scholarly journals Olmesartan Associated Sprue-Like Enteropathy and Colon Perforation

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Mahmoud Abdelghany ◽  
Luis Gonzalez ◽  
John Slater ◽  
Christopher Begley
Keyword(s):  
Emergency Department ◽  
Cardiac Arrest ◽  
Abdominal Pain ◽  
Complete Resolution ◽  
Surgical Intervention ◽  
Severe Abdominal Pain ◽  
Colon Perforation ◽  
Unique Case

We are reporting a unique case of olmesartan associated severe sprue-like enteropathy in a 52-year-old woman who presented to our hospital complaining of severe abdominal pain and nausea. At the emergency department she suffered from a cardiac arrest and was found to have a colon perforation. The patient was treated conservatively without surgical intervention and olmesartan was discontinued. After one month, she had complete resolution of her symptoms.

scholarly journals Swimming with the Pigs: A Case of Severe Soft Tissue Infection during a Caribbean Vacation

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Alexandra W. Dretler ◽  
Jesse T. Jacob ◽  
Nadine G. Rouphael
Keyword(s):  
Emergency Department ◽  
Soft Tissue ◽  
Activities Of Daily Living ◽  
Soft Tissue Infection ◽  
Daily Living ◽  
Complete Resolution ◽  
Surgical Intervention ◽  
Blood Cultures ◽  
The Bahamas ◽  
Severe Soft Tissue

A 74-year-old man presented to the emergency department with severe right leg cellulitis following a trip to the Bahamas where he swam in both chlorinated pools and the ocean. His blood cultures grew Shewanella species, a marine pathogen known to cause disease in humans, following exposure to seawater. He was treated with cefepime for a total of two weeks without needing any surgical intervention. The patient had complete resolution of infection and was able to return to his activities of daily living.

scholarly journals Endometriosis of the appendix causing small bowel obstruction in a virgin abdomen

2019 ◽  
Vol 12 (7) ◽  
pp. e230496 ◽  
Author(s):  
Joseph Do Woong Choi ◽  
Michael Yunaev
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Oestrogen Receptor ◽  
Surgical Intervention ◽  
Prior History ◽  
Good Recovery ◽  
History Of

A 29-year-old, otherwise well, nulligravid woman presented to the emergency department with 1-day history of generalised abdominal pain and vomiting. She had similar symptoms 6 months prior following recent menstruations, which resolved conservatively. She had no prior history of abdominal surgery or endometriosis. CT scan demonstrated distal small bowel obstruction. A congenital band adhesion was suspected, and she underwent prompt surgical intervention. During laparoscopy, a thickened appendix was adhered to a segment of distal ileum. There was blood in the pelvis. Laparoscopic adhesiolysis and appendicectomy were performed. Histopathology demonstrated multiple foci of endometriosis of the appendix with endometrial glands surrounded by endometrial stroma. Oestrogen receptor and CD10 immunostains highlighted the endometriotic foci. The patient made a good recovery and was referred to a gynaecologist for further management.

scholarly journals Etiologies of abdominal pain emergencies in pediatrics

2021 ◽  
Author(s):  
Hala Atta Youssef ◽  
Aishah Mohammad Alkhaldi ◽  
Manar Mohammed Alshahrani ◽  
Abdullah Tariq Almalki ◽  
Amjad Ali Alahmari ◽  
...  
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Pediatric Patients ◽  
Surgical Intervention ◽  
Acute Abdominal Pain ◽  
Clinical Importance ◽  
Healthcare Settings ◽  
Common Causes ◽  
The Common ◽  
Attending Physicians

Reports showed that children usually complained of acute abdominal pain, which indicated the presence of severe underlying conditions and can have significant clinical importance. Serious challenges have been reported in healthcare settings where an urgent evaluation of the cases was necessary to adequately manage the patient before developing serious complications that might even end up with death. Some of these conditions included intussusception, appendicitis, volvulus and adhesions. Although estimates indicated that only around 1% of pediatric patients with acute abdominal pain usually required surgical intervention, concerns regarding the overlooking and misdiagnosis of significant conditions that might have severe prognostic outcomes were aroused among the different emergency departments. This study reviewed the common causes of acute abdominal pain among children admitted to the emergency department. Our results indicated that various etiologies can develop acute abdominal pain and therefore, establishing an adequate diagnosis by differentiating between the different etiologies should be done by the attending physicians to enhance the outcomes and adequately manage the admitted patients. Gastrointestinal causes of acute abdominal pain were the commonest to cause admissions to the emergency department. However, care should also be provided to the less common conditions, which might include genitourinary and pulmonary disorders and therefore, a thorough examination of children should be provided not to conduct a misdiagnosis of the underlying condition.

scholarly journals Perforated Duodenal Diverticulum with Subtle Pneumoretroperitoneum on Abdominal X-Ray

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Yuzeng Shen ◽  
Mark Kwok Fai Leong
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Male Patient ◽  
Surgical Intervention ◽  
Duodenal Diverticulum ◽  
Differential Diagnoses ◽  
X Rays ◽  
Elderly Male ◽  
Hollow Viscus ◽  
X Ray

Abdominal pain is one of the most common presenting complaints at the Emergency Department (ED). Given the myriad of possible differential diagnoses for abdominal pain, it becomes more important to diagnose conditions requiring emergent surgical intervention early. We present a case of an elderly male patient with abdominal pain secondary to perforated hollow viscus, subtle evidence of pneumoretroperitoneum on the initial supine abdominal X-ray, and review the signs of pneumoperitoneum and pneumoretroperitoneum on plain abdominal X-rays.

scholarly journals Cardiac Tamponade in Adrenoleukodystrophy with Addison’s Disease

2021 ◽  
Author(s):  
Mafalda Sá Pereira ◽  
Raquel Freitas ◽  
Pedro Correia Azevedo
Keyword(s):  
Emergency Department ◽  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Cardiac Tamponade ◽  
Addison’S Disease ◽  
Severe Abdominal Pain ◽  
Medical Emergency ◽  
Addison's Disease ◽  
Unknown Aetiology ◽  
Life Threatening

Cardiac tamponade is a life-threatening medical emergency and can arise in many clinical situations. We present the case of a 59-year-old man with adrenoleukodystrophy and Addison’s disease who was admitted to the emergency department with severe abdominal pain that turned out to be cardiac tamponade of unknown aetiology.  An association between cardiac tamponade and Addison’s disease has been reported in the literature, so this aetiology should be considered in the differential diagnosis for patients presenting with unexplained cardiac tamponade.

Streptococcal Pharyngitis and Appendicitis in Children

2017 ◽  
Vol 57 (1) ◽  
pp. 36-39
Author(s):  
Jason W. Nielsen ◽  
Stuart A. Abel ◽  
Brian Kenney
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Ultrasound Imaging ◽  
Surgical Intervention ◽  
Streptococcal Pharyngitis ◽  
Negative Appendectomy ◽  
Younger Patients ◽  
Negative Appendectomy Rate ◽  
Rule Out

Background. Several pathologies, including pharyngitis, are associated with abdominal pain that can mimic appendicitis. We sought to further understand the link between appendicitis-like symptoms and streptococcal (strep) pharyngitis. Methods. All patients undergoing ultrasound imaging for appendicitis in our emergency department during 2013 were reviewed (n = 1572). A total of 207 patients were identified who underwent both ultrasound for appendicitis and testing for strep pharyngitis. Demographic and outcomes data between rule out appendicitis patients who underwent strep testing and those who did not were compared. Results. Strep testing was more common in younger patients (mean age = 8.26 vs 10.26 years P < .001) and evenly matched by gender (104 male, 103 female). Of the 207 patients tested for strep pharyngitis, 8 (3.9%) patients had appendicitis and 35 (16.9%) patients tested positive for strep pharyngitis. No cases of concurrent strep pharyngitis and appendicitis were identified. The negative appendectomy rate in the strep pharyngitis tested group was 38.5% (5/13), compared with 7.7% (23/296) ( P = .003) in the nontested group. The appendicitis rate among the strep tested group was 3.8% (8/207) compared with 20% (273/1365) in the nontested group ( P < .001). Conclusions. Patients undergoing testing for strep pharyngitis were younger, had lower rates of appendicitis, and had a higher rate of negative appendectomy. A diagnosis of concurrent appendicitis and strep pharyngitis is rare. In cases of patients with sufficient symptoms to warrant testing for strep pharyngitis a diagnosis of appendicitis is less likely and surgical intervention leads to higher negative appendectomy rates.

scholarly journals Intestinal Obstruction Following Ingestion of Alginate Dental Impression Material

2020 ◽  
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Case Report ◽  
Foreign Body ◽  
Surgical Intervention ◽  
Medical Intervention ◽  
Abdominal Ct ◽  
Distended Bowel ◽  
Ct Evaluation ◽  
Dental Impression

Introduction: No medical intervention is required for emergency department applications resulting from foreign body ingestion. Patients who need intervention are generally with complications such as obstruction, perforation or fistula. Alginate is a non-toxic and non-irritant substance that is elastic in the form of a paste preserving its elasticity under heat, which is used as a printing material for measuring the teeth in dental prosthesis applications . A case of ileus developing as a result of ingestion of alginate impression has been presented. Case report: A 74-year-old male patient presented to our emergency department due to abdominal pain nausea and vomiting . He described periumbilical pain and stated that he felt mild swelling. He had vomit one time and the content of vomit was what he had eaten. On physical examination, his abdomen was slightly distended, bowel sounds had increased slightly on auscultation and there was mild periumbilical tenderness with palpation, with no defence or rebound. On the abdominal CT evaluation, a homogeneous, lobulated, hyperintense foreign body image was detected in the distal ileus and distension in the small bowel loops proximal to the foreign body was interpreted. After general surgery consultation, distal ileal resection was performed and pink, homogenous, slightly soft charactered object was extrected. Later this object was understood to be alginate impression. Conclusion: Elderly patients in particular, ileus may occur due to foreign body associated with dental interventions, and in such cases, patients may need surgical intervention.

scholarly journals Dengue fever presenting as acute pancreatitis

2017 ◽  
Vol 5 (12) ◽  
pp. 5476 ◽  
Author(s):  
Surendra Kumar ◽  
Rajkumar Lakhiwal ◽  
Chandrashekhar Bhandiwad ◽  
Atmaram Chhimpa ◽  
Akhil Gupta
Keyword(s):  
Acute Pancreatitis ◽  
Abdominal Pain ◽  
Dengue Fever ◽  
Complete Resolution ◽  
Severe Abdominal Pain

A 32-year-old non-alcoholic female was admitted with complaints of severe abdominal pain and was diagnosed with acute pancreatitis after blood investigations and USG of the abdomen. She had fever on the initial two days of admission, and serology tested positive for dengue. Treatment for dengue was instituted, leading to a good response and complete resolution of pancreatitis. The patient has been doing well and has had no recurrence of pancreatitis.

scholarly journals Hemoperitoneum Secondary to Spontaneous Rupture of a Retroperitoneal Varix

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Derrick D. Eichele
Keyword(s):  
Abdominal Pain ◽  
Clinical Presentation ◽  
Surgical Intervention ◽  
Acute Abdominal Pain ◽  
Early Recognition ◽  
Relevant Literature ◽  
Hypovolemic Shock ◽  
Rare Condition ◽  
Unique Case ◽  
Life Threatening

Hemoperitoneum due to a ruptured retroperitoneal varix is an exceedingly rare condition and a poor prognostic sign with catastrophic and life-threatening complication of portal hypertension. We present a unique case of a 56-year-old female with cirrhosis secondary to primary sclerosing cholangitis who presented with acute abdominal pain and hypovolemic shock prior to a cardiac arrest following a ruptured retroperitoneal varix without prior esophageal varices and a newly identified intrahepatic cholangiocarcinoma. The clinical presentation with abdominal pain and hemorrhagic shock is consistently reported in the relevant literature. Early recognition affords appropriate management and urgent surgical intervention leading to survival.

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