Diverticulitis and Colitis

2015 ◽  
Author(s):  
Joshua Rempell
Keyword(s):  
Differential Diagnosis ◽  
Acute Diverticulitis ◽  
Wall Thickening ◽  
Tomographic Image ◽  
Lower Quadrant Pain ◽  
Lower Quadrant ◽  
Computed Tomographic ◽  
Hinchey Classification ◽  
Empirical Coverage ◽  
Small Abscess

Diverticulitis and colitis (which may be broadly grouped into inflammatory, infectious, and ischemic categories) are commonly encountered in the emergency department, and patients’ conditions can range from mild to severe. This review details the pathophysiology, stabilization and assessment, diagnosis and treatment, dispositions and outcomes of diverticulitis and colitis. Figures include a computed tomographic scan showing diverticulitis, a bedside sonogram of a patient with diverticulitis, an ultrasound showing bowel wall thickening, a plain abdominal film showing grossly dilated small and large bowel (as seen in toxic megacolon in a patient with inflammatory bowel disease), a computed tomographic image of a patient presenting with known Crohn disease showing thickening of the distal ileum and a small abscess formation, and a computed tomographic image of a patient with ischemic colitis showing air in the small bowel. Tables list the Hinchey classification and the modified Hinchey classification showing stages of diverticulitis, differential diagnosis of left lower quadrant pain, empirical coverage for diverticulitis, indications for surgical treatment for acute diverticulitis, and differential diagnosis of colitis. This review contains 6 highly rendered figures, 5 tables, and 105 references.

Diverticulitis and Colitis

2015 ◽  
Author(s):  
Joshua Rempell
Keyword(s):  
Differential Diagnosis ◽  
Acute Diverticulitis ◽  
Wall Thickening ◽  
Tomographic Image ◽  
Lower Quadrant Pain ◽  
Lower Quadrant ◽  
Computed Tomographic ◽  
Hinchey Classification ◽  
Empirical Coverage ◽  
Small Abscess

Diverticulitis and colitis (which may be broadly grouped into inflammatory, infectious, and ischemic categories) are commonly encountered in the emergency department, and patients’ conditions can range from mild to severe. This review details the pathophysiology, stabilization and assessment, diagnosis and treatment, dispositions and outcomes of diverticulitis and colitis. Figures include a computed tomographic scan showing diverticulitis, a bedside sonogram of a patient with diverticulitis, an ultrasound showing bowel wall thickening, a plain abdominal film showing grossly dilated small and large bowel (as seen in toxic megacolon in a patient with inflammatory bowel disease), a computed tomographic image of a patient presenting with known Crohn disease showing thickening of the distal ileum and a small abscess formation, and a computed tomographic image of a patient with ischemic colitis showing air in the small bowel. Tables list the Hinchey classification and the modified Hinchey classification showing stages of diverticulitis, differential diagnosis of left lower quadrant pain, empirical coverage for diverticulitis, indications for surgical treatment for acute diverticulitis, and differential diagnosis of colitis. This review contains 6 highly rendered figures, 5 tables, and 105 references.

Appendicitis

2019 ◽  
Author(s):  
James Creswell Simpson ◽  
Sarah Sebbag
Keyword(s):  
Age Groups ◽  
Signs And Symptoms ◽  
Vermiform Appendix ◽  
The United States ◽  
Likelihood Ratios ◽  
Lower Quadrant Pain ◽  
Lower Quadrant ◽  
Right Lower Quadrant Pain ◽  
Computed Tomographic ◽  
High Index Of Suspicion

Appendicitis is defined as inflammation of the vermiform appendix. It is the most common abdominal surgical emergency and occurs at an annual rate of approximately one in 10,000 in the United States. The lifetime risk of appendicitis is about 9% for males and 7% for females; approximately 80% of cases occur before 45 years of age. Appendicitis rarely occurs in infants; it increases in frequency between 2 and 4 years of age and reaches a peak between the ages of 10 and 19 years. However, clinicians must maintain a high index of suspicion in patients of all age groups. This review covers the pathophysiology, stabilization and assessment, and diagnosis and treatment of complicated and uncomplicated appendicitis. The disposition and outcomes are also reviewed. Figures show an image of appendicitis on a bedside sonogram, and a computed tomographic image of appendicitis. Tables list likelihood ratios of signs and symptoms of appendicitis, the sonographic appearance of appendicitis, the Alvarado scoring system, and the differential diagnosis of appendicitis.  This review contains 2 figures, 7 tables, and 36 references. Key words: appendicitis, obstructed appendiceal lumen, rebound abdomen, right lower quadrant pain, ruptured appendix

Sonographic differential diagnosis of right lower quadrant pain other than appendicitis

1996 ◽  
Vol 20 (1) ◽  
pp. 12-16 ◽  
Author(s):  
Kiran A. Jain ◽  
Deborah S. Ablin ◽  
R. Brooke Jeffrey ◽  
William E. Brant
Keyword(s):  
Differential Diagnosis ◽  
Quadrant Pain ◽  
Lower Quadrant Pain ◽  
Lower Quadrant ◽  
Right Lower Quadrant Pain ◽  
Right Lower Quadrant

Appendicitis

2019 ◽  
Author(s):  
James Creswell Simpson ◽  
Sarah Sebbag
Keyword(s):  
Age Groups ◽  
Signs And Symptoms ◽  
Vermiform Appendix ◽  
The United States ◽  
Likelihood Ratios ◽  
Lower Quadrant Pain ◽  
Lower Quadrant ◽  
Right Lower Quadrant Pain ◽  
Computed Tomographic ◽  
High Index Of Suspicion

Appendicitis is defined as inflammation of the vermiform appendix. It is the most common abdominal surgical emergency and occurs at an annual rate of approximately one in 10,000 in the United States. The lifetime risk of appendicitis is about 9% for males and 7% for females; approximately 80% of cases occur before 45 years of age. Appendicitis rarely occurs in infants; it increases in frequency between 2 and 4 years of age and reaches a peak between the ages of 10 and 19 years. However, clinicians must maintain a high index of suspicion in patients of all age groups. This review covers the pathophysiology, stabilization and assessment, and diagnosis and treatment of complicated and uncomplicated appendicitis. The disposition and outcomes are also reviewed. Figures show an image of appendicitis on a bedside sonogram, and a computed tomographic image of appendicitis. Tables list likelihood ratios of signs and symptoms of appendicitis, the sonographic appearance of appendicitis, the Alvarado scoring system, and the differential diagnosis of appendicitis.  This review contains 2 figures, 7 tables, and 36 references. Key words: appendicitis, obstructed appendiceal lumen, rebound abdomen, right lower quadrant pain, ruptured appendix

Appendicitis

2019 ◽  
Author(s):  
James Creswell Simpson ◽  
Sarah Sebbag
Keyword(s):  
Age Groups ◽  
Signs And Symptoms ◽  
Vermiform Appendix ◽  
The United States ◽  
Likelihood Ratios ◽  
Lower Quadrant Pain ◽  
Lower Quadrant ◽  
Right Lower Quadrant Pain ◽  
Computed Tomographic ◽  
High Index Of Suspicion

Appendicitis is defined as inflammation of the vermiform appendix. It is the most common abdominal surgical emergency and occurs at an annual rate of approximately one in 10,000 in the United States. The lifetime risk of appendicitis is about 9% for males and 7% for females; approximately 80% of cases occur before 45 years of age. Appendicitis rarely occurs in infants; it increases in frequency between 2 and 4 years of age and reaches a peak between the ages of 10 and 19 years. However, clinicians must maintain a high index of suspicion in patients of all age groups. This review covers the pathophysiology, stabilization and assessment, and diagnosis and treatment of complicated and uncomplicated appendicitis. The disposition and outcomes are also reviewed. Figures show an image of appendicitis on a bedside sonogram, and a computed tomographic image of appendicitis. Tables list likelihood ratios of signs and symptoms of appendicitis, the sonographic appearance of appendicitis, the Alvarado scoring system, and the differential diagnosis of appendicitis.  This review contains 2 figures, 7 tables, and 36 references. Key words: appendicitis, obstructed appendiceal lumen, rebound abdomen, right lower quadrant pain, ruptured appendix

Appendicitis

2020 ◽  
Author(s):  
James Creswell Simpson ◽  
Sarah Sebbag
Keyword(s):  
Age Groups ◽  
Signs And Symptoms ◽  
Vermiform Appendix ◽  
The United States ◽  
Likelihood Ratios ◽  
Lower Quadrant Pain ◽  
Lower Quadrant ◽  
Right Lower Quadrant Pain ◽  
Computed Tomographic ◽  
High Index Of Suspicion

Appendicitis is defined as inflammation of the vermiform appendix. It is the most common abdominal surgical emergency and occurs at an annual rate of approximately one in 10,000 in the United States. The lifetime risk of appendicitis is about 9% for males and 7% for females; approximately 80% of cases occur before 45 years of age. Appendicitis rarely occurs in infants; it increases in frequency between 2 and 4 years of age and reaches a peak between the ages of 10 and 19 years. However, clinicians must maintain a high index of suspicion in patients of all age groups. This review covers the pathophysiology, stabilization and assessment, and diagnosis and treatment of complicated and uncomplicated appendicitis. The disposition and outcomes are also reviewed. Figures show an image of appendicitis on a bedside sonogram, and a computed tomographic image of appendicitis. Tables list likelihood ratios of signs and symptoms of appendicitis, the sonographic appearance of appendicitis, the Alvarado scoring system, and the differential diagnosis of appendicitis.  This review contains 2 figures, 7 tables, and 36 references. Key words: appendicitis, obstructed appendiceal lumen, rebound abdomen, right lower quadrant pain, ruptured appendix

scholarly journals Differential diagnosis in left lower quadrant pain: Acute appendicitis in patients with situs inversus

2014 ◽  
Vol 4 (2) ◽  
pp. 96-99 ◽  
Author(s):  
Ozkan Yilmaz ◽  
Vedat Bayrak ◽  
Iskan Calli ◽  
Ali Demir
Keyword(s):  
Differential Diagnosis ◽  
Acute Appendicitis ◽  
Situs Inversus ◽  
Quadrant Pain ◽  
Lower Quadrant Pain ◽  
Lower Quadrant ◽  
Left Lower Quadrant

scholarly journals Toothpick Perforation of the Intestines Presenting as Recurrent Abdominal Pain: Possible Roles of Abdominal Ultrasound and MRI

2013 ◽  
Vol 6 ◽  
pp. CCRep.S11486 ◽  
Author(s):  
Robert J. Sealock ◽  
Saman Sabounchi ◽  
David Y. Graham
Keyword(s):  
Abdominal Pain ◽  
Small Bowel ◽  
Ileocecal Valve ◽  
Abdominal Ultrasound ◽  
Recurrent Abdominal Pain ◽  
Small Bowel Resection ◽  
Wall Thickening ◽  
Lower Quadrant Pain ◽  
Lower Quadrant ◽  
Bowel Wall Thickening

We report the case of a middle-aged man admitted for five months of unexplained left lower quadrant pain. He had been hospitalized on two prior occasions and treated with broad spectrum antibiotics. His clinical presentation was suggestive peritoneal irritation with severe, focal pain on abdominal palpation. Computed tomography scans showed non-specific inflammation in the left lower abdomen with adjacent small bowel wall thickening. Upper endoscopy and colonoscopy were unremarkable on prior admission. Given the severity and focality of the patient's recurrent abdominal pain he underwent laparoscopy and was found to have a wooden toothpick perforation of the small bowel thirty centimeters from the ileocecal valve requiring partial small bowel resection. The patient did well post-operatively. On retrospective questioning he may have eaten a cabbage roll or bacon wrapped shrimp pierced with a toothpick weeks before the onset of symptoms. Toothpick perforation should be a consideration in edentulous persons with focal, severe abdominal pain and trans-abdominal ultrasound or MRI may be a better choice for detecting wooden foreign objects.

Sign in / Sign up

Export Citation Format

Share Document