Laparoscopic approach to fibroid torsion presenting as an acute abdomen in pregnancy.

Uterine leiomyomas (fibroids) are seen in up to 4% of pregnancies, and most commonly present with pain in pregnancy, which can be due to red degeneration or torsion. Most cases previously have been managed with open resection. We report the case of a 35-y-old primagravida woman, presenting with acute lower abdominal pain at 11 wk gestation.

Hemorrhagic shock secondary to spontaneous rupture of a non-secretory adrenal cortical tumour: A case report.

A 21-year-old female presented with left-sided loin pain and profound circulatory shock. After emergency laparotomy, angiography, embolisation and histological investigation, a diagnosis of spontaneous rupture of a benign non-secretory adrenal cortical tumour was made. To our knowledge, this is the only reported case of this diagnosis.