Groove Pancreatitis in a Patient With Recurrent Abdominal Pain and History of Alcohol Misuse

Consultant ◽  
2021 ◽  
Author(s):  
Sahil Gupta ◽  
◽  
Vikas Jain ◽  
2019 ◽  
Vol 12 (12) ◽  
pp. e232098 ◽  
Author(s):  
Takashi Sakamoto ◽  
Alan Kawarai Lefor

Left paraduodenal hernias are the most common type of congenital internal hernia, but they are difficult to diagnose without appropriate imaging. A 79-year-old man with a history of recurrent abdominal pain had another similar episode of abdominal pain, which prompted him to seek evaluation. The pain resolved spontaneously on arrival to the hospital. Enhanced CT scan showed the characteristic findings of a left paraduodenal hernia and laparoscopic repair was undertaken. The small intestine was reduced successfully, and the hernia orifice was approximated with a continuous closure. He was discharged uneventfully 4 days after admission. The characteristic clinical and imaging findings of paraduodenal hernias are reviewed. Laparoscopic repair is reasonable in patients who have a paraduodenal hernia without intestinal ischemia.


Author(s):  
Rashid Hameed ◽  
Noshine Irrum ◽  
Subodhini P. Arachchige ◽  
Edwin Tan ◽  
Jacinta Tobin

In genetically susceptible individuals, gluten ingestion triggers and immune infiltration and bowel damage in the classical pattern of coeliac disease, with variable symptoms. Intussusception is a condition where one segment of intestine ‘telescopes’ inside of another portion of intestine, which may cause symptoms of abdominal pain due to obstruction. Intussusception has been associated with coeliac disease. We report a 4-year-old girl presented with recurrent abdominal pain of variable severity and found to have intussusception on two occasions, which on both occasions reduced spontaneously during ultrasound examinations. She was later diagnosed with coeliac disease. This case highlights the importance of considering coeliac screening in patients with a history of recurrent abdominal pain and intussusception.


Author(s):  
Christine U. Lee ◽  
James F. Glockner

35-year-old man with a long history of diabetes mellitus and recent episode of peritonitis now presents with recurrent abdominal pain and fever Axial fat-suppressed FSE T2-weighted images (Figure 5.1.1) show multiple hyperintense lesions in the spleen. The diffuse, decreased signal intensity throughout the remainder of the spleen is due to hemosiderosis and iron deposition. Gadolinium-enhanced axial 3D SPGR images (...


2021 ◽  
Vol 39 (4) ◽  
pp. 261-265
Author(s):  
ABM Moniruddin ◽  
Salma Chowdhury ◽  
Tanvirul Hasan ◽  
Kazi Muhammad Mahmudul Hasan ◽  
- RounakJahan ◽  
...  

Acute appendicitis is a very common surgical emergency. It has got diverse presentations and various complications. Here, we report case history of a young male patient with a 2- year history of recurrent abdominal pain, who presented to our center with a 4-day history of increasing abdominal pain, constipation and vomiting. Clinical and radiological evaluation revealed it as a case of acute intestinal obstruction preoperatively. Per-operative findings suggested acute appendicitis without perforation, small gut obstruction by adhesions, appendicular lump or internal herniation. Appendicectomy was done along with other necessary procedures. His post-operative period was uneventful. This case is reported here to highlight that acute appendicitis may present with atypical features like acute small gut obstruction. J Bangladesh Coll Phys Surg 2021; 39: 261-265


2017 ◽  
Vol 41 (1) ◽  
pp. 4-8
Author(s):  
Hossain Sahid Kamrul Alam ◽  
Mohammed Rizwanul Ahsan ◽  
Md Aynal Hoque ◽  
Abm Mahfuz Hassan Al Mamun ◽  
Syed Shafi Ahmed

Background: Abdominal pain is very common among children and adolescents. There are many causes of recurrent abdominal pain in children, but parents may find it surprising that it is very common for there to be no clear cause identified for childhood abdominal pain even though examinations and tests have been done.Objective: This study was carried out to identify the demographic profile, causes and outcomes of adolescents admitted with recurrent abdominal pain.Methods: This Retrospective descriptive study was carried out at the Adolescent Unit of Dhaka Shishu (Children) Hospital during the period from 1st October 2015 to 31st March 2017 among 102 adolescents with history of recurrent abdominal pain after following the inclusion and exclusion criteria. Collected data were statistically analyzed with the use of the Statistical Package for Social Science (SPSS) program version 15.Results: Out of 1080 total 102 (9.44%) adolescents were admitted with recurrent abdominal pain of which majority subjects were male (57%). Urban were 61.76% and rest were rural (38.24%). The specific diagnosis pattern revealed that majority had Functional abdominal pain (44.12%) followed by Urinary tract infection (UTI) (20.59%), Peptic ulcer diseases (13.73%), Gastroesophagial reflux diseases (GERD) (11.76%), Abdominal tuberculosis (5.88%), Pelvic inflammatory diseases (4.90%), Cholecystitis (1.96%) and Abdominal migraine (0.98%).Conclusion: Recurrent abdominal pain is common among adolescents. Functional abdominal pain is the most common cause of recurrent abdominal pain. An uniform management protocol should be developed for proper investigations to minimize the cost and for judicious use of drugs in order to help these adolescents with recurrent abdominal pain.Bangladesh J Child Health 2017; VOL 41 (1) :4-8


Hereditary angioedema (HAE) is the deficiency or dysfunction of C1 esterase inhibitor (C1-INH). However, it may also occur due to either increased activity of factor XII / estrogen levels or through an unidentified cause. It manifests the attacks of swelling involving the skin and / or the mucosa / sub mucosa of different organs. The attacks may be the result of a specific trigger or occur spontaneously. The intestinal angioedema is clinically presented with moderate or severe abdominal pain, associated with nausea, vomiting, diarrhea and / or ascites, and interpreted as an “acute abdomen”. The treatment is into three distinct phases: treatment for acute attacks, short-term prevention, and long-term prophylaxis. The 26-year-old woman with food and medication allergy presents with thirteen-year history of recurrent abdominal pain diffuse and associated with diarrhea, nausea and hands, lips and eyelids swelling. During this period, she did several exams and six laparoscopies that only revealed a small amount of free intraperitoneal fluid. Biochemical testing performed at that time revealed the C1 esterase inhibitor, decreased protein level, and C4 level, and she was, then, diagnosed in adults with intestinal involvement with HAE. After the adequate treatment and prophylaxis, she evolved with reduction of the number of attacks. The late diagnosis is associated with high morbidity. Therefore, it is extremely important the recognition and investigation of HAE with involvement in intestinal patients with recurrent attacks of unexplained abdominal pain.


2018 ◽  
pp. bcr-2018-225886 ◽  
Author(s):  
Yunfei Yang ◽  
Anne-Marie Bartsch ◽  
Eve Fryer ◽  
Daniel Hancu

A 20-year-old female patient was admitted to hospital in 2015 with 1 year history of recurrent abdominal pain, distension, borborygmi and nausea. The patient had a background of systemic lupus erythematous (SLE) diagnosed 4 years before, with skin, joint and renal involvement. The initial investigations have shown a long segment of ileal inflammation with upstream obstruction. Differential diagnoses were mainly SLE enteritis or concomitant Crohn’s. Patient failed the initial conservative management and had a laparotomy with small bowel (SB) resection and ileostomy. The histology was suggestive of autoimmune enteritis. Although bowel involvement is a frequent feature of SLE, surgery for obstruction is extremely rare. Postoperatively, she had an emergency admission and was diagnosed with SB volvulus with perforation. She underwent further resection and stoma refashioning in 2016. As a consequence, she developed short gut syndrome. Eventually, the stoma was reversed and parenteral nutrition was stopped and weight became stable.


2021 ◽  
Vol 14 (2) ◽  
pp. 21-26
Author(s):  
Kaniz Fathema ◽  
Ferdous Ara Begum ◽  
Salahuddin Al-Azad ◽  
Khan Lamia Nahid

This article has no abstract. The first 100 words appear below: A 12-year-old immunized girl with only issue of non-consanguineous parents presented with the complaints of severe, agonizing, and continued upper abdominal pain which radiated to the back, aggravated after taking food and partially relieved on leaning forward for the last 4 days. The pain was associated with several episodes of vomiting. She had a history of similar types of 3 attacks within the last 1 year and in between attacks, she was comparatively well. On query, the mother gave a history of gradual weight loss.


2017 ◽  
Vol 51 (3) ◽  
pp. 152-154 ◽  
Author(s):  
Lalithapriya Jayakumar ◽  
Francis J. Caputo ◽  
Joseph V. Lombardi

A 22 year old female with a history of recurrent abdominal pain was transferred to our institution with a diagnosis of splenic artery aneurysm identified on imaging. CT angiography of the abdomen and pelvis revealed a partially thrombosed 3.0 cm splenic artery aneurysm without signs of rupture and with an anomalous origin from the superior mesenteric artery. The patient was successfully treated with endovascular exclusion of the aneurysm. Herein we review some of the nuances of endovascular repair of splenic artery aneurysm.


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