Tubercular Pyosalpinx Mimicking Ovarian Torsion.

Ovarian torsion is a gynecological emergency that requires prompt recognition and treatment. It may present with nonspecific signs and symptoms, and should be considered in any female with acute abdominal pain. The diagnosis is based on an awareness of the relevant risk factors, the clinical presentation, and a high index of suspicion. Timely investigation and management can make the difference between ovarian loss and salvage — an outcome of great importance in the population of reproductive age females. Whereas Tuberculosis is a chronic infectious disease, and the morbidity associated with it has major health implications. When tuberculosis affects the genital organs of young females, it has the devastating effect of causing irreversible damage to their fallopian tubes, resulting in a possible tubercular pyosalpinx and infertility. However, the disease often remains silent . In this case study, suspecting the diagnosis of genital tuberculosis and of establishing the differential diagnosis with ovarian tumors in the presence of large pyosalpinges is highlighted.

Acute Inversion of Uterus in Obstetrics.

Uterine inversion is an uncommon and unpredictable but potentially life threatening obstetric emergency. The typical presentation is that of severe postpartum haemorrhage and shock along with a mass either felt in the vagina or protruding outside the introitus. Early recognition and prompt management (by teamwork) by simultaneous correction of shock and repositioning of the inverted uterus are imperative in order to minimize the potential for maternal morbidity and mortality. There is a need for skills and drills training because of the rarity of acute inversion. Here is a present a case report of acute inversion of uterus following vaginal delivery and its management. The accompanying review of the literature provides helpful insights into the diagnosis and optimal management of this potentially life threatening condition.