scholarly journals Slipping rib syndrome in an adolescent wrestler

2020 ◽  
Vol 13 (1) ◽  
pp. e232514
Author(s):  
Irfan Chhipa ◽  
Quincy Cheesman
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Physical Examination ◽  
Clinical Examination ◽  
Male Child ◽  
Adolescent Male ◽  
Significant Pain ◽  
Missed Diagnosis ◽  
Intercostal Nerves ◽  
Upper Abdominal

Slipping rib syndrome is a commonly missed diagnosis of upper abdominal pain. It results from hypermobility of the anterior rib due to the disruption of the interchondral ligaments, most likely secondary to repetitive motions or some inciting event. The hypermobility leads to impingement of the intercostal nerves resulting in significant pain.A 10-year-old adolescent male child was evaluated for 4 months of intermittent, left-sided, upper abdominal pain following a wrestling injury. His paediatrician referred him for further evaluation after a negative workup given the patient was still having intermittent bouts of short-lasting pain that would spontaneously resolve. Physical examination demonstrated a positive hooking manoeuvre with associated swelling and prominence over the lower left ribs.In conclusion, a broad differential diagnosis, thorough clinical examination, and knowledge of slipping rib syndrome are important to appropriately diagnose and treat patients symptoms.

Cyriax syndrome: a misdiagnosed condition of the chest wall

2019 ◽  
Vol 27 (7) ◽  
pp. 609-611
Author(s):  
Sarra Zairi ◽  
Mariem Hadj Dahmane ◽  
Monia Attia ◽  
Amira Dridi ◽  
Taher Mestiri ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Young People ◽  
Physical Examination ◽  
Chest Wall ◽  
Rare Entity ◽  
Hypochondriac Region ◽  
The Right

Cyriax syndrome is a rare entity of the chest wall, which mainly affects young people. It can manifest as abdominal pain in the right or left hypochondriac region, which may be very intense, and often causes problems in the differential diagnosis. We report the case of a 36-year-old man who presented with intense left hypochondrial pain, worsening on exercise. After multiple specialized consultations and several unnecessary and expensive investigations, a diagnosis of Cyriax syndrome was obtained. A thorough physical examination might have been sufficient to evoke the diagnosis.

Abdominal Pain and Abdominal Mass

2018 ◽  
Author(s):  
Blake D. Babcock ◽  
Alexander E. Poor ◽  
Mohammad F. Shaikh ◽  
Wilbur B. Bowne
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Physical Examination ◽  
Acute Abdominal Pain ◽  
Abdominal Mass ◽  
Gastroesophageal Junction ◽  
Percutaneous Biopsy ◽  
Clinical History ◽  
Diagnostic Process ◽  
Abdominal Masses

Acute abdominal pain and abdominal mass are intimately connected; therefore, the diagnostic process for evaluating abdominal pain and abdominal masses is largely the same and has been preserved since ancient times. The primary goals in the management of patients with abdominal pain and/or abdominal mass are to establish a differential diagnosis by obtaining a clinical history, to refine the differential diagnosis with a physical examination and appropriate studies, and to determine the role of operative intervention in the treatment or refinement of the working diagnosis. This review describes the process of diagnosing abdominal pain, including taking a clinical history and performing a physical examination. Investigative studies, including laboratory tests, imaging, and pathology are reviewed. Management, including surgical treatment, is discussed. Tables describe intraperitoneal and extraperitoneal causes of acute abdominal pain, frequency of specific diagnoses in patients with acute abdominal pain, and common abdominal signs and findings noted on physical examination. Figures show abdominal pain in specific locations, a data sheet, the differential diagnosis of an abdominal mass by quadrant or region, characteristic patterns of abdominal pain, acute appendicitis with associated appendicolith, bilateral adrenal masses, adrenocortical carcinoma, retroperitoneal leiomyosarcoma, pancreatic mass, a sagittal ultrasonogram of the pancreas, ultrasonograms of the liver, a dark and well circumscribed abdominal mass, gastroesophageal junction adenocarcinoma, and percutaneous biopsy of a large abdominal mass. An algorithm outlines the assessment of acute abdominal pain and abdominal mass. This review contains 14 figures, 5 tables, and 143 references.

scholarly journals Adrenal infarction in a healthy pregnant woman

2016 ◽  
Vol 9 (2) ◽  
pp. 90-92 ◽  
Author(s):  
Heidi Sormunen-Harju ◽  
Krista Sarvas ◽  
Niina Matikainen ◽  
Nanna Sarvilinna ◽  
E Kalevi Laitinen
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Pregnant Woman ◽  
Acute Abdomen ◽  
Rare Event ◽  
Normal Pregnancy ◽  
Healthy Pregnant Woman ◽  
Upper Abdominal ◽  
Adrenal Infarction ◽  
In Pregnancy

Adrenal infarction is a very rare event but occasionally seen in hypercoagulable states. We present a case of a 31-year-old woman at 38 weeks of gestation who developed a severe upper abdominal pain and unilateral adrenal infarction due to thrombosis of the adrenal vein. The only thrombogenic factor found was pregnancy. The case highlights that adrenal infarction may complicate a normal pregnancy and should be included in the differential diagnosis of the acute abdomen in pregnancy.

scholarly journals Splenic abscess leading to spontaneous splenic rupture

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Annum A. Bhullar ◽  
Caleb P. Canders ◽  
Amir Rouhani ◽  
Steven Lai
Keyword(s):  
Abdominal Pain ◽  
Splenic Rupture ◽  
Splenic Abscess ◽  
Spontaneous Splenic Rupture ◽  
Surgical History ◽  
Missed Diagnosis ◽  
Ruptured Spleen ◽  
Upper Abdominal ◽  
Rupture Of The Spleen ◽  
Dental Work

Spontaneous, atraumatic rupture of the spleen is an uncommon but potentially fatal cause of acute abdominal pain. Splenic abscesses are equally rare and can be a risk factor for spontaneous splenic rupture. We present a 45-year-old man with no past medical or surgical history who presented with acute worsening of left upper abdominal pain that had been present for months, who was discovered to have a ruptured spleen. Splenic abscess was discovered intra-operatively and was thought to have developed after dental work. Recognizing presenting features of spontaneous splenic rupture and understanding its potential causes, such as splenic abscesses, may prevent delayed or missed diagnosis and guide treatment, which typically includes emergent splenectomy.

Dizziness While Traveling

2018 ◽  
pp. 12-15
Author(s):  
Jacqueline Paulis
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Physical Examination ◽  
Oral Intake ◽  
Oral Rehydration Therapy ◽  
Oral Rehydration ◽  
Glucose Test ◽  
Oral Rehydration Salts

Dizziness has a broad differential diagnosis in any setting. As a result, history and physical examination are critical in assessing cardiovascular, metabolic, central nervous system, and other acute causes. In the setting of dehydration, oral rehydration therapy is generally a safe and effective method of treatment, especially in underresourced areas. This chapter examines a case in which a patient presents with dizziness following cramping, abdominal pain, nausea, and decreased oral intake. Results from a glucose test are normal. Given the symptoms and lack of availability of imaging services, the author address the diagnosis of dehydration and discusses oral rehydration therapy and oral rehydration salts.

Abdominal Pain and Abdominal Mass

2020 ◽  
Author(s):  
Madison M. Crutcher ◽  
Darshak S. Thosani ◽  
Mohammad F. Shaikh ◽  
Wilbur B. Bowne
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Physical Examination ◽  
Acute Abdominal Pain ◽  
Abdominal Mass ◽  
Gastroesophageal Junction ◽  
Percutaneous Biopsy ◽  
Clinical History ◽  
Diagnostic Process ◽  
Abdominal Masses

Acute abdominal pain and abdominal mass are intimately connected; therefore, the diagnostic process for evaluating abdominal pain and abdominal masses is largely the same and has been preserved since ancient times. The primary goals in the management of patients with abdominal pain and/or abdominal mass are to establish a differential diagnosis by obtaining a clinical history, to refine the differential diagnosis with a physical examination and appropriate studies, and to determine the role of operative intervention in the treatment or refinement of the working diagnosis. This review describes the process of diagnosing abdominal pain, including taking a clinical history and performing a physical examination. Investigative studies, including laboratory tests, imaging, and pathology are reviewed. Management, including surgical treatment, is discussed. Tables describe intraperitoneal and extraperitoneal causes of acute abdominal pain, frequency of specific diagnoses in patients with acute abdominal pain, and common abdominal signs and findings noted on physical examination. Figures show abdominal pain in specific locations, a data sheet, the differential diagnosis of an abdominal mass by quadrant or region, characteristic patterns of abdominal pain, acute appendicitis with associated appendicolith, bilateral adrenal masses, adrenocortical carcinoma, retroperitoneal leiomyosarcoma, pancreatic mass, a sagittal ultrasonogram of the pancreas, ultrasonograms of the liver, a dark and well circumscribed abdominal mass, gastroesophageal junction adenocarcinoma, and percutaneous biopsy of a large abdominal mass. An algorithm outlines the assessment of acute abdominal pain and abdominal mass. This review contains 16 figures, 5 tables, and 164 references. Keywords:  anatomy, swellings, inflammatory, opioid, palpatation, PET, COVID 19

scholarly journals Malrotated Gut Mimcking Gastric Out Let Obstruction in an Adolescent- A Case Report

1970 ◽  
Vol 18 (1) ◽  
pp. 53-54
Author(s):  
MAB Siddique ◽  
ABMA Hannan ◽  
MM Haque ◽  
I Alam
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Male Patient ◽  
Adolescent Male ◽  
Acute Obstruction ◽  
Loss Of Weight ◽  
Upper Abdominal

Most of the patients with mal-rotated gut present in neonate and infancy either with acute strangulating obstruction or with recurrent episodes of sub-acute obstruction. Here an adolescent male patient of 17 years with mal-rotated gut presented with upper abdominal pain, vomiting after meal and loss of weight mimicking gastric out let obstruction. Because of rarity of the condition at this age, we are inspired to report this case.   doi: 10.3329/taj.v18i1.3307 TAJ 2005; 18(1): 53-54

scholarly journals Extragastrointestinal Stromal Tumor: A Differential Diagnosis of Compressive Upper Abdominal Tumor

2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Clara Kimie Miyahira ◽  
Miguel Bonfitto ◽  
Jéssyca Fernanda de Lima Farto ◽  
Annelise de Figueiredo Calili ◽  
Nathalia Rabello da Silva Sousa ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Abdominal Tumor ◽  
Ct Guided ◽  
Stromal Tumors ◽  
Difficult Diagnosis ◽  
Abdominal Tumors ◽  
Important Differential Diagnosis ◽  
Ct Guided Biopsy ◽  
Upper Abdominal

Introduction. Extragastrointestinal stromal tumors (EGIST) are rare mesenchymal tumor lesions located outside the gastrointestinal tract. A rare compressing tumor with difficult diagnosis is reported. Presentation of the Case. A male patient, 63 years old, was admitted in the emergency room complaining of stretching and continuous abdominal pain for one day. He took Hyoscine, with partial improvement of symptoms, but got worse due to hyporexia, and the abdominal pain persisted. The patient also reported early satiety and ten-pound weight loss over the last month. Discussion. EGIST could be assessed by CT-guided biopsy, leading to diagnosis and proper treatment with surgical resection or Imatinib. Conclusion. This case report highlights the importance of considering EGIST an important differential diagnosis of compressing upper abdominal tumors.

scholarly journals Isolated Hepatosplenic Tuberculosis: A Rare Case Report

2019 ◽  
Vol 3 (3) ◽  
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Rare Case ◽  
Malignant Cell ◽  
Rare Case Report ◽  
Rare Gene ◽  
Upper Abdominal ◽  
Disseminated Disease ◽  
Multiple Nodules

Background: Tuberculosis is common in Bangladesh. It rarely involves the liver and spleen and when it does so, it is usually associated with disseminated disease. Method: We report a patient with isolated tuberculosis of the liver and spleen. Results: A 55 years old female presented with fever with chill and rigor and upper abdominal pain. USG revealed multiple hypoechoic lesions with central echogenicity in liver and spleen. CT scan showed multiple hypo density lesions in the liver and spleen. AFP, CEA and CA-19-9 were normal. As temperature was not subsided with antibiotics, pus from liver and spleen was aspirated and sent for gram and AFB stain, C/S, malignant cell, and Gene Xpert. All but Gene Xpert reports were negative. A detailed workup failed to identify other focus of tuberculosis. CAT-1 Anti tubercular started and the fever subsided. The patient gained weight on the subsequent follow up. Conclusion: Tuberculosis should also be considered in the differential diagnosis for multiple nodules in the liver and spleen along with other diagnosis, though it is rare. Gene X pert is a good diagnostic tool.

Sign in / Sign up

Export Citation Format

Share Document