scholarly journals Woman With Chronic Abdominal Pain, Weight Loss, and Palpable Abdominal Mass

2019 ◽  
Vol 157 (6) ◽  
pp. e1-e2
Author(s):  
Cosman Camilo Mandujano Bejarano ◽  
Louisiana Rivera Valladares ◽  
Joseph Vazzana
Keyword(s):  
Weight Loss ◽  
Abdominal Pain ◽  
Abdominal Mass ◽  
Chronic Abdominal Pain ◽  
Palpable Abdominal Mass

INTUSSUSCEPTION IN CHILDHOOD

PEDIATRICS ◽  
1960 ◽  
Vol 25 (4) ◽  
pp. 592-597
Author(s):  
M. Moreno Robins ◽  
Henry P. Plenk
Keyword(s):  
Abdominal Pain ◽  
Barium Enema ◽  
Abdominal Mass ◽  
Signs And Symptoms ◽  
Safe Procedure ◽  
General Hospitals ◽  
Small Series ◽  
Bloody Stools ◽  
Palpable Abdominal Mass ◽  
Roentgenographic Examination

A city-wide study of intussusception in childhood is reported. The classic signs and symptoms (vomiting, abdominal pain, bloody stools, palpable abdominal mass) are reported in percentages approximating those previously reported by other authors. Intussusception in childhood occurred about once in every 13,000 admissions to general hospitals. Of 26 cases, 3 had surgery without barium enema. In 11 of 23 patients who had roentgenographic examination the intussusception was reduced by enemas (48%). In one patient the lesion recurred after 24 hours. No deaths were encountered in this small series. Provided certain precautions are followed, barium enema is a safe procedure which will save about one-half of the patients a surgical procedure and unnecessary prolonged hospitalization.

scholarly journals Chronic abdominal pain and persistent opioid use after bariatric surgery

2020 ◽  
Vol 20 (2) ◽  
pp. 239-251 ◽  
Author(s):  
Amalie H. Simoni ◽  
Louise Ladebo ◽  
Lona L. Christrup ◽  
Asbjørn M. Drewes ◽  
Søren P. Johnsen ◽  
...  
Keyword(s):  
Risk Factors ◽  
Bariatric Surgery ◽  
Health Care ◽  
Weight Loss ◽  
Abdominal Pain ◽  
Pain Treatment ◽  
Chronic Abdominal Pain ◽  
Adverse Outcomes ◽  
Opioid Use ◽  
Pain Status

AbstractBackground and aimsBariatric surgery remains a mainstay for treatment of morbid obesity. However, long-term adverse outcomes include chronic abdominal pain and persistent opioid use. The aim of this review was to assess the existing data on prevalence, possible mechanisms, risk factors, and outcomes regarding chronic abdominal pain and persistent opioid use after bariatric surgery.MethodsPubMed was screened for relevant literature focusing on chronic abdominal pain, persistent opioid use and pharmacokinetic alterations of opioids after bariatric surgery. Relevant papers were cross-referenced to identify publications possibly not located during the ordinary screening.ResultsEvidence regarding general chronic pain status after bariatric surgery is sparse. However, our literature review revealed that abdominal pain was the most prevalent complication to bariatric surgery, presented in 3–61% of subjects with health care contacts or readmissions 1–5 years after surgery. This could be explained by behavioral, anatomical, and/or functional disorders. Persistent opioid use and doses increased after bariatric surgery, and 4–14% initiated a persistent opioid use 1–7 years after the surgery. Persistent opioid use was associated with severe pain symptoms and was most prevalent among subjects with a lower socioeconomic status. Alteration of absorption and distribution after bariatric surgery may impact opioid effects and increase the risk of adverse events and development of addiction. Changes in absorption have been briefly investigated, but the identified alterations could not be separated from alterations caused solely by excessive weight loss, and medication formulation could influence the findings. Subjects with persistent opioid use after bariatric surgery achieved lower weight loss and less metabolic benefits from the surgery. Thus, remission from comorbidities and cost effectiveness following bariatric surgery may be limited in these subjects.ConclusionsPain, especially chronic abdominal, and persistent opioid use were found to be prevalent after bariatric surgery. Physiological, anatomical, and pharmacokinetic changes are likely to play a role. However, the risk factors for occurrence of chronic abdominal pain and persistent opioid use have only been scarcely examined as have the possible impact of pain and persistent opioid use on clinical outcomes, and health-care costs. This makes it difficult to design targeted preventive interventions, which can identify subjects at risk and prevent persistent opioid use after bariatric surgery. Future studies could imply pharmacokinetic-, pharmacodynamics-, and physiological-based modelling of pain treatment. More attention to social, physiologic, and psychological factors may be warranted in order to identify specific risk profiles of subjects considered for bariatric surgery in order to tailor and optimize current treatment recommendations for this population.

scholarly journals Malrotation of Gut with Internal Mesocolic Hernia Mimicking Mesenteric Cyst

1970 ◽  
Vol 14 (2) ◽  
pp. 90-91
Author(s):  
Md MA Jafor ◽  
SM Safir Uddin Ahmed ◽  
Md Anwarul Islam ◽  
AB Siddiqui ◽  
Md Iqbal Bari
Keyword(s):  
Abdominal Pain ◽  
Clinical Presentation ◽  
Abdominal Mass ◽  
Chronic Abdominal Pain ◽  
Mesenteric Cyst ◽  
Midgut Volvulus ◽  
Internal Herniation ◽  
Intermittent Abdominal Pain ◽  
Clinical Presentations ◽  
Intestinal Rotation

Various clinical presentations from chronic abdominal pain to acute midgut volvulus with ischaemic bowel injury may result from failure of normal intestinal rotation and fixation. A patient having malrotation and internal herniation of gut clinically presented to us with intermittent abdominal pain, bilious vomiting and abdominal mass mimicking mesenteric cyst. This is a very rare and exceptional form of presentation of malrotation of gut. Rarity of the clinical presentation leads us to report this case. DOI: http://dx.doi.org/10.3329/taj.v14i2.8395 TAJ 2001; 14(2): 90-91

scholarly journals Wandering spleen with torsion presenting as a rare case of acute abdomen

2021 ◽  
Vol 5 (4) ◽  
pp. 09-12
Author(s):  
Solomon Bekele Abebe ◽  
◽  
Yonas Ademe Teferi ◽  
Henok T/Silassie Zeleke
Keyword(s):  
Abdominal Pain ◽  
Acute Abdomen ◽  
Rare Case ◽  
Acute Abdominal Pain ◽  
Abdominal Mass ◽  
Chronic Abdominal Pain ◽  
Wandering Spleen ◽  
Vascular Pedicle ◽  
Prompt Diagnosis

Wandering spleen is a rare clinical occurrence characterized by the absence of spleen in its normal anatomic place. Patients may present with acute abdomen, abdominal mass, and chronic abdominal pain. Prompt diagnosis and intervention are necessary. Here, we report a case of a woman who presented with acute abdominal pain secondary to a wandering spleen complicated by torsion of its vascular pedicle. Keywords: Wandering spleen; torsion; splenectomy

scholarly journals Choledochal cyst type I-A: a case report

2021 ◽  
Vol 1 (3) ◽  
pp. 6-11
Author(s):  
Tiago Magalhães Cardoso ◽  
Érica Paulinne Pereira Brandão ◽  
Fernando Fernandes Rodrigues ◽  
Luíz Felipe Lima Ceccato
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Abdominal Mass ◽  
Biliary Tree ◽  
Liver Cyst ◽  
Multiple Form ◽  
Type I ◽  
The Right ◽  
Palpable Abdominal Mass ◽  
Mass Form

Choledocal cysts are cystic dilations that can occur in a single or multiple form in the biliary tree. Cysts can be congenital or acquired and are associated with numerous anatomical abnormalities. The presence of pain in the upper right quadrant of the abdomen, jaundice and palpable abdominal mass form the classic triad that is present in 15% to 45% of patients. We report the case of a 19-year-old woman patient, who she was admitted with abdominal pain in the right hypochondrium, nausea and vomiting, which evolved into  jaundice. When seeking medical care, a large liver cyst and cholelithiasis. Imaging exams revealed liver cyst in segments IV-B,V and VI, lithiasis and biliary polyp.

scholarly journals Infected Completely Isolated Enteric Duplication Cyst Management with Percutaneous Drainage and Surgical Excision after Retreat of Infection: A Case Report

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Neofytou Kyriakos ◽  
Chysochos Andreas ◽  
Sammouti Elena ◽  
Andreou Charalampos ◽  
Georgiou Chrisanthos
Keyword(s):  
Abdominal Pain ◽  
Percutaneous Drainage ◽  
Congenital Malformations ◽  
Alimentary Tract ◽  
Abdominal Mass ◽  
Surgical Excision ◽  
Duplication Cyst ◽  
Enteric Duplication Cyst ◽  
Enteric Duplication ◽  
Palpable Abdominal Mass

Duplication cysts (DCs) of alimentary tract are rare congenital malformations. They are firmly attached to the wall of the gastrointestinal tract and they are supplied by surrounding mesenteric blood vessels. More than 80% of cases occur before the age of two years and only a minority of cases present in adulthood. “Completely isolated duplication” of the alimentary tract is an extremely rare variety of gastrointestinal duplications. They have gastrointestinal epithelial and wall characteristics without an anatomic association with the alimentary tract. Their main characteristic is that they have their own blood supply. A 20-year-old male was admitted to our department with symptoms persisting for a period of one week prior to admission, which included abdominal pain, fever, and a palpable abdominal mass. CT revealed an unexplained intraperitoneal abscess. This case represents a rare clinical example of infected isolated duplication cyst managed with percutaneous drainage and surgical excision of the cyst 3 weeks later. To the best of our knowledge, this is the first reported case to use this approach.

scholarly journals Clinicopathological profile of colorectal carcinoma in a tertiary care teaching hospital in Pokhara, Nepal

2021 ◽  
Vol 14 (1) ◽  
pp. 14-18
Author(s):  
Subash Bhattarai ◽  
Om Bahadur Karki ◽  
Merina Gyawali ◽  
Sudeep Regmi
Keyword(s):  
Colorectal Cancer ◽  
Weight Loss ◽  
Abdominal Pain ◽  
Colorectal Carcinoma ◽  
Rectal Bleeding ◽  
Clinical Presentation ◽  
Chronic Abdominal Pain ◽  
Screening Colonoscopy ◽  
Presenting Symptoms ◽  
Bowel Habits

Introduction: Colorectal cancer is the most common malignancy of the gastrointestinal tract. They are common after 50 years of age and present with bleeding per rectum, altered bowel habits, anemia, pain abdomen, and weight loss. The objective of this study was to evaluate the demographic profile, clinical presentation, colonoscopy and histopathology findings of colorectal cancer. Methods: A descriptive cross-sectional study was conducted. Cases were studied from the departmental records. Clinical presentation, CT abdomen, colonoscopy, and histopathology findings of colorectal carcinoma were studied. Data entry was done in SPSS version 20. Results: The mean age of subjects was 56 ± 11.42 years (range of 34 – 80 years) with male predominance (M: F=3:2). Changes in bowel habits (92.3%), chronic abdominal pain (84.6%), generalized weakness (80.7%), rectal bleeding (46.2%), and significant weight loss (42.3%) were the most common presenting symptoms. Rectal carcinoma was the most common (35%) followed by carcinomas of ascending colon (14%) and descending colon (10 %). The most common morphology was proliferative growth (61.5%). All colorectal carcinomas were adenocarcinoma, and the majority was moderately differentiated (51.9%). Conclusion: Colorectal cancers are seen above 50 years of age and common in males. Changes in bowel habits, chronic abdominal pain, generalized weakness, rectal bleeding, and weight loss are the most common form of presentations. These patients usually present late with advanced disease and unfavorable histopathology. Screening colonoscopy >50 years is strongly recommended.

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