Difficult diagnosis in the emergency department: Hyperemesis in early trimester pregnancy because of incarcerated maternal diaphragmatic hernia

2008 ◽  
Vol 20 (5) ◽  
pp. 441-443 ◽  
Author(s):  
Joseph Yuk Sang Ting
Keyword(s):  
Emergency Department ◽  
Diaphragmatic Hernia ◽  
Difficult Diagnosis ◽  
Trimester Pregnancy

1130 An Obstructed Morgagni Hernia in Adulthood, Could Regular Cocaine Use Have Exacerbated Symptoms?

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
C Izard ◽  
E Thorne ◽  
M Ghallab ◽  
A Agrawal
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Diaphragmatic Hernia ◽  
Transverse Colon ◽  
Intrathoracic Pressure ◽  
Review Of The Literature ◽  
Morgagni Hernia ◽  
Weekly Basis ◽  
Cocaine Use ◽  
Morgagni’S Hernia

Abstract Introduction Morgagni hernias are an uncommon form of diaphragmatic hernia, it is rare for them to be diagnosed in adulthood and they are often asymptomatic in this population. Case Report We report a case of a 26-year-old female who used cocaine on a weekly basis who presented to the emergency department with an acutely obstructed right-sided Morgagni’s hernia. She underwent laparotomy which demonstrated transverse colon with ischaemic associated omentum inside the hernia. The hernia was reduced, the ischaemic omentum was excised and the 4x4cm diaphragmatic defect closed with 2-0 ethibond without mesh. Conclusions Following review of the literature, the medical risks of cocaine use are well documented, however they focus on the risks from a pharmacological perspective. Further thought should be given to the effects of inhalant cocaine use and how this may exacerbate herniation from the drastic changes in intrathoracic pressure during inhalation of the substance, this is a new possible risk of cocaine use that is not previously mentioned in the literature and warrants further investigation.

Emergency Department Patient Perceptions of Transvaginal Ultrasound for Complications of First-Trimester Pregnancy

2018 ◽  
Vol 37 (8) ◽  
pp. 1965-1975 ◽  
Author(s):  
Nova Panebianco ◽  
Frances Shofer ◽  
Katie O'Conor ◽  
Tristan Wihbey ◽  
Lakeisha Mulugeta ◽  
...  
Keyword(s):  
Emergency Department ◽  
Transvaginal Ultrasound ◽  
Emergency Department Patient ◽  
First Trimester ◽  
Patient Perceptions ◽  
First Trimester Pregnancy ◽  
Trimester Pregnancy

scholarly journals Diaphragmatic hernia mimicking hydropneumothorax: common error in emergency department

2013 ◽  
Vol 2013 (jul31 2) ◽  
pp. bcr2012008547-bcr2012008547 ◽  
Author(s):  
S. Magu ◽  
S. Agarwal ◽  
N. Jain ◽  
N. Dalal
Keyword(s):  
Emergency Department ◽  
Diaphragmatic Hernia ◽  
Common Error

scholarly journals Laparoscopic appendectomy in a second trimester pregnant patient due to acute appendicitis: a case report

2018 ◽  
Vol 7 (8) ◽  
pp. 3373
Author(s):  
Gamaliel Vázquez Estudillo ◽  
Edwin Y. Viveros ◽  
Rodrigo Nuñez Vidales ◽  
Ivanhoe Larracilla Salazar
Keyword(s):  
Emergency Department ◽  
Acute Appendicitis ◽  
Open Surgery ◽  
Diagnostic Laparoscopy ◽  
Pregnant Patient ◽  
Clinical Suspicion ◽  
Second Trimester ◽  
Trimester Pregnancy ◽  
Second Trimester Pregnancy ◽  
Hospital Stays

Acute appendicitis is the most frequent surgical procedure of general surgery during pregnancy, which occurs in 0.04 to 0.2% of all pregnancies; this represents 25% of non-obstetric operations performed during pregnancy. A 33-year-old female patient with a second-trimester pregnancy, which goes to the Emergency Department for abdominal pain, when performing the anamnesis and physical examination, the suggestive picture of acute appendicitis is integrated, for which additional laboratory and cabinet studies are carried out, according to the clinical suspicion it is decided to perform diagnostic laparoscopy and management according to findings; cecal erythematosus appendix is evident, so appendectomy is performed, finding proximal appendicolitis. Later with good evolution and satisfactory exit for the binomial. This procedure has been associated with shorter surgery times, shorter hospital stays and fewer complications compared to open surgery.

Diaphragmatic Hernia in a Pediatric Emergency Department

2015 ◽  
Vol 31 (5) ◽  
pp. 354-356 ◽  
Author(s):  
Pasquale Comberiati ◽  
Luca Giacomello ◽  
Francesco S. Camoglio ◽  
Diego G. Peroni
Keyword(s):  
Emergency Department ◽  
Diaphragmatic Hernia ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department

scholarly journals A Difficult Diagnosis in Emergency Department: Creutzfeldt–Jakob Disease

2015 ◽  
Vol 6 (3) ◽  
pp. 49-51
Author(s):  
Sertac Guler ◽  
Halit Aytar ◽  
Sinan Genc ◽  
Hayri Ramadan
Keyword(s):  
Emergency Department ◽  
Difficult Diagnosis ◽  
Jakob Disease

scholarly journals Stenosing colon neoplasia causing colonic perforation in a patient with morgagni-larrey’s hernia

2021 ◽  
Vol 2 (3) ◽  
Author(s):  
María del Pilar Gutiérrez Delgado ◽  
◽  
Laura Romacho López; Santiago Mera Velasco ◽  
Pablo Fernández Galeano ◽  
Julio Santoyo Santoyo ◽  
...  
Keyword(s):  
Emergency Department ◽  
Diaphragmatic Hernia ◽  
Congenital Abnormality ◽  
Laboratory Tests ◽  
Right Hemicolectomy ◽  
Colonic Perforation ◽  
Diffuse Abdominal Pain ◽  
Purulent Peritonitis ◽  
History Of ◽  
Colon Neoplasia

Congenital diaphragmatic hernia, is a congenital abnormality, rare in adults with a frequency of 0.17-6%. We present the case of an 88-year-old female patient with a history of arterial hypertension, obesity and bronchial asthma. She attended the emergency department of our center with diffuse abdominal pain associated with vomiting, absence of intestinal transit for 4 days and respiratory distress. Laboratory tests showed 11750 leukocytes/μl and PCR 127 mg/L. On suspicion of acute abdomen, a Computerized Tomography (CT) scan was performed (Figure 1), showing a left Morgagni-Larrey Hernia (MH) with gastric chamber and colon inside, with abundant pneumoperitoneum. At surgery we found there was a diffuse purulent peritonitis due to perforation of the transverse colon, which, like the gastric chamber and spleen, was located within a large left diaphragmatic hernia. An extended right hemicolectomy until the tumor in the splenic angle of the colon was surpassed was performed.

scholarly journals Pitfalls in Emergency Department Focused Bedside Sonography of First Trimester Pregnancy

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Kerri Layman ◽  
Michael Antonis ◽  
Jonathan E. Davis
Keyword(s):  
Emergency Department ◽  
Clinical Decision Making ◽  
Case Reports ◽  
Clinical Decision ◽  
First Trimester ◽  
Intrauterine Pregnancy ◽  
Diagnostic Modality ◽  
First Trimester Pregnancy ◽  
Trimester Pregnancy ◽  
First Trimester Of Pregnancy

Background. Bedside sonography performed by emergency physicians is frequently utilized for real-time clinical decision-making in the emergency department (ED) setting. This includes the sonographic evaluation of pain or bleeding in the first trimester of pregnancy. The detection of intrauterine pregnancy (IUP) or life-threatening conditions, including ectopic pregnancy, is critical.Objectives. This paper will review several important pearls and avoidable pitfalls of this diagnostic modality by brief presentation of illustrative cases followed by discussion of key principles.Case Reports. Three patients evaluated in the ED for bleeding or pain occurring during the first trimester of pregnancy will be presented.Conclusions. When conducting emergency bedside ultrasound for the evaluation of first trimester pregnancy, it is important to avoid common pitfalls that can place your patient at risk.

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