scholarly journals 1073 Synchronous Cholecystitis and Appendicitis: A Case Report Highlighting Learning Points on Medical Imaging and Consent

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
B David ◽  
M Issa ◽  
A Gallucci
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Medical Imaging ◽  
Acute Appendicitis ◽  
Laparoscopic Appendicectomy ◽  
Consent Process ◽  
Surgical Interventions ◽  
The Uk ◽  
Us Scan ◽  
Learning Points

Abstract Laparoscopic appendicectomy and laparoscopic cholecystectomy are separately two of the most common emergency surgical procedures carried out in the UK. Only a small number of synchronous presentations of acute appendicitis and acute cholecystitis have been reported in surgical literature and this rare co-existent pathology gives rise to several valuable learning points with regards to laparoscopy, medical imaging interpretation and the consent process. Our case report involves a 58-year-old female patient presenting with both RUQ and RIF pain and positive Murphy’s sign on clinical examination. US scan demonstrated several gallstones within a thin-walled gallbladder. Subsequent CT scan reported acute appendicitis which was treated definitively with laparoscopic surgery. Intraoperatively a perforated gangrenous gallbladder containing multiple calculi was discovered, and the decision was made to perform a double procedure of laparoscopic appendicectomy and cholecystectomy. Histopathology confirmed synchronous pathology of appendicitis with faecolith and calculus cholecystitis. This case demonstrates the importance of considering multiple pathologies when assessing a patient with ambiguous and migratory abdominal pain. It reinforces the importance of diagnostic laparoscopy to rule out multiple pathologies. This acts as a cautionary case against over-reliance on medical imaging and reminds surgeons of their obligation to maintain competence in CT interpretation plus correlation of imaging with clinical assessment of the patient. Readers should also be reminded that the consent process for surgical interventions should be undertaken meticulously in patients with ambiguous abdominal pain.

Rheumatic Pneumonia: The Need for a New Approach

PEDIATRICS ◽  
1975 ◽  
Vol 56 (6) ◽  
pp. 1075-1078
Author(s):  
Steven P. Serlin ◽  
Mary Ellen Rimsza ◽  
John H. Gay
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Acute Appendicitis ◽  
Mexican American ◽  
Community Hospital ◽  
Good Health ◽  
Low Grade ◽  
New Approach ◽  
Rare Manifestation ◽  
Comprehensive Discussion

Rheumatic pneumonia is a well-described, poorly understood, rare manifestation of rheumatic fever that is generally fatal. Until 1958, when Brown and his colleagues presented their comprehensive discussion, pediatric journals provided only five references. Since then, only one article has appeared in the pediatric literature. As illustrated by the following case report, pediatricians need to be aware of rheumatic pnuemonia in order to determine optimal therapy and management. CASE REPORT A.M., a 13-year-old Mexican-American boy, was in apparent good health until he developed fleeting arthralgia, abdominal pain, and low-grade fever. The day following the onset of symptoms acute appendicitis was suspected, and a laparotomy was performed at a community hospital.

scholarly journals Acute gangrenous appendicitis and acute gangrenous cholecystitis in a pregnant patient, a difficult diagnosis: a case report

2021 ◽  
Vol 8 (5) ◽  
pp. 1575
Author(s):  
David Lew ◽  
Jane Tian ◽  
Martine A. Louis ◽  
Darshak Shah
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
General Population ◽  
Acute Appendicitis ◽  
Acute Cholecystitis ◽  
Pregnant Patient ◽  
Anatomical Changes ◽  
Difficult Diagnosis ◽  
Common Complaint ◽  
In Pregnancy

Abdominal pain is a common complaint in pregnancy, especially given the physiological and anatomical changes that occur as the pregnancy progresses. The diagnosis and treatment of common surgical pathologies can therefore be difficult and limited by the special considerations for the fetus. While uncommon in the general population, concurrent or subsequent disease processes should be considered in the pregnant patient. We present the case of a 36 year old, 13 weeks pregnant female who presented with both acute appendicitis and acute cholecystitis.

scholarly journals Double acute appendicitis: cecal and epiploic; literature review of a case report

2020 ◽  
Vol 8 (12) ◽  
pp. 4512
Author(s):  
Camilo Levi Acuna Pinzon ◽  
Jose Luis Chavaria Chavira ◽  
Jefferson Fabian Nieves Condoy ◽  
Claudia Ortiz Ledesma
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Acute Appendicitis ◽  
Blood Test ◽  
Unusual Case ◽  
Surgical Intervention ◽  
Simultaneous Presentation ◽  
Pelvic Cavity ◽  
Initial Blood ◽  
Suspected Diagnosis

Acute cecal appendicitis and appendagitis are two entities due to the inflammation of the cecal and epiploic appendix respectively. A case of a 34-year-old woman is presented, who is admitted for abdominal pain. Initial blood test and ultrasonography were not conclusive, subsequently with clinical deterioration, surgical intervention was required which noted acute appendicitis and appendicitis that were removed. This is an extremely unusual case, since the simultaneous presentation of these two entities has not been widely described and demonstrates the importance of exploring the abdominal and pelvic cavity in patients with suspected diagnosis of acute appendicitis.

scholarly journals Vólvulo y necrosis de divertículo de Meckel gigante: reporte de un caso. [Title: Volvulus and necrosis of giant Meckel's diverticulum: a case report]

2020 ◽  
Vol 40 (1) ◽  
Author(s):  
Germán - Brito Sosa ◽  
Ana María Iraizoz Barrios
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Acute Appendicitis ◽  
Intestinal Obstruction ◽  
Terminal Ileum ◽  
Meckel’S Diverticulum ◽  
Exploratory Laparotomy ◽  
Meckel's Diverticulum ◽  
Meckel Diverticulum

<p><strong>Resumen</strong></p><p>El divertículo de Meckel complicado es poco frecuente en el adulto. Presentamos un paciente de 19 años de edad, con dolor abdominal de 11 horas de evolución, encontrando al realizar la laparotomía exploradora un divertículo de Meckel gigante, necrosado y volvulado. Las presentaciones más frecuentes del divertículo de Meckel son la obstrucción intestinal y la diverticulitis, esta última da una sintomatología similar a la apendicitis aguda,por lo que al realizar la exploración quirúrgica y encontrar el apéndice cecal normal, se debe visualizar los últimos 180 cm de íleo terminal.</p><p><strong>Abstract</strong><br /> Meckel's diverticulum is rare in adults. We present a 19-year-old patient with abdominal pain of 11 hours of evolution, finding a giant Meckel diverticulum, necrotic and volvulated, when performing the exploratory laparotomy. The most frequent presentations of Meckel's diverticulum are intestinal obstruction and diverticulitis, the latter being a symptomatology similar to acute appendicitis, surgical surgery and the normal cecal appendix, the last 180 cm of terminal ileum should be visualized.<strong></strong></p>

An audit of training in laparoscopic appendicectomy in the South Thames Region

2007 ◽  
Vol 89 (3) ◽  
pp. 102-104
Author(s):  
N Kukreja ◽  
C Bhan ◽  
A Schizas
Keyword(s):  
Acute Appendicitis ◽  
Operative Treatment ◽  
Lifetime Risk ◽  
Laparoscopic Appendicectomy ◽  
Open Appendicectomy ◽  
Surgical Trainee ◽  
Open Procedure ◽  
Abdominal Operation ◽  
The Uk ◽  
Huge Variation

Appendicitis is extremely common, with a lifetime risk of 8% in the UK. McBurney performed the first appendicectomy in 1889. Operative treatment remains the mainstay of treatment for acute appendicitis: this procedure has altered little since it was developed. Open appendicectomy is often the first abdominal operation undertaken by the surgical trainee and therefore forms an important part of training for the junior surgeon. Laparoscopic appendicectomy (LA) represents the biggest change in the management of acute appendicitis since the introduction of the open procedure. An increasing number of surgeons are performing LA. In spite of this, there remains huge variation in the ability of SpRs to perform this procedure.

scholarly journals Appendicular agenesis: a case report

2018 ◽  
Vol 5 (3) ◽  
pp. 1121 ◽  
Author(s):  
Alaa Sedik ◽  
Tarek Al-Dawoodi ◽  
Salwa Elhoushy
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Acute Appendicitis ◽  
Vermiform Appendix ◽  
Uneventful Recovery ◽  
Congenital Agenesis

Congenital agenesis or absence of vermiform appendix is very rare. Herein, author reported a case of a 28 years old Vietnamese lady who presented with a picture of acute appendicitis. During surgery, author failed to find the appendix. Postoperatively, she made uneventful recovery and she was diagnosed as a case of nonspecific abdominal pain (NSAP) with appendicular agenesis.

Mesenteric Cysts as Occasion for Abdominal Pain - A Case Report

Swiss Surgery ◽  
2000 ◽  
Vol 6 (1) ◽  
pp. 32-35 ◽  
Author(s):  
Kilgus ◽  
Largiadèr ◽  
Klotz
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Radiologische Diagnostik ◽  
Mesenteric Cysts

Einleitung: Bei der Differentialdiagnose von intraabdominalen Tumoren ist an die mesenterialen Zysten zu denken. Wir möchten mittels Fallbeispiel an diesen seltenen Befund erinnern. Fallbeispiel: Es handelt sich um eine 35-jährige Patientin mit zweiwöchiger Anamnese von progredienten Abdominalschmerzen. Die Abklärung mittels Sonographie und Computertomographie ergab einen 14 x 12 x 3cm grossen zystischen abdominalen Tumor ohne Beziehung zu Uterus, Adnexen oder Oberbauchorganen, worauf die Patientin laparotomiert und die Zyste reseziert wurde. Diskussion: Mesenteriale Zysten sind selten. Die Pathogenese ist unterschiedlich und die klinische wie auch die radiologische Diagnostik schwierig. Die Symptomatik reicht vom akuten Abdomen über unspezifische Abdominalbeschwerden bis hin zum asymptomatischen Zufallsbefund. Mesenteriale Zysten können entlang des gesamten Gastrointestinaltraktes vom Duodenum bis zum Rektum auftreten. Therapie der Wahl ist die Zystenresektion. Schlussfolgerungen: Mesenteriale Zysten sind seltene intraabdominale Befunde. Die definitive Diagnosesicherung und die Therapie besteht in der Resektion.

An unusual presentation of epigastric pain due to thrombophlebitis of a recanalised umbilical vein – case report

2019 ◽  
Vol 98 (8) ◽  
pp. 326-327 ◽  
Keyword(s):  
Liver Cirrhosis ◽  
Abdominal Pain ◽  
Case Report ◽  
Portal Hypertension ◽  
Liver Disease ◽  
Epigastric Pain ◽  
Umbilical Vein ◽  
History Of ◽  
Clinically Significant ◽  
Inflammatory Changes

Introduction: The umbilical vein can become recanalised due to portal hypertension in patients with liver cirrhosis but the condition is rarely clinically significant. Although bleeding from this enlarged vein is a known complication, the finding of thrombophlebitis has not been previously described. Case report: We report the case of a 62-year-old male with a history of liver cirrhosis due to alcoholic liver disease presenting to hospital with epigastric pain. A CT scan of the patient’s abdomen revealed a thrombus with surrounding inflammatory changes in a recanalised umbilical vein. The patient was managed conservatively and was discharged home the following day. Conclusion: Thrombophlebitis of a recanalised umbilical vein is a rare cause of abdominal pain in patients with liver cirrhosis.

Presentation of Gall Stone Ileus as Gut Obstruction

JMS SKIMS ◽  
2019 ◽  
Vol 21 (2) ◽  
pp. 117-119
Author(s):  
Munir Ahmad Wani ◽  
Mubarak Ahmad Shan ◽  
Syed Muzamil Andrabi ◽  
Ajaz Ahmad Malik
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Ct Scan ◽  
Bowel Obstruction ◽  
Emergency Surgery ◽  
Gallstone Ileus ◽  
Gall Stone ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Gall Stone Ileus

Gallstone ileus is an uncommon and often life-threatening complication of cholelithiasis. In this case report, we discuss a difficult diagnostic case of gallstone ileus presenting as small gut obstruction with ischemia. A 56-year-old female presented with abdominal pain and vomiting. A CT scan was performed and showed an evolving bowel obstruction with features of gut ischemia with pneumobilia although no frank hyper density suggestive of a gallstone was noted. The patient underwent emergency surgery and a 60 mm obstructing calculus was removed from the patient's jejunum, with a formal tube cholecystostomy. JMS 2018: 21 (2):117-119

Sign in / Sign up

Export Citation Format

Share Document