Poster 247 Treatment of Post-Traumatic Chronic Abdominal Pain due to Focal Dystonia with Onabotulinumtoxin A: Two Case Reports

Segmental arterial mediolysis (SAM) is a non-inflammatory, non-atherosclerotic vasculopathy mostly involving the abdominal arteries. SAM was recently recognized as a more prevalent aetiology of abdominal pain than initially thought by healthcare providers. It is still a commonly missed diagnosis in patients with recurrent emergency room (ER) visits for abdominal pain. Most published case reports in the past have highlighted catastrophic sequelae such as intra-abdominal haemorrhage requiring surgical intervention. We report a case of SAM where the diagnosis was initially missed. After diagnosis, conservative medical management was offered which led to clinical improvement.

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Incidental detection of intrauterine device in sigmoid colon and its removal with colonoscopy

Bangladesh Journal of Medical Science ◽

10.3329/bjms.v16i4.33619 ◽

2017 ◽

Vol 16 (4) ◽

pp. 597-599

Author(s):

Ahmet Bozdag ◽

Onder Altas ◽

Abdurrahman Sahin ◽

Zeynep Ozkan

Keyword(s):

Developing Countries ◽

Abdominal Pain ◽

Sigmoid Colon ◽

Case Reports ◽

Intrauterine Device ◽

Medical Science ◽

Chronic Abdominal Pain ◽

High Efficacy ◽

Contraceptive Methods ◽

Low Costs

Intrauterine device (IUD) is one of the frequently used contraceptive methods in the developing countries, due to its high efficacy, low risks and low costs. However, it may cause some important complications. One of these complications is migration of IUD to adjacent organs. The migration of IUDs to sigmoid colon is rare and it is reported as case reports. In this article, we wanted to share the colonoscopic evaluation of a 38-year-old female patient who presented with chronic abdominal pain, meanwhile the detection of IUD in the sigmoid colon and its removal with colonoscopy.Bangladesh Journal of Medical Science Vol.16(4) 2017 p.597-599

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Sclerosing encapsulating peritonitis: three case reports and review of the literature

Journal of International Medical Research ◽

10.1177/0300060520949104 ◽

2020 ◽

Vol 48 (8) ◽

pp. 030006052094910

Author(s):

Zhenbin Zhang ◽

Menglai Zhang ◽

Ling Li

Keyword(s):

Computed Tomography ◽

Small Intestine ◽

Abdominal Pain ◽

Preoperative Diagnosis ◽

Case Reports ◽

Chronic Abdominal Pain ◽

Review Of The Literature ◽

Pathological Analysis ◽

Sclerosing Encapsulating Peritonitis ◽

Encapsulating Peritonitis

Sclerosing encapsulating peritonitis (SEP) is a disease that is rarely encountered clinically. Preoperative diagnosis of SEP can be difficult. However, with imaging technology, such as computed tomography (CT), this condition can be diagnosed without surgery and pathological analysis. SEP is characterized by small intestine being partially or completely encased by a layer of a thick grayish-white fibrocollagenous membrane similar to a cocoon. The most common symptoms of SEP are abdominal pain, nausea, and vomiting. SEP often leads to intestinal obstruction. Our hospital treated three emergency patients who complained of acute or chronic abdominal pain. CT showed “cauliflower sign” in two cases. The three patients were diagnosed with SEP intraoperatively. In a female patient with ascites, the situation was extremely serious, and this condition had not been reported in detail previously. Fortunately, all patients were discharged without complications. We should pay special attention to patients with SEP who have ascites, which indicates a serious situation.

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