An Uncommon Cause of Severe Epigastric Pain with Multiple Intestinal Ulcers after Renal Transplantation- Strongyloides Hyperinfection

2012 ◽  
Vol 94 (10S) ◽  
pp. 535
Author(s):  
D. Madhav ◽  
K. P. Kumar
Keyword(s):  
Renal Transplantation ◽  
Epigastric Pain ◽  
Intestinal Ulcers ◽  
Severe Epigastric Pain

scholarly journals Postpartum Spontaneous Subcapsular Hepatic Hematoma Related to Preeclampsia

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Dimitrios Anyfantakis ◽  
Miltiades Kastanakis ◽  
Georgios Fragiadakis ◽  
Paraskevi Karona ◽  
Nikolaos Katsougris ◽  
...  
Keyword(s):  
Epigastric Pain ◽  
Emergency Caesarean Section ◽  
Maternity Ward ◽  
Hepatic Hematoma ◽  
Pregnancy And Postpartum ◽  
Life Threatening ◽  
Clinical Phenomenon ◽  
Diagnostic Work ◽  
Work Up ◽  
Severe Epigastric Pain

Subcapsular hematoma of the liver represents an unusual clinical phenomenon in the pregnancy and postpartum period with serious complications in terms of fetal and maternal mortality. Here we report a case of a 32-year-old primiparous female at 36 weeks of gestation, admitted to a maternity ward of a private clinic for preeclampsia. The woman underwent an emergency caesarean section with the extraction of an alive foetus. A few hours after delivery, she was transferred to the emergency department of our institution complaining of severe epigastric pain. Diagnostic work-up was suggestive of a subcapsular right lob hepatic hematoma which was successfully managed conservatively. Timely diagnosis is necessary for the prevention of life-threatening events in mother and fetus. For this reason acute care physicians have to be vigilant of the condition and consider this in the differential diagnosis of epigastric pain during pregnancy and postpartum.

scholarly journals Hiatal Hernia as a Total Gastrectomy Complication

2016 ◽  
Vol 9 (1) ◽  
pp. 100-105 ◽  
Author(s):  
Bruna do Nascimento Santos ◽  
Marcos Belotto de Oliveira ◽  
Renata D'Alpino Peixoto
Keyword(s):  
Hiatal Hernia ◽  
Gastric Adenocarcinoma ◽  
Epigastric Pain ◽  
Abdominal Cavity ◽  
Esophageal Hiatus ◽  
The Third ◽  
Esophageal Anastomosis ◽  
Folfox Chemotherapy ◽  
Laparoscopic Assisted ◽  
Severe Epigastric Pain

Introduction: According to the Brazilian National Institute of Cancer, gastric cancer is the third leading cause of death among men and the fifth among women in Brazil. Surgical resection is the only potentially curative treatment. The most serious complications associated with surgery are fistulas and dehiscence of the jejunal-esophageal anastomosis. Hiatal hernia refers to herniation of elements of the abdominal cavity through the esophageal hiatus of the diaphragm, though this occurrence is rarely reported as a complication in gastrectomy. Case Report: A 76-year-old man was diagnosed with intestinal-type gastric adenocarcinoma. He underwent a total laparoscopic-assisted gastrectomy and D2 lymphadenectomy on May 19, 2015. The pathology revealed a pT4pN3 gastric adenocarcinoma. The patient became clinically stable and was discharged 10 days after surgery. He was subsequently started on adjuvant FOLFOX chemotherapy; however, 9 days after the second cycle, he was brought to the emergency room with nausea and severe epigastric pain. A CT scan revealed a hiatal hernia with signs of strangulation. The patient underwent emergent repair of the hernia and suffered no postoperative complications. He was discharged from the hospital 9 days after surgery. Conclusion: Hiatal hernia is not well documented, and its occurrence in the context of gastrectomy is an infrequent complication.

scholarly journals Severe Epigastric Pain with Nausea and Vomiting

Surgery ◽  
2019 ◽  
pp. 227-237
Author(s):  
Areg Grigorian ◽  
Matthew Y. C. Lin ◽  
Christian de Virgilio
Keyword(s):  
Epigastric Pain ◽  
Nausea And Vomiting ◽  
Severe Epigastric Pain

scholarly journals A rare case of COVID-19 related stomach gangrene after an abortion: a case report

2021 ◽  
Vol 8 (4) ◽  
pp. 1360
Author(s):  
Komal Gupta ◽  
Gopal Puri ◽  
Jnaneshwari Jayaram ◽  
Muhammed Huzaifa ◽  
Kamal Kataria
Keyword(s):  
Epigastric Pain ◽  
Subtotal Gastrectomy ◽  
Abdominal Distension ◽  
Posterior Wall ◽  
Emergency Laparotomy ◽  
Rt Pcr ◽  
Missed Abortion ◽  
Medical Termination ◽  
Arterial Thrombus ◽  
Severe Epigastric Pain

A 25 year old female had presented with complaints of severe epigastric pain with abdominal distension and vomiting for 4 days. She had undergone medical termination of pregnancy for a missed abortion of 5 weeks of gestation 5 days prior. The patient's COVID-19 RT PCR was found to be positive. Her CECT showed covid related changes in bilateral lungs and pneumoperitoneum. Stomach was distended. Other small bowels appeared normal. Patient underwent emergency laparotomy. Two third of stomach appeared gangrenous with a perforation in the posterior wall of stomach so she underwent a subtotal gastrectomy. She had features of covid associated coagulopathy (CAC) with high D-dimer (520 ng/ml), thrombocytosis (up to 705,000/mcl), high activated partial thromboplastin time (aPTT) (up to 55.6 sec) and high prothrombin time (PT) (up to 27.9 sec and INR 2.11) for which low molecular heparin was given. Stomach is a highly vascular organ. Gangrene of the stomach has been very rarely reported. CAC is known to lead to both arterial thrombus and venous thromboembolism. COVID-19 related abortions have also been reported though the exact mechanism not certain but CAC could be one of them.

scholarly journals Pain after laparoscopic antireflux surgery

2014 ◽  
Vol 96 (2) ◽  
pp. 95-100 ◽  
Author(s):  
DM Bunting ◽  
L Szczebiot ◽  
PM Peyser
Keyword(s):  
Antireflux Surgery ◽  
Laparoscopic Fundoplication ◽  
Epigastric Pain ◽  
Systematic Investigation ◽  
Laparoscopic Antireflux Surgery ◽  
Anterior Fundoplication ◽  
Pubmed Database ◽  
Laparoscopic Techniques ◽  
Severe Epigastric Pain

Introduction The benefits of antireflux surgery are well established. Laparoscopic techniques have been shown to be generally safe and effective. The aim of this paper was to review the subject of pain following laparoscopic antireflux surgery. Methods A systematic review of the literature was conducted using the PubMed database to identify all studies reporting pain after laparoscopic antireflux surgery. Publications were included for the main analysis if they contained at least 30 patients. Operations in children, Collis gastroplasty procedures, endoluminal fundoplication and surgery for paraoesophageal hernias were excluded. The frequency of postoperative pain was calculated and the causes/management were reviewed. An algorithm for the investigation of patients with pain following laparoscopic fundoplication was constructed. Results A total of 17 studies were included in the main analysis. Abdominal pain and chest pain following laparoscopic fundoplication were reported in 24.0% and 19.5% of patients respectively. Pain was mild or moderate in the majority and severe in 4%. Frequency of pain was not associated with operation type. The authors include their experience in managing patients with persistent, severe epigastric pain following laparoscopic anterior fundoplication. Conclusions Pain following laparoscopic antireflux surgery occurs in over 20% of patients. Some have an obvious complication or a diagnosis made through routine investigation. Most have mild to moderate pain with minimal effect on quality of life. In a smaller proportion of patients, pain is severe, persistent and can be disabling. In this group, diagnosis is more difficult but systematic investigation can be rewarding, and can enable appropriate and successful treatment.

An unusual suicide with parenteral copper sulphate poisoning

2007 ◽  
Vol 47 (4) ◽  
pp. 357-358 ◽  
Author(s):  
C. Behera ◽  
Ravi Rautji ◽  
T.D. Dogra
Keyword(s):  
Abdominal Pain ◽  
Copper Sulphate ◽  
Epigastric Pain ◽  
India Institute ◽  
New Delhi ◽  
Medical Sciences ◽  
Local Hospital ◽  
Antifouling Agent ◽  
Severe Epigastric Pain ◽  
Commit Suicide

A 22-year-old unmarried, male painter was found by neighbouring shopkeepers to be rolling on the ground inside his shop due to severe abdominal pain. The man had tried to commit suicide by intravenously injecting a solution of copper sulphate, used as an antifouling agent in paints. He was taken to the local hospital with severe epigastric pain, vomiting and diarrhoea. His condition worsened after three days and he was transferred to the All India Institute of Medical Sciences, New Delhi, but the victim died on his way to the hospital. His relatives and neighbours confirmed that he had recently been suffering from depression.

scholarly journals Internal Herniation through Foramen of Winslow: A Diagnosis Not to be Missed

2016 ◽  
Vol 9 ◽  
pp. CGast.S38453 ◽  
Author(s):  
Edmund Leung ◽  
Simon Bramhall ◽  
Prajeesh Kumar ◽  
Moustafa Mourad ◽  
Amdad Ahmed
Keyword(s):  
Epigastric Pain ◽  
Primary Anastomosis ◽  
Delayed Diagnosis ◽  
Postoperative Recovery ◽  
Emergency Laparotomy ◽  
Cross Sectional ◽  
Foramen Of Winslow ◽  
Lesser Sac ◽  
Cross Sectional Imaging ◽  
Severe Epigastric Pain

Introduction Hernias through the foramen of Winslow are extremely rare, accounting for 0.1% of all abdominal hernias. Delayed diagnosis is often observed, resulting in bowel strangulation and high mortality. Method We present a case of a patient with strangulated ileum herniated through the foramen of Winslow. Recent literature review was undertaken on “PubMed” as a search platform using the keywords “foramen of Winslow” and “hernia”. Case Summary A 66-year-old man presented acutely with severe epigastric pain and vomiting. An emergency computed tomography scan revealed a loop of ileum in the lesser sac. At emergency laparotomy, a herniated loop of ileum that had become strangulated at its entry to the lesser sac via the foramen of Winslow was confirmed. The loop of ileum was reduced but was nonviable, which had to be resected with a primary anastomosis. The patient's postoperative recovery was uneventful. Conclusion Herniation through the foramen of Winslow is a difficult diagnosis and must not be missed. Early cross-sectional imaging and surgical intervention are advised in order to reduce morbidity.

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