Duct carcinoma nos

Findings please.

Placenta Percreta *Chief Complaints* 32 year old female Gravida 3 Para 2 at 30.5 weeks with previous 2 LSCS presented with grade 4 breathlessness . *History* Patient had severe polyhydramnios and breathlessness which had worsened over one day. *Vitals* Pulse 126/ min regular good volume. BP -116/80 mmHg. Respiratory rate 36 /min *Physical Examination* Per Abdomen uterus was over distended. Pfannenstiel scars noted . Liqour severely increased. FHS presented. *Investigations* Ultrasound done revealed severe polyhydramnios. *Diagnosis* 32 year old Gravida 3 Para 2 with previous 2 LSCS with severe polyhydramnios *Management* As patient was in respiratory distress patient was taken up for Caesarean section OT findings Placenta Percreta Caesarean hysterectomy done. Mother fine. Baby preterm in NICU doing well

M.56yrs. Injury back. 15 days.

M.22yrs. Had retention of urine 1 month back. Urethral catheter was put then and removed today. RGU,MCU

MULTILOCULATED OVARIAN CYST *Chief Complaints* 46 year old female presented with sudden onset lower abdominal pain *History* 46 year old para 2 previous 2 LSCS presented with history of lower abdominal pain which was sudden in onset associated with nausea. Pain was not relieved by any medication. No history of abdominal distension or bloating. No history of loss of appetite or weight. *Vitals* Pulse 90/ min. BP 144/86 mmHg. *Physical Examination* Per abdomen there was mass palpable of variegated consistency around 24 weeks size of gravid uterus more on right side occupying right ileac fossa , right lumbar region and suprapubic region. Tenderness present on deep palpation. No free fluid. *Investigations* Ultrasound done revealed right ovarian neoplasm with multiple septae. CA 125 was 28 *Diagnosis* Right ovarian neoplasm with torsion *Management* Patient was taken for emergency laparotomy and proceed. OT findings Uterus normal size. Right sided multiloculated ovarian cyst with mucinous content . Fluid in cyst around 1.5 litres. No surface growth/ excrescences. Evidence of torsion of two and half turns around infundibulopelvic axis. Left ovary and fallopian tube normal. Right salpingo ovariotomy done. Patient fine