a case of AMP with histopathological correlation. CASE REPORT A 25-year-old woman presented with pelvic pain.[scielo.br]
  • Clinically these patients often present with dyspareunia. Endometriosis involving the torus uterinus T2-images of endometriosis involving the torus uterinus.[radiologyassistant.nl]
  • The yolk sac appears by 5-6 weeks’ gestation and should definitely be present when the MSD is greater than 8 mm.[emedicine.medscape.com]
Physician
  • Posted By Alma DuVernay on 03-30-2017, 08:41:03 in Ob-Gyn Physician performed a total vaginal hysterectomy, uterosacral ligament suspension, anterior and posterior vaginal repair, and a posterior cul-de-sac mass excision.[forum.codinginstitute.com]
  • Given a disease prevalence of 7.5% and a negative likelihood ratio of 0.08, visualization of intrauterine pregnancy by an emergency physician yields a posttest probability of ectopic pregnancy of 0.6%. [16] A retrospective study of 585 women over a 2.5[emedicine.medscape.com]
  • The physician will perform an additional procedure on all consented subjects known as 'culdocentesis'. This will be done just prior to their scheduled surgery while the patient is under general anesthesia.[clinicaltrials.gov]
  • Medicine, American College of Emergency Physicians, American Institute of Ultrasound in Medicine, Society for Academic Emergency Medicine Disclosure: Received salary from 3rd Rock Ultrasound, LLC for speaking and teaching; Received consulting fee from[emedicine.medscape.com]
  • […] endometrium and of the uterine cervix, carcinoma of the vagina, ovarian cysts, endometriosis, teratomas, polycystic ovaries, and other ovarian masses). 18,20 MR has proven to be a highly sensitive modality for characterization of pelvic masses, allowing physicians[scielo.br]
Swelling
  • There is also some submucosal swelling, seen as hyperintensity on the luminal side of the bowel wall.[radiologyassistant.nl]
Angiomatosis
  • Case Report and Brief Review of Literature with Radiologic-Pathological Correlation Pranav Sharma, Priti Soin, Manish Chugh, Pradeep Goyal J Clin Imaging Sci 9 (9) 1-4 (30 April 2019) Case report: Rare Coexistence of a Cerebellar Hemangioblastoma and Angiomatosis[clinicalimagingscience.org]
Leg Pain
  • Symptoms associated with endometriosis in this area include pain with intercourse, pain with bowel movements, leg pain and lower back pain.[proz.com]
Suggestibility
  • Ultrasonographic findings that are neither diagnostic nor highly suggestive of an IUP or ectopic pregnancy are classified as indeterminate.[emedicine.medscape.com]
  • One of Townshend's more frivolous suggestions is that we make stairwells a more attractive option by fitting them with piped music (although it's this, arguably, that made lifts loathsome in the first place)."[treehugger.com]
  • Northampton is definitely a consideration for me but would like some other suggestions as well since it is a bit pricey. I do not mind a commute (no more than 30 mins to Springfield) if a commute that long is even doable during snow and winter.[city-data.com]
  • If the doctor suspects that you have this condition, he will likely suggest that you have an ultrasound to check for fluid and measure your ovaries, as enlarged ovaries are also common in OHSS.[verywellhealth.com]
Neurologic Manifestation
  • Stern BJ, Krumholz A, Johns C, Scott P, Nissim J (1985) Sarcoidosis and its neurological manifestations. Arch Neurol 42: 909–917 PubMed 15. Goyal M, Kucharczyk W, Keystone E (2000) Granulomatous hypophysitis due to Wegener's granulomatosis.[springermedizin.de]
Cul De Sac Mass
  • Posted By Alma DuVernay on 03-30-2017, 08:41:03 in Ob-Gyn Physician performed a total vaginal hysterectomy, uterosacral ligament suspension, anterior and posterior vaginal repair, and a posterior cul-de-sac mass excision.[forum.codinginstitute.com]
  • This entity should not be confused with interlabial or cul-de-sac masses that require surgical intervention.[link.springer.com]

Workup

Hyperprolactinemia
  • Klonoff DC, Kahn DG, Rosenzweig W, Wilson CB (1990) Hyperprolactinemia in a patient with a pituitary and an ovarian dermoid tumor: case report. Neurosurgery 26: 335–339 PubMed 8.[springermedizin.de]

Treatment

  • At the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests. Also write down any new instructions your provider gives you. Know why a new medicine or treatment is prescribed, and how it will help you.[cedars-sinai.edu]
  • Finding Fluid in the Cul-de-Sac in Fertility Treatment In women undergoing fertility treatment, fluid in the cul-de-sac (as seen on ultrasound) is a common finding in ovarian hyperstimulation syndrome (OHSS).[verywellhealth.com]
  • The upper two-thirds of the uterus is the body or corpus, which has its own diagnostic, staging and treatment guidelines. The lower third of the uterus comprises the cervix.[training.seer.cancer.gov]
  • Reich H, McGlynn F: Treatment of ovarian endometriomas using laparoscopic surgical techniques. J of Reprod Med 1986;31:577-84. Reich H, McGlynn F: Laparoscopic oophorectomy and salpingo-oophorectomy in the treatment of benign tuboovarian disease.[adlap.com]

Prognosis

  • Minimally Invasive Treatment Options Prognosis Laparoscopic Excision of Deep Fibrotic Endometriosis of the Cul-de-Sac and Rectum Nodules, Cul-de-sac disease, endometriomas, & pain Extensive endometriosis means bulky deep fibrotic endometriosis deposits[adlap.com]

Etiology

  • Pathology Etiology Evidence of fluid within the cul-de-sac is a common finding, and the underlying cause can be thought of as either physiological or pathological.[radiopaedia.org]
  • AMP) is a rare benign tumor originating from mesothelial cells. 1 Most frequently, AMP occurs between 26 and 55 years of age, at a mean age of 41 years. 1 In contrast to diffuse malignant mesothelioma, which has been linked to asbestos exposure, the etiology[scielo.br]

Prevention

  • Diagnosis before tubal rupture can prevent life-threatening hemorrhage and increase the probability that the patient may be managed medically or via tube-conserving surgery.[emedicine.medscape.com]
  • These lesions should be excised after enucleation of the endometrioma to prevent recurrence. Pelvic sidewall endometriosis peritoneal excision usually requires ureterolysis to free the underlying ureter from the lesion.[adlap.com]

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