scholarly journals Clinical study of upper abdominal pain in hospitalised patients in medicine unites of a medical college in Dhaka City (Study of 104 cases)

2012 ◽  
Vol 20 (2) ◽  
pp. 124-133 ◽  
Author(s):  
MH Sardar ◽  
MAR Howdar ◽  
MU Malik ◽  
AM Appolo ◽  
MS Islam ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Clinical Study ◽  
Dhaka City ◽  
Medical College ◽  
Hospitalised Patients ◽  
Upper Abdominal

DOI: http://dx.doi.org/10.3329/jdmc.v20i2.10538 J. Dhaka Med. Coll. 2011; 20(2): 124-133

scholarly journals Primary Splenic Lymphoma (PSL): A Rare Presentation of Lymphoma

2018 ◽  
Vol 9 (2) ◽  
pp. 152-153
Author(s):  
Md Mahmudur Rahman Siddiqui ◽  
Md Mostafizur Rahman ◽  
Md Hasan Ali Masum ◽  
Abdul Wohab Khan ◽  
Md Ehteshamul Haque ◽  
...  
Keyword(s):  
Weight Loss ◽  
Abdominal Pain ◽  
B Cell ◽  
Rare Presentation ◽  
Medical College ◽  
Non Hodgkin Lymphoma ◽  
Splenic Lymphoma ◽  
Night Sweats ◽  
Upper Abdominal ◽  
Primary Splenic Lymphoma

Primary Splenic Lymphoma (PSL) is a rare neoplasm of the spleen. PSL is generally presented as B cell non-Hodgkin lymphoma. Primary involvement of the spleen by lymphoma is much less common than secondary involvement. It usually presents with nonspecific symptoms like left upper abdominal pain or discomfort due to splenomegaly, pyrexia, weight loss, night sweats and weakness. In this article, we are reporting a case of PSL in a 23 years old boy who presented with splenomegaly and non-specifc symptoms.Anwer Khan Modern Medical College Journal Vol. 9, No. 2: Jul 2018, P 152-153

scholarly journals Echinococcosis in Liver - a case report

2015 ◽  
Vol 22 (2) ◽  
pp. 223-224
Author(s):  
Kazi Monisur Rahman ◽  
Mst Habiba Khatun ◽  
Nasreen Fatema
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Free Fluid ◽  
Common Cause ◽  
Medical College ◽  
Loss Of Weight ◽  
Ultrasound Assessment ◽  
Right Lobe ◽  
Cystic Area ◽  
Upper Abdominal

The most common cause of hydatid disease in humans is infestation by the parasite Echinococcus granulousus. A 33 years old female patient with complaints of upper abdominal pain, discomfort, anorexia, nausea and loss of weight, was referred for ultrasound assessment of the whole of the abdomen. On ultrasound, her liver was enlarged in size. A fairly large cystic area measuring about (12 cm x 7.6 cm) having internal septations giving the appearance of cartwheel is noted in right lobe of liver. Intrahepatic biliary Channels and CBD were not dilated. Gall bladder, pancreas, spleen, both kidneys and other organs were found to be normal. No free fluid was seen in cul-de-sac. The patient was diagnosed as a case of echinococcosis in liver. DOI: http://dx.doi.org/10.3329/jdmc.v22i2.21548 J Dhaka Medical College, Vol. 22, No.2, October, 2013, Page 223-224

scholarly journals Peptic Ulcer Disease and Misuses of Ulcer Healing Drugs in a Tertiary Care Hospital in Dhaka City

2015 ◽  
Vol 16 (1) ◽  
pp. 27-34
Author(s):  
Md. Hafiz Md. Hafiz Sardar ◽  
Mohammad Murad Hossain ◽  
Khan Abul Kalam Azad ◽  
Md Uzzwal Mallik ◽  
Moumita Chakraborty
Keyword(s):  
Peptic Ulcer ◽  
Abdominal Pain ◽  
Peptic Ulcer Disease ◽  
College Hospital ◽  
Female Ratio ◽  
Ulcer Disease ◽  
Medical College ◽  
Non Ulcer Dyspepsia ◽  
Irritable Bowel ◽  
Upper Abdominal

This prospective cross sectional study was conducted in Dhaka Medical College Hospital, Dhaka during July, 2013 to December, 2013. Hundred patients were included in this study. Peptic ulcer disease, presented as upper abdominal pain is one of the common disease with a number of underlying causes. Prospective analyses of 100 patients with upper abdominal pain were studied at medicine units of Dhaka Medical College Hospital, Dhaka. Of these 36 patients belonged to peptic ulcer, 20 patients to irritable bowel syndrome and 22 patients to non-ulcer dyspepsia. Next in order were helminthiasis (5 patients), cholelithiasis (4 patients), gastric carcinoma (4 patients), liver abscess (5 patients) chronic pancreatitis (3 patients) and acute pancreatitis (1 patient). Mean age incidence in this series was 39.47 years. Male and female ratio was 1.54:1. Forty patients were smoker with male and female ratio of 3.44:1.All patients had presenting feature of upper abdominal pain. Commonest site of pain was in the epigastrium in 48.08% of cases.Pain was burning in 43.27% cases, periodic pain in 24.03%, and nocturnal hunger pain in 33.65% of cases.Relief of pain after taking food were observed in 38.46%. Epigastric tenderness was present in 56.73% patients.The diagnosis of peptic ulcer disease, irritable bowel syndrome and non-ulcer dyspepsia, the three leading causes of upper abdominal pain, were suspected by history and physical examination but it was difficult to interpret these on clinical ground alone .Some routine and some selected investigation were done for confirmatory diagnosis.In this series, significant disparity detected between clinically diagnosed peptic ulcer diseases 90.38% and endoscopically confirmed peptic ulcer disease, 34.62% cases. As a consequence of wrong diagnosis of PUD, there are huge misuses of ulcer healing drugs and a great economic burden on patients (300 taka per month) and on the nation.DOI: http://dx.doi.org/10.3329/jom.v16i1.22386 J MEDICINE 2015; 16 : 27-34

scholarly journals Jejuno-jejunal Intussusception as an Unusual Cause of Acute Abdomen of a 26 Year Female - A Case Report

2019 ◽  
Vol 10 (2) ◽  
pp. 111-114
Author(s):  
Md Mustafizur Rahman ◽  
Sami Ahmad ◽  
Jawhar Lal Singha ◽  
Shoaeb Imtiaz Alam ◽  
Mansurul Islam ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Pediatric Population ◽  
Lead Point ◽  
College Hospital ◽  
Medical College ◽  
Small Bowel Intussusception ◽  
Common Etiology ◽  
Fibroid Polyp ◽  
Upper Abdominal ◽  
Surgery Department

Intussusception is a relatively common etiology of abdominal pain in pediatric population. In adults, on the other hand, this entity is seen infrequently and a lead point can be recognized in a vast majority of cases. A 27 year old woman who was admitted in the Surgery Department of Shaheed Sohrawardy Medical College Hospital after experiencing severe upper abdominal pain associated with nausea, vomiting and fever. Later on the patient developed features of intestinal obstruction. Ultrasonography demonstrated small bowel intussusception. A jejunal intussusception 50 cm distal to the dudeno-jejunal junction was found during laparotomy. Resection and anasto mosis was performed as gut was not viable. A diagnosis of jejunal inflammatory fibroid polyp was made based on the histological findings which act as a lead point for jejunal intussusception. J Shaheed Suhrawardy Med Coll, December 2018, Vol.10(2); 111-114

scholarly journals Our experiences with liver abscesses in hospitals attached to Bangalore Medical College and Research Institute, India

2018 ◽  
Vol 5 (10) ◽  
pp. 3292 ◽  
Author(s):  
Kemparaj T. ◽  
Archit Muralidhar ◽  
Narasimhamurthy K. N.
Keyword(s):  
Abdominal Pain ◽  
Liver Abscess ◽  
Case Series ◽  
Amoebic Liver Abscess ◽  
Diabetic Patients ◽  
High Morbidity ◽  
Average Hospital ◽  
Medical College ◽  
Gram Staining ◽  
Upper Abdominal

Background: Liver abscess is a common problem in India and is associated with high morbidity and mortality. Broadly they can be divided into two types- Pyogenic and Amoebic. Amoebic in particular has a very high burden on society in India, believed to be secondary to poor sanitation and hygiene in the population.Methods: We performed a prospective, descriptive case series assessing demographic characteristics, presentation patterns, etiological factors, microbiological etiology, and management for patients treated for liver abscess at our centres between 2016 and 2018. 70 patients were identified and diagnosed on the basis of ultrasound and gram staining and culture of the pus aspirate.Results: Amoebic liver abscess was in majority (75%), with males being more affected than females (90%). Alcoholic and diabetic males between 30 and 50 years of age were most affected. Most presented with abdominal pain (96%). 53% needed Pigtail catheter drainage. Average duration of stay was 8 days, and 72% of the total patients showed relief of symptoms within 3 days.Conclusions: Most cases were found to be due to amoebic etiology rather than pyogenic. Both amoebic and pyogenic abscesses are noted to be more common in young men between the ages of 20 - 50, with a higher incidence noted among the alcoholic and diabetic patients. Most patients present with Upper abdominal pain and ultrasound is a useful tool in diagnosing the condition and providing valuable information about the site and volume of the abscess. Majority of patients needed Ultrasound guided drainage of the abscess. Average hospital stay was 8 days.

Enterogastric Reflux: an Uncommon Diagnosis Analyzed by Hepatobiliary Imaging

2019 ◽  
Vol 8 (2) ◽  
Author(s):  
Peter Wang
Keyword(s):  
Abdominal Pain ◽  
Digestive Enzymes ◽  
Gallbladder Disease ◽  
Hepatobiliary Scintigraphy ◽  
Hepatobiliary Imaging ◽  
Upper Gi ◽  
Gi Symptoms ◽  
Upper Abdominal ◽  
Enterogastric Reflux

Enterogastric reflux (EGR) is the reflux of bile and digestive enzymes from the small bowel into the stomach. While it is a normal physiologic process in small amounts, excessive reflux and chronic EGR can cause upper GI symptoms often mimicking more common diseases such as gallbladder disease and GERD that often leads to its underdiagnosis. Identifying EGR is significant as it has been associated with the development of gastroesophogeal pathology including gastritis, esophagitis, ulcers, and mucosal metaplasia. This article presents a 22-year-old male with enterogastric reflux causing upper abdominal pain and will discuss the role of hepatobiliary scintigraphy in its diagnosis.

scholarly journals Foreign Body in abdomen

2015 ◽  
Vol 14 (2) ◽  
pp. 210-212
Author(s):  
Md Zakirul Alam ◽  
Mohibul Aziz
Keyword(s):  
Abdominal Pain ◽  
Foreign Body ◽  
Medical Science ◽  
X Ray ◽  
Diagnostic Center ◽  
History Of ◽  
Upper Abdominal ◽  
Married Female

A 19 years old married female presented with severe upper abdominal pain, repeated vomiting having history of swallowing a knife 7 months ago was admitted in Mordern Clinic and Diagnostic center, Joypurhat, Bangladesh. USG abdomen & X-ray (fig-1) abdomen were done when presence of a large foreign body (knife fig-3) in abdomen was made which latter on confirmed by Endoscopy of upper GIT (fig-2). Surprisingly the patient kept it in her abdomen for 7 months without any symptoms until the symptoms got worse and compelled her to seek medical help. The knife was removed by laparotomy, gastrotomy with uneventful recovery.Bangladesh Journal of Medical Science Vol.14(2) 2015 p.210-212

Unusual case of hyperemesis in a pregnant patient with prior antireflux surgery

2021 ◽  
Vol 14 (8) ◽  
pp. e241935
Author(s):  
Abimbola Obisesan ◽  
Eleanor Lucy Townsend ◽  
John Lin Hieng Wong ◽  
Vinod Menon
Keyword(s):  
Decision Making ◽  
Abdominal Pain ◽  
Antireflux Surgery ◽  
Unusual Case ◽  
Nissen Fundoplication ◽  
Hyperemesis Gravidarum ◽  
Pregnant Patient ◽  
Emergency Laparotomy ◽  
Laparoscopic Nissen ◽  
Upper Abdominal

A 33-year-old, 8 weeks pregnant, presented with severe upper abdominal pain with vomiting on a background of a previous laparoscopic Nissen fundoplication for reflux disease. An urgent MRI had shown herniation of the fundoplication wrap through the diaphragmatic hiatus. The cause of her symptoms was attributed to hyperemesis gravidarum. The plan was to manage this patient conservatively until the conclusion of her pregnancy. This plan was revised when she presented for the second time and developed worsening pain and haematemesis. An emergency gastroscopy showed ischaemic changes in most of the stomach requiring the patient to undergo an emergency laparotomy. In pregnant patients, presenting with abdominal pain, vomiting as well as haematemesis, having had previous antireflux surgery, incarceration of the stomach must be considered as a differential. Prompt assessment and early senior decision-making is extremely important in avoiding a potentially catastrophic outcome for such patients.

Cimetidine and non-ulcer dyspepsia

1986 ◽  
Vol 24 (1) ◽  
pp. 3-4
Keyword(s):  
Peptic Ulcer ◽  
Abdominal Pain ◽  
Gastric Acid ◽  
Reflux Oesophagitis ◽  
Data Sheet ◽  
Organic Disease ◽  
Dyspeptic Symptoms ◽  
Proven Efficacy ◽  
Non Ulcer Dyspepsia ◽  
Upper Abdominal

Many patients with dyspepsia do not appear to have organic disease.1 Cimetidine (Tagamet) is of proven efficacy in the treatment of peptic ulcer and reflux oesophagitis, but is widely used for the treatment of dyspepsia without investigation.2, 3 The data sheet for cimetidine now states that the drug is indicated “where reduction of gastric acid by Tagamet has been shown to be beneficial: persistent dyspeptic symptoms with or without ulceration, particularly meal-related upper abdominal pain”. Is this indication valid?

Fulminant varicella hepatitis: a rare but lethal cause of abdominal pain

2021 ◽  
Vol 14 (9) ◽  
pp. e244081
Author(s):  
Christopher Fang ◽  
Junice Wong ◽  
Wei Wen Ang
Keyword(s):  
Abdominal Pain ◽  
Hepatitis A ◽  
Case Reports ◽  
Antibody Testing ◽  
Salient Points ◽  
Vesicular Rash ◽  
History Of ◽  
Laboratory Investigations ◽  
The Common ◽  
Upper Abdominal

An 81-year-old woman with no history of immunocompromise presented with 2 days of upper abdominal pain associated with nausea. On arrival, her physical examination was unremarkable apart from mild epigastric and right hypochondriac tenderness, and laboratory investigations were unremarkable apart from mild thrombocytopenia and transaminitis. A CT scan performed on the day of admission revealed a tiny 0.3 cm stone in the common bile duct, with no upstream dilatation. On day 2 of admission, she developed a vesicular rash and with acutely worsening transaminitis. She deteriorated rapidly and demised from complications of acute liver failure within the next 24 hours. The diagnosis of varicella was confirmed with antibody testing. Fulminant varicella hepatitis is an extremely rare and lethal condition with only a handful of reported cases in the current literature. We aim to share our clinical experience and summarise the salient points from existing case reports.

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