scholarly journals A case of emphysematous cystitis diagnosed by exploratory laparotomy

2013 ◽  
Vol 5 (2) ◽  
pp. 9
Author(s):  
Keisuke Takano ◽  
Hidetada Fukushima ◽  
Yasuyuki Kawai ◽  
Yasuyuki Urisono ◽  
Michiaki Hata ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Peritoneal Fluid ◽  
Fluid Collection ◽  
Lower Abdominal Pain ◽  
Exploratory Laparotomy ◽  
Urinary Frequency ◽  
Rare Form ◽  
Emphysematous Cystitis ◽  
Peritoneal Sign

Emphysematous cystitis is a rare form of infection. Well known symptoms are: dysuria, urinary frequency and lower abdominal pain. We experienced a case of emphysematous cystitis presented with atypical peritoneal sign and computed tomography findings of massive intra-peritoneal fluid collection and abnormal gas appearance in pelvic space. Due to its presentation as acute abdomen, patient underwent exploratory laparotomy and the diagnosis of emphysematous cystitis was established. As far as we know, our case is the first report of emphysematous cystitis with intra-peritoneal fluid collection.

scholarly journals Emphysematous cystitis: An atypical multi-organism presentation

2014 ◽  
Vol 8 (3-4) ◽  
pp. 210 ◽  
Author(s):  
Derek Bos ◽  
Premal Patal ◽  
Sonia DiTullio
Keyword(s):  
Computed Tomography ◽  
Escherichia Coli ◽  
Abdominal Pain ◽  
Klebsiella Pneumoniae ◽  
Bladder Wall ◽  
Lower Abdominal Pain ◽  
Gross Hematuria ◽  
Emphysematous Cystitis ◽  
Prompt Treatment ◽  
Distended Bladder

An 84-year-old diabetic women receiving in-hospital strokemanagement began suffering from vague lower abdominal pain,increased urge incontinence and gross hematuria. Physical examinationrevealed suprapubic tenderness and a tympanic bladder.A computed tomography confirmed a distended bladder with gasfoci delineating the bladder wall. Microbiology revealed an atypicalmulti-organism presentation of Klebsiella pneumoniae andEnterococcus species. Emphysematous cystitis is characterized byair within the bladder wall often found in elderly diabetic females.Predominant organisms include Escherichia coli and Klebsiellapneumonia. Prompt treatment is essential in this potentially fatalcondition.

scholarly journals A rare cause of acute lower abdominal pain: Emphysematous cystitis

2014 ◽  
Vol 40 (1) ◽  
pp. 65-67 ◽  
Author(s):  
Tarkan Ergun ◽  
Halil Olcay Eldem ◽  
Hatice Lakadamyali
Keyword(s):  
Abdominal Pain ◽  
Lower Abdominal Pain ◽  
Emphysematous Cystitis

scholarly journals An adolescent with urinary frequency, fevers and lower abdominal pain

2016 ◽  
Vol 52 (4) ◽  
pp. 455-457
Author(s):  
Leeatt Green ◽  
John Fitzgerald ◽  
David Krieser
Keyword(s):  
Abdominal Pain ◽  
Lower Abdominal Pain ◽  
Urinary Frequency

Incidental Diagnosis of Pseudomyxoma Peritonei After Emergent Splenectomy

2020 ◽  
pp. 000313482095482
Author(s):  
Alexandra C. Ferre ◽  
Matthew Burstein ◽  
Kevin M. El-Hayek
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Pseudomyxoma Peritonei ◽  
Exploratory Laparotomy ◽  
Histological Evaluation ◽  
Splenic Trauma ◽  
Computed Tomography Imaging ◽  
Moderate Amount ◽  
Tomography Imaging ◽  
Unexpected Findings

Pseudomyxoma peritonei (PMP) is a rare disease associated with mucinous ascites. Pseudomyxoma peritonei has a low incidence and is difficult to diagnose. Pseudomyxoma peritonei usually presents with vague abdominal pain after significant progression. Computed tomography imaging is the most common modality for diagnosis; however, diagnosis as a result of surgical intervention in cases of acute abdomen has become increasingly common. We present a unique case of a 66-year-old man who was incidentally diagnosed with PMP after undergoing an emergent splenectomy for presumed blunt trauma. The patient presented to the emergency room with abdominal pain, shortness of breath, and diaphoresis. Computed tomography imaging revealed a splenic hematoma with suspicion of extravasation and a moderate amount of free intraperitoneal fluid consistent with blood. The patient was taken to the operating room emergently for an emergent splenectomy where splenic laceration was noted, as were multiple areas of nodularity in the omentum and cecum. Histologic evaluation of these lesions led to the diagnosis of PMP. After recovery from his initial splenectomy, the patient underwent exploratory laparotomy, cytoreductive surgery, cholecystectomy, removal of appendiceal mucocele, and hyperthermic intraperitoneal chemotherapy without complication. Final pathology was consistent with PMP and primary mucinous appendiceal adenocarcinoma. This case highlights an unusual presentation of PMP for a patient who was undergoing surgery for presumed splenic trauma. Surgeons must maintain a high index of suspicion and should perform histological evaluation when such unexpected findings are encountered.

Pain Symptoms and Peritoneal Fluid Cytokine and Marker Concentrations in Women with and without Endometriosis

2009 ◽  
Vol 1 (3-4) ◽  
pp. 137-149 ◽  
Author(s):  
Nick A. Bersinger ◽  
Brett McKinnon ◽  
Annette Kuhn ◽  
Alessandro Santi ◽  
Michael D. Mueller
Keyword(s):  
Abdominal Pain ◽  
Peritoneal Fluid ◽  
Lower Abdominal Pain ◽  
Work Absenteeism ◽  
Cytokine Levels ◽  
Pain Symptoms ◽  
Fluid Levels ◽  
Cause Of Pain ◽  
American Fertility Society

Purpose Endometriosis is not only associated with infertility, it is also a common cause of pain in women, leading to work absenteeism and a reduced quality of life. The objective of this study was to confirm the increased peritoneal fluid (PF) concentration of several cytokines in endometriosis patients, to investigate their association with pain levels, and to identify new biological markers in the PF which are neurostimulatory and thus responsible for the appearance and severity of different types of pain. Methods Our sample group included 111 patients with histologically confirmed endometriosis and 47 controls undergoing laparoscopy for reasons of abdominal pain or infertility. They rated their pain during menstruation, during sexual intercourse and general lower abdominal pain prior to undergoing surgery in our clinic using a visual analogue scale. During laparoscopy, PF was aspirated. Marker cytokine concentrations were measured by immunoassay and correlated to the Revised American Fertility Society (rAFS) stage of endometriosis and to the pain level using non-parametric methods. Results Differences were found between the correlations of the peritoneal fluid levels of many cytokines with dysmenorrhea or lower abdominal pain, and with the presence of severe endometriosis (rAFS III+IV). Glycodelin and osteoprotegerin (OPG) show the strongest associations with menstrual pain, while IL-8, MCP-1 and OPG were correlated to the stage of endometriosis. Low density cytokine protein arrays did not contribute to finding new markers for endometriosis and pain. Conclusions These findings illustrate the large variation of cytokine levels between patients. Glycodelin, IL-8 and OPG are the most likely targets for further investigations towards their future clinical use.

scholarly journals Uterine Lipoleiomyoma: A Report of Two Cases

2017 ◽  
Vol 7 ◽  
pp. 26 ◽  
Author(s):  
Haji Mohammed Nazir ◽  
Sankesh Mehta ◽  
CR Seena ◽  
N Kulasekaran
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Abdominal Pain ◽  
Magnetic Resonance ◽  
Postmenopausal Women ◽  
Crucial Role ◽  
Imaging Modality ◽  
Lower Abdominal Pain ◽  
Resonance Imaging ◽  
Pelvic Tumors

We report two cases of uterine lipoleiomyoma in postmenopausal women of ages 52 and 55 years, who presented with complaints of leukorrhea and lower abdominal pain, respectively. Lipoleiomyoma is a rare benign variant of leiomyoma, having an incidence of 0.03%–0.2%. These are benign pelvic tumors which are usually asymptomatic and commonly occur in obese postmenopausal women. However, they can occasionally present with typical leiomyoma symptoms. Imaging plays a crucial role in the diagnosis of benign pelvic tumors. Ultrasonography is the first imaging modality for diagnosis of pelvic tumors in females. Computed tomography and magnetic resonance imaging are specific in demonstrating the uterine origin and fat component.

scholarly journals TAP-Stenting Technique for Bifurcation Stenosis of Celiac Artery

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Yucel Colkesen ◽  
Taner Seker ◽  
Osman Kuloglu ◽  
Murat Çayli
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Liver Injury ◽  
Clinical Course ◽  
Laboratory Data ◽  
Exploratory Laparotomy ◽  
Celiac Artery ◽  
Hepatic Enzymes ◽  
Total Occlusion ◽  
Endovascular Recanalization

We report a clinical course of a patient who developed severe ischemic liver injury and total occlusion of the celiac artery (CA). A 40-year-old man presented with abdominal pain. Computed tomography indicated total occlusion of the CA. Laboratory data demonstrated markedly elevated hepatic enzymes. An exploratory laparotomy was not necessitated due to absence of peritonism. The patient was successfully treated by endovascular recanalization of the CA occlusion via transcatheter balloon angioplasty and TAP-stenting (T-stenting and small protrusion) technique. Endovascular intervention in patients solely with liver failure appears practicable and early treatment is advised.

scholarly journals Tubular Ileal Duplication Causing Perforative Peritonitis in an Adult: A Rare Presentation

2021 ◽  
Vol 07 (01) ◽  
pp. e14-e17
Author(s):  
Jignesh A. Gandhi ◽  
Pravin H. Shinde ◽  
Jayati J. Churiwala ◽  
Sakina Husain
Keyword(s):  
Abdominal Pain ◽  
Lower Abdominal Pain ◽  
Exploratory Laparotomy ◽  
Mass Effect ◽  
Deficiency Anemia ◽  
Rare Presentation ◽  
Rare Congenital Abnormality ◽  
Perforative Peritonitis ◽  
Enteric Duplication ◽  
Ileal Duplication

Abstract Background Enteric duplication cysts are a rare congenital abnormality that present more commonly in children than adults. Clinical presentation varies from vague abdominal pain, abdominal lump, iron deficiency anemia to intestinal obstruction due to intussusception or mass effect. We report a tubular ileal duplication in an adult male presenting with an acute abdomen due to perforative peritonitis. Case A 20-year-old male presented to the emergency department with complains of right lower abdominal pain. On clinical examination and ultrasound scan patient was suspected to have a complicated acute appendicitis (rupture). However, a computed tomography scan was suggestive of perforation in the distal ileum. Emergency exploratory laparotomy revealed a perforated isolated ileal tubular duplication.

scholarly journals Abdominal actinomycosis mimicking a transverse colon malignancy: a case report and review of the literature

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Gnanaselvam Pamathy ◽  
Umesh Jayarajah ◽  
Dayal Sathyajith Gamlaksha ◽  
Roshana Constantine ◽  
Anura S. K. Banagala
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Transverse Colon ◽  
Rare Complication ◽  
Stage Iv ◽  
Exploratory Laparotomy ◽  
Needle Aspiration ◽  
Bacterial Disease ◽  
Abdominal Actinomycosis ◽  
Descending Colon

Abstract Background Actinomycosis is a rare inflammatory bacterial disease caused by Actinomyces species which can infrequently affect the large intestine. Disseminated actinomycosis is reported as a rare complication associated with intrauterine devices. We report a case of intra-abdominal actinomycosis mimicking a transverse colon malignancy. Case presentation A previously healthy 40-year-old Sinhalese woman was evaluated for intermittent colicky left-sided abdominal pain for 2 months’ duration. Computed tomography of the abdomen showed a circumferential thickening of the wall and narrowing of the lumen of the descending colon with evidence of extraluminal extension to the adjacent parietal peritoneum and abdominal wall suggestive of a stage IV neoplasm. An exploratory laparotomy with extended left hemicolectomy was performed. Macroscopic evaluation revealed a mass lesion with multiple abscesses attached to the transverse and descending colon. Histology was suggestive of actinomycosis with no evidence of malignancy. Conclusions Abdominal actinomycosis should be considered in a young patient with chronic abdominal pain. It should be understood that the presentation may be vague and highly variable. Computed tomography-guided biopsy/fine needle aspiration or laparoscopy and biopsy may be useful in arriving at a diagnosis and can prevent unnecessary surgical intervention.

scholarly journals Pediatric Ovarian Torsion: A Diagnostic Challenge in COVID-19 Times

2020 ◽  
Vol 18 (2) ◽  
pp. 120-123
Author(s):  
R. Chanchlani ◽  
M. Jangid ◽  
R. Ahmad ◽  
P. Sharma
Keyword(s):  
Abdominal Pain ◽  
Surgical Intervention ◽  
Lower Abdominal Pain ◽  
Exploratory Laparotomy ◽  
Ovarian Torsion ◽  
Diagnosis And Treatment ◽  
Diagnostic Challenge ◽  
Delay In Diagnosis ◽  
Functional Loss ◽  
Early Surgical Intervention

Ovarian torsion is a rare gynecological emergency in children and an early surgical intervention is needed to salvage the ovary. Herein, we present a case of eight year old girl who presented with complaints of lower abdominal pain during ongoing COVID-19 pandemic. She was diagnosed as a case of ovarian torsion on right side. She underwent exploratory laparotomy and ovarian cystectomy was performed. Delay in diagnosis and treatment of ovarian torsion may have grave consequences, resulting in functional loss of the ovary.

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