Incidental discovery of a giant ovarian cystadenoma.

Introduction: Serous cystadenomas account for approximately 25% of benign ovarian tumors in patients of childbearing age. Their growth is insidious, and the diagnosis can be difficult as they are often asymptomatic, Patients with serous cystadenoma often experience symptoms only if the lesion is twisted or has a mass effect because of its size.This was the case in our patient, whose cough and low back pain prompted her To consult a doctor, which led to the definitive diagnosis and treatment. Materials and methods: We report a case of a patient admitted for strangulated umbilical hernia with fortuitous discovery of a giant ovarian mass in the P35 visceral emergency department at the CHU ibn rochd hospital in Casablanca, Morocco. Results: the patient were operated in the emergency room, approached by laparotomy with the exploration we found umbilical hernia with a 6 cm long neck and necrotic bowel content a left latero-uterine mass of 40 cm of solid-cystic aspect and tube and right ovary without abnormalities and uterus of normal size the patient had an Segmental resection of 10 cm at 2.60 m from the ADJ and 1 m from the JIC with T-T grelo-grelic anastomosis and a left adnexectomy with a left latero-uterine mass of 45 cm and Epipoic and parietal peritoneum biopsy and Examination of the patient's spicemen showed serous cystadenoma weighing 10 kg and measuring 30 × 36*20 cm adjoining a tubular formation measuring 11 × 10*5 cm with bowel resection showed ischemic and hemorrhagic necrosis related to the occlusion with acellular ascites fluid. Discussion: Very Cystadenomas There are 2 types: Pleudomucinous cystadenomas or mucoid cysts, These are the most frequent neoplastic cysts of the ovary which are, in general, lumpy, multilocular, producing a gelatinous substance [8]. Their consistency is variable, some taut and firm, others semi-solid, spongy, thick, hollowed out "honeycomb" parts, which contain thick, stringy mucus. The coloration is variable: grayish white when the wall is thick, translucent in some places, with yellowish or white reflections, blue-black or reddish if there is spilled blood, grayish if there is cholesterol. on the other hand Serous cystadenomas or papillary cysts A little less frequent than mucoid cysts. Usually unilocular or paucicular, round or relatively flat, they contain protein-rich serous fluid. The coloration varies according to the content and thickness of the wall: light yellow or brown if the wall is thin, purplish red if there is blood, greyish white if the wall is thick. Consistency clearly fluctuates on the whole but can be hard in places, semi-solid, if there are abundant vegetations inside. Conclusion: Very large tumors have become curiosities in industrialized countries where the health care system is well developed. On the other hand, they are not rare in developing countries. The delay in diagnosis is most often due to the patient herself who does not consult out of ignorance or refusal of her pathology. But it can happen, and this is serious.

Strangulated internal supravesical hernia associated with left inguinal hernia: A very rare case report of acute intestinal obstruction.

Internal hernias are a rare cause of acute intestinal obstruction. Supravesical hernia is an exceptional form of hernia that is often diagnosed intraoperatively. The abdominal CT scan performed in the emergency guides the preoperative diagnosis. Our work concerns a patient admitted to the visceral surgical department of the university hospital ibn Rochd of Casablanca for an occlusion dating back to 05 days, the abdmonial x-ray objectified hydro-aerial levels in the small intestine, and the CT scan found an invagination at the left fossa iliaca associated with a double hernia: internal supravesical and left inguinal. The patient was then operated after conditioning and the diagnosis of an internal supravesical hernia was retained per operatively. Internal supravesical hernia is a very rare cause of acute intestinal occlusion and is often diagnosed at the time of surgical exploration.

Stercoral perforation of the colon: a mortal consequence of chronic constipation in the elderly (a case report).

The stercoral perforation is a mortal condition. It affects elderly patients who have a long history of chronic and severe constipation as well as constitutes a surgical emergency whose prognosis, often grim, depends on the early diagnosis and treatment. We report the case of a stercoral colon perforation which occurred in an 89-year-old patient. The clinical symptomatology was that of an acute peritonitis evolving for four days. The diagnosis was only made intraoperatively and the surgical gesture was a resection of the involved left colon segment and Bouilly Volkmann colostomy. The consequences were unfortunately marked by a resistant septic shock resulting in the death of the patient on the 1st postoperative day. The diagnosis of stercoral colon perforation, which is often difficult and delayed, must be known by all physicians who manage an increasingly older patient population.

On the thermodiffusion effect in vertical plate heat exchangers.

The subject of the transport phenomena has a pivotal role in the performance of aqueous lithium bromide falling film absorbers. Although the thermodiffusion phenomenon appears inside the solution, very little is known about its influence on the mass transport. This study numerically analyses the influence of the thermal mass transfer mechanism on a vertical plate-type heat exchanger for different Reynolds numbers ([Formula: see text]). Results indicate that, in general, the mass transfer caused by the temperature gradient enhances the total absorption because of the negative Soret coefficient of the salt solution. This improvement is found to be higher at higher Reynolds numbers. Furthermore, the concentration and temperature profiles and, therefore, the absorption change significantly along the flow length. Overall, this analysis assists the understanding of the role of the thermal mechanism in this type of absorbers and it demonstrates that it should be considered in future studies.

Soret coefficient of the n-dodecane-n-hexane binary mixture under high pressure.

In the present work, the Soret coefficient has been determined at high pressure for a binary hydrocarbon mixture by combining the thermogravitational column and the dynamic near-field imaging techniques. The analyzed mixture is an iso-massic n -dodecane-n -hexane mixture at 298.15K. The molecular diffusion coefficient has been measured up to 20MPa by means of the dynamic analysis of the light scattered by non-equilibrium concentration fluctuations. With a cylindrical thermogravitational column the thermodiffusion coefficient was determined from 0.1MPa to 10MPa. Density, as well as, mass expansion and thermal expansion have been measured with a high pressure densimeter. Dynamic viscosity at up to 20MPa has been determined with a high pressure viscometer. This work shows the decreasing tendency of both the molecular diffusion and the thermodiffusion coefficient with increasing pressure.

Thermodiffusion, molecular diffusion and Soret coefficient of binary and ternary mixtures of n-hexane, n-dodecane and toluene.

In this study, the thermodiffusion, molecular diffusion, and Soret coefficients of 12 binary mixtures composed of toluene, n-hexane and n-dodecane in the whole range of concentrations at atmospheric pressure and temperatures of 298.15 K and 308.15 K have been determined. The experimental measurements have been carried out using the Thermogravitational Column, the Sliding Symmetric Tubes and the Thermal Diffusion Forced Rayleigh Scattering techniques. The results obtained using the different techniques show a maximum deviation of 9% for the thermodiffusion coefficient, 8% for the molecular diffusion coefficient and 2% for the Soret coefficient. For the first time we report a decrease of the thermodiffusion coefficient with increasing ratio of the thermal expansion coefficient and viscosity for a binary mixture of an organic ring compound with a short n-alkane. This observation is discussed in terms of interactions between the different components. Additionally, the thermogravitational technique has been used to measure the thermodiffusion coefficients of four ternary mixtures consisting of toluene, n-hexane and n-dodecane at 298.15 K. In order to complete the study, the values obtained for the molecular diffusion coefficient in binary mixtures, and the thermodiffusion coefficient of binary and ternary mixtures have been compared with recently derived correlations.

Determination of thermal diffusion coefficient in equimolar n-alkane mixtures: Empirical correlations.

In this article we determined the thermal diffusion coefficient (D(T)) in equimolar mixtures of n-alkanes nC(i)-nC(12) (i=5,6,7,8,9,17,18), nC(i)-nC(10) (i=5,6,7,15,16,17,18), and nC(i)-nC(6) (i=10,12,14,16,18) at 25 degrees C and at atmospheric pressure using the thermogravitational technique. The results obtained from this study together with the previously published ones in the series of nC(i)-nC(18) (i=5,6,7,8,9,10,11,12,13) show that the main parameter that determines D(T) in each series is in association with the molecular weights of the mixture's components. However, an empirical quantitative correlation has been obtained between D(T), the molecular weights of the components, the viscosity, and the thermal expansion coefficient of the mixtures. This is the first report of a closely accurate correlation for D(T) in liquid mixtures.