scholarly journals Chronic pancreatitis: differential diagnosis of pain with a syndrome approach treatment

2018 ◽  
Vol 42 (4) ◽  
pp. 26-35
Author(s):  
T. N. Hristich ◽  
D. O. Hontsariuk
Keyword(s):  
Internal Medicine ◽  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Chronic Pancreatitis ◽  
Literature Review ◽  
Clinical Picture ◽  
Treatment Strategies ◽  
Pain Syndrome ◽  
Diagnostic Methods ◽  
Essential Problem

The aim of literature review is to highlight the essential problem of internal medicine – a differential diagnosis of abdominal pain syndrome in chronic pancreatitis. Features of the clinical picture of abdominal pain in the main diseases of internal medicine are presented. The effectiveness of laboratory and modern instrumental diagnostic methods and their significance in tactics and treatment strategies are discussed in detail.

scholarly journals Some Aspects of Differential Diagnosis and Treatment of Pain Syndrome in Chronic Pancreatitis

2021 ◽  
Vol 17 (28) ◽  
pp. 72-78
Author(s):  
E.A. Dubtsova ◽  
◽  
L.V. Vinokurova
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Chronic Pancreatitis ◽  
Pain Syndrome ◽  
Diagnosis And Treatment ◽  
Individual Susceptibility ◽  
Presence And Absence

Abdominal pain syndrome is widespread in the population. Pain can be both organic and functional in nature. Pain cider in chronic pancreatitis is characterized by a variety of manifestations, it depends not only on the severity of inflammation, the presence and absence of complications, but as well on individual susceptibility. Due to the fact that abdominal pain in chronic pancreatitis is multicomponent, its treatment requires the careful and deliberate approach using a variety of techniques

scholarly journals Acute Abdominal Pain in Children: Causes and Development Factors

2017 ◽  
Vol 14 (1) ◽  
pp. 55-59
Author(s):  
E. A. Romanova ◽  
L. S. Namazova-Baranova ◽  
E. Yu. Dyakonova ◽  
A. Yu. Romanov ◽  
K. S. Mezhidov ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Primary Care Physicians ◽  
Clinical Presentation ◽  
Acute Abdominal Pain ◽  
Prehospital Care ◽  
Pain Syndrome ◽  
Diagnostic Methods ◽  
Problem Solution ◽  
Technical Equipment

Currently differential diagnosis of acute abdominal pain syndrome in children at prehospital care units is vital and urgent problem which requires solution. Unfortunately, embarrassing mistakes are still followed by late or inadequate treatment and complications as a result. The problem solution requires both medical stuff alert and diagnosis algorithm revision and improvement. Improvement of technical equipment and availability of instrumental diagnostic methods at the out-hospital settings is a pressing need. The article provides a classification, detailed pathogenesis, and clinical presentation of acute abdominal pain in children under different nosologies (therapeutic and surgical). We considered the problem of adequate differential diagnosis of acute abdominal pain in children when the diagnostics is performed by primary care physicians and specialists of emergency medical services at the prehospital stage.

Congenital optic disc coloboma

2021 ◽  
pp. 33-39
Author(s):  
A.O. Nazarenko ◽  
◽  
E.E. Sidorenko ◽  
D.V. Miguel ◽  
A.S. Smartsev ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Optic Nerve ◽  
Clinical Picture ◽  
Clinical Case ◽  
Charge Syndrome ◽  
Diagnostic Methods ◽  
Newly Diagnosed ◽  
Optic Nerve Atrophy ◽  
Optic Disc Coloboma ◽  
Optic Nerve Coloboma

A clinical case of observation of a 3-year-old child with a newly diagnosed optic nerve coloboma and multiple malformations is considered. The clinical picture and diagnostic methods necessary for the diagnosis are reflected. On the example of this child, the differential diagnosis with Charge syndrome is considered. Key words: coloboma, optic nerve coloboma, partial optic nerve atrophy, astigmatism, Charge syndrome.

scholarly journals Lipoma of the cerebellopontine angle: case reports and literature review

1994 ◽  
Vol 52 (1) ◽  
pp. 58-63 ◽  
Author(s):  
Marcelo P. Ferreira ◽  
Nelson P. Ferreira ◽  
Rene Lenhardt
Keyword(s):  
Surgical Treatment ◽  
Literature Review ◽  
Cerebellopontine Angle ◽  
Case Reports ◽  
Clinical Manifestations ◽  
Treatment Strategies ◽  
Diagnostic Methods ◽  
Surgical Indications ◽  
Complete Excision

Two patients with cerebellopontine angle (CPA) lipoma were studied. They were submitted to surgical treatment. Available literature was reviewed and 29 cases with same lesion were identified which had been treated by surgery. Clinical manifestations, possibility of diagnostic methods, surgical indications and treatment strategies are discussed. Attention is called to the peculiarities of CPA lipomas and the doubtful vality of attempting complete excision in all cases.

scholarly journals SPECIFIC MOMENTS IN THE DIAGNOSTICS OF UTERINE ADNEXA TORSION IN A 15-YEAR OLD GIRL

2019 ◽  
Vol 23 (3) ◽  
pp. 154-156
Author(s):  
L. V. Adamyan ◽  
E. V. Sibirskaya ◽  
S. M. Sharkov ◽  
A. K. Fayzulin ◽  
Anastasia V. Vechernina
Keyword(s):  
Abdominal Pain ◽  
Clinical Picture ◽  
Ovarian Tumor ◽  
Inflammatory Process ◽  
Preventive Measures ◽  
Correct Diagnosis ◽  
Diagnostic Errors ◽  
Pain Syndrome ◽  
Differential Diagnostics ◽  
Adnexal Torsion

Currently, differential diagnostics and treatment of uterine adnexal torsion (UAT) in girls is not completely solved and is not an easy one because surgical and gynecological pathologies often intersect with each other. That is why, girls with abdominal pain are to be consulted by a gynecologist. The case discussed in the article demonstrates the problem with differential diagnostics in girls with “acute abdomen”. UAT differential diagnostics is not easy because this pathology has no clear clinical picture what complicates putting a correct diagnosis. UAT in girls is an acute pathology which has to be differentiated from the volume tumor-like formations in the ovaries, a frequent complication of which is an incomplete torsion of tumor leg or ovarian tumor which then leads to complete uterine adnexa torsion. Differential diagnostics should be done with other surgical pathologies such as acute appendicitis, omentum infiltration. Their clinical picture is characterized by a certain complex of symptoms which develops specific changes during the progress of the inflammatory process; this picture also depends on the anatomical peculiarities. Uterine adnexa torsion is met in 15-25% of girls with abdominal pain syndrome. The aim of this work is to demonstrate preventive measures so as to avoid possible diagnostic errors and complications associated with them in girls with abdominal pain syndrome.

scholarly journals Idiopathic omentum infarction in children — the law of "paired cases": cases report

2021 ◽  
Vol 11 (3) ◽  
pp. 403-408
Author(s):  
Islam H. Shidakov ◽  
Bakhtiyar M. Kalniyazov ◽  
Maryam N. Urusova
Keyword(s):  
Abdominal Pain ◽  
Clinical Picture ◽  
Histopathological Examination ◽  
Pain Syndrome ◽  
Complete Recovery ◽  
Greater Omentum ◽  
Surgical Strategies ◽  
Surgical Department ◽  
Omental Infarction ◽  
The Right

BACKGROUND: One of the rare causes of abdominal pain in children is an omental infarction. In the literature, there are few descriptions of this pathology in childhood. The disease is often diagnosed only intraoperatively because of its nonspecific clinical picture. Therefore, the clinical cases presented in the article may be of interest to pediatric surgeons. CASES REPORT: In the pediatric surgical department of our clinic, two patients aged five and six years old were treated after being admitted with abdominal pain syndrome, the clinical picture of which did not allow to exclude an acute surgical pathology. A laparoscopy was performed to clarify the diagnosis. Isolated lesions of the segments of the greater omentum were revealed without signs of torsion and pathology of other organs. The operations were completed by resection of the altered omental sections. Histopathological examination revealed hemorrhages and tissue necrosis. DISCUSSION: The localization of pain in the right abdomen necessitates differentiating the disease from acute appendicitis, cholecystitis, and acute gynecological pathology. In the treatment of patients with omental infarction, there are supporters of conservative and surgical strategies. We performed a resection of the affected omental segment, which enabled us to achieve complete recovery in both cases. CONCLUSION: Laparoscopy in unclear diagnostic situations permits the timely diagnosis of an omental infarction, and surgical minimally invasive intervention leads to a successful cure.

scholarly journals Keratosis Lichenoides Chronica – a Case Report and Literature Review

2014 ◽  
Vol 6 (3) ◽  
pp. 120-137
Author(s):  
Mirjana Paravina ◽  
Predrag Cvetanović ◽  
Miloš Kostov ◽  
Slađana Živković ◽  
Ivana Dimovski ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Literature Review ◽  
Rare Disease ◽  
Clinical Picture ◽  
Treatment Options ◽  
Clinical Manifestations ◽  
Poor Response ◽  
Unknown Etiology ◽  
Distinct Entity

Abstract Keratosis lichenoides chronica represents a distinct entity, a rare disease of unknown etiology and pathogenesis, with clinical manifestations which, although typical, require extensive differential diagnosis. The course of the disease is chronic, progressive, and it is resistant to various treatment options, so despite variations in the clinical picture it is really easier to diagnose than to treat. This is a case report of a male patient in whom the diagnosis of keratosis lichenoides chronica was based on typical clinical picture, repeated biopsies and histopathological findings, course of the disease and poor response to any therapy.

scholarly journals A rare, but to be considered disease, in the differential diagnosis of abdominal pain: Mesenteric Panniculitis

2020 ◽  
Vol 7 (11) ◽  
pp. 709-711
Author(s):  
Bülent Yardımcı
Keyword(s):  
Internal Medicine ◽  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Case Report ◽  
Intestinal Obstruction ◽  
High Probability ◽  
Abdominal Mass ◽  
Good Prognosis ◽  
Mesenteric Panniculitis ◽  
Idiopathic Disease

Abdominal pains are one of the major topics of emergency clinics.  Mesenteric panniculitis (MP) is one of the rarely encountered causes of abdominal pain and is known as an idiopathic disease with a good prognosis. MP may cause abdominal pain, abdominal mass and intestinal obstruction. Infections, autoimmune diseases and abdominal traumas may trigger MP. The disease may coexist with malignancy and has a high probability of developing malignancy in MP patients. In this case report, a 59-year-old female patient, who came to our Internal Medicine Outpatient Clinic with abdominal pain and who was diagnosed with MP, is presented.

Ultrasound-Guided Subcostal TAP Block with Depot Steroids in the Management of Chronic Abdominal Pain Secondary to Chronic Pancreatitis: A Three-Year Prospective Audit in 54 Patients

Pain Medicine ◽  
2019 ◽  
Vol 21 (1) ◽  
pp. 118-124 ◽  
Author(s):  
Gopinath Niraj ◽  
Yehia Kamel
Keyword(s):  
Abdominal Pain ◽  
Chronic Pancreatitis ◽  
Pain Relief ◽  
Myofascial Pain ◽  
Visceral Pain ◽  
Pain Syndrome ◽  
Chronic Abdominal Pain ◽  
Transversus Abdominis Plane Block ◽  
Transversus Abdominis ◽  
Transversus Abdominis Plane

Abstract Background Chronic pancreatitis is a common cause of recurrent chronic abdominal pain that utilizes significant health care resources. Pain in chronic pancreatitis can be of two types. Visceral pain occurs during ongoing pancreatic inflammation. Once pancreatic inflammation subsides, the pain generator can move to the abdominal wall as a result of viscerosomatic convergence and present as abdominal myofascial pain syndrome. Subcostal transversus abdominis plane block is an abdominal plane block that has been proven effective in upper abdominal pain of somatic origin. Design The authors discuss the two distinct types of chronic abdominal pain as a result of pancreatitis and present a prospective audit of a management pathway. Methods Over a three-year period, 54 patients with chronic abdominal pain as a result of pancreatitis were prospectively audited at a tertiary care university hospital. Patients were offered bilateral subcostal transversus abdominis plane block with depot steroids as the primary interventional treatment in the pathway. Results In patients with myofascial pain secondary to chronic pancreatitis, the block was effective in producing clinically significant pain relief at three months (95%, 20/21) and durable pain relief lasting six months (62%, 13/21). In patients with visceral pain, the block produced a transient benefit lasting two to three weeks in one-third (six of 17). Conclusions Subcostal transversus abdominis plane block may be an option in the management of abdominal myofascial pain syndrome secondary to chronic pancreatitis. The block is ineffective in producing clinically significant pain relief in the presence of ongoing pancreatic inflammation.

scholarly journals Differential diagnosis of abdominal pain syndrome in girls

2021 ◽  
Vol 17 (2) ◽  
pp. 84-89
Author(s):  
E.Yu. Dyakonova ◽  
◽  
P.V. Khrolenko ◽  
A.S. Bekin ◽  
◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Pain Syndrome
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