Treatment of acute abdominal pain in the emergency room: A systematic review of the literature

Introduction. Hydatid disease is caused by the tapewormEchinococcus granulosusand is still a matter of public health in many regions of the world, where it is an endemic parasitic disease. Although the liver is the most involved organ, hydatidosis can be found anywhere in the human body. Rare forms of location may lead to diagnostic and therapeutic dilemmas.Case Report. Herein we report a rare case of acute abdominal pain and progressively increasing abdominal distension due to abdominal and multiple splenic echinococcosis in a 72-year-old Caucasian male. We also provide a brief review of the literature.Conclusion. Although hydatid disease is found most often in the liver and lungs, rarely any organ of the body can be involved by this zoonosis. Though rare, the possibility of unusual location of echinococcosis must always be considered by the operating surgeon, when dealing with diffuse abdominal pain in endemic areas, because any misinterpretation may result in unfavorable outcomes.

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Reply to Abboud and Colwell: Critically reappraising the literature-driven practice of analgesia administration for acute abdominal pain in the emergency room prior to surgical evaluation

The American Journal of Surgery ◽

10.1016/j.amjsurg.2003.11.035 ◽

2004 ◽

Vol 188 (1) ◽

pp. 103-104

Author(s):

Lewis J Kaplan

Keyword(s):

Abdominal Pain ◽

Emergency Room ◽

Acute Abdominal Pain ◽

Surgical Evaluation

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Systematic review of diagnostic pathways for patients presenting with acute abdominal pain

International Journal for Quality in Health Care ◽

10.1093/intqhc/mzy079 ◽

2018 ◽

Vol 30 (9) ◽

pp. 678-683 ◽

Cited By ~ 1

Author(s):

Kirsten J de Burlet ◽

Andrew J Ing ◽

Peter D Larsen ◽

Elizabeth R Dennett

Keyword(s):

Systematic Review ◽

Abdominal Pain ◽

Acute Abdominal Pain ◽

Diagnostic Pathways

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Medical myth: Bimanual pelvic examination is a reliable decision aid in the investigation of acute abdominal pain or vaginal bleeding

CJEM ◽

10.1017/s1481803500008289 ◽

2003 ◽

Vol 5 (02) ◽

pp. 120-122 ◽

Cited By ~ 4

Author(s):

Todd Brown ◽

Mel E. Herbert

Keyword(s):

Abdominal Pain ◽

Vaginal Bleeding ◽

Decision Aid ◽

Acute Abdominal Pain ◽

Pelvic Examination ◽

Review Of The Literature ◽

Serious Disease

ABSTRACTReliance on the accuracy of the pelvic examination is upheld in many medical textbooks, but review of the literature does not support the accuracy or reproducibility of this examination. That this “test” is useful for ruling out serious disease will be exposed for the myth that it is.

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Critically reappraising the literature-driven practice of analgesia administration for acute abdominal pain in the emergency room prior to surgical evaluation

The American Journal of Surgery ◽

10.1016/s0002-9610(02)01412-5 ◽

2003 ◽

Vol 185 (4) ◽

pp. 291-296 ◽

Cited By ~ 19

Author(s):

Steven A Nissman ◽

Lewis J Kaplan ◽

Barry D Mann

Keyword(s):

Abdominal Pain ◽

Emergency Room ◽

Acute Abdominal Pain ◽

Surgical Evaluation

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Uterine Fibroid Torsion during Pregnancy: A Case of Laparotomic Myomectomy at 18 Weeks’ Gestation with Systematic Review of the Literature

Case Reports in Obstetrics and Gynecology ◽

10.1155/2017/4970802 ◽

2017 ◽

Vol 2017 ◽

pp. 1-11 ◽

Cited By ~ 3

Author(s):

Annachiara Basso ◽

Mariana Rita Catalano ◽

Giuseppe Loverro ◽

Serena Nocera ◽

Edoardo Di Naro ◽

...

Keyword(s):

Systematic Review ◽

Acute Abdominal Pain ◽

Female Reproductive System ◽

Review Of The Literature ◽

Vitro Fertilization ◽

Uterine Myomas ◽

Implantation Rates ◽

Risk Of Hemorrhage ◽

In Pregnancy

Uterine myomas are the most common benign growths affecting female reproductive system, occurring in 20–40% of women, whereas the incidence rate in pregnancy is estimated from 0.1 to 3.9%. The lower incidence in pregnancy is due to the association with infertility and low pregnancy rates and implantation rates after in vitro fertilization treatment. Uterine myomas, usually, are asymptomatic during pregnancy. However, occasionally, pedunculated fibroids torsion or other superimposed complications may cause acute abdominal pain. There are many controversies in performing myomectomy during cesarean section because of the risk of hemorrhage. Nevertheless, the majority of indication arises before labor and delivery due to acute symptoms leading to a discussion regarding the need for intervention during pregnancy. Therefore, we present a case of successful multiple laparotomic myomectomy at 17 + 2 weeks of gestational age and a systematic review of the literature in order to clarify the approach to this pathologic condition and its effect on pregnancy outcome.

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Causes and Management of Acute Abdominal Pain in Children: A Review Article

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i49a33296 ◽

2021 ◽

pp. 14-22

Author(s):

May Abdullah S. Alanazi ◽

Abdulaziz Muslih Muhaylan Alsharari ◽

Ibrahim Awadh R. Alanazi ◽

Abdulaziz Mashan R. Alanazi

Keyword(s):

Abdominal Pain ◽

Emergency Room ◽

Acute Abdominal Pain ◽

Symptomatic Treatment ◽

Review Article ◽

Pain Site ◽

Life Threatening ◽

Laboratory Investigations ◽

Surgical Conditions

Acute abdominal pain is one of the commonest prevalent grievances in children, and it frequently requires emergency room diagnosis and management. Abdominal pain in children differs with age, concomitant symptoms, and pain site. While most cases of acute abdominal embarrassment are self-limiting and benevolent, there are certain diseases that can be life-threatening and necessitate instant care, such as appendicitis, intussusception, or intestinal obstruction. To decide the cause of acute abdominal pain and recognize children with surgical conditions, scrupulous history taking and numerous physical checkups are mandatory.The most important and realistic first goal in the evaluation of acute AP is to distinguish between surgical and nonsurgical situations, which are further divided into urgent and non-urgent categories. A thorough history and physical examination, laboratory investigations to evaluate comorbidity, and imaging scans are usually used for these purposes. Management decisions should necessitate teamwork between the emergency room physician, a surgeon, and a radiologist. Consecutivereassessment and symptomatic treatment with hardworking follow-up are necessary for management as soon aspossible in urgent disorder.

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