Repeat Computed Tomography in Recurrent Abdominal Pain: An Evidence Synthesis for Guidelines for Reasonable and Appropriate Care in the Emergency Department

A 14-year-old boy presented to our Emergency Department complaining of fever, and abdominal pain. An abdominal computed tomography showed a large abscess of the spleen. Percutaneous aspiration of the lesion was performed. Splenectomy was performed 38 days after percutaneous aspiration because of the abscess’s considerable size.

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Mortality and Acute Renal Failure after Contrast Enhanced Computed Tomography in Octogenarians Presenting to an Emergency Department with Acute Abdominal Pain

Academic Emergency Medicine ◽

10.1197/j.aem.2007.03.735 ◽

2007 ◽

Vol 14 (5 Supplement 1) ◽

pp. S17-S17

Author(s):

D. Cabrera ◽

M. F. Bellolio ◽

L. Vukov

Keyword(s):

Computed Tomography ◽

Emergency Department ◽

Renal Failure ◽

Acute Renal Failure ◽

Abdominal Pain ◽

Acute Abdominal Pain ◽

Contrast Enhanced ◽

Enhanced Computed Tomography ◽

Contrast Enhanced Computed Tomography

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Mimickers of Acute Appendicitis

10.5772/intechopen.96351 ◽

2021 ◽

Author(s):

Esam Amer

Keyword(s):

Magnetic Resonance Imaging ◽

Computed Tomography ◽

Emergency Department ◽

Abdominal Pain ◽

Acute Appendicitis ◽

Imaging Modality ◽

Correct Diagnosis ◽

Emergency Setting ◽

Magnetic Resonance Imaging Mri ◽

Clinical Conditions

Acute appendicitis (AA) is a common surgical diagnosis in patients presenting to the Emergency Department with acute abdominal pain. A wide variety of other clinical conditions can present with a very similar presentation to acute appendicitis and therefore it can be occasionally challenging to make the correct diagnosis. In this review paper, the focus is to shed some light on the differential diagnosis of acute appendicitis which includes a variety of gastrointestinal, vascular, urological, and gynaecological conditions. In the emergency setting there are three main imaging modalities to evaluate patients presenting with abdominal pain, this includes computed tomography (CT), ultrasound (US) and magnetic resonance imaging (MRI). The choice of imaging modality for each clinical condition is variable and as such being familiar with those differential diagnoses is vital in deciding what is the best imaging modality for every patient presenting with abdominal pain.

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Correction: Yau et al. Risk Factors for Early Return Visits to the Emergency Department in Patients Presenting with Nonspecific Abdominal Pain and the Use of Computed Tomography Scan. Healthcare 2021, 9, 1470

Healthcare ◽

10.3390/healthcare10010136 ◽

2022 ◽

Vol 10 (1) ◽

pp. 136

Author(s):

Fei-Fei Flora Yau ◽

Ying Yang ◽

Chi-Yung Cheng ◽

Chao-Jui Li ◽

Su-Hung Wang ◽

...

Keyword(s):

Risk Factors ◽

Computed Tomography ◽

Emergency Department ◽

Abdominal Pain ◽

Computed Tomography Scan ◽

Early Return ◽

Return Visits ◽

Published Paper ◽

Tomography Scan

The authors would like to make corrections to their published paper [...]

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Abdominal Pain

Acute Care Casebook ◽

10.1093/med/9780190865412.003.0025 ◽

2018 ◽

pp. 124-128

Author(s):

Ali Kamran

Keyword(s):

Risk Factors ◽

Computed Tomography ◽

Emergency Department ◽

Abdominal Pain ◽

Small Bowel ◽

Small Bowel Obstruction ◽

Bowel Obstruction ◽

Key Management ◽

Abdominal Ultrasound ◽

Unclear Etiology

Small bowel obstruction is an important diagnosis to consider in an adult presenting with abdominal pain with previous risk factors. Abdominal pain of unclear etiology in the Emergency Department has an exhaustive differential, but key historical and physical exam findings can help narrow the differential considerably. Key management steps for a bowel obstruction include obtaining an appropriate history and physical examination, ordering necessary laboratory studies to exclude other diagnoses, making the patient nil per os, addressing any serious electrolyte derangements, obtaining necessary imaging and a surgical consult. Multidetector computed tomography of the abdomen provides the highest sensitivity for the diagnosis of a small bowel obstruction, but an abdominal X-ray or an abdominal ultrasound can be utilized to help make the diagnosis.

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