A Case of Left Adnexal Mass

Author: Dr. Girish Gupta

Chief Complaints:
A thirty year old uniparous female was suffering from pain in left hypochondriac region since 1 year and pain in right lumbar region since 2 years.
Obstetric History:

G (gravida) 2 P (para) 1 A (abortion) 1 S (still birth) 0 L (living) 1

Menstrual History:
Menses regular, adequate, lasting 3 days (LMP – 22/8/2011)

Past History:
Ectopic pregnancy operated in 2009

Mental History:
The lady is offended easily and shouting during anger. Her anger gets worse from contradiction and grief. She is brooding in nature. She is always hurried and dissatisfied.

Mentally she is very soft and yielding in nature. She feels better from consolation. She is sentimental and remose. She is very sympathetic to others.

She has anticipatory anxiety. She is dictatorial and censorious. She wants everything neat and clean. She always dwells on past. She can’t take decisions.

Physical Generals:
She has desire for hot and spicy food.

Investigation:
Initial ULTRASONOGRAPHY Report (25/09/2011)

Left adnexa reveals a large well – defined bilocular cystic lesion measuring approximately 85 X 56 X 69 mms (Volume: 174.30 cc) having low level dependent internal echoes.

CA – 125 (25/09/2011): 5.00 U/ml(WNL)

Please share your views. What could be the prescription? She started improving immediately after the administration of the remedy. She cured completely with Homoeopathic treatment.

ULTRASONOGRAPHY Report - A CASE OF LEFT ADNEXAL MASS

Case Solution:

Rubrics for Repertorisation:

  1. Shouting during anger
  2. Offended easily
  3. Brooding
  4. Anger from contradiction
  5. Dictatorial
  6. Yielding
  7. Dissatisfied
  8. Censorious
  9. Hurry tendency
  10. Grief
  11. Fastidious
  12. Sentimental
  13. Sympathetic
  14. Dwells on past
  15. Remorse
  16. Irresolute
  17. Consolation ameliorates
  18. Anticipation anxiety
  19. Desire for hot food
  20. Desire for spicy food

RESULT OF REPERTORISATION

REMEDIES

PULS

NUX VOM

IGNATIA

NAT MUR
TOTALITY

31

28

28

27

SYMPTOMS COVERED

15/20

16/20

14/20

14/20

Hompath Wildfire - repertorization sheet for a case of left adnexal mass

Medicine Selected:
PULSATILLA

Follow-Up:
September 21, 2011:
Pulsatilla 30 weekly was prescribed followed by placebo for 1 week.

September 28, 2011:
LMP– 22/08/2011. Menses yet not appeared. Pain left hypochondriac region remained as such. Pulsatilla 30 was advised weekly followed by Colocynthes 30 twice daily for 3 weeks.

October 21, 2011:
Menses appeared on 18/10/2011 were scanty lasting 2 days. Pain left hypochondriac region reduced. Pulsatilla 30 was advised weekly followed by Colocynthes 30 twice daily for 2 weeks.

November 09, 2011:
Pain left hypochondriac region reduced. Pulsatilla 30 was advised weekly followed by Colocynthes 30 twice daily for 4 weeks.

December 12, 2011:
Menses appeared on 18/11/2011. No further improvement in pain left hypochondriac region. Pulsatilla 200 was advised weekly followed by Colocynthes 30 twice daily for 4 weeks. Patient was advised for repeat ultrasonography of pelvis.

January 16, 2012:
Menses appeared on 09/01/2012 flow was scanty lasted for 2 days.
Ultrasonography of pelvis dated 14.01.2012 revealed decrease in size of left adnexal mass X 39 X 57 mms (Volume : 105 cc). Earlier it was from 85 X 56 X 69 mms with volume of 174.30 cc. Pulsatilla 200 was advised weekly followed by Colocynthes 30 twice daily for 12 weeks on different visits

ULTRASONOGRAPHY Report - A CASE OF LEFT ADNEXAL MASS(after treatment)

April 30, 2012:
Menses appeared on 07/04/2012 flow was scanty, lasted for 2 days.
Ultrasonography of pelvis dated 30.04.2012 revealed complete resolution of left adnexal mass.
The case was declared as cured and was advised to come for follow – up at regular interval.

2 Comments

  1. Small andometrial polyp in uterus and small cystic left adnexa are detected in sonogrphic in My wife Mrs Sushama Nayak of age 48 She is afraid of operation Can you advise homeopathy treatment for the same similar to the above 1) Chief complain is pain in left abdomen 2)mensural period earlier regular presently 15days -20 days-LMP20-09-2013 3)Mental History:Mentally she is very soft and yielding in nature and sentimental 4)Physical Generals:She has desire for hot and spicy food. 5) Investigation :sonography 6-08-2013 Uterus slightly bulky and Small heterogenous focus of 10mm size fundic region with small polyp Right ovary shows dominat follicle 19mmx16mm size Left ovarey is naomal small systic focus of 35mmx23mm size adjascent to left ovarybe a cystic left adnexa
    MY email id is rchn_bbsr@rediff.com Another id is rchn_bbsr@yahoo.com

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