scholarly journals 782 A Rare Complication in A Post-Operative Bariatric Patient: COVID-19 Induced Mesenteric Venous Thrombosis

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
J Winstanley ◽  
M Goodfellow
Keyword(s):  
Gastric Bypass ◽  
Abdominal Pain ◽  
Ct Scan ◽  
Acute Abdominal Pain ◽  
Myeloproliferative Neoplasms ◽  
Rare Complication ◽  
Nasopharyngeal Swab ◽  
Thrombotic Complications ◽  
Tract Infections ◽  
Mesenteric Thrombosis

Abstract Introduction The emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has provided enormous challenges in the delivery of surgical care. In addition to respiratory tract infections, coronavirus disease 2019 (COVID-19) is associated with both arterial and venous thrombotic complications. Case Details: We present a case of acute superior mesenteric venous (SMV) thrombosis in a 36-year-old female patient who underwent Roux-en-Y gastric bypass three years previously. Her presentation with acute abdominal pain occurred 6 days after a positive nasopharyngeal swab. An admission CT scan demonstrated an abrupt cut off in the proximal SMV with resultant small bowel oedema. Subsequent thrombophilia screening and mutation testing for myeloproliferative neoplasms were all negative. She had also previously carried three pregnancies to term without any thrombotic complications. Hence, the high suspicion of acute COVID-19 induced mesenteric thrombosis. Conclusions In patients who have previously undergone Rouy-en-Y gastric bypass and lost significant weight, acute abdominal pain normally raises a high suspicion of internal hernia. However, as the pandemic progresses surgeons need to be mindful of COVID-19 induced mesenteric thrombosis as a differential diagnosis during the workup of acute abdominal pain. This was well demonstrated on a CT scan with intravenous contrast.

Antibiotic Therapy Did Not Prevent the Rupture of Mycotic Aneurysm of the Superior Mesenteric Artery

2015 ◽  
Vol 18 (3) ◽  
pp. 088
Author(s):  
Ye-tao Li ◽  
Xiao-bin Liu ◽  
Tao Wang
Keyword(s):  
Abdominal Pain ◽  
Infective Endocarditis ◽  
Aortic Valve ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Mycotic Aneurysm ◽  
Acute Abdominal Pain ◽  
Rare Complication ◽  
Emergency Operation ◽  
History Of

<p class="p1"><span class="s1">Mycotic aneurysm of the superior mesenteric artery (SMA) is a rare complication of infective endocarditis. We report a case with infective endocarditis involving the aortic valve complicated by multiple septic embolisms. The patient was treated with antibiotics for 6 weeks. During preparation for surgical treatment, the patient developed acute abdominal pain and was diagnosed with a ruptured SMA aneurysm, which was successfully treated with an emergency operation of aneurysm ligation. The aortic valve was replaced 17 days later and the patient recovered uneventfully. In conclusion, we present a rare case with infective endocarditis (IE) complicated by SMA aneurysm. Antibiotic treatment did not prevent the rupture of SMA aneurysm. Abdominal pain in a patient with a recent history of IE should be excluded with ruptured aneurysm.</span></p>

The utility of CT scan for the diagnostic evaluation of acute abdominal pain

2019 ◽  
Vol 217 (5) ◽  
pp. 959-966 ◽  
Author(s):  
Timothy Bax ◽  
Matthew Macha ◽  
John Mayberry
Keyword(s):  
Abdominal Pain ◽  
Ct Scan ◽  
Acute Abdominal Pain ◽  
Diagnostic Evaluation

A277 Acute Abdominal Pain in Pregnant Women After Roux-en-Y Gastric Bypass: Encouraging Results from a National Referral Centre

2019 ◽  
Vol 15 (10) ◽  
pp. S107-S108
Author(s):  
Daniëlle Bonouvrie ◽  
Daisy van der Woude ◽  
Martine Uittenbogaart ◽  
Arijan Luijten ◽  
Francois van Dielen ◽  
...  
Keyword(s):  
Gastric Bypass ◽  
Abdominal Pain ◽  
Pregnant Women ◽  
Acute Abdominal Pain ◽  
Referral Centre

scholarly journals Conservative Management of Segmental Infarction of the Greater Omentum: A Case Report and Review of Literature

2010 ◽  
Vol 2010 ◽  
pp. 1-4 ◽  
Author(s):  
Ramawad Soobrah ◽  
Mohammad Badran ◽  
Simon G. Smith
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Case Report ◽  
Ct Scan ◽  
Conservative Management ◽  
Acute Abdominal Pain ◽  
Correct Diagnosis ◽  
Greater Omentum ◽  
Review Of Literature ◽  
Segmental Infarction

Segmental omental infarction (SOI) is a rare cause of acute abdominal pain. Depending on the site of infarction, it mimics conditions like appendicitis, cholecystitis, and diverticulitis. Before the widespread use of Computed Tomography (CT), the diagnosis was usually made intraoperatively. SOI produces characteristic radiological appearances on CT scan; hence, correct diagnosis using this form of imaging may prevent unnecessary surgery. We present the case of a young woman who was treated conservatively after accurate radiological diagnosis.

scholarly journals Colonoscopic Splenic Injury: A Simplified Radiologic Approach

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Tara Chen ◽  
Qiu Tong ◽  
Alexander Kurchin
Keyword(s):  
Abdominal Pain ◽  
Ct Scan ◽  
Large Bowel ◽  
Therapeutic Approach ◽  
Splenic Injury ◽  
Rare Complication ◽  
Diagnosis And Treatment ◽  
Bowel Diseases

Colonoscopy is a commonly performed procedure for diagnosis and treatment of large bowel diseases. Recognized complications include bleeding and perforation. Splenic injury during colonoscopy is a rare complication. We report a case of a 73-year-old woman who presented with left-sided abdominal pain after colonoscopy with finding of splenic injury on CT scan. She was managed conservatively. We discuss the diagnostic and therapeutic approach to colonoscopic splenic injury.

scholarly journals Acute Torsion of Appendicular Mucocele

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Farshid Ejtehadi ◽  
James Brooks ◽  
Hebah Hassan Ali ◽  
Vardhini Vijay
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Ct Scan ◽  
Acute Abdominal Pain ◽  
Emergency Laparotomy ◽  
Fat Stranding

We present the case of an 81-year-old man with a known appendicular mucocele who presented to the emergency department with acute abdominal pain. A CT scan showed a change in orientation of the previously seen ovoid mass with surrounding fat stranding suggesting torsion. An emergency laparotomy with appendicectomy and resection of the caecal pole was performed. We discuss the findings and histopathology.

scholarly journals CT in the diagnosis of nontraumatic acute abdominal pain: clinical cases

2019 ◽  
pp. 82-89
Author(s):  
A. V. Arablinskii ◽  
Yu. A. Magdebura
Keyword(s):  
Abdominal Pain ◽  
Ct Scan ◽  
Acute Abdominal Pain ◽  
Abdominal Cavity ◽  
Selection Criterion ◽  
Final Diagnosis ◽  
Diagnostic Process ◽  
Medical File ◽  
Moscow City ◽  
Ct Data

Acute abdominal pain (AAP) is a clinical symptom complex that develops with injuries and acute surgical diseases of the abdominal organs. This condition is one of the most frequent causes of admission of patients to the hospital through the ambulance. Patients with AAP consist of a large and heterogeneous group at the same time due to the etiology and many variations of the clinical picture of this condition. The article presents the results of CT scan of the abdominal cavity and small pelvis in 5 patients with AAP admitted to the S.P. Botkin Moscow City Clinical Hospital emergency department during 2017–2018, without indication of the possible traumatic nature of the pathology. All patients underwent a primary surgeon examination and first-line medical imaging methods such as plane radiography and ultrasound. The selection criterion for inclusion in the search was the need for CT due to the lack of data obtained for diagnosis. Subsequently, the findings of the CT scan were compared with the final diagnosis in the electronic medical file of the patient concerned, to assess the contribution of CT data to the diagnostic process. In a group of 5 patients included in the study, the results of CT were the decisive step in the diagnostic process in 100% of cases. Therefore, the study emphasizes the importance of using CT in patients with AAP. Using this method allows you to complete a diagnostic search as soon as possible from the time the patient enters the hospital, to begin timely treatment.

scholarly journals Acute Abdominal Pain after Intercourse: Adrenal Hemorrhage as the First Sign of Metastatic Lung Cancer

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Jeremy Wang ◽  
Clifford D. Packer
Keyword(s):  
Lung Cancer ◽  
Abdominal Pain ◽  
Ct Scan ◽  
Acute Abdominal Pain ◽  
Arterial Embolization ◽  
Adrenal Hemorrhage ◽  
Abdominal Pressure ◽  
Metastatic Lung Cancer ◽  
Adrenal Metastases ◽  
Metastatic Lung

Although the adrenal glands are a common site of cancer metastases, they are often asymptomatic and discovered incidentally on CT scan or autopsy. Spontaneous adrenal hemorrhage associated with metastatic lung cancer is an exceedingly rare phenomenon, and diagnosis can be difficult due to its nonspecific symptoms and ability to mimic other intra-abdominal pathologies. We report a case of a 65-year-old man with a history of right upper lobectomy seven months earlier for stage IB non-small cell lung cancer who presented with acute abdominal pain after intercourse. CT scan revealed a new right adrenal mass with surrounding hemorrhage, and subsequent FDG-PET scan confirmed new metabolic adrenal metastases. The patient’s presentation of abdominal pain and adrenal hemorrhage immediately after sexual intercourse suggests that exertion, straining, or increased intra-abdominal pressure might be risk factors for precipitation of hemorrhage in patients with adrenal metastases. Management includes pain control and supportive treatment in mild cases, with arterial embolization or adrenalectomy being reserved for cases of severe hemorrhage.

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