scholarly journals Colonic Interposition between the Liver and Diaphragm: “The Chilaiditi Sign”

2016 ◽  
Vol 2016 ◽  
pp. 1-2 ◽  
Author(s):  
Nita Nair ◽  
Zeina Takieddine ◽  
Hassan Tariq
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Abdominal Pain ◽  
Colonic Interposition ◽  
Rebound Tenderness ◽  
Free Air ◽  
Abdominal Examination ◽  
Foley’S Catheter ◽  
The Right

A 90-year-old wheelchair bound male was brought to the emergency department with complaints of worsening abdominal pain over the last 2-3 days. The patient also had difficulty in passing urine. Abdominal examination revealed tenderness in the umbilical and hypogastric area without rebound tenderness or guarding. Computed tomography (CT) of the abdomen showed a loop of colon interpositioned between the liver and the right hemidiaphragm (the Chilaiditi sign), mimicking free air. Foley’s catheter was placed and the patient was managed conservatively. The patient clinically improved with improvement of the abdominal pain.

Large mediastinal neoplasm penetrating the myocardium

Perfusion ◽  
2018 ◽  
Vol 34 (2) ◽  
pp. 170-172
Author(s):  
Mosaad El Banna ◽  
Luis Geraldes ◽  
Julia Grapsa ◽  
Cristiana Ramalhao ◽  
Santhi Adigopula ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Female Patient ◽  
Cardiac Tumor ◽  
Right Heart ◽  
The Right

A 90-year-old female patient presented to the emergency department with abdominal pain. Computed tomography (CT) set the suspicion of a cardiac tumor in the right heart chambers. We describe the presentation, the differential diagnosis and the decision for management of the patient.

Appendicitis: a rare adverse event in colonoscopy

2021 ◽  
Vol 14 (7) ◽  
pp. e242523
Author(s):  
Samer Al-Dury ◽  
Mohammad Khalil ◽  
Riadh Sadik ◽  
Per Hedenström
Keyword(s):  
Emergency Department ◽  
Adverse Event ◽  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Physical Examination ◽  
De Novo ◽  
Perforated Appendicitis ◽  
Lower Quadrant ◽  
The Right ◽  
Right Lower Quadrant

We present a case of a 41-year-old woman who visited the emergency department (ED) with acute abdomen. She was diagnosed with perforated appendicitis and abscess formation on CT. She was treated conservatively with antibiotics and discharged. On control CT 3 months later, the appendix had healed, but signs of thickening of the terminal ileum were noticed and colonoscopy was performed, which was uneventful and showed no signs of inflammation. Twelve hours later, she developed pain in the right lower quadrant, followed by fever, and visited the ED. Physical examination and blood work showed signs consistent with acute appendicitis, and appendectomy was performed laparoscopically 6 hours later. The patient recovered remarkably shortly afterwards. Whether colonoscopy resulted in de novo appendicitis or exacerbated an already existing inflammation remains unknown. However, endoscopists should be aware of this rare, yet serious complication and consider it in the workup of post-colonoscopy abdominal pain.

An Infant with COVID-19-Associated Intussusception

2021 ◽  
pp. 000313482110474
Author(s):  
Gwyneth A. Sullivan ◽  
Nicholas J. Skertich ◽  
Kody B. Jones ◽  
Michael Williams ◽  
Brian C. Gulack ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Lymphoid Hyperplasia ◽  
Computed Tomography Scan ◽  
Ileocolic Intussusception ◽  
Common Cause ◽  
Caregiver Education ◽  
Intermittent Abdominal Pain ◽  
The Right ◽  
Tomography Scan

Intussusception is the most common cause of bowel obstruction in infants four to ten months old and is commonly idiopathic or attributed to lymphoid hyperplasia. Our patient was a 7-month-old male who presented with two weeks of intermittent abdominal pain associated with crying, fist clenching and grimacing. Ultrasound demonstrated an ileocolic intussusception in the right abdomen. Symptoms resolved after contrast enemas, and he was discharged home. He re-presented similarly the next day and was found to be COVID-19 positive. Computed tomography scan demonstrated a left upper quadrant ileal-ileal intussusception. His symptoms spontaneously resolved, and he was discharged home. This suggests that COVID-19 may be a cause of intussusception in infants, and infants presenting with intussusception should be screened for this virus. Additionally, recurrence may happen days later at different intestinal locations. Caregiver education upon discharge is key to monitor for recurrence and need to return.

When the Simplest Solution is not the Right one: A Case of a Blunt Occam’s Razor

2020 ◽  
Author(s):  
Mark Lewis ◽  
Pourya Pouryahya
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Young Female ◽  
Childbearing Age ◽  
Young Females ◽  
Occam’S Razor ◽  
The Right ◽  
Delays In Diagnosis ◽  
Histopathological Investigation ◽  
Occam's Razor

Abdominal pain in young females of childbearing age can be challenging when presenting to the Emergency department due to the atypical nature of presentation. Delays in diagnosis or misdiagnosis of appendicitis in this group can lead to higher rates of complications. Highlighting these cases will hopefully reduce the incidence of delayed and misdiagnosis and lead to better patient outcomes Here we present a case of a young female of childbearing age who presented with symptoms consistent with gastroenteritis, however ongoing abdominal pain prompted further investigation. The cause of the ongoing pain was confounded by the presence of an existing gynaecological condition and inconsistent presentation. A diagnosis of appendicitis was eventually made, and the patient proceeded to a laparoscopic appendectomy. On histopathological investigation the appendix was found to be gangrenous. The patient made a full recovery and was discharged from the hospital two days after surgery. Keywords:, Abdominal pain; Appendicitis; Emergency department; PID; pelvic pain; Occam’s Razor

Incarcerated inguinal hernia? No, acute pancreatitis

Open Medicine ◽  
2011 ◽  
Vol 6 (6) ◽  
pp. 770-772 ◽  
Author(s):  
Jose Ramia-Angel ◽  
Eloy Sancho ◽  
Rafael Lozoya ◽  
Andrej Gasz ◽  
Jose Santos
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Acute Pancreatitis ◽  
Incarcerated Hernia ◽  
Intravenous Antibiotic ◽  
Incarcerated Inguinal Hernia ◽  
Testicular Pain ◽  
Inguinal Area ◽  
History Of ◽  
The Right

AbstractA 62-year-old man presented to the Emergency Department with a 2-day history of right testicular pain. The initial diagnosis was orchiepididymitis (later found to be mistaken), and intravenous antibiotic treatment was started. Twenty-four hours later, the patient had mild pain in the right inguinal area and right infra-abdominal area. We performed an inguinal ultrasound that showed an incarcerated mass of mixed echogenicity in the right inguinal area. Surgery was performed because we thought the patient had an inguinal incarcerated hernia. Two days after the surgical procedure, the patient began to have fever and erythema and pain in the back. Abdominal computed tomography (CT) showed an acute pancreatitis with a peripancreatic collection from the pancreas to right inguinal area. We have reviewed similar cases in the literature and note that, infrequently, an inguinal mass can be the first sign of mostly asymptomatic acute pancreatitis.

scholarly journals Giant splenic abscess caused by Salmonella enterica

2021 ◽  
Author(s):  
Francesk Mulita ◽  
Elias Liolis ◽  
Levan Tchabashvili ◽  
Fotis Iliopoulos ◽  
Nikolas Drakos ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Abdominal Pain ◽  
Salmonella Enterica ◽  
Splenic Abscess ◽  
Percutaneous Aspiration ◽  
Abdominal Computed Tomography ◽  
Considerable Size ◽  
Large Abscess

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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