- Home
- Medical news & Guidelines
- Anesthesiology
- Cardiology and CTVS
- Critical Care
- Dentistry
- Dermatology
- Diabetes and Endocrinology
- ENT
- Gastroenterology
- Medicine
- Nephrology
- Neurology
- Obstretics-Gynaecology
- Oncology
- Ophthalmology
- Orthopaedics
- Pediatrics-Neonatology
- Psychiatry
- Pulmonology
- Radiology
- Surgery
- Urology
- Laboratory Medicine
- Diet
- Nursing
- Paramedical
- Physiotherapy
- Health news
- Fact Check
- Bone Health Fact Check
- Brain Health Fact Check
- Cancer Related Fact Check
- Child Care Fact Check
- Dental and oral health fact check
- Diabetes and metabolic health fact check
- Diet and Nutrition Fact Check
- Eye and ENT Care Fact Check
- Fitness fact check
- Gut health fact check
- Heart health fact check
- Kidney health fact check
- Medical education fact check
- Men's health fact check
- Respiratory fact check
- Skin and hair care fact check
- Vaccine and Immunization fact check
- Women's health fact check
- AYUSH
- State News
- Andaman and Nicobar Islands
- Andhra Pradesh
- Arunachal Pradesh
- Assam
- Bihar
- Chandigarh
- Chattisgarh
- Dadra and Nagar Haveli
- Daman and Diu
- Delhi
- Goa
- Gujarat
- Haryana
- Himachal Pradesh
- Jammu & Kashmir
- Jharkhand
- Karnataka
- Kerala
- Ladakh
- Lakshadweep
- Madhya Pradesh
- Maharashtra
- Manipur
- Meghalaya
- Mizoram
- Nagaland
- Odisha
- Puducherry
- Punjab
- Rajasthan
- Sikkim
- Tamil Nadu
- Telangana
- Tripura
- Uttar Pradesh
- Uttrakhand
- West Bengal
- Medical Education
- Industry
Woman develops acute abdominal pain after wearing nylon tights: Case
USA: A recent case report published in the Journal of Emergency Medicine describes the case of a 29-year-old woman who developed acute abdominal pain after wearing tight nylon.
"A woman with abdominal pain after wearing tight nylons had a chronic ovarian cyst masking torsion," wrote the authors. "In women with acute abdominal pain and no clear explanation, consult gynecologic surgery early to increase odds of ovarian salvage."
According to the authors, this case is significant as torsion can easily be missed, even with ultrasound.
As per the case report, the woman was in her usual state of health until the day of arrival to the emergency department (ED). That morning she had put on a pair of nylons with added elastic in the waistband for an outing with her friends. Initially, she had no symptoms but with the progression of the day she developed dull, diffuse abdominal pain which became severe and with some localization to her bilateral lower quadrants. She felt nauseous and vomited nonbloody emesis multiple times. Even after the removal of tight nylon, she did not experience any improvement in her pain. She soon became too uncomfortable to walk and vomited up any pain medication she tried to take.
Key Results:
· Past medical history: PCOS, irregular menses, no recent sexual activity.
· Physical exam: abdomen soft, tender, no rebound tenderness.
· Differential diagnoses:
o IBD or celiac disease
o Ovarian pathology
o Less likely: infectious colitis; nephrolithiasis and pyelonephritis; appendicitis; ruptured ectopic pregnancy; abdominal compartment syndrome.
· Labs: leukocytosis.
· Pelvic ultrasound: 23-cm mass on left adnexa; gynecology consult called.
· CT: large mass, hydronephrosis.
· Surgery: left adnexal dermoid cyst and twice-torsed ovary.
o Cyst, left ovary removed.
o Patient recovered well.
· Diagnosis: chronic dermoid cyst, ovarian torsion.
- Ultrasound may be only 50% sensitive for torsion, and normal Doppler flow may be seen.
The case, "Abdominal Pain in a Young Woman," is published in the Journal of Emergency Medicine.
DOI: https://doi.org/10.1016/j.jemermed.2020.05.014
MSc. Biotechnology
Medha Baranwal joined Medical Dialogues as an Editor in 2018 for Speciality Medical Dialogues. She covers several medical specialties including Cardiac Sciences, Dentistry, Diabetes and Endo, Diagnostics, ENT, Gastroenterology, Neurosciences, and Radiology. She has completed her Bachelors in Biomedical Sciences from DU and then pursued Masters in Biotechnology from Amity University. She has a working experience of 5 years in the field of medical research writing, scientific writing, content writing, and content management. She can be contacted at  editorial@medicaldialogues.in. Contact no. 011-43720751
Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751