Celiac artery aneurysm causing an acute abdomen

Abdominal pain is a very common presentation in the accident and emergency department. However, vasculitis is not the usual first differential diagnosis. This paper discusses a case of polyarteritis nodosa presenting with acute abdominal pain alone. Common surgical conditions were obviously considered, but they were not found to cause the patient’s problems. We describe how investigations led to this diagnosis discussed in detail in this paper. It is important to remember that prompt recognition of unusual life-threatening conditions can lead to timely intervention.

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Computer-unaided diagnosis of acute abdominal pain in an accident and emergency department.

Emergency Medicine Journal ◽

10.1136/emj.5.2.74 ◽

1988 ◽

Vol 5 (2) ◽

pp. 74-78 ◽

Cited By ~ 1

Author(s):

A K Maitra ◽

P J Briggs ◽

D McGeehan

Keyword(s):

Emergency Department ◽

Abdominal Pain ◽

Acute Abdominal Pain ◽

Accident And Emergency ◽

Accident And Emergency Department

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Giant Celiac Artery Aneurysm with Associated Visceral Occlusive Disease

Vascular ◽

10.1258/rsmvasc.12.6.390 ◽

2004 ◽

Vol 12 (6) ◽

pp. 390-393

Author(s):

Marcus D'Ayala ◽

Jonathan S. Deitch ◽

John deGraft-Johnson ◽

Eric Nguyen ◽

Deirdre McGagh ◽

...

Keyword(s):

Abdominal Pain ◽

Clinical Practice ◽

Unusual Case ◽

Surgical Repair ◽

Artery Aneurysm ◽

Celiac Artery ◽

Occlusive Disease ◽

Open Surgical Repair ◽

Celiac Artery Aneurysm ◽

Vague Abdominal Pain

Celiac artery aneurysms are rarely seen in clinical practice. We report an unusual case of a large celiac artery aneurysm in a patient with associated visceral occlusive disease who presented with vague abdominal pain and underwent uneventful open surgical repair.

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Diagnosis of acute abdominal pain in the accident and emergency department

British Journal of Surgery ◽

10.1002/bjs.1800640407 ◽

1977 ◽

Vol 64 (4) ◽

pp. 250-254 ◽

Cited By ~ 40

Author(s):

D. H. Wilson ◽

P. D. Wilson ◽

R. G. Walmsley ◽

Jane C. Horrocks ◽

F. T. De Dombal

Keyword(s):

Emergency Department ◽

Abdominal Pain ◽

Acute Abdominal Pain ◽

Accident And Emergency ◽

Accident And Emergency Department

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Causes and Management of Acute Abdominal Pain in Children: A Review Article

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i49a33296 ◽

2021 ◽

pp. 14-22

Author(s):

May Abdullah S. Alanazi ◽

Abdulaziz Muslih Muhaylan Alsharari ◽

Ibrahim Awadh R. Alanazi ◽

Abdulaziz Mashan R. Alanazi

Keyword(s):

Abdominal Pain ◽

Emergency Room ◽

Acute Abdominal Pain ◽

Symptomatic Treatment ◽

Review Article ◽

Pain Site ◽

Life Threatening ◽

Laboratory Investigations ◽

Surgical Conditions

Acute abdominal pain is one of the commonest prevalent grievances in children, and it frequently requires emergency room diagnosis and management. Abdominal pain in children differs with age, concomitant symptoms, and pain site. While most cases of acute abdominal embarrassment are self-limiting and benevolent, there are certain diseases that can be life-threatening and necessitate instant care, such as appendicitis, intussusception, or intestinal obstruction. To decide the cause of acute abdominal pain and recognize children with surgical conditions, scrupulous history taking and numerous physical checkups are mandatory.The most important and realistic first goal in the evaluation of acute AP is to distinguish between surgical and nonsurgical situations, which are further divided into urgent and non-urgent categories. A thorough history and physical examination, laboratory investigations to evaluate comorbidity, and imaging scans are usually used for these purposes. Management decisions should necessitate teamwork between the emergency room physician, a surgeon, and a radiologist. Consecutivereassessment and symptomatic treatment with hardworking follow-up are necessary for management as soon aspossible in urgent disorder.

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Computer-unaided diagnosis of acute abdominal pain in an accident and emergency department.

Emergency Medicine Journal ◽

10.1136/emj.6.1.77 ◽

1989 ◽

Vol 6 (1) ◽

pp. 77-78

Author(s):

F T De Dombal

Keyword(s):

Emergency Department ◽

Abdominal Pain ◽

Acute Abdominal Pain ◽

Accident And Emergency ◽

Accident And Emergency Department

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A Missed Celiac Artery Aneurysm Leading to Rupture: A Case Report

Clinical Practice and Cases in Emergency Medicine ◽

10.5811/cpcem.2020.6.46513 ◽

2020 ◽

Vol 4 (3) ◽

pp. 440-442

Author(s):

Jason Vecchia ◽

Eric Blazar

Keyword(s):

Abdominal Pain ◽

Case Report ◽

Care Center ◽

Tertiary Care ◽

Artery Aneurysm ◽

Operative Management ◽

Celiac Artery ◽

Repeat Visit ◽

Celiac Artery Aneurysm ◽

Laboratory Investigations

Introduction: Abdominal pain is a common complaint seen in the emergency department (ED). We report a case of celiac artery aneurysm (CAA) in a male patient presenting with abdominal pain to the ED on two separate occasions, approximately 24 hours apart. Case Report: On the initial visit the patient was discharged with undifferentiated abdominal pain after computed tomography imaging and laboratory investigations. On the repeat visit he was found to have a rapidly expanding CAA with rupture. He became unstable requiring intubation, blood transfusions, and emergent transfer to a tertiary care center for surgical management where, unfortunately, he died hours after failed operative management. Conclusion: Although rare, abdominal pain caused by CAAs can rapidly progress to rupture and have a high mortality.

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Acute lead poisoning: a diagnostic challenge in the emergency department

BMJ Case Reports ◽

10.1136/bcr-2020-239740 ◽

2021 ◽

Vol 14 (1) ◽

pp. e239740

Author(s):

Bharath Gopinath ◽

Vignan Kappagantu ◽

Roshan Mathew ◽

Nayer Jamshed

Keyword(s):

Emergency Department ◽

Abdominal Pain ◽

Chelation Therapy ◽

Acute Abdominal Pain ◽

Lead Level ◽

Lead Toxicity ◽

Blood Lead ◽

Diagnostic Challenge ◽

Common Presentation ◽

Life Threatening

Acute abdominal pain is a common presentation to the emergency department (ED). Ruling out life-threatening causes and giving pain relief are the most important tasks in ED. We describe a 32-year-old man who presented to ED with abdominal pain and vomiting which was unrelieved by usual doses of analgesic. Extensive investigations revealed no significant abnormalities. On further probing, he admitted taking traditional medications for infertility. The toxicological panel revealed a high blood lead level, leading to a diagnosis of acute lead toxicity. Chelation therapy with D-penicillamine was initiated and the patient’s abdominal pain resolved within 4 days.

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