What?! This ain’t no appendix
It was late evening. A young girl of 8 years old, was crying and screaming in pain. The pain she localised it to the right lower quadrant of the abdomen. It has been three days now and the pain was getting worse. The parents took her initially to a general practitioner who then referred her to us. On examination, her pulses were racing and she was warm. Her abdomen was so tender all over but she braved herself to be examined. Her abdomen was tensed and tender. It was also guarded(stiff). She was taking short quick breaths. Having admitted her, she was quickly resuscitated and her pain was relieved. Despite this, the pain was still present. She was booked for surgery with a suspicion of a perforated appendix.
I was notified that she was going into surgery. Not long after, I was called into the operating theatre.
So what do you think is going on?
April 5th, 2007 at 6:46 pm
OMG! What’s that? That’s no appendix, I had mine taken out.
April 5th, 2007 at 10:26 pm
George, this doesn’t look right? Don’t keep me in suspense. Is the little girl alright? What was it? It looks really huge.
April 6th, 2007 at 1:08 pm
Ovarian pathology?
April 6th, 2007 at 1:49 pm
Don’t keep us in suspense!
April 6th, 2007 at 3:13 pm
Judy, the little girl is alright.
Anil is close
Just me - looks like I will only be able to answer after the 10th as I will be on a dive trip to Perhentian
Ha Ha Ha
April 6th, 2007 at 3:41 pm
We O&G fellows only think of the ovary and uterus and the tubes !!!
April 6th, 2007 at 3:48 pm
Anil that is too vague — off I go diving in Perhentian Bye
April 7th, 2007 at 5:25 am
Looks like uterus to me
April 7th, 2007 at 6:26 am
The shape and color look like an ovary twisted and infarcted, but the ovary is markedly larger than it should be, so there might be a cyst. In a young child you would have to consider a cystic teratoma maybe even more likely than a simple cyst.
April 7th, 2007 at 6:52 am
Poor girl. I hope she recovers soon. It must have been a very traumatic experience for her. I’ve had 4 surgeries and i know how it’s like.
April 7th, 2007 at 7:48 am
Whatever it is, I could have gone a lifetime without seeing it. YUCK.
Those pix are precisely why I went to LAW, not medical, school.
I’m outta here.
April 10th, 2007 at 10:36 am
Twisted ovarian teratoma.
April 10th, 2007 at 10:38 am
Kakaka.. i just realised that srp.. made the same diagnosis…
… but did you see the difference between a pathologist and a surgeon…
… I jumped to a conclusion … srp made some suggestions … and left it open pending more info.
Hahahaha..
April 10th, 2007 at 10:39 am
BTW… you’re tagged!!
April 10th, 2007 at 11:15 am
is that a testis? buhahaha
April 11th, 2007 at 6:40 pm
hi bloggers i am back
kucau that ain’t no testis!
That is actually a twisted left ovarian mass which was lying on her right side. The right ovary can be seen in the second picture. Well, I am still awaiting for the pathology report. I had two similar cases before and both were of twisted haemorrhagic ovarian cyst. None were of teratoma.
I should have her results with me tomorrow. She is well at present but her future will always be an issue. I will update once the result is up
April 14th, 2007 at 7:02 pm
OUCH! I really thought it was something else.
Now U made me lost my appetite for my Jumbo Cheesy Coney Dog?!
July 21st, 2007 at 8:57 pm
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