scholarly journals Appendicitis in pregnancy: case report in a navy medical center of Mexico City

2021 ◽  
Vol 7 (6) ◽  
pp. 145-146
Author(s):  
Erika Valencia Mejia ◽  
Cesar Rodriguez Villan ◽  
Yanet Fermin Aldama ◽  
Fernando Martinez Gonzalez ◽  
Jose Eduardo Serratos Garduno ◽  
...  
Keyword(s):  
Case Report ◽  
Mexico City ◽  
Medical Center ◽  
Fetal Loss ◽  
Clinical Feature ◽  
Resonance Imaging ◽  
Imaging Studies ◽  
Lower Quadrant ◽  
The Right ◽  
Right Lower Quadrant

Acute appendicitis represents the most common non-obstetric surgical emergency during pregnancy, the most important clinical feature is abdominal pain in the right lower quadrant. Imaging studies can be used for diagnosis, where ultrasound and magnetic resonance imaging are mostly recommended. Timely diagnosis can prevent complications including fetal loss and preterm delivery. The case report orients the surgeon and obstetrician to make decisions in patients with this pathology

scholarly journals A rare case of iliopsoas hematoma in a patient with von Willebrand disease

2020 ◽  
Vol 7 (3) ◽  
pp. 873
Author(s):  
Vikas Kawarat ◽  
Mohamed Javid ◽  
Shanthi Ponnandai Swaminathan ◽  
Kannan Ross
Keyword(s):  
Femoral Nerve ◽  
Von Willebrand Disease ◽  
Muscle Dysfunction ◽  
Resonance Imaging ◽  
Lower Quadrant ◽  
Magnetic Resonance Imaging Mri ◽  
The Right ◽  
Type 3 ◽  
Von Willebrand ◽  
Right Lower Quadrant

Iliopsoas hematoma is a serious complication that can occur in bleeding disorders, most commonly hemophillia but it can also be seen in von Willebrand disease (vWD) in less frequency. This can cause muscle pain, muscle dysfunction and sometimes even femoral nerve palsy. Iliopsoas hematomas can be diagnosed by the usage of ultrasonography, computed tomography (CT) or magnetic resonance imaging (MRI). Here we report a case of a 20-year-old boy who presented to us with complaints of pain in the right lower quadrant, flank, and inguinal region for a week. He was diagnosed with vWD type 3 when he was 10 years old. The symptoms started after he had tried to kick start his motorbike vigorously. Clinical examination revealed the patient to be in an anti-pain posture and to have tenderness at sites where he complained of pain. A subsequent CT scan showed that there was an iliopsoas hematoma of size 10×6 cm. The patient was managed conservatively with factor replacement and physiotherapy following which there was amelioration in the symptoms and the patient recovered well.

scholarly journals Intestinal Perforation by an Ingested Bone Fragment: A Case Report

2019 ◽  
pp. 1-2
Author(s):  
Tendeng JN ◽  
Konaté I ◽  
Abdourahmane Ndong ◽  
Dia CA ◽  
Diallo AC ◽  
...  
Keyword(s):  
Case Report ◽  
Ct Scan ◽  
Intestinal Perforation ◽  
Intestinal Resection ◽  
Bone Fragment ◽  
Lower Quadrant ◽  
Peritoneal Effusion ◽  
The Right ◽  
Right Lower Quadrant ◽  
Main Complication

Introduction: The ingestion of a foreign body is most often accidental. The main complication is intestinal perforation. We report a case of intestinal perforation by ingestion of a bone fragment. Case Report: It was a 45-year-old man, who was received for abdominal pain of second right flank and vomiting. Physical examination found abdominal tenderness predominant in the right lower quadrant. The CT scan showed fluid peritoneal effusion with pneumoperitoneum with a bone fragment in the lumen of the distal ileum. An intestinal resection removing the perforation followed by an end to end anastomosis was performed favorably. Conclusion: Intestinal perforation is a serious complication of ingested foreign bodies. The diagnosis is improved by CT scan. The treatment is surgical.

scholarly journals Ascaris lumbricoides causing peritonitis with multiple intestinal perforations: A case report.

2021 ◽  
Author(s):  
Patrick CHARLORIN ◽  
Osnel Louima ◽  
Gabriel Steve PIERRE ◽  
Roberto PEIGNE ◽  
Alexis BOWDER ◽  
...  
Keyword(s):  
Developing Countries ◽  
Abdominal Pain ◽  
Case Report ◽  
Ascaris Lumbricoides ◽  
Parasitic Infections ◽  
Lower Quadrant ◽  
Case Presentation ◽  
Hygiene Measures ◽  
The Right ◽  
Right Lower Quadrant

Abstract Introduction: Ascaris lumbricoides are still a burden in developing countries especially in Haiti. The lack of hygiene measures leads to an increase in morbidity and mortality due to parasitic infections. They lead to some serious complications, including bowel obstruction and peritonitis. Case presentation: We present a case of a girl (4 years old) from Haiti. She was admitted to the hospital with abdominal pain and a mass in the right lower quadrant of the abdomen and some worms were palpate at the rectal exam. During the surgical procedure, a large number of alive worms and ileum's perforation holes were revealed. Ileo-ileal anastomosis end to end was performed. After appropriate surgical and post-operative treatment, the girl fully recovered. Conclusion: In developing countries like Haiti, ascariasis should be kept in mind as a possible etiology of peritonitis in infants.

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.

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.

scholarly journals Late renal vein aneurysm following living related renal transplant

2014 ◽  
Vol 8 (3-4) ◽  
pp. 253 ◽  
Author(s):  
Robert Thomas Dale ◽  
Samir Bidnur ◽  
Christopher YC Nguan
Keyword(s):  
Renal Transplant ◽  
Renal Vein ◽  
Abdominal Ultrasound ◽  
New Right ◽  
Resonance Imaging ◽  
Lower Quadrant ◽  
Management Guidelines ◽  
Living Related ◽  
Ultrasound Investigation ◽  
Right Lower Quadrant

Renal vein aneurysms are rare; there are less than 10 reported cases. As of yet there have been no reported cases of renal vein aneurysm following renal transplantation. We present a case of an incidentally discovered renal vein aneurysm following uncomplicated living related renal transplant. The lesion was discovered 4 years after the transplant through abdominal ultrasound investigation of new right lower quadrant discomfort. Magnetic resonance imaging confirmed the presence of a 2.3-cm thrombosed renal vein aneurysm of the main renal vein. This case report highlights the rare nature of these events, the diagnostic challenges and the lack of satisfactory management guidelines in these cases.

Appendicitis

2016 ◽  
Author(s):  
David Scordino
Keyword(s):  
Antibiotic Therapy ◽  
Acute Inflammation ◽  
Surgical Intervention ◽  
Significant Risk ◽  
Disease Course ◽  
Lower Quadrant ◽  
Nonoperative Therapy ◽  
Atypical Presentations ◽  
The Right ◽  
Right Lower Quadrant

Appendicitis is caused by acute inflammation of the appendix (usually secondary to obstruction) and can result in perforation, leading to peritonitis, sepsis, and/or abscess formation. Symptomatology includes anorexia, nausea, vomiting, and periumbilical pain (later localizing to the right lower quadrant). Patients at the extremes of age and pregnant women may have atypical presentations and higher rates of perforation and complications. Most patients suspected of having appendicitis receive prompt surgical intervention (usually laparoscopic). Antibiotic therapy, initiated preoperatively, varies for perforated vs nonperforated appendicitis. In patients with evidence of a contained abscess, nonoperative therapy is considered, as abscess is evidence of a prolonged disease course (more than 5 days) prior to presentation. On imaging, patients may have a well-circumscribed abscess or phlegmon; if immediate surgical intervention is attempted, there is significant risk of morbidity due to adhesions to adjacent tissues.

The Management of Terminal Ileum Diverticulitis

2009 ◽  
Vol 75 (12) ◽  
pp. 1199-1202 ◽  
Author(s):  
Hyoung-Chul Park ◽  
Bong Hwa Lee
Keyword(s):  
Clinical Features ◽  
Terminal Ileum ◽  
Nonoperative Management ◽  
Perforated Diverticulitis ◽  
Radiographic Evaluation ◽  
Lower Quadrant ◽  
Average Hospital ◽  
The Right ◽  
Right Lower Quadrant

Terminal ileum diverticulitis is a very rare disease that may lead to an acute abdomen mimicking appendicitis. Because of its rarity, an optimal treatment for this disease has not been established yet. In this study, we evaluated the clinical features and outcomes of nonoperative management of terminal ileum diverticulitis, including suspected perforation. From 2000 to 2007, 346 patients were treated for acute symptomatic right-sided diverticulitis. Radiographic evaluation revealed that nine patients (2.6%) had terminal ileum diverticulitis. All patients presented with pain in the right lower quadrant. The clinical features and outcomes, including recurrence, were evaluated from a collected database and by phone interview. The average age of the patients was 43.7 years. Radiographic imaging was used to diagnose diverticulitis in all patients. Two of nine patients had suspected perforated diverticulitis, and three patients had multiple diverticula. Nonoperative management was successfully carried out on these patients. The average hospital stay was 8 days and the duration of antibiotic treatment was 6.4 days. The median follow-up was 36 months, and patients showed no recurrence within this interval. Nonoperative management may be feasible to treat terminal ileum diverticulitis.

scholarly journals Isolated intestinal Ganglioneuromatosis: case report and literature review

2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Angela Mauro ◽  
Letizia Zenzeri ◽  
Francesco Esposito ◽  
Giovanni Gaglione ◽  
Caterina Strisciuglio ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Polypoid Lesion ◽  
Occult Blood ◽  
Fecal Occult Blood ◽  
Ileal Loop ◽  
Lower Quadrant ◽  
Blood Tests ◽  
Fecal Occult ◽  
The Right ◽  
Right Lower Quadrant

Abstract Background Intestinal Ganglioneuromatosis (IG) is a rare disorder of the enteric nervous system. In pediatric age it is often associated with genetic syndromes such as Neurofibromatosis 1 (NF1), multiple endocrine neoplasia type 2B (MEN2B) and Cowden syndrome (PTEN mutation), and ganglioneuromas (GNs) may be sometimes the first sign of the disease. Isolated GNs are rare and sporadic. Clinical symptom vary and depend on the size and on the location of the GNs. This disorder affects intestinal motility and it, consequently, causes changes in bowel habits, abdominal pain, occlusive symptoms and rarely lower gastrointestinal bleeding secondary to ulceration of the intestinal mucosa. On the other hand, patients can remain asymptomatic for many years. Case presentation We describe a 9-year-old boy referred to our emergency department for right lower quadrant abdominal pain. No familial history for gastrointestinal disorders. No history of fever or weight loss. At physical examination, he had diffused abdominal pain. Abdominal ultrasonography showed a hypoechoic formation measuring 41.8 mm by 35 mm in the right lower quadrant of the abdomen. Routine blood tests were normal, but fecal occult blood test was positive. Abdominal TC confirmed the hypodense formation, of about 5 cm in transverse diameter, in the right hypochondrium that apparently invaginated in the caecum-last ileal loop. Colonoscopy showed in the cecum an invaginated polypoid lesion of the terminal ileal loop. Laparoscopic resection of the polypoid lesion was performed. Histological diagnosis of the large neoplasm observed in the terminal ileum was diffuse ganglioneuromatosis. NF1, RET and PTEN gene tests resulted negative for specific mutations. At the 1 year follow-up, the patient presented good general condition and blood tests, fecal occult blood test, esophagogastroduodenoscopy, colonoscopy and MR-enterography were negative. Conclusions Only few cases are reported in literature of IG in pediatric age. Although rare, the present case suggests that this disorder must be taken in consideration in every patient with GI symptoms such as abdominal pain, constipation, lower intestinal bleeding, in order to avoid a delayed diagnosis.

scholarly journals The ‘True’ Splenic Wanderer

1999 ◽  
Vol 13 (2) ◽  
pp. 169-171 ◽  
Author(s):  
R Kanthan ◽  
JM Radhi
Keyword(s):  
Definitive Diagnosis ◽  
Wandering Spleen ◽  
Resonance Imaging ◽  
Pelvic Malignancy ◽  
Abdominal Ultrasonography ◽  
Lower Quadrant ◽  
Intermittent Abdominal Pain ◽  
Cat Scan ◽  
Upper Abdomen ◽  
Right Lower Quadrant

Wandering spleen is an unusual entity and remains an elusive clinical diagnosis. Among the modern imaging modalities including computed tomography, magnetic resonance imaging, nuclear scans and ultrasonography, the latter appears to be the least invasive and the most effective in reaching a definitive diagnosis. A patient with ‘true’ wandering spleen who presented with chronic, intermittent abdominal pain, weight loss and a right lower quadrant mass that was interpreted as a pelvic lymphoma or a primary pelvic malignancy on computed abdominal tomography (CAT) scan is presented. Abdominal ultrasonography conducted a few weeks before the CAT scan showed a normal splenic shadow in the left upper abdomen.

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