Acute Chylous Ascites with Carcinoid of the Pancreas

1985 ◽  
Vol 30 (2) ◽  
pp. 111-111 ◽  
Author(s):  
J. S. Varma
Keyword(s):  
Abdominal Pain ◽  
Intestinal Obstruction ◽  
Acute Abdominal Pain ◽  
Chylous Ascites ◽  
Neoplastic Disease

Acute chylous ascites is of idiopathic origin in 50 per cent of cases, the remainder being accounted for by trauma and intestinal obstruction (1). It usually presents with acute abdominal pain. Neoplastic disease is much more common in chronic cases, and lymphomas comprise about half of these (2). Chronic chylous ascites usually presents without pain but with inanition and hypoproteinaemia. This report describes acute chylous ascites following trauma in a patient who was subsequently found to have a pancreatic carcinoid, the lymphangiographic findings being of particular interest.

scholarly journals Intestinal obstruction caused by pericecal internal herniation

2020 ◽  
Vol 2020 (2) ◽  
Author(s):  
Floris B Poelmann ◽  
Ewoud H Jutte ◽  
Jean Pierre E N Pierie
Keyword(s):  
Abdominal Pain ◽  
Intestinal Obstruction ◽  
Acute Abdominal Pain ◽  
Treatment Preference ◽  
Treatment Modalities ◽  
Internal Herniation ◽  
Lower Quadrant ◽  
Surgical History ◽  
The Right ◽  
Right Lower Quadrant

Abstract Intestinal obstruction caused by pericecal internal herniation are rare and only described in a few cases. This case describes an 80-year-old man presented with acute abdominal pain, nausea and vomiting, with no prior surgical history. Computed tomography was performed and showed a closed loop short bowel obstruction in the right lower quadrant and ascites. Laparoscopy revealed pericecal internal hernia. This is a viscous protrusion through a defect in the peritoneal cavity. Current operative treatment modalities include minimally invasive surgery. Laparoscopic repair of internal herniation is possible and feasible in experienced hands. It must be included in the differential diagnoses of every patient who presents with abdominal pain. When diagnosed act quick and thorough and expeditiously. Treatment preference should be a laparoscopic procedure.

Exploring the evidence-practice gap in the use of plain radiography for acute abdominal pain and intestinal obstruction

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Gary Denham ◽  
Tony Smith ◽  
Daphne James ◽  
Sharmaine McKiernan ◽  
Tiffany-Jane Evans
Keyword(s):  
Abdominal Pain ◽  
Intestinal Obstruction ◽  
Acute Abdominal Pain ◽  
Plain Radiography ◽  
Practice Gap

scholarly journals Cecal Lipoma Presenting as Acute Intestinal Obstruction in an Elderly Woman: A Case Report

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Miltiades Kastanakis ◽  
Dimitrios Anyfantakis ◽  
Emmanouil K. Symvoulakis ◽  
Nikolaos Katsougris ◽  
Alexandros Papadomichelakis ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Intestinal Obstruction ◽  
Elderly Woman ◽  
Acute Abdominal Pain ◽  
Histopathological Examination ◽  
Right Hemicolectomy ◽  
Resected Specimen ◽  
Appetite Loss ◽  
Risk Of Malignancy ◽  
History Of

Colonic lipomas are rare nonepithelial tumors that are usually detected incidentally during surgery or colonoscopy. Although lipomas generally remain asymptomatic, when they exceed 2 cm of diameter they may cause abdominal pain, obstruction, or intussusception. Here we present a case of an elderly woman referred by her general practitioner to a general hospital of Crete because of acute abdominal pain along with signs of intestinal obstruction and a positive history of appetite loss. Abdominal computed tomography was performed. To marginalise the risk of malignancy, a right hemicolectomy was performed. Histopathological examination of the resected specimen confirmed the diagnosis of cecal lipoma.

scholarly journals Intestinal Obstruction in a Child with Massive Ascariasis

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Munanura Turyasiima ◽  
Paul Matovu ◽  
Gloria Kiconco ◽  
Walufu Ivan Egesa ◽  
Phillip Sunday ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Intestinal Obstruction ◽  
Clinical Presentation ◽  
Acute Abdominal Pain ◽  
Exploratory Laparotomy ◽  
Postoperative Management ◽  
Soft Mass ◽  
History Of ◽  
Abdominal Examination ◽  
The Tropics

Soil-transmitted helminths are so prevalent in the tropics and low developing countries. Pediatric clinical presentation of ascariasis, the most common helminth, as the intestinal obstruction is not only rare but also less described. We present a case of a 4-year-old girl with massive ascariasis. She presented with a 3-day history of acute abdominal pain associated with vomiting and an episode of passing long white roundworms, about 5 cm in length, through the nose. The child had mild constipation and passed pellets of hard stool once in the last 72 hours. She was in fair general condition at the examination but had significant findings on abdominal examination. On palpation, there was a soft mass localized in the left paraumbilical area and no tenderness, with normal bowel sounds on auscultation. Exploratory laparotomy was sanctioned where roundworms (Ascaris lumbricoides), saucepan full, were delivered through a 2.5 cm enterotomy incision. Postoperative management was carried out, and the child discharged on the 7th day of treatment including a 3-day course of albendazole 400 mg daily.

Duodenal Volvulus due to Duodenum Inversum

2021 ◽  
pp. 000313482110111
Author(s):  
Mario P. Zambito ◽  
Erik J Teicher
Keyword(s):  
Peptic Ulcer ◽  
Abdominal Pain ◽  
Intestinal Obstruction ◽  
Nonoperative Management ◽  
Acute Abdominal Pain ◽  
Abnormal Position ◽  
Ulcer Disease ◽  
The Third ◽  
Rare Congenital Disorder ◽  
Experience Pain

Duodenum inversum, or inverted duodenum, is a rare congenital disorder resulting in an abnormal position of the third and/or fourth portions of the duodenum. Most patients are asymptomatic, but others can experience pain, nausea, vomiting, peptic ulcer disease, pancreatitis, and even intestinal obstruction. In this case, we report a patient who presented with acute abdominal pain and vomiting. He was diagnosed with duodenal volvulus and obstruction due to duodenum inversum. After failing nonoperative management, the patient was successfully treated with surgical resection.

scholarly journals Intestinal obstruction in case of internal hernia through congenital defect in falciform ligament in adult

2019 ◽  
Vol 7 (11) ◽  
pp. 4368
Author(s):  
Archit Pankajkumar Parikh ◽  
Mohan Prakash Tyagi ◽  
Dheerta Atul Kapadia
Keyword(s):  
Abdominal Pain ◽  
Small Bowel ◽  
Intestinal Obstruction ◽  
Acute Abdominal Pain ◽  
Intestinal Resection ◽  
Congenital Defect ◽  
Falciform Ligament ◽  
Internal Herniation ◽  
Case Presentation ◽  
Surgery Department

Small bowel obstruction due to internal herniation of ileum through congenital defect in falciform ligament is exceedingly rare, about 0.2% such cases of hernia through congenital defect in falciform ligament have been reported. The case presentation of 60 year old male patient present in surgery department with acute abdominal pain since 7 days. Based on clinical assessment and radiological evidence, intestinal obstruction was diagnosed. For which patient underwent exploratory laprotomy. The discussion of Intraoperative a loop ileum was found obstructed in congenital defect in falciform ligament. Obstruction was relieved by division of leaf of defect, without the need of intestinal resection.

scholarly journals Acute Adult Jejuno-Jejunal Intussusception Caused by a Giant Lipoma

2021 ◽  
pp. 1-3
Author(s):  
Paolo Aonzo ◽  
Paolo Aonzo ◽  
Michela Ceriotti ◽  
Antonio Fernando Anania ◽  
Matteo Morena ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Small Bowel ◽  
Intestinal Obstruction ◽  
Surgical Management ◽  
Gold Standard ◽  
Acute Abdominal Pain ◽  
Mucosal Ulceration ◽  
Giant Lipoma ◽  
Jejunal Obstruction

Acute abdominal pain secondary to intussusception is rare in adults and mainly caused by malignancy (70-90%), whereas in childhood intussusception’s etiology is mostly idiopathic (90% of cases). Gastrointestinal lipomas, especially in small bowel, represent an unusual cause of intussusception with complete intestinal obstruction or bleeding (acute or chronic) from mucosal ulceration. In acute settings, computed tomography (CT) should be confidently considered the gold standard for diagnosis. In adulthood, surgical management of acute symptomatic intussusception caused by lipoma is mandatory. We report a case of complete jejunal obstruction with intussusception due to 5 cm submucosal lipoma.

Bayesian Diagnostic Probabilities without Assuming Independence of Symptoms

1991 ◽  
Vol 30 (01) ◽  
pp. 15-22 ◽  
Author(s):  
A. Gammerman ◽  
A. R. Thatcher
Keyword(s):  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Final Diagnosis ◽  
Bayes Theorem ◽  
Bayes Method ◽  
Hospital Records ◽  
Computer Diagnosis ◽  
Bayes Model ◽  
Chi Squared ◽  
Past Data

The paper describes an application of Bayes’ Theorem to the problem of estimating from past data the probabilities that patients have certain diseases, given their symptoms. The data consist of hospital records of patients who suffered acute abdominal pain. For each patient the records showed a large number of symptoms and the final diagnosis, to one of nine diseases or diagnostic groups. Most current methods of computer diagnosis use the “Simple Bayes” model in which the symptoms are assumed to be independent, but the present paper does not make this assumption. Those symptoms (or lack of symptoms) which are most relevant to the diagnosis of each disease are identified by a sequence of chi-squared tests. The computer diagnoses obtained as a result of the implementation of this approach are compared with those given by the “Simple Bayes” method, by the method of classification trees (CART), and also with the preliminary and final diagnoses made by physicians.

Antibiotic Therapy Did Not Prevent the Rupture of Mycotic Aneurysm of the Superior Mesenteric Artery

2015 ◽  
Vol 18 (3) ◽  
pp. 088
Author(s):  
Ye-tao Li ◽  
Xiao-bin Liu ◽  
Tao Wang
Keyword(s):  
Abdominal Pain ◽  
Infective Endocarditis ◽  
Aortic Valve ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Mycotic Aneurysm ◽  
Acute Abdominal Pain ◽  
Rare Complication ◽  
Emergency Operation ◽  
History Of

<p class="p1"><span class="s1">Mycotic aneurysm of the superior mesenteric artery (SMA) is a rare complication of infective endocarditis. We report a case with infective endocarditis involving the aortic valve complicated by multiple septic embolisms. The patient was treated with antibiotics for 6 weeks. During preparation for surgical treatment, the patient developed acute abdominal pain and was diagnosed with a ruptured SMA aneurysm, which was successfully treated with an emergency operation of aneurysm ligation. The aortic valve was replaced 17 days later and the patient recovered uneventfully. In conclusion, we present a rare case with infective endocarditis (IE) complicated by SMA aneurysm. Antibiotic treatment did not prevent the rupture of SMA aneurysm. Abdominal pain in a patient with a recent history of IE should be excluded with ruptured aneurysm.</span></p>

Sonographic evaluation of acute abdominal pain in children

Choonpa Igaku ◽  
2011 ◽  
Vol 38 (3) ◽  
pp. 243-254
Author(s):  
Atsushi YODEN ◽  
Tomoki AOMATSU
Keyword(s):  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Sonographic Evaluation
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