scholarly journals Acute appendicitis as the first manifestation of HenochSchönlein purpura

2020 ◽  
Vol 0 ◽  
pp. 1-3
Author(s):  
Pedro Nogarotto Cembraneli ◽  
Julia Brasileiro de Faria Cavalcante ◽  
Renata Brasileiro de Faria Cavalcante ◽  
José Edison da Silva Cavalcante
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Acute Abdomen ◽  
Joint Pain ◽  
Systemic Vasculitis ◽  
Symptom Control ◽  
Small Vessel ◽  
Palpable Purpura ◽  
Gangrenous Appendicitis ◽  
Schonlein Purpura

Henoch-Schönlein purpura (HSP) is a small vessel systemic vasculitis. Typical symptoms include palpable purpura, joint pain, and abdominal pain. Most cases improve after a few weeks, not requiring any treatments other than symptom control. Acute abdomen resulting from vasculitis is very rare and should be treated as a surgical emergency. We report the case of a 9-year-old boy with acute gangrenous appendicitis as the first manifestation of HSP.

scholarly journals Henoch-Schonlein Purpura in Children: The Role of Corticosteroids

2019 ◽  
Vol 7 (11) ◽  
pp. 1812-1814
Author(s):  
Bella Kurnia
Keyword(s):  
Abdominal Pain ◽  
Renal Disease ◽  
Systemic Vasculitis ◽  
Small Vessel ◽  
Small Vessel Vasculitis ◽  
Henoch Schonlein Purpura ◽  
Progression Of Renal Disease ◽  
Schonlein Purpura ◽  
Henoch Schönlein Purpura

BACKGROUND: Henoch- schonlein purpura (HSP) is an IgA- mediated systemic small vessel vasculitis. It is the most common form of systemic vasculitis in children.CASE REPORT: A 9 years old girl admitted to the hospital with chief complain of purplish red rash on both legs since approximately 1 week with painful knees and ankles that make the patient unable to walk. The patient was diagnosed with HSP and was treated with corticosteroid and analgesics. The patients only stayed for 2 nights at the hospital and discharged from the hospital with the ability to walk and experience no pain. CONCLUSION: The role of corticosteroids in the treatment of HSP is still controversial. But from various research, we can conclude that the role of corticosteroid in HSP is as a symptom reliever (reduce abdominal pain and arthritis), but does not slow the progression of renal disease.

scholarly journals Deciduosis of the Appendix Manifesting as Acute Abdomen in Pregnancy

2014 ◽  
Vol 14 (1) ◽  
pp. 43-45 ◽  
Author(s):  
Anita Balta ◽  
Maija Lubgane ◽  
Ineta Orube ◽  
Guna Ziemele ◽  
Andrejs Vanags ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Acute Abdomen ◽  
Acute Abdominal Pain ◽  
Documented Case ◽  
Gangrenous Appendicitis ◽  
In Pregnancy

Summary Acute appendicitis is one of the most common surgical diseases during pregnancy. In rare cases, ectopic decidual tissues (deciduosis) can develop in the appendix and cause inflammation. Here we report a well-documented case of appendicular deciduosis presenting with acute abdominal pain and resulting in gangrenous appendicitis.

Henoch-Schönlein Purpura and Human Parvovirus Infection

PEDIATRICS ◽  
1986 ◽  
Vol 78 (1) ◽  
pp. 183-184
Author(s):  
J. J. LEFRÈRE ◽  
A. M. COUROUCÉ ◽  
J. P. SOULIER ◽  
M. P. CORDIER ◽  
M. C. GUESNE GIRAULT ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Hemolytic Anemia ◽  
Joint Pain ◽  
Past History ◽  
Henoch Schonlein Purpura ◽  
Erythema Infectiosum ◽  
Aplastic Crisis ◽  
Fifth Disease ◽  
Schonlein Purpura ◽  
Chronic Hemolytic Anemia

To the Editor.— Human parvovirus is already known to be responsible for aplastic crisis in chronic hemolytic anemia,1 for erythema infectiosum or fifth disease,2 and for arthropathies,3,4 and it has recently been isolated from the serum of patients with vascular purpura.5 We report the case of Henoch-Schonlein purpura associated with human parvovirus infection. H. T., a 6-year-old girl, without any significant past history, was admitted on March 8, 1985, for joint pain and swelling (wrists, knees, ankles) associated with intense abdominal pain.

Steroid Effects on the Course of Abdominal Pain in Children With Henoch-Schonlein Purpura

PEDIATRICS ◽  
1987 ◽  
Vol 79 (6) ◽  
pp. 1018-1021
Author(s):  
NORMAN D. ROSENBLUM ◽  
HARLAND S. WINTER
Keyword(s):  
Abdominal Pain ◽  
Gastrointestinal Symptom ◽  
Systemic Vasculitis ◽  
Skin Lesions ◽  
Intestinal Bleeding ◽  
Controlled Trials ◽  
Henoch Schonlein Purpura ◽  
Intestinal Lesions ◽  
Schonlein Purpura ◽  
Henoch Schönlein Purpura

Henoch-Schonlein purpura is a systemic vasculitis of unknown cause that is characterized primarily by abdominal pain, arthritis, and purpuric skin lesions. Abdominal pain is the most common gastrointestinal symptom, but intestinal bleeding and intussusception may occur. Previous studies have supported the use of steroids in managing the abdominal pain of Henoch-Schonlein purpura.1,2 Because there are no controlled trials using steroids in this disease, their value in affecting the intestinal lesions of Henoch-Schonlein purpura remains unknown. The purpose of this retrospective study was to assess the effect of corticosteroids on the outcome of abdominal pain in children with Henoch-Schonlein purpura. PATIENTS AND METHODS

IgA vasculitis with terminal ileitis and giant duodenum ulceration and review of the literatures

2021 ◽  
Author(s):  
Wang Fengge ◽  
Wang Xiaoli ◽  
Wu Daiqin
Keyword(s):  
Abdominal Pain ◽  
Acute Abdomen ◽  
Early Recognition ◽  
Gastrointestinal Symptoms ◽  
Lower Limbs ◽  
Iga Vasculitis ◽  
Terminal Ileitis ◽  
Patients Âgés ◽  
Female Patients ◽  
Schonlein Purpura

Abstract BackgroundImmunoglobulin A vasculitis (IgA V), formerly Henoch–Schönlein purpura, is one of the most common self-limiting vasculitis in children. In 15-20% IgA V cases, gastrointestinal symptoms precede the rashes,they no specific gastrointestinal symptoms and often present as acute abdomen, making the diagnosis difficult.Case presentationWe present two female patients, ages 8 years old and 5 years old, who presented to vomiting and abdominal pain, rashes appeared on the lower limbs a few days later, they were subsequently diagnosed with IgA V. Both patients were given IV methylprednisolone, achieved benign clinical results.ConclusionsWhen gastrointestinal symptoms precede the rashes, it is difficult to diagnose IgA vasculitis, resulting in unnecessary surgery. Early recognition and treatment will promote the remission of the children and avoid unnecessary surgery.

scholarly journals Torsion of the Omentum: A Rare Cause of Acute Abdomen in a 14-Year-Old Boy

2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Chijioke Chinaka ◽  
Shahbaz Mansoor ◽  
Mohamed Salaheidin
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Acute Abdomen ◽  
Acute Abdominal Pain ◽  
Age Group ◽  
First Line ◽  
Omental Torsion ◽  
Younger Age ◽  
Remarkable Recovery ◽  
Rule Out

Acute abdominal pain is a common surgical presentation, and most often, the first line of consideration is to rule out acute appendicitis; this is more so when the patient is an adolescent or within younger age group. In most cases, other differentials are considered before omental torsion. Omental torsion is a cause of acute abdominal pain and sometimes mimics acute appendicitis in its presentation. We present a case of a 14-yr-old boy who presented with acute abdomen with symptoms mimicking acute appendicitis. Laparoscopy revealed torsion of the omentum. Omentectomy and appendicectomy were done, and the child discharged four days after following a remarkable recovery.

Concentrations of serotonin in plasma--a test for appendicitis?

1988 ◽  
Vol 34 (12) ◽  
pp. 2572-2574 ◽  
Author(s):  
S M Singh ◽  
H G Dean ◽  
F T de Dombal ◽  
D H Wilson ◽  
M W Flowers
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Gangrenous Appendicitis

Abstract We assessed the value of measuring serotonin (5-hydroxytryptamine) in plasma (by HPLC) in the diagnosis of acute appendicitis. Values for patients with subsequently confirmed appendicitis (11-145 nmol/L, median 70 nmol/L) significantly (P congruent to 0.005) exceeded those for patients with abdominal pain in whom appendicitis was only a possible diagnosis (2-45 nmol/L, median 20 nmol/L). The results for appendicitis patients were bimodally distributed, with low results found in patients where surgery revealed gangrenous appendicitis with little viable appendicular tissue. We conclude that measuring serotonin may be of value in confirming or excluding the diagnosis of early acute appendicitis where the physical signs are equivocal, and thus helps reduce unnecessary appendectomies. However, serotonin is of little help in diagnosing gangrenous appendicitis, where physical signs are more likely to be clearcut.

scholarly journals Müllerian Remnant Cyst as a Cause of Acute Abdomen in a Female Patient with Müllerian Agenesis: Radiologic and Pathologic Findings

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Mujtaba Mohammed ◽  
Mary Allen-Proctor ◽  
Andrij Wojtowycz
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Acute Abdomen ◽  
Female Patient ◽  
Multimodality Imaging ◽  
Histopathologic Diagnosis ◽  
Pathologic Findings ◽  
Müllerian Agenesis ◽  
Inflammatory Changes ◽  
Surrounding Fluid

We report a case of a 17-year-old female with Müllerian agenesis who presented with right sided abdominal pain clinically suspicious for acute appendicitis. Multimodality imaging workup revealed a heterogeneous cystic right upper quadrant mass with surrounding fluid and inflammatory changes. Surgical resection of this mass was performed and a histopathologic diagnosis of a hemorrhagic Müllerian remnant cyst was made, which to the best of our knowledge has never been described in a patient with Müllerian agenesis.

Another Look at Acute Appendicitis in Tropical Africa: And the Value of Laparoscopy in Diagnosis

1993 ◽  
Vol 23 (2) ◽  
pp. 82-84 ◽  
Author(s):  
B C Ogbonna ◽  
P O Obekpa ◽  
J T Momoh ◽  
J T Ige ◽  
C H Ihezue
Keyword(s):  
Decision Making ◽  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Acute Abdomen ◽  
Clinical Decision Making ◽  
Acute Abdominal Pain ◽  
Clinical Decision ◽  
Tropical Africa ◽  
Increased Risk ◽  
Negative Appendicectomy

Acute appendicitis is believed to be one of the commonest causes of the acute abdomen in tropical Africa. Negative appendicectomy rates are usually above 20%, which is now considered unacceptably high because of increased risk to patients and the availability of diagnostic facilities to aid clinical decision-making. Our negative appendicectomy rate over a 4-year retrospective period was 29.7% in males, and 47% in females. These reduced to 11 % and 10%, respectively, after the introduction of laparoscopy for doubtful cases of acute abdominal pain.

scholarly journals Torsion of the omentum: A rare cause of acute abdomen.

2021 ◽  
Vol 28 (12) ◽  
pp. 1869-1873
Author(s):  
Sajid Malik ◽  
Gul e Lala ◽  
Abdullah Khan
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Ct Scan ◽  
Acute Abdomen ◽  
Preoperative Diagnosis ◽  
Clinical Signs ◽  
Lower Abdominal Pain ◽  
X Rays ◽  
Omental Torsion ◽  
Operative Recovery

Omental torsion is a rare cause of acute abdominal pain. Diagnosis of omental torsion is usually difficult because clinical signs and symptoms are similar to other common causes of abdominal pain. The most common preoperative diagnosis is acute appendicitis and the proper preoperative diagnosis is important for the appropriate treatment option. Diagnosis of omental torsion is difficult and mainly based on ultrasound and computed tomography (CT) scan analysis. Case Presentation: A 26 years old male patient presented to emergency department with acute abdomen mimicking acute appendicitis. The chest and abdominal X-rays were normal. Due to intense clinical signs and worsening of the symptoms the patient underwent an operation with the probable diagnosis of acute appendicitis. In this case patient explored via gridiron incision, the omentum was found to be gangrenous that had encased the appendix so midline incision given. Post-operative recovery was uneventful. Conclusion: Omental torsion is highly uncommon cause of right lower abdominal pain and difficult to diagnose preoperatively. It presents with non-specific symptoms, mimicking other abdominal conditions presenting a similar clinical settings. CT scan is very helpful in diagnosis. Surgical treatment is the procedure of choice with laparoscopy being the preferable approach. 

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