scholarly journals DIAGNOSTIC LAPAROSCOPY IN CHRONIC AND RECURRENT ABDOMINAL PAIN MANAGEMENT

2020 ◽  
Vol 4 (12) ◽  
Author(s):  
Abhishek Jina ◽  
Abhinav Chaudhary ◽  
U C Singh
Keyword(s):  
Abdominal Pain ◽  
Diagnostic Laparoscopy ◽  
Unknown Origin ◽  
Recurrent Abdominal Pain ◽  
Chronic Abdominal Pain ◽  
Chronic Appendicitis ◽  
Fluid Analysis ◽  
Invasive Method ◽  
Safe Technique

Background: Chronic abdominal pain is a common condition encountered by many surgeons in their clinic every day. Despite of availability of different tests in maximum cases the reason behind the pain remains unknown. Diagnostic Laparoscopy is a safe technique that can identify the cause of the pain without using any invasive method. In the present study, the use of diagnostic laparoscopy in the diagnosis and management of chronic and recurrent abdominal pain of unknown origin was investigated. Material and Methods: All the patients who visited the outpatient department with chronic abdominal pain were included in this study. All the demographic parameters were included and after careful investigation diagnostic laparoscopy were conducted in all these patients. The postoperative outcomes were also recorded in all the patients. Result: Total of 51 patients was included in this study. Among these patients 23 patients were male and 28 patients were female. Maximum of the patients were in the 31-40 years of age group. The most common pathology for chronic abdominal pain was chronic appendicitis (n=9, 18%) followed by Koch's abdomen and adhesions (n=8, 16%). There were 4 cases of Carcinoma of the gall bladder and 3 cases of metastatic disease with dissemination in the peritoneal cavity and ascitis. 3 cases of liver cirrhosis and 3 cases of endometriosis were also detected. 2 cases of ovarian cysts which were missed by USG were detected correctly by laparoscopy. There were two unusual cases, one of chronic ectopic pregnancy and another of Crohn's disease. All the above findings were confirmed by direct visualizing (86%), or by biopsy (74%) or by fluid analysis. There were no long term complications in our study. Conclusion: The present study concluded that laparoscopy is a safe and effective method for diagnosis of chronic abdominal pain. Keywords: Chronic abdominal pain, diagnostic laparoscopy, recurrent abdominal pain

scholarly journals The role of laparoscopy in diagnosis of patients with chronic abdominal pain

2016 ◽  
Vol 4 (1) ◽  
pp. 326 ◽  
Author(s):  
Pradeep Saxena
Keyword(s):  
Abdominal Pain ◽  
Clinical Picture ◽  
Descriptive Analysis ◽  
Abdominal Tuberculosis ◽  
Chronic Abdominal Pain ◽  
Diagnostic Dilemma ◽  
Chronic Appendicitis ◽  
Fluid Analysis ◽  
Conclusive Diagnosis

Background: Chronic abdominal pain still remains one of the leading clinical problems presenting to physicians. Reaching a definitive diagnosis and prompt management is usually delayed because invasive investigations are frequently required to come to a conclusive diagnosis. The aim was to study the varied clinical picture of chronic abdominal pain and evaluate the role of laparoscopy in reaching a conclusive diagnosis in these patients.Methods: A prospective and retrospective study of 142 patients of chronic abdominal pain who underwent diagnostic laparoscopy in our surgery department from June, 2006 to December, 2015 was done. A descriptive analysis of data collected from case records of these patients was done to study the varied clinical picture, laboratory reports, radiological findings, laparoscopic findings and histological reports. The usefulness of laparoscopy to confirm the diagnosis and in clinical management of these patients of chronic abdominal pain was evaluated.Results:Laparoscopy was performed in 142 patients of chronic abdominal pain with unsettled diagnosis. A conclusive diagnosis could be made in 136 of these patients. The common causes of chronic abdominal pain were abdominal tuberculosis, adhesions, bands, small intestinal strictures, chronic appendicitis, abdominal malignancy and various gynecological diseases. Gynecological problems causing chronic abdominal pain were pelvic inflammatory disease, ovarian cyst, tubo-ovarian mass, hydrosalpinx, fibroid uterus, bulky uterus, endometriosis. Thus laparoscopy provided positive diagnosis of in 136 (95.77%) patients based on laparoscopic findings, histological reports, ascitic fluid analysis and cytology.Conclusions:In patients suspected to have abdominal pathology early laparoscopy may be useful to establish a conclusive diagnosis with acceptably low morbidity (<5 %). An early resort to laparoscopy can resolve the diagnostic dilemma and early treatment can be instituted.

scholarly journals Evaluation of efficacy of laparoscopy in patients with chronic abdominal pain

2017 ◽  
Vol 4 (6) ◽  
pp. 1856
Author(s):  
Sanjay Prasad ◽  
Suraj Jain ◽  
Advait Prakash ◽  
Ajeet Gautam ◽  
Mohan Gadodia ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Diagnostic Laparoscopy ◽  
Psoas Abscess ◽  
Demographic Data ◽  
Tertiary Care ◽  
Cost Effective ◽  
Abdominal Tuberculosis ◽  
Pelvic Abscess ◽  
Chronic Abdominal Pain ◽  
Chronic Appendicitis

Background: Chronic abdominal pain is a major cause of surgical dilemma. Patients with chronic abdominal pain usually undergo a battery of investigations without yielding much in diagnosis. The pain in such patients therefore becomes chronic and perpetual source of discomfort. This study was under taken to assess the efficacy of performing diagnostic and therapeutic laparoscopy in patients with chronic abdominal pain for longer than 3 weeks or more.Methods: This prospective study was performed at a tertiary care level hospital. All patients undergoing laparoscopy for chronic abdominal pain were included in the study from December 2013 to June 2015. The patient’s demographic data, duration of pain, diagnostic studies, intra-operative findings during laparoscopy, interventions performed and follow-up were recorded and evaluated.Results: A total of 50 patients, 22 females and 28 males, between age range of 10 years to 60 years underwent diagnostic laparoscopy for the evaluation and treatment of chronic abdominal pain. The average duration with pain was 10.38 weeks (range 4-32 weeks). Findings included abdomen chronic appendicitis in 15 patients, abdominal tuberculosis in 11 patients, ovarian cyst five patients, sub acute intestinal obstruction in five patients and liver abscess four patients. Meckel’s diverticulum, ectopic pregnancy, pelvic abscess, appendicular lump, Psoas abscess and typhilitis were noted in one patient each. Various procedures in accordance with pathology were performed. 92% of patients had pain relief at the time of follow up.Conclusions: Diagnostic laparoscopy is a better, cost-effective, and efficient method of establishing the diagnosis in patients with chronic abdominal pain.

Efficacy of Laparoscopy in Diagnosis and Treatment of Chronic Abdominal Pain of Unknown Origin

2019 ◽  
Vol 85 (10) ◽  
pp. 1104-1107
Author(s):  
Jamil S. Samaan ◽  
Emily Chang ◽  
Nadav J. Hart ◽  
Evan T. Alicuben ◽  
Fadi Samaan ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Diagnostic Laparoscopy ◽  
Unknown Origin ◽  
Definitive Diagnosis ◽  
Chronic Abdominal Pain ◽  
Positive Finding ◽  
Safe Procedure ◽  
Single Institution ◽  
Therapeutic Tool

Chronic abdominal pain of unknown origin is a challenging diagnosis encountered by clinicians. Patients often undergo an extensive workup and long periods of uncertainty without the establishment of a definitive diagnosis. Diagnostic laparoscopy is a relatively safe procedure that can be used as an effective diagnostic and therapeutic tool in treating this disease. This was a retrospective, single-institution study exploring the efficacy of diagnostic laparoscopy in treating chronic abdominal pain of unknown origin. More than 90 per cent of laparoscopies resulted in a positive finding, with adhesions being the most common. A total of 50 per cent of patients experienced resolution of symptoms on follow-up. Patients were overwhelmingly satisfied with their postoperative outcomes and willing to undergo the procedure again with their outcomes in mind.

Missed diagnosis of imperforate hymen later presenting with hypertension

2020 ◽  
Vol 13 (9) ◽  
pp. e237416
Author(s):  
Moira Chia ◽  
Christopher Ho
Keyword(s):  
Abdominal Pain ◽  
Adolescent Girl ◽  
Chronic Abdominal Pain ◽  
Medical Attention ◽  
Imperforate Hymen ◽  
Missed Diagnosis

An adolescent girl presented with hypertension and was found to have haematocolpos and imperforate hymen. She had a background of chronic abdominal pain and had sought medical attention multiple times prior, with the diagnosis being missed as pubertal evaluation and perineal examination had been neglected during those visits. Hypertension resolved following hymenectomy and drainage of haematocolpos with no long-term sequelae.

Long-Term Health Outcomes in Patients with Recurrent Abdominal Pain

1995 ◽  
Vol 20 (2) ◽  
pp. 233-245 ◽  
Author(s):  
Lynn S. Walker ◽  
Judy Garber ◽  
Deborah A. Van Slyke ◽  
John W. Greene
Keyword(s):  
Abdominal Pain ◽  
Health Outcomes ◽  
Recurrent Abdominal Pain

The case of recurrent abdominal pain in a girl

2013 ◽  
Vol 4 (4) ◽  
pp. 93-95
Author(s):  
Dmitry Vladimirovich Pechkurov ◽  
Evgeniya Nikolayevna Voronina ◽  
Yuliya Evgenyevna Allenova
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Abdominal Pain ◽  
Rare Disease ◽  
Surgical Procedures ◽  
Acute Intermittent Porphyria ◽  
Recurrent Abdominal Pain ◽  
Dominant Type ◽  
Different Parts

Abdominal pain is often occur in practice of the pediatrician and gastroenterologist. Recurrent, intense, intractable abdominal pain for several years should be a symptom of anxiety. In this article, we present a case of long-term recurrent abdominal pain in a girl, accompanied by neurological symptoms, as a symptom of a rare disease - acute intermittent porphyria. Acute intermittent porphyria - inherited by dominant type disease characterized by lesions of the peripheral and central nervous system, the most frequent symptom of which is pain in the abdomen. Abdominal pain with this disease are recurrent paroxysmal and may be localized in different parts of the stomach, leading to the setting false diagnoses, multiple hospitalizations and unjustified surgical procedures.

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