MyMedR

Update on the management of ovarian torsion in children and adolescents

Nur Azurah AG, Zainol ZW, Zainuddin AA, Lim PS, Sulaiman AS, Ng BK

World J Pediatr, 2015 Feb;11(1):35-40.

PMID: 25557598 DOI: 10.1007/s12519-014-0536-3

Ovarian torsion is commonly seen in young girls. Unfortunately it is often misdiagnosed because of its non-specific symptoms and lack of diagnostic modalities. This article focuses on the diagnostic challenge and also the changes in the management of ovarian torsion.

Matched MeSH terms: Ovarian Diseases/diagnosis*; Ovarian Diseases/physiopathology; Ovarian Diseases/surgery; Ovarian Diseases/ultrasonography

Fulltext Salmonella tuboovarian abscess

Thaneemalai J, Asma H, Savithri DP

Med J Malaysia, 2007 Dec;62(5):422-3.

PMID: 18705483 MyJurnal

A 38 year old lady with a previous history of an ovarian cyst, presented with a one week history of fever, diarrhoea and intense localized pain in the left iliac fossa. Laparotomy revealed a left tuboovarian abscess with adherent bowels. Pus from the ruptured cyst grew Salmonella enteritidis. Histologically the cyst wall showed haemorrhagic and degenerate endometriotic features. Recovery was uneventful with cefotaxime and metronidazole.

Matched MeSH terms: Ovarian Diseases/diagnosis*

Fulltext Potential protective effect of Tualang honey on BPA-induced ovarian toxicity in prepubertal rat

Zaid SS, Othman S, Kassim NM

BMC Complement Altern Med, 2014;14:509.

PMID: 25519484 DOI: 10.1186/1472-6882-14-509

To investigate the potential protective effects of Tualang honey against the toxicity effects induced by Bisphenol A (BPA) on pubertal development of ovaries.

Matched MeSH terms: Ovarian Diseases/chemically induced; Ovarian Diseases/drug therapy*; Ovarian Diseases/pathology

Fulltext Isolated fallopian tube torsion in prepubertal females

Gupta A, Thida W, Nazir B, Yeo CS, Low Y, Ong CL

Med J Malaysia, 2015 Aug;70(4):259-62.

PMID: 26358026

Isolated fallopian tube torsion is an uncommon diagnosis. It is particularly rare in the paediatric and post-menopausal age groups. It lacks pathognomonic symptoms, signs and imaging findings, yet each of these diagnostic steps plays a crucial role in early diagnosis. We describe two cases of isolated fallopian tube torsion in prepubertal females.

Matched MeSH terms: Ovarian Diseases

Fulltext A three year review on surgical treatment of tubo-ovarian abscess

Goh WC, Beh ST, Chern B, Yap LK

Med J Malaysia, 2002 Sep;57(3):292-7.

PMID: 12440268

The authors made a 3-year retrospective study of cases of tubo-ovarian abscess surgically treated in KK Women's and Children's Hospital. In the period studied (1998 through 2000), there were 36 such cases. A total of 11 patients underwent laparoscopic treatment while 25 patients underwent laparotomy. The study demonstrates the differences in the patient profile and the short term morbidity in each mode of surgical treatment and the changing trends in the surgical treatment of tubo-ovarian abscess.

Matched MeSH terms: Ovarian Diseases/surgery*

The ovaries at abdominal hysterectomy-conservation or removal?

Ong HC

Med J Malaysia, 1975 Sep;30(1):48-51.

PMID: 1207532

Matched MeSH terms: Ovarian Diseases/etiology

Fulltext Protective effect of Tualang honey against cadmium-induced morphological abnormalities and oxidative stress in the ovary of rats

Ruslee SS, Zaid SSM, Bakrin IH, Goh YM, Mustapha NM

BMC Complement Med Ther, 2020 May 29;20(1):160.

PMID: 32471398 DOI: 10.1186/s12906-020-02960-1

BACKGROUND: To investigate the protective effects of Tualang honey against the toxicity effects induced by cadmium (Cd) on the ovary.

METHODS: A total of 32 female Sprague Dawley rats were taken and randomly divided into four groups (n = 8). Throughout the experimental period of 6 weeks, negative control-NC (vehicle deionized water), positive control-CD (Cd at 5 mg/kg), Tualang honey followed by Cd exposure-TH (Tualang honey at 200 mg/kg and Cd at 5 mg/kg) and Tualang honey control-THC (Tualang honey at 200 mg/kg) groups, were administered orally on a daily basis.

RESULTS: Rats exposed to Cd were significantly higher in ovarian weight, number of antral and atretic follicles as compared to the NC group. The disruptive effects of Cd on ovarian follicles were associated with a disruption in gonadotropin hormones and decreases in follicular stimulating hormone (FSH) and luteinizing hormone (LH). Moreover, a significant formation of oxidative stress in ovarian Cd-exposed rats has been proven by increasing the level of lipid peroxidation products (malondialdehyde) and decreasing the levels of enzymatic antioxidant (catalase). Interestingly, a daily supplementation of high antioxidant agents such as Tualang honey in these animals, caused significant improvements in the histological changes. Additionally, less atretic follicles were observed, restoring the normal level of LH and FSH (P ovarian malondialdehyde (P ovarian toxicity by reducing morphological abnormalities, restoring the normal levels of gonadotropin hormones and stabilizing equilibrium levels of lipid peroxidation and antioxidant enzyme in ovaries of rats.

Matched MeSH terms: Ovarian Diseases/chemically induced*; Ovarian Diseases/prevention & control*

Fulltext The empty follicle syndrome

Ng SP, Jamil MA, Nurshaireen A, Zainul MR

Med J Malaysia, 2006 Oct;61(4):499-500.

PMID: 17243533 MyJurnal

The empty follicle syndrome (EFS) is a rare complication of in vitro fertilization (IVF) treatment, leading to cycle cancellation. Low human chorionic gonadotropin (hCG) bioavailability and ovarian dysfunction have been implicated with this condition. This case report illustrates a typical case of EFS and several strategies suggested to overcome this problem.

Matched MeSH terms: Ovarian Diseases/etiology*

The acute abdomen and the obstetrician

Sivanesaratnam V

Baillieres Best Pract Res Clin Obstet Gynaecol, 2000 Feb;14(1):89-102.

PMID: 10789262

An acute abdomen in pregnancy can be caused by pregnancy itself, be predisposed to by pregnancy or be the result of a purely incidental cause. These various conditions are discussed. The obstetrician often has a difficult task in diagnosing and managing the acute abdomen in pregnancy. The clinical evaluation is generally confounded by the various anatomical and physiological changes occurring in pregnancy itself. Clinical examination is further hampered by the gravid uterus. The general reluctance to use conventional X-rays because of the pregnancy should be set aside when faced with the seriously ill mother. A reluctance to operate during pregnancy adds unnecessary delay, which increases morbidity for both mother and fetus. Such mistakes should be avoided as prompt diagnosis and appropriate therapy are crucial. A general approach to acute abdominal conditions in pregnancy is to manage these problems regardless of the pregnancy.

Matched MeSH terms: Ovarian Diseases/diagnosis

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