Successful laparoscopic management of accessory cavitated uterine mass: a rare case

Accessory cavitated uterine mass (ACUM) is a rare and unique congenital anomaly. The dysmenorrhea presented by these patients is almost never resolved by any medications but only by surgical line of management. Herein, we are discussing a case of ACUM who had medically refractory dysmenorrhea and treated by laparoscopic excision and repair. ACUM is the newly identified popping up cause of dysmenorrhoea requiring surgical line of management only. Fewer than 40 cases, worldwide, have been reported in the literature with the youngest case being a 13-year-old girl. Laparoscopic excision has shown good postoperative results. Dysmenorrhea is a significant cause of reduced quality of life. High degree of suspicion, early investigations and identification of such cases help in appropriate management and reduce the duration of symptoms and thus the seamy side of life can be made better.

A case report: ruptured primary ovarian abscess in pregnancy

Primary ovarian abscess during pregnancy is a very rare entity.  The clinical presentation is very vague and hence can be a diagnostic dilemma. Diagnostic laparoscopy gives a definitive diagnosis and an opportunity to treat the entity in same settings. Herein we discussed a case of a ruptured primary ovarian abscess in pregnancy which was successfully managed by laparoscopy. Ovarian abscess is different from tubo-ovarian abscess. A delay in diagnosis may be associated with risk of maternal death and can be detrimental to the fetus also. Surgical drainage of ovarian abscess and conservative and minimally invasive surgical procedure under antibiotics are recommended during pregnancy

Reduction of background noise in alaryngeal speech using spectral subtraction with quantile based noise estimation

The transcervical electrolarynx or external electronic larynx is used by persons who cannot use their natural voice production mechanism. The device is a vibrator held against the neck tissue, and the vibrations generated move up the vocal tract to produce alaryngeal speech. Presence of background noise, due to leakage of the acoustic energy from the vibrator, degrades the resulting alaryngeal speech. This paper presents a single input technique for reducing the background noise in alaryngeal speech signal, using spectral subtraction in a pitch synchronous manner. Updating of the noise magnitude spectrum is carried out using quantile based noise estimation, which does not require speech/non-speech detection