scholarly journals A RARE CASE OF MIDGUT MALROTATION WITH VOLVULUS PRESENTING AS ACUTE BOWEL OBSTRUCTION IN ADOLESCENCE

2020 ◽  
pp. 1-2
Author(s):  
Purvesh V. Doshi ◽  
Hitendra K. Desai ◽  
Bansil V. Javia ◽  
Neel B. Patel
Keyword(s):  
Abdominal Pain ◽  
Imaging Techniques ◽  
Recurrent Abdominal Pain ◽  
Age Group ◽  
True Incidence ◽  
Midgut Malrotation ◽  
Asymptomatic Patients ◽  
Specific Symptoms ◽  
Intestinal Rotation ◽  
Made In

Midgut malrotation is a congenital anomaly in the embryological development of the foetal intestinal rotation. It has been estimated that it affects approximately 1 in 500 live births . However, the true incidence is difficult to determine as a substantial number of cases will go undetected throughout life. The vast majority of the complications associated with midgut malrotation present in the first month of life and 60-85% of cases are diagnosed in this age group . It is reported that more than 90% of patients will present by the time of their first birthday . Adult midgut malrotation is very rare and its incidence has been reported to be between 0.0001% and 0.19% . Most adult diagnoses of midgut malrotation are made in asymptomatic patients; either on imaging investigations for unrelated conditions or at operations for other pathology. This scenario of incidental diagnosis is becoming increasingly common, particularly with improvements, and increased use, of diagnostic imaging techniques in modern practice. However, there are a small proportion of affected adults who may present with acute or chronic symptoms of intestinal obstruction or intermittent and recurrent abdominal pain. The true diagnosis in this age group is fraught with immense difficulty, especially because the typical presentation is with non-specific symptoms and the fact that in adults, Surgeons usually have low index of suspicion and may not consider the diagnosis a possibility in the initial evaluation of adult patients with abdominal pain.

scholarly journals Midgut malrotation with volvulus - a case report

2013 ◽  
Vol 02 (02) ◽  
pp. 082-085
Author(s):  
Pradipta Ray Choudhury ◽  
Prasant Sarda ◽  
Shobhit Singh ◽  
Prabahita Baruah ◽  
K. L. Talukdar
Keyword(s):  
Abdominal Pain ◽  
Mesenteric Artery ◽  
Acute Abdominal Pain ◽  
Abdominal Cavity ◽  
Recurrent Abdominal Pain ◽  
Midgut Malrotation ◽  
Contrast Enhanced ◽  
Whirlpool Sign ◽  
Enhanced Computed Tomography ◽  
Contrast Enhanced Computed Tomography

AbstractMidgut malrotation is a rare anatomic anomaly that complicates the diagnosis and management of acute abdominal pain. It is a congenital anomaly that arises from incomplete rotation or abnormal position of the midgut during embryonic development. A two years old boy was brought with recurrent abdominal pain and vomiting. On ultrasonography, the intestinal malrotation was suspected and thus contrast enhanced computed tomography (CECT) was done. On CECT, abnormal relationship between the superior mesenteric artery (SMA) and superior mesenteric vein (SMV), colon on the left side of the abdominal cavity, 'Whirlpool sign' etc., were found. All findings were suggestive of midgut malrotation with volvulus. Detection of uncomplicated malrotation should not be trivialized because such patients might experience a future complication.

scholarly journals Recurrent Abdominal Pain and Weight Loss in an Adolescent: Celiac Artery Compression Syndrome

2010 ◽  
Vol 24 (2) ◽  
pp. 91-93 ◽  
Author(s):  
Sarah Gander ◽  
Daniel J Mulder ◽  
Sarah Jones ◽  
John D Ricketts ◽  
Don A Soboleski ◽  
...  
Keyword(s):  
Weight Loss ◽  
Abdominal Pain ◽  
Imaging Techniques ◽  
Recurrent Abdominal Pain ◽  
Celiac Artery ◽  
Median Arcuate Ligament ◽  
Celiac Artery Compression Syndrome ◽  
Compression Syndrome ◽  
Arcuate Ligament ◽  
Celiac Artery Compression

Celiac artery compression syndrome is a rare cause of abdominal pain and weight loss, likely caused by compression of the celiac artery or plexus by the median arcuate ligament. A case of celiac artery compression syndrome in a 17-year-old male patient with severe postprandial pain and weight loss is described. Imaging techniques such as computed tomography, angiography and Doppler ultrasound identified the abnormality, which was corrected by laparoscopic surgery.

scholarly journals Recurrent abdominal pain in children and adolescents: a hospital based study

2017 ◽  
Vol 4 (3) ◽  
pp. 726
Author(s):  
Arindam Bandyopadhyay ◽  
Pijush Kanti Mondal
Keyword(s):  
Abdominal Pain ◽  
Family History ◽  
Physical Examination ◽  
Children And Adolescents ◽  
Patient Population ◽  
Recurrent Abdominal Pain ◽  
Parasitic Infections ◽  
Age Group ◽  
Male Predominance ◽  
The Common

Background: Recurrent abdominal pain (RAP) is very common in children of age group below 15 years. It affects about 10-20% of school going children. It is comprised of both organic and nonorganic causes and is therefore very challenging in diagnosing and treating the disorder. Hence this study was aimed to determine causes of RAP in the patients involved in the study.Methods: This was a hospital based study and includes 100 patients of age group of 2 to 15 years attending the pediatric and medicine OPD of College of medicine and Sagore Dutta Hospital, from May 2014 to April 2015. These children were subjected to thorough physical examination, systemic and clinical examinations, lab investigations and finally categorized the causes for RAP either as organic or nonorganic.Results: Out of 100 patients of RAP, male predominance (67%) was seen and forty-four (44%) of the patient population belonged to age group of 4 to 6 years. Organic RAP was found in 88% of patients and RAP due to non-organic causes was found in 12% of patients.Conclusions: Organic cause predominantly parasitic infections were found to be the common etiological factor for RAP in most of the children. Family history associated RAP was dominated in nonorganic etiology. 

Letters to the Editor

PEDIATRICS ◽  
1968 ◽  
Vol 41 (5) ◽  
pp. 1008-1009
Author(s):  
Donald G. Marshall
Keyword(s):  
Abdominal Pain ◽  
Recurrent Abdominal Pain ◽  
Age Group ◽  
Older Children ◽  
Letters To The Editor

I would like to express my appreciation to Dr. Schmitt for his thoughtful reading and critical comments of my paper representing the views of this surgeon on recurrent abdominal pain. While it may indeed be true, as Apley has stated, that the onset of recurrent pains may be in the preschool years in 40% of patients, the fact remains that in my experience patients in this age group rarely come to the surgeon's attention because of those recurrent pains of ill understood nature that so frequently plague older children.

scholarly journals Multiseptate Gallbladder with Recurrent Abdominal Pain. A Case Report and Literature Review.

2019 ◽  
Vol 3 (2) ◽  
Author(s):  
Vidi Demko ◽  
Xhesika Xhetani
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Recurrent Abdominal Pain ◽  
Chronic Abdominal Pain ◽  
Age Group ◽  
Abdominal Ultrasonography ◽  
Multiseptate Gallbladder ◽  
Form Part ◽  
Cause Of Pain ◽  
Group 1

Background: Chronic abdominal pain is a common disorder in children and adolescents worldwide. In attacking this problem, the pediatrician often concentrates on the gastrointestinal or genitourinary tract as a source of the pain. Too little attention is paid to the gallbladder as the cause of pain in this age group.1 We report a 6-year-old girl who presented with recurrent abdominal pain and was diagnosed as having a multiseptate gallbladder (MSG). MSG, although rare, should be considered in the differential diagnosis of patients presenting with recurrent abdominal pain and abdominal ultrasonography should form part of the investigation.

HEREDITARY PANCREATITIS: THREE NEW KINDREDS AND A CRITICAL REVIEW OF THE LITERATURE

PEDIATRICS ◽  
1973 ◽  
Vol 51 (1) ◽  
pp. 55-69
Author(s):  
John Kattwinkel ◽  
Allen Lapey ◽  
Paul A. di Sant'Agnese ◽  
William A. Edwards ◽  
Mary P. Hufty
Keyword(s):  
Abdominal Pain ◽  
Age Of Onset ◽  
Pancreatic Insufficiency ◽  
Positive Family History ◽  
Clinical Manifestations ◽  
Recurrent Abdominal Pain ◽  
Age Group ◽  
Hereditary Pancreatitis ◽  
Autosomal Dominant Disorder ◽  
Adult Age

Hereditary pancreatitis (HP) is a recently described autosomal dominant disorder of unkown etiology. Symptoms usually begin in childhood, but generally are diagnosed only when pancreatic insufficiency and calcifications appear in the young adult age group. Clinical manifestations include recurrent acute attacks of excruciatingly severe abdominal pain with intercurrent symptomfree periods. In addition to the positive family history there are definite differences in sex incidence, age of onset, occurrence of etiologic factors (e.g., alcoholism, gallstones), and pancreatic pathology between HP and chronic relapsing pancreatitis of adults. In the course of the disease various complications (e.g., glucose intolerance, pseudocysts, etc.) may occur in HP, but less commonly than in classical adult pancreatitis. Three new kindreds with 30 definite and 51 suspected cases of HP, representing more than one-third of all previously reported cases, are presented with detailed investigations of pancreatic and parathyroid function, serum lipids, pathologic specimens, and urinary amino acids. These studies clearly separate HP from diseases otherwise associated with pancreatitis. With these three and the 18 previously reported kindreds, it is evident that HP is not a rare disease and is the most common cause of recurrent pancreatitis in childhood. It should be included in the differential diagnosis of recurrent abdominal pain and pancreatic calcifications in the pediatric age group.

scholarly journals Cardiac lymphoma with early response to chemotherapy: A case report and review of the literature

2021 ◽  
Author(s):  
Andrea Bonelli ◽  
Sara Paris ◽  
Stefano Bisegna ◽  
Giuseppe Milesi ◽  
Emanuele Gavazzi ◽  
...  
Keyword(s):  
Imaging Techniques ◽  
Early Response ◽  
Cardiac Tumors ◽  
Cardiac Lymphoma ◽  
Asymptomatic Patients ◽  
Response To Chemotherapy ◽  
Great Vessels ◽  
History Of ◽  
Good Improvement ◽  
Specific Symptoms

AbstractCardiac tumors are rare and benign masses account for the most part of the diagnosis. When malignant cancer is detected, primary or secondary cardiac lymphoma are quite frequent. Cardiac lymphoma may present as an intra or peri-cardiac mass or, rarely, it may diffusely infiltrate the myocardium. Although often asymptomatic, patients can have non-specific symptoms. Acute presentations with cardiogenic shock, unstable angina, or acute myocardial infarction are also described. Modern imaging techniques can help the clinicians not only in the diagnostic phase but also during administration of chemotherapy. A multidisciplinary counseling and serial multi-parametric assessment (echocardiography, cardiac troponin) seem to be the most effective approach to prevent possible fatal complications (i.e., cardiac rupture). Currently, only chemo- and radiotherapy are available options for treatment, but the prognosis remains poor. This is a case of secondary cardiac lymphoma presenting as a mediastinal mass with large infiltration of the heart and the great vessels with a good improvement after only one cycle of chemotherapy. It demonstrates the importance of an early diagnosis to modify the natural history of the disease.

Menstruation Among Adolescent Girls Living in Rural Border Areas

2020 ◽  
Vol 4 (8) ◽  
Author(s):  
Ritu Gupta ◽  
Ravinder K Gupta ◽  
Vallabh Dogra ◽  
Himani Badyal
Keyword(s):  
Abdominal Pain ◽  
Menstrual Cycle ◽  
Blood Loss ◽  
Prospective Study ◽  
Adolescent Girls ◽  
Common Side Effect ◽  
Age Group ◽  
Different Types ◽  
Study Population ◽  
Border Areas

Objective: To study the various beliefs and problems regarding menstruation among adolescent girls living in rural border areas. Design- Prospective study. Setting- Pediatric outpatient clinic. Materials and methods- About 200 adolescent girls (11-19 years) living in rural border areas were enrolled for the study. These girls were asked about menarche, duration of the cycle, amount of blood loss and the various menstrual problems. They were also asked about the various beliefs and myths regarding menstruation. The girls having any illness affecting the menstrual cycle or those suffering from neuropsychiatric disorders were excluded from this study. Results- About 51% of the study population was in the age group 17-18 years. About 43.5% of girls attained menarche at the age of 10-12 years. About 51% of girls did not know about menstruation before menarche. Abdominal pain was the most common side effect seen in 41% of girls during menstruation. About 61% of girls considered themselves unclean during menstruation.  Twenty percent avoided schools, 20% avoided kitchen, 12% avoided temples while 10% stayed away from friends/ relatives. Only 33% of girls knew that menstruation stops temporarily after becoming pregnant. Twenty-two percent girls were using sanitary napkins while the rest used different types of clothes during the menstrual cycle. Conclusion- There is a dire need to educate girls regarding menstruation before menarche in the rural border areas. Every mother should discuss in a friendly way regarding various aspects of menstruation.

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