Clinical manifestations of benign ovarian tumours

To examine the cases of Benign Ovarian Tumours and their clinical manifestations. Prospective study of consecutive cases of Ovarian tumours, identified using gynaecological case records. Tertiary care teaching hospital affiliated with Fatima Jinnah Medical College Lahore, managing more than 1500 gynaecological cases annually. 50 cases of Ovarian tumours managed in Department of Gynaecology and Obstetrics Sir Ganga Ram Hospital, Lahore between 1st May 2004 to 1st May 2005. The most common presenting complaints were abdominal pain or discomfort and palpable tumour causing abdominal distension. Abdominal pain was present in 70% of benign ovarian tumours. 20% of the patients had pain due to torsion of ovarian cyst. The complaint of a palpable tumour was found in 4 7% of cases. Vague abdominal and bowel complaints were present in 2 2.5% of cases. 6[15%] patients were asymptomatic. Of these 2 were diagnosed by ultrasound and 3 at the time of emergency Cesarean section and one on routine pelvic examination. Menstrual irregularity and urinary complaints were present in a small number of patients. None of the patient complaint of weight loss or post menopausal bleeding. Benign Ovarian Tumours are most common cause of ovarian enlargement and a very common cause of hospital admission. Symptoms and signs are non specific and presentation is a late stage

Prevalence and perinatal mortality of cord prolapse and presentation

To analyse the prevalence and perinatal mortality in cord prolapse. All cases of cord prolapse managed in gynae unit 3 at Sir Ganga Ram Hospital were identified. From 20 March 2004 to 20 March 2005. 23 patients of cord prolapse and presentation were identified During this time 5408 births took place giving a prevalence of I in 235 total births which comes upto 0.42%. There were 6 cases of cord presentation [0.11%] and 17 cases of cord prolapse [0.31%].19 cases were born alive[82.6%]. There were 4 still births giving a still birth rate of 17.4% or 174/1000 births with cord prolapse and presentation. One neonatal death occurred among 19 live born babies giving a rate of 5.21% or 52.1/1000 live births. The uncorrected perinatal mortality was 217/1000 births or 21.7% with cord prolapse and presentation. Cord prolapse and presentation occur with prevalence of 0.43% The perinatal mortality rate in this series was 21.7% of births with cord prolapse and presentation