scholarly journals Abstract No. 590 Intermittent abdominal pain with ascites due to distal thoracic duct obstruction

2018 ◽  
Vol 29 (4) ◽  
pp. S246
Author(s):  
N. Harrison ◽  
G. Nadolski ◽  
M. Itkin
Keyword(s):  
Abdominal Pain ◽  
Thoracic Duct ◽  
Duct Obstruction ◽  
Intermittent Abdominal Pain

scholarly journals Acute obstructive suppurative pancreatic ductitis in pancreatic malignancies

2020 ◽  
Vol 08 (12) ◽  
pp. E1765-E1768
Author(s):  
Ryoko Shimizuguchi ◽  
Masataka Kikuyama ◽  
Terumi Kamisawa ◽  
Sawako Kuruma ◽  
Kazuro Chiba
Keyword(s):  
Abdominal Pain ◽  
Pancreatic Duct ◽  
Pancreatic Juice ◽  
Myelogenous Leukemia ◽  
Ductal Adenocarcinoma ◽  
Klebsiella Pneumonia ◽  
Duct Obstruction ◽  
Pancreatic Duct Obstruction ◽  
Nasopancreatic Drainage ◽  
Accessory Pancreatic Duct

Abstract Background and study aims Acute obstructive suppurative pancreatic ductitis (AOSPD) is a suppurative pancreatic duct infection with main pancreatic duct (MPD) or accessory pancreatic duct obstruction in the absence of a pancreatic pseudocyst or necrosis, which is experienced usually in chronic pancreatitis. The diagnosis is confirmed by the finding of pancreatic duct obstruction on endoscopic retrograde cholangiopancreatography (ERCP) with evidence of infection, such as a positive pancreatic juice culture or drainage of purulent pancreatic juice. Patients and methods We studied five patients with pancreatic ductal adenocarcinoma (PDAC) and one with chronic myelogenous leukemia (CML), who suffered from AOSPD. Results Of the 281 PDAC and 39 CML patients who we treated in the past 2 years in our hospital, five with PDAC (1.8 %) and one with CML (2.6 %) experienced AOSPD. Each patient had fever, abdominal pain, and increased blood C-reactive protein. Pancreatography found that each patient had a MPD stricture and an upstream dilatation. Four had a disruption of the MPD in the upper stream of the stricture. Nasopancreatic drainage was successfully performed in all patients. Pancreatic juice culture was positive for Klebsiella pneumonia, Enterobacter agerogenes, or Enterococcus cloacae in four patients. Conclusion AOSPD should be considered in pancreatic malignancy with fever and abdominal pain. Prompt diagnosis of AOSPD could avoid shortening of survival of patients with an already poor prognosis by infection.

An Infant with COVID-19-Associated Intussusception

2021 ◽  
pp. 000313482110474
Author(s):  
Gwyneth A. Sullivan ◽  
Nicholas J. Skertich ◽  
Kody B. Jones ◽  
Michael Williams ◽  
Brian C. Gulack ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Lymphoid Hyperplasia ◽  
Computed Tomography Scan ◽  
Ileocolic Intussusception ◽  
Common Cause ◽  
Caregiver Education ◽  
Intermittent Abdominal Pain ◽  
The Right ◽  
Tomography Scan

Intussusception is the most common cause of bowel obstruction in infants four to ten months old and is commonly idiopathic or attributed to lymphoid hyperplasia. Our patient was a 7-month-old male who presented with two weeks of intermittent abdominal pain associated with crying, fist clenching and grimacing. Ultrasound demonstrated an ileocolic intussusception in the right abdomen. Symptoms resolved after contrast enemas, and he was discharged home. He re-presented similarly the next day and was found to be COVID-19 positive. Computed tomography scan demonstrated a left upper quadrant ileal-ileal intussusception. His symptoms spontaneously resolved, and he was discharged home. This suggests that COVID-19 may be a cause of intussusception in infants, and infants presenting with intussusception should be screened for this virus. Additionally, recurrence may happen days later at different intestinal locations. Caregiver education upon discharge is key to monitor for recurrence and need to return.

scholarly journals Jejunojejunal intussusception secondary to submucosal lipoma resulting in a 5-year history of intermittent abdominal pain

2014 ◽  
Vol 2014 (oct29 1) ◽  
pp. bcr2014207297-bcr2014207297 ◽  
Author(s):  
I. Seow-En ◽  
F. J. Foo ◽  
C. L. Tang
Keyword(s):  
Abdominal Pain ◽  
Intermittent Abdominal Pain ◽  
History Of

Thoracic duct cyst presenting as abdominal pain

Surgery ◽  
2018 ◽  
Vol 163 (6) ◽  
pp. 1324
Author(s):  
Ahmed Abu-Zaid ◽  
Ali Mohammed Alakhtar ◽  
Faisal Dkhalallah Alshamdin ◽  
Waleed Saleh
Keyword(s):  
Abdominal Pain ◽  
Thoracic Duct ◽  
Duct Cyst

A 48-year-old woman with a 4-month history of intermittent abdominal pain and urinary frequency

2014 ◽  
pp. 274-277
Author(s):  
Kirk J. Matthews ◽  
Jori S. Carter ◽  
David Chelmow ◽  
Christine R. Isaacs ◽  
Ashley Carroll
Keyword(s):  
Abdominal Pain ◽  
Urinary Frequency ◽  
Intermittent Abdominal Pain ◽  
History Of

scholarly journals A case report of mesenteric panniculitis

2019 ◽  
Vol 47 (7) ◽  
pp. 3354-3359 ◽  
Author(s):  
Ming-en Zhao ◽  
Ling-qiang Zhang ◽  
Li Ren ◽  
Zhen-wei Li ◽  
Xiao-lei Xu ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Inflammatory Markers ◽  
Imaging Findings ◽  
Mesenteric Panniculitis ◽  
Intermittent Abdominal Pain ◽  
Rule Out

A 65-year-old man had intermittent abdominal pain for the previous 2 years. This pain suddenly became worse with a fever and elevated inflammatory markers. We took a while to diagnose the patient with mesenteric panniculitis (MP). Although imaging findings suggested MP, we needed to rule out other diseases. Choosing a treatment for the patient also took some time and we finally used glucocorticoid to cure the patient.

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