scholarly journals Analysis on the Clinical Effects of Emergency Surgical Treatment on Patients with Acute Abdominal Pain

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Xuan Hu
Keyword(s):  
Abdominal Pain ◽  
Surgical Treatment ◽  
Emergency Surgery ◽  
Acute Abdominal Pain ◽  
Definitive Diagnosis ◽  
Clinical Effects ◽  
Non Invasive ◽  
Complications And Mortality

Objective: To study the clinical effects of emergency surgery in treating patients with acute abdominal pain. Methods: 60 patients admitted to our hospital between January 2019 and December 2019 were randomly selected as subjects, and the incidence of complications and mortality of the patients were observed. Results: Among the 60 patients, definitive diagnosis was obtained during the operation and there was no mortality. After the operation, they were transferred to other relevant departments for continued treatment. Among the 60 patients, 4 cases had complications, accounted for incidence of 6.67%. Conclusion: The diagnosis of emergency surgical treatment based on acute abdominal pain avoided misdiagnosis and realized non-invasive diagnosis, and provided a valid reference for avoiding overtreatment.

Surgical tactic in treatment of ovarian masses in adolescents

2015 ◽  
Vol 6 (1) ◽  
pp. 81-86
Author(s):  
Svetlana Alekseevna Leontyeva ◽  
Elena Aleksandrovna Ulrikh ◽  
Nadezda Anatolyevna Kokhreidze
Keyword(s):  
Abdominal Pain ◽  
Surgical Treatment ◽  
Ovarian Tumor ◽  
Acute Abdominal Pain ◽  
Malignant Tumors ◽  
Ovarian Torsion ◽  
Reproductive Status ◽  
Gonadotropin Stimulation ◽  
Ovarian Masses ◽  
Status Of Women

Ovarian lesions in children are most frequently diagnosed in pubertal period. That could be associated with increased gonadotropin stimulation in this period. Most of the andexal masses in adolescents are benign. Malignant tumors of the ovary account less than 2 % in girls. Every girl with ovarian tumor and acute abdominal pain requires urgent differential diagnostic intervention and/or surgical treatment. The proportion of ovarian torsion is 2-3 % of all cases of abdominal pain in girls. This condition is an emergent gynecological pathology. One of the main aim of surgical treatment in young is to preserve fertility. Different surgery tactics in cases of ovarian masses in adolescents are reviewed in the article. The reproductive status of women underwent treatment for ovarian masses in childhood requires further investigations.

scholarly journals Spontaneousrupture of a giant thoracic duct cyst presenting with abdominal pain and a tension chylothorax

2020 ◽  
Vol 31 (5) ◽  
pp. 732-733
Author(s):  
Megan Garner ◽  
Dileep Duvva ◽  
John Gosney ◽  
Silviu Buderi
Keyword(s):  
Abdominal Pain ◽  
Surgical Treatment ◽  
Thoracic Duct ◽  
Definitive Diagnosis ◽  
Rare Occurrence ◽  
Duct Cyst

Abstract Ruptured thoracic duct cysts are an extremely rare occurrence that may arise spontaneously or due to trauma. Surgical treatment is needed to provide a definitive diagnosis, drain the chylothorax and ligate the thoracic duct to prevent reoccurrence. We report the case of a woman with a ruptured thoracic duct cyst presenting with abdominal pain and subsequent tension chylothorax. To the best of our knowledge, this is the first such reported case.

Multiple abdominal artery dissections: how to distinguish two rare diseases

2021 ◽  
Vol 14 (8) ◽  
pp. e243196
Author(s):  
Sara De Marchi ◽  
Silvio Pianca ◽  
Luca Ceriani ◽  
Pietro E Cippà
Keyword(s):  
Abdominal Pain ◽  
Ct Scan ◽  
Rare Diseases ◽  
Mesenteric Artery ◽  
Diagnostic Procedure ◽  
Acute Abdominal Pain ◽  
Non Invasive ◽  
Appropriate Treatment ◽  
Sustained Recovery ◽  
Invasive Diagnostic Procedure

A 59-year-old woman was referred to the emergency room with acute abdominal pain. A CT scan revealed multiple dissections and microaneurysms of the superior mesenteric, the hepatic and the renal arteries. Stenting of the superior mesenteric artery was required. A non-invasive diagnostic procedure was instrumental to establish the diagnosis and guide appropriate treatment, which resulted in a rapid and sustained recovery.

Etiologies and outcomes of emergency surgery for acute abdominal pain: an audit of 1456 cases in a single center

2018 ◽  
Vol 46 (2) ◽  
pp. 363-369 ◽  
Author(s):  
Yuichi Takayama ◽  
Yuji Kaneoka ◽  
Atsuyuki Maeda ◽  
Yasuyuki Fukami ◽  
Takamasa Takahashi ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Emergency Surgery ◽  
Acute Abdominal Pain ◽  
Single Center

scholarly journals The isolated tubal torsion: an insidious pediatric and adolescent pelvic urgency

2018 ◽  
Vol 40 (2) ◽  
Author(s):  
Carmine Noviello ◽  
Mercedes Romano ◽  
Alfonso Papparella ◽  
Andrea Ciavattini ◽  
Ascanio Martino ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Preoperative Diagnosis ◽  
Acute Abdominal Pain ◽  
Definitive Diagnosis ◽  
Female Adolescents ◽  
Fallopian Tubes ◽  
Blood Tests ◽  
One Year ◽  
Laparoscopic Salpingectomy

Isolated tubal torsion (ITT) is a rare cause of acute abdominal pain. Preoperative diagnosis is difficult because of a lack of specific signs. Surgery is recommended to preserve the integrity of the tube. Seven patients of median age of 13 years (range 9 to 15) came to our observation for worsening abdominal pain, nausea and vomiting. On admission, all girls had blood tests and ultrasound. Laparoscopy was performed for diagnosis in all cases. The girls had one-month and one-year ultrasound and clinic follow up. In all cases diagnosis was delayed, median 66 hours after the onset of symptoms and laparoscopy showed necrosis of the Fallopian tube. In five girls a laparoscopic salpingectomy was performed. In the other two, an open salpingectomy was necessary because of pelvic adhesions. Histology showed a hemorrhagic infarction of the Fallopian tubes. At follow up all patients were asymptomatic with normal ovaries, but one ovarian cyst. In the differential diagnosis of acute abdominal pain in children or female adolescents the possibility of ITT should be considered for a conservative treatment. Laparoscopy allows for definitive diagnosis and treatment.

Evaluation of surgical treatment for signs of acute abdominal pain in draft horses: 72 cases (1983–2002)

2006 ◽  
Vol 228 (10) ◽  
pp. 1546-1550 ◽  
Author(s):  
Ryan Rothenbuhler ◽  
Jan F. Hawkins ◽  
Stephen B. Adams ◽  
Timothy B. Lescun ◽  
Ann B. Weil ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Surgical Treatment ◽  
Acute Abdominal Pain

scholarly journals Express Immunochromatographic Detection of Rotavirus and Adenovirus Antigens in Pre-Hospital Differential Diagnosis of Acute Abdominal Pain in Children

2018 ◽  
Vol 15 (3) ◽  
pp. 212-217
Author(s):  
Ekaterina A. Romanova ◽  
Leyla S. Namazova-Baranova ◽  
Elena Yu. Dyakonova ◽  
Aleksey Yu. Romanov ◽  
Kazbek S. Mezhidov ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Surgical Treatment ◽  
Medical Records ◽  
Acute Abdominal Pain ◽  
Search Algorithm ◽  
Healthcare Delivery ◽  
Rapid Test ◽  
Viral Gastroenteritis ◽  
Rapid Tests

Background.The assessment of the condition of a child with acute abdominal pain and a diagnostic search algorithm at the prehospital stage determine the further routing of the patient and the timeliness of healthcare delivery.Objective.Our aim was to evaluate the possibility of using immunochromatographic rapid tests (ICA) to determine the rota- and adenovirus infection in pre-hospital differential diagnosis of abdominal syndrome in children.Methods.In a retrospective cohort study, we analyzed the medical records of patients with a combination of abdominal and intestinal syndromes who applied for medical assistance to the emergency pediatric department of the FSAI “NMRC of Children’s Health” of the Ministry of Health of Russia from January 2015 to December 2017.Results.Outpatient medical records of 201 patients aged from 4 months to 17 years have been analyzed. In patients with a positive ICA, only 6% (5/88) of cases had doubtful or positive symptoms of peritoneal irritation, whereas in the case of a negative rapid test, almost all children needed a surgeon’s consultation. The frequency of leukocytosis detection in a clinical blood test was not different in patients with different results of ICA. The increase of C-reactive protein as a marker of bacterial inflammation was more common in patients with a negative rapid test. The volume of additional diagnostic care in the group of patients with a negative ICA result was significantly higher than in patients with confirmed viral gastroenteritis. None of the children with confirmed viral gastroenteritis required a surgical treatment. In the group with a negative ICA result, surgical treatment was performed in 11% (12/113) cases.Conclusion.Patients with confirmed viral gastroenteritis require significantly fewer diagnostic measures; they also have a minimal probability of acute surgical pathology. The use of laboratory rapid tests at the pre-hospital stage plays an important role in the timely diagnosis and the reduction in the frequency of non-specialized hospitalization.

Bayesian Diagnostic Probabilities without Assuming Independence of Symptoms

1991 ◽  
Vol 30 (01) ◽  
pp. 15-22 ◽  
Author(s):  
A. Gammerman ◽  
A. R. Thatcher
Keyword(s):  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Final Diagnosis ◽  
Bayes Theorem ◽  
Bayes Method ◽  
Hospital Records ◽  
Computer Diagnosis ◽  
Bayes Model ◽  
Chi Squared ◽  
Past Data

The paper describes an application of Bayes’ Theorem to the problem of estimating from past data the probabilities that patients have certain diseases, given their symptoms. The data consist of hospital records of patients who suffered acute abdominal pain. For each patient the records showed a large number of symptoms and the final diagnosis, to one of nine diseases or diagnostic groups. Most current methods of computer diagnosis use the “Simple Bayes” model in which the symptoms are assumed to be independent, but the present paper does not make this assumption. Those symptoms (or lack of symptoms) which are most relevant to the diagnosis of each disease are identified by a sequence of chi-squared tests. The computer diagnoses obtained as a result of the implementation of this approach are compared with those given by the “Simple Bayes” method, by the method of classification trees (CART), and also with the preliminary and final diagnoses made by physicians.

Presentation of Gall Stone Ileus as Gut Obstruction

JMS SKIMS ◽  
2019 ◽  
Vol 21 (2) ◽  
pp. 117-119
Author(s):  
Munir Ahmad Wani ◽  
Mubarak Ahmad Shan ◽  
Syed Muzamil Andrabi ◽  
Ajaz Ahmad Malik
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Ct Scan ◽  
Bowel Obstruction ◽  
Emergency Surgery ◽  
Gallstone Ileus ◽  
Gall Stone ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Gall Stone Ileus

Gallstone ileus is an uncommon and often life-threatening complication of cholelithiasis. In this case report, we discuss a difficult diagnostic case of gallstone ileus presenting as small gut obstruction with ischemia. A 56-year-old female presented with abdominal pain and vomiting. A CT scan was performed and showed an evolving bowel obstruction with features of gut ischemia with pneumobilia although no frank hyper density suggestive of a gallstone was noted. The patient underwent emergency surgery and a 60 mm obstructing calculus was removed from the patient's jejunum, with a formal tube cholecystostomy. JMS 2018: 21 (2):117-119

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