INTUSSUSCEPTION IN CHILDHOOD

PEDIATRICS ◽  
1960 ◽  
Vol 25 (4) ◽  
pp. 592-597
Author(s):  
M. Moreno Robins ◽  
Henry P. Plenk
Keyword(s):  
Abdominal Pain ◽  
Barium Enema ◽  
Abdominal Mass ◽  
Signs And Symptoms ◽  
Safe Procedure ◽  
General Hospitals ◽  
Small Series ◽  
Bloody Stools ◽  
Palpable Abdominal Mass ◽  
Roentgenographic Examination

A city-wide study of intussusception in childhood is reported. The classic signs and symptoms (vomiting, abdominal pain, bloody stools, palpable abdominal mass) are reported in percentages approximating those previously reported by other authors. Intussusception in childhood occurred about once in every 13,000 admissions to general hospitals. Of 26 cases, 3 had surgery without barium enema. In 11 of 23 patients who had roentgenographic examination the intussusception was reduced by enemas (48%). In one patient the lesion recurred after 24 hours. No deaths were encountered in this small series. Provided certain precautions are followed, barium enema is a safe procedure which will save about one-half of the patients a surgical procedure and unnecessary prolonged hospitalization.

scholarly journals Woman With Chronic Abdominal Pain, Weight Loss, and Palpable Abdominal Mass

2019 ◽  
Vol 157 (6) ◽  
pp. e1-e2
Author(s):  
Cosman Camilo Mandujano Bejarano ◽  
Louisiana Rivera Valladares ◽  
Joseph Vazzana
Keyword(s):  
Weight Loss ◽  
Abdominal Pain ◽  
Abdominal Mass ◽  
Chronic Abdominal Pain ◽  
Palpable Abdominal Mass

scholarly journals Choledochal cyst type I-A: a case report

2021 ◽  
Vol 1 (3) ◽  
pp. 6-11
Author(s):  
Tiago Magalhães Cardoso ◽  
Érica Paulinne Pereira Brandão ◽  
Fernando Fernandes Rodrigues ◽  
Luíz Felipe Lima Ceccato
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Abdominal Mass ◽  
Biliary Tree ◽  
Liver Cyst ◽  
Multiple Form ◽  
Type I ◽  
The Right ◽  
Palpable Abdominal Mass ◽  
Mass Form

Choledocal cysts are cystic dilations that can occur in a single or multiple form in the biliary tree. Cysts can be congenital or acquired and are associated with numerous anatomical abnormalities. The presence of pain in the upper right quadrant of the abdomen, jaundice and palpable abdominal mass form the classic triad that is present in 15% to 45% of patients. We report the case of a 19-year-old woman patient, who she was admitted with abdominal pain in the right hypochondrium, nausea and vomiting, which evolved into  jaundice. When seeking medical care, a large liver cyst and cholelithiasis. Imaging exams revealed liver cyst in segments IV-B,V and VI, lithiasis and biliary polyp.

scholarly journals Infected Completely Isolated Enteric Duplication Cyst Management with Percutaneous Drainage and Surgical Excision after Retreat of Infection: A Case Report

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Neofytou Kyriakos ◽  
Chysochos Andreas ◽  
Sammouti Elena ◽  
Andreou Charalampos ◽  
Georgiou Chrisanthos
Keyword(s):  
Abdominal Pain ◽  
Percutaneous Drainage ◽  
Congenital Malformations ◽  
Alimentary Tract ◽  
Abdominal Mass ◽  
Surgical Excision ◽  
Duplication Cyst ◽  
Enteric Duplication Cyst ◽  
Enteric Duplication ◽  
Palpable Abdominal Mass

Duplication cysts (DCs) of alimentary tract are rare congenital malformations. They are firmly attached to the wall of the gastrointestinal tract and they are supplied by surrounding mesenteric blood vessels. More than 80% of cases occur before the age of two years and only a minority of cases present in adulthood. “Completely isolated duplication” of the alimentary tract is an extremely rare variety of gastrointestinal duplications. They have gastrointestinal epithelial and wall characteristics without an anatomic association with the alimentary tract. Their main characteristic is that they have their own blood supply. A 20-year-old male was admitted to our department with symptoms persisting for a period of one week prior to admission, which included abdominal pain, fever, and a palpable abdominal mass. CT revealed an unexplained intraperitoneal abscess. This case represents a rare clinical example of infected isolated duplication cyst managed with percutaneous drainage and surgical excision of the cyst 3 weeks later. To the best of our knowledge, this is the first reported case to use this approach.

Stromal Tumor in a Perforated Meckel's Diverticulum: A Case Report

Swiss Surgery ◽  
2002 ◽  
Vol 8 (6) ◽  
pp. 273-276 ◽  
Author(s):  
Frühauf ◽  
Garcia ◽  
Rosso
Keyword(s):  
Abdominal Pain ◽  
Abdominal Mass ◽  
Meckel’S Diverticulum ◽  
Signs And Symptoms ◽  
Meckel's Diverticulum ◽  
Stromal Tumor ◽  
Intestinal Bleeding ◽  
High Preference ◽  
Poorly Differentiated ◽  
Acute Perforation

Stromal tumors are rare neoplasms of the small bowel that locate in Meckel's diverticulum with high preference. Perforation of those tumors is very uncommon.There are 96 cases reported in current literature, including only 6 perforations. The diagnosis of that kind of tumor is very difficult because of lack of pathognomonic signs and symptoms. The clinical presentation include abdominal pain, intestinal bleeding, abdominal mass, intestinal obstruction and less commonly, acute perforation. We report the case of a 61-years old patient with a poorly differentiated stromal tumor in a perforated Meckel's diverticulum. The difficulty of identifying a stromal tumor preoperatively and the therapeutic options are emphasised. It is suggested that an aggressive attitude should be taken in the preoperative management of any patient over 50 years of age who presents with melena and abdominal pain.

Ceftriaxone-Induced Acute Pancreatitis

1993 ◽  
Vol 27 (1) ◽  
pp. 36-37 ◽  
Author(s):  
Anthony E. Zimmermann ◽  
Brian G. Katona ◽  
Joginder S. Jodhka ◽  
Richard B. Williams
Keyword(s):  
Acute Pancreatitis ◽  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Signs And Symptoms ◽  
Etiologic Agent ◽  
Antibiotic Regimen ◽  
Intravenous Injections ◽  
Case Summary ◽  
Catheter Sepsis ◽  
History Of

OBJECTIVE: To report a case of probable ceftriaxone-induced acute pancreatitis. CASE SUMMARY: A patient with a history of short-bowel syndrome on home total parenteral nutrition developed fever, chills, and right flank pain. She was diagnosed with gram-negative catheter sepsis and prescribed antibiotic therapy to be administered for four weeks. After completion of the first week of therapy, the antibiotic regimen was changed to intravenous injections of ceftriaxone to be given daily at home. Prior to discharge the patient developed acute abdominal pain, leukocytosis, jaundice, and markedly elevated lipase and amylase concentrations consistent with acute pancreatitis. The patient's condition improved upon discontinuation of the ceftriaxone and the remainder of her stay was uneventful. DISCUSSION: There is only one other case report in the literature of probable ceftriaxone-induced pancreatitis. Multiple other medications have been implicated in causing acute pancreatitis. The exact mechanism of this uncommon adverse effect of ceftriaxone is unknown. CONCLUSIONS: There was a temporal relationship between the development of this patient's signs and symptoms and the administration of ceftriaxone. We could not identify any other factors that may have been responsible for the development of her acute pancreatitis. Ceftriaxone should be considered as a possible etiologic agent in patients who present with acute abdominal pain and elevated lipase and amylase concentrations.

scholarly journals Predictive Value of Alvarado Score and Ultrasound in the Diagnosis of Acute Appendicitis (A prospective study

2021 ◽  
Vol 62 (4) ◽  
pp. 99-103
Author(s):  
Waleed Saadi Ahmed ◽  
Salah M. Tajer ◽  
Hend M. Sayaly
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Signs And Symptoms ◽  
Cost Effective ◽  
General Surgeon ◽  
Emergency Ward ◽  
Alvarado Score ◽  
Combined Application ◽  
Abdominal Emergencies ◽  
A Prospective Study

Background:  Acute appendicitis is the commonest non traumatic cause of acute abdominal pain that needs surgical management .Alvarado score and ultrasonographies are the most cost effective, easy and available aids for diagnosis. The aim of the study was determining   the reliability of Alvarado score and ultrasound in the diagnosis of acute appendicitis. Results: The study was applied with 100 cases with different types of abdominal pain at presentation with 51 males and 49 females .The sensitivity was97.3% ,specificity 90%, and accuracy  89 of combined usage of Alvarado score and U/S findings preoperatively. Patients and method:  A prospective non-interventional study including patients admitted with suggestive history with signs and symptoms of acute appendicitis to the surgical emergency ward of Baghdad teaching hospital from July 1st 2017 to Feb 10th 2018, Alvarado score calculated and ultrasonography done for each patient enrolled in this study, then to be followed for intraoperative findings. Conclusions: Combined application of Alvarado score and U/S has sensitivity 94.1% ,specificity 90% and accuracy 89% . In our medical facility and emergency ward, acute appendicitis remains as one of the top acute abdominal emergencies needing surgery in patients presenting with atypical clinical finding. So diagnosis becomes difficult. So Alvarado score along with ultrasound findings are useful for increasing the reliability in emergency department for  accurate diagnosis of acute appendicitis therefore there should be training for the use of U/S by emergency physician and general surgeon in the diagnosis of acute appendicitis in order to decrease the rate of negative appendectomies .  

scholarly journals Pseudopheochromocytoma following Adrenal Hemorrhage

2010 ◽  
Vol 2 (2) ◽  
pp. 93-95
Author(s):  
Geraint J Rees ◽  
J Stephen Davies ◽  
David M Scott-Coombes
Keyword(s):  
Abdominal Pain ◽  
Case Reports ◽  
Signs And Symptoms ◽  
Adrenal Hemorrhage ◽  
Severe Abdominal Pain ◽  
Time Of Presentation ◽  
Urinary Metanephrines

Abstract Pseudopheochromocytoma usually presents with the signs and symptoms suggestive of pheochromocytoma, yet investigations fail to show any evidence of the tumor. This case reports a man who presented with severe abdominal pain and hypertension without previous symptoms of anxiety, tremor or palpitations at the time of presentation. Initial 24 hours urinary metanephrines were raised which suggested a diagnosis of hemorrhage into a pheochromocytoma. Clinicians need to be aware of this scenario if unnecessary surgery is to be avoided.

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