scholarly journals Mesenteric Adenitis Caused by Salmonella Typhi: A Case Report

2021 ◽  
Vol 20 (2) ◽  
Author(s):  
Nik Haszroel Hysham Nik Hashim ◽  
Nur Ain Che Azmi
Keyword(s):  
Abdominal Ultrasound ◽  
Salmonella Typhi ◽  
Full Blood Count ◽  
Quadrant Pain ◽  
Lower Quadrant Pain ◽  
Lower Quadrant ◽  
Right Lower Quadrant Pain ◽  
Mesenteric Adenitis ◽  
Loss Of Appetite ◽  
Right Lower Quadrant

Both mesenteric adenitis and acute appendicitis may present with fever and right lower quadrant pain. This presentation makes it challenging to provide a timely and accurate diagnosis to avoid unnecessary surgery. We report a case of an 8-year-old who was admitted with fever and right lower quadrant pain, loss of appetite, and diarrhoea. There were tenderness and rigidity in the right lower quadrant of the abdomen. Hepatomegaly was present. Full blood count showed pancytopenia, and serum transaminases were mildly elevated. The clinical features in typhoid fever are not specific, making it difficult to differentiate from other infectious causes such as malaria, dengue, or leptospirosis, common in the region. This report illustrates a rare case of mesenteric adenitis caused by Salmonella serotype Typhi. It also shows the benefit of doing an abdominal ultrasound to help the surgeon decide whether surgery is necessary.

scholarly journals Elective appendicectomy for chronic right lower quadrant pain: a clinical study

2017 ◽  
Vol 4 (7) ◽  
pp. 2189
Author(s):  
P. Maharaja ◽  
Alok Mohanty ◽  
T. Ganesh ◽  
Tridip Dutta Baruah ◽  
Robinson Smile
Keyword(s):  
Clinical Study ◽  
Primary Outcome ◽  
Histopathological Examination ◽  
Abdominal Ultrasound ◽  
Differential Count ◽  
Quadrant Pain ◽  
Lower Quadrant Pain ◽  
Lower Quadrant ◽  
Right Lower Quadrant Pain ◽  
Right Lower Quadrant

Background: Chronic right-lower-quadrant abdominal pain is a frequent problem among growing population. The purpose of this study is to implement that persistent or recurrent right lower quadrant pain can be treated successfully by elective appendicectomy in properly selected cases. And to detail the outcome of management of these patients with appendectomy.Methods: This observational study was done in Mahatma Gandhi Medical College and Research Institute, Pondicherry, India between 2014-16 in patients with clinical diagnosis of chronic RLQ pain and undergoing appendicectomy. Routine laboratory investigations included hemoglobin percentage, serum leukocyte count and differential count, ESR, urine microscopy, random blood sugar, blood urea, serum creatinine, abdominal ultrasound (USG), and histopathological examination (HPE) of removed the appendix. The primary outcome measure was pain scored by the patient at 6th week and 12th week after surgery. Postoperative histopathology report was compared with the clinical improvement.  The analysis of primary outcome was performed on an intention-to-treat basis. P<0.050 was considered statistically significant.Results: Eighty-two cases of chronic RLQ pain, who met the inclusion criteria, were included in the clinical study. Elective appendicectomy was performed in all 82 patients and sample analysed by HPE.  Out of 82 (100 %) patients who underwent appendicectomy, 45 (54.90 %) were male and 37 (45.10 %) were female. About 79 cases (96.34%) of the patients were completely pain free, and only 3 (3.66%) patients did not improve after elective appendicectomy. There was no mortality. Out of 82 patients, 52 (63.41%) patients had pathological signs of appendicitis and 30 (36.59 %) patients showed the normal appendix.Conclusions: Elective laparoscopic appendicectomy in patients with chronic RLQ pain may be an effective therapeutic procedure in properly selected cases. Histopathology of the removed appendix does not contribute to the diagnosis. However, there appears to be definite scope for a much longer duration of follow-up study of the patients with chronic RLQ pains.

scholarly journals Acute appendicitis: is it a seasonal disease?

2021 ◽  
Vol 8 (11) ◽  
pp. 5196
Author(s):  
Yasir Babiker Elshambaty ◽  
Saleh A. Alzahrani ◽  
Talal A. AlOmari ◽  
Waleed S. Shahwan ◽  
Abdullah A. Alzahrani ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Abdominal Ultrasound ◽  
Operative Management ◽  
Rural Hospital ◽  
Histological Diagnosis ◽  
Quadrant Pain ◽  
Lower Quadrant Pain ◽  
Lower Quadrant ◽  
Right Lower Quadrant Pain ◽  
Right Lower Quadrant

Background: The aim of this study was to review the management of acute appendicitis in a rural hospital. It was generally reported to be more common in men. Appendicitis is the most common surgical cause of abdominal pain worldwide. Appendectomy is the lonely curative treatment of appendicitis.Methods: This was a retrospective study in which we reviewed the records of the patients who had been diagnosed and operated on for appendicectomy from January to December 2017 in a rural hospital. The data were analyzed with SPSS version 25.Results: The total number of the patients was 114. About 69.3% are males. The mean age was 25.11 years. About (39.5%) were above 20 years old. Most of the cases presented in the period between January and March (27.3%). Right lower quadrant pain was the most common presenting symptom (93.9%). Nausea and vomiting mentioned by 57 (50%) and 74 (64.9%) of the participants respectively, fever in 42 (36.8%), muscle guarding in 0.9%, tenderness in 44 (38.6%), abdominal ultrasound was requested in 96 (84%). The most common histological diagnosis was acute suppurative appendicitis with peri-appendicitis in 15 (13.2%). All the cases were treated with open appendicectomy.Conclusions: We concluded that male are more affected with acute appendicitis. The most common presenting symptom was right lower quadrant pain. The vast majority of the cases were in the winter. Ultrasound has been used in the most cases particularly in male more than in females. The most common histological diagnosis was acute suppurative appendicitis. Open appendicectomy is the main operative management in our pts.

Right Lower Quadrant Pain: Value of the Nonvisualized Appendix in Patients at Multidetector CT

Radiology ◽  
2006 ◽  
Vol 241 (1) ◽  
pp. 175-180 ◽  
Author(s):  
Suvranu Ganguli ◽  
Vassilios Raptopoulos ◽  
Fabio Komlos ◽  
Bettina Siewert ◽  
Jonathan B. Kruskal
Keyword(s):  
Multidetector Ct ◽  
Quadrant Pain ◽  
Lower Quadrant Pain ◽  
Lower Quadrant ◽  
Right Lower Quadrant Pain ◽  
Right Lower Quadrant

scholarly journals The Prevalence ofYersiniaInfection in Adult Patients with Acute Right Lower Quadrant Pain

2011 ◽  
Vol 57 (1) ◽  
pp. 14 ◽  
Author(s):  
Jun Young Jung ◽  
Young Sook Park ◽  
Dae Hyun Baek ◽  
Jeoung Ho Choi ◽  
Yun Ju Jo ◽  
...  
Keyword(s):  
Adult Patients ◽  
Quadrant Pain ◽  
Lower Quadrant Pain ◽  
Lower Quadrant ◽  
Right Lower Quadrant Pain ◽  
Right Lower Quadrant

scholarly journals A rare case of right lower quadrant pain

2019 ◽  
Vol 5 (2) ◽  
pp. 20170024
Author(s):  
Eduardo Teiga ◽  
Aleksandar Radosevic ◽  
Juan Sánchez ◽  
Marcos Busto ◽  
Guadalupe Aguilar ◽  
...  
Keyword(s):  
Pathological Examination ◽  
Childbearing Age ◽  
Diagnostic Challenge ◽  
Quadrant Pain ◽  
Lower Quadrant Pain ◽  
Lower Quadrant ◽  
Right Lower Quadrant Pain ◽  
Lower Back ◽  
Operative Findings ◽  
Right Lower Quadrant

Endometriosis of the appendix is a very rare entity and commonly affects females in childbearing age. Clinical presentation might be confusing varying from asymptomatic to acute abdominal pain and often mimicks acute appendicitis or chronic pelvic pain. Diagnosis is generally made after pathological examination as operative findings are usually non-specific. This condition poses a diagnostic challenge to radiologists and surgeons altogether and we therefore report a case of a middle aged female who presented with both right lower quadrant and right lower back pain. Recent literature is reviewed and radiological findings discussed.

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