Masa Pelvica
Femenina 52 años de edad que días antes de su ingreso le practicaron un legrado biopsia por sangrados menstruales anormales. Desarrolló intensos dolores pelvicos-abdominales, proceso febril y leucocitosis con desviación izquierda. El examen ginecologico mostró presencia de masa pelvica dolorosa. El examen sonografico vía abdomen con vejiga llena y por vía transvaginal , mostró presencia de masa heterogénea colocada en fondo de saco posterior, en ella se aprecian asas intestinales con presencia de áreas de material liquido claro junto a áreas de material grumoso fino, todo el conjunto mide aprox 10,9 X 7,0 cm. El Doppler Color muestra flujo normal en el área de la masa. La paciente fue sometida cirugía laparoscopica inicial para luego continuar con cirugía tradicional ante la presencia de un bloque compuesto de asas intestinales , ovario derecho y pus ( absceso pelvico ) , posiblemente relacionado con el procedimiento quirúrgico inicial de legrado biopsia. La paciente se ha recuperado satisfactoriamente quedando de manera residual una masa pelvica en vía de resolución de aprox 73 c.c. de volumen y presencia de derrames pleurales bilaterales mínimos.
Women 52 years of age who days before admission he underwent biopsy curettage one abnormal menstrual bleeding. Severe pelvic-abdominal development, febrile illness, and leukocytosis with left shift pains. The gynecological examination showed the presence of painful pelvic mass. The sonographic examination with full bladder via abdominal and transvaginal, showed the presence of heterogeneous mass placed in posterior fornix, in her bowel loops, is seen with regard to areas of clear liquid material with fine lumpy areas of materials, the entire set measures approx 10.9 X 7.0 cm. Color Doppler shows the normal flow in the area of the mass. The initial patient underwent laparoscopic surgery and then continue with traditional surgery in the presence of a block composed of bowel loops, right ovary and pus (pelvic abscess), possibly related to the initial surgical procedure curettage biopsy. The patient has recovered satisfactorily remaining residually a pelvic mass in the process of resolution of about 73 cc volume and minimal presence of bilateral pleural effusions.
Pelvic Mass
Women 52 years of age who days before admission he underwent biopsy curettage one abnormal menstrual bleeding. Severe pelvic-abdominal development, febrile illness, and leukocytosis with left shift pains. The gynecological examination showed the presence of painful pelvic mass. The sonographic examination with full bladder via abdominal and transvaginal, showed the presence of heterogeneous mass placed in posterior fornix, in her bowel loops, is seen with regard to areas of clear liquid material with fine lumpy areas of materials, the entire set measures approx 10.9 X 7.0 cm. Color Doppler shows the normal flow in the area of the mass. The initial patient underwent laparoscopic surgery and then continue with traditional surgery in the presence of a block composed of bowel loops, right ovary and pus (pelvic abscess), possibly related to the initial surgical procedure curettage biopsy. The patient has recovered satisfactorily remaining residually a pelvic mass in the process of resolution of about 73 cc volume and minimal presence of bilateral pleural effusions.
