scholarly journals Cystic intra-abdominal masses in children

2017 ◽  
Vol 9 (3) ◽  
Author(s):  
Luisa Ferrero ◽  
Riccardo Guanà ◽  
Giulia Carbonaro ◽  
Maria Grazia Cortese ◽  
Luca Lonati ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Abdominal Distension ◽  
Abdominal Ultrasound ◽  
Mesenteric Cyst ◽  
Diagnostic Tools ◽  
Surgical Approaches ◽  
Radical Excision ◽  
Palpable Mass ◽  
Abdominal Masses

Benign intra-abdominal cystic masses in infancy are fairly uncommon and their etiopathogenesis, histology and clinical presentation differ significantly. Our aim is to report our experience in their treatment in order to discuss the best diagnostic and treatment modality. The medical records of 5 children (2M, 3F) with cystic intraabdominal masses referred to our hospital between November 2012 and September 2016, were retrospectively reviewed. All patients underwent open surgery and subsequent histopathologic analysis. Different clinical presentations, localizations of the masses, diagnostic tools, surgical approaches, histological examinations and outcomes were reviewed. Patients mean age was 5.4 years (range: 8 months-9 years). Two patients presented recurrent abdominal pain and abdominal distension; 1 patient had a palpable mass discovered incidentally and 2 complained acute abdominal pain. Routine laboratory tests, tumor markers and abdominal ultrasound were immediately done in all patients. Three patients underwent MRI and 1 abdominal CT. At laparotomy 2 hepatic cysts, 2 mesenteric cyst and 1 retroperitoneal cyst were discovered. Histology reports described: 1 hepatobiliary cystadenoma, 1 benign hepatic hamartoma and 3 cystic lymphangiomas (1 retroperitoneal and 2 mesenteric). There were no major postoperative complications, deaths, or recurrences in our series (follow-up 3-24 months). Despite the rarity of these lesions, benign cystic abdominal masses in children are not so uncommon and should be considered as causes of acute abdominal pain. The differential diagnosis is not always possible preoperatively. In our series, radical excision of the lesions was possible in all cases, allowing reliable histological results and avoiding recurrences.

scholarly journals Mesenteric Cyst in a 5-Year-Old Child with Partial abdominal Obstruction: Case Report from Bahrain

2021 ◽  
pp. 1-5
Author(s):  
Maryam Hammad ◽  
Keyword(s):  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Clinical Course ◽  
Lower Abdominal Pain ◽  
Abdominal Ultrasound ◽  
Mesenteric Cyst ◽  
Abdominal Masses ◽  
Complete Surgical Resection ◽  
Mesenteric Cysts ◽  
Abdominal Lesions

Mesenteric cysts are rare, variably-sized intra-abdominal lesions developing during childhood. Their symptoms vary from being asymptomatic and incidentally found to non-specific, presenting as lower abdominal pain, nausea and vomiting, constipation and diarrhea. Clinically, these abdominal masses may be palpable in more than 50% of patients. The diagnosis of these lesions can be made accurately radiologically through abdominal ultrasound and CT. The treatment of choice is complete surgical resection. Hereby we report the clinical course of a 5 year old child with a mesenteric cyst who complained of acute abdominal pain, constipation and vomiting and were surgically treated after being diagnosed with a mesenteric cyst based on radiological examination.

scholarly journals Hydatid Disease Simulating Acute Abdomen: A Case Report and Brief Review of the Literature

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Georgios Lianos ◽  
Georgios Baltogiannis ◽  
Avrilios Lazaros ◽  
Konstantinos Vlachos
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Hydatid Disease ◽  
Acute Abdominal Pain ◽  
Abdominal Distension ◽  
The Body ◽  
Parasitic Disease ◽  
Review Of The Literature ◽  
Diffuse Abdominal Pain ◽  
Operating Surgeon

Introduction. Hydatid disease is caused by the tapewormEchinococcus granulosusand is still a matter of public health in many regions of the world, where it is an endemic parasitic disease. Although the liver is the most involved organ, hydatidosis can be found anywhere in the human body. Rare forms of location may lead to diagnostic and therapeutic dilemmas.Case Report. Herein we report a rare case of acute abdominal pain and progressively increasing abdominal distension due to abdominal and multiple splenic echinococcosis in a 72-year-old Caucasian male. We also provide a brief review of the literature.Conclusion. Although hydatid disease is found most often in the liver and lungs, rarely any organ of the body can be involved by this zoonosis. Though rare, the possibility of unusual location of echinococcosis must always be considered by the operating surgeon, when dealing with diffuse abdominal pain in endemic areas, because any misinterpretation may result in unfavorable outcomes.

scholarly journals Paraduodenal inflammatory pseudotumor masquerading as malignancy

2019 ◽  
Vol 12 (2) ◽  
pp. bcr-2018-226460 ◽  
Author(s):  
June S Peng ◽  
Haiyan Lu ◽  
Michael W Cruise ◽  
Sricharan Chalikonda
Keyword(s):  
Abdominal Pain ◽  
Inflammatory Pseudotumor ◽  
Laparoscopic Resection ◽  
Abdominal Distension ◽  
The Other ◽  
Inflammatory Pseudotumour ◽  
Persistent Symptoms ◽  
Abdominal Masses ◽  
Nodular Hyperplasia ◽  
Left Lateral Segment

A 30-year-old woman presented with severe abdominal pain and abdominal distension. CT demonstrated two intra-abdominal masses, one involving the left lateral segment of the liver and the other adjacent to the duodenum. Initial biopsies were consistent with focal nodular hyperplasia of the liver and non-specific lymphocytic infiltrate in the paraduodenal mass. Due to persistent symptoms, the patient underwent laparoscopic resection of the paraduodenal mass. Final pathology was consistent with an inflammatory pseudotumour and the patient’s symptoms subsequently resolved.

scholarly journals Acute Abdomen in a Patient with Cancer Pain on Oxycodone

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Naomi Kishine ◽  
Atsunobu Tsunoda ◽  
Seiji Kishimoto ◽  
Tomohisa Shoko
Keyword(s):  
Abdominal Pain ◽  
Adverse Effects ◽  
Cancer Pain ◽  
Acute Abdomen ◽  
Pain Therapy ◽  
Acute Abdominal Pain ◽  
Colonic Obstruction ◽  
Abdominal Distension ◽  
Abrupt Increase ◽  
Cancer Pain Therapy

Opioids are a mainstay of treatment for moderate to severe cancer pain. At present, oxycodone has fewer adverse effects compared to morphine and is widely used for cancer pain therapy. The adverse effects of oxycodone are similar to morphine and include constipation, nausea, and sedation. However, acute abdominal pain is rarely seen. Here, we describe a cancer patient presenting with acute abdomen with stercoral diarrhea. A 54-year-old man with squamous cell carcinoma of the external auditory canal had been taking oxycodone for pain relief. The patient had taken oxycodone for several months and had never complained of either diarrhea or constipation. After an increase in the dosage of oxycodone, he complained of abdominal distension and constipation. After being administered a laxative, he complained of diarrhea and severe abdominal pain. He visited the emergency department and was diagnosed with acute colonic obstruction caused by severe constipation. He self-medicated with oxycodone at dosages of up to 180 mg/day, and this abrupt increase of oxycodone caused stercoral diarrhea. Finally, total blockage of stool developed, resulting in acute abdomen.

scholarly journals Caecal duplication, a case report

2021 ◽  
Vol 43 (2) ◽  
Author(s):  
Michele Corroppolo ◽  
Elisa Pani ◽  
Maria Teresa Bortolami ◽  
Hamid Reza Sadri ◽  
Fabio Beretta ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Prenatal Diagnosis ◽  
Rectal Bleeding ◽  
Abdominal Distension ◽  
Abdominal Distention ◽  
Palpable Mass ◽  
Intestinal Duplication

The caecum is one of the rarest sites of intestinal duplication cysts. The most common symptomatology includes vomiting, abdominal pain, abdominal distention, palpable mass and rectal bleeding. Most of the duplications are diagnosed within the first two years of life, including prenatal diagnosis. Only few cases of caecal duplication have been reported in the literature up to the present day. We are going to present a case of a five-years old girl with caecum duplication who reached our ward due to abdominal distension with no other symptoms.

scholarly journals Conservative Treatment of Spontaneous Rectus Sheath Hematomas: Single Center Experience and Literature Review

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Banu Karapolat ◽  
Halil Afsin Tasdelen ◽  
Hatice Ayca Ata Korkmaz
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Correct Diagnosis ◽  
Rectus Sheath ◽  
Length Of Hospital Stay ◽  
Initial Symptom ◽  
Abdominal Ultrasonography ◽  
Palpable Mass ◽  
Lower Quadrant

Introduction. Spontaneous rectus sheath hematoma (SRSH) is characterized by bleeding within the rectus abdominis muscle sheath, one of the rare causes of acute abdominal pain. Early diagnosis is imperative in SRSH to prevent complications and the treatment is usually conservative. We intended to present in this study our experience with SRSH patients with respect to diagnostic evaluation and management of their disease. Materials and Methods. In this retrospective study, 14 patients who had received treatment for SRSH in our clinic between January 2012 and December 2017 were assessed in terms of demographic and clinical characteristics, comorbidities, laboratory parameters, diagnostic approach methods, treatment practices, length of hospital stay, and patient outcomes. Results. The patients consisted of 10 (71.4%) females and 4 males (28.6%). The age of the patients ranged between 47 and 93 with a mean age of 66.5 ± 12.1. Anticoagulant treatments were being administered to 5 (35.7%) patients, antiplatelet treatments to 4 (28.5%) patients, and both anticoagulant and antiplatelet treatments to 4 (28.5%) patients. The most common triggering factor was severe cough and the most common initial symptom acute abdominal pain (71.4%). In physical examinations, the entire patients had generalized abdominal tenderness, 10 (71.4%) voluntary guarding and 7 (50%) a right lower quadrant mass. The diagnosis was confirmed by abdominal ultrasonography and computed tomography. Based on the computed tomography findings, the disease was classified as Type 2 found in 9 (64.3%) patients, Type 1 in 3 (21.4%) patients, and Type 3 in 2 (14.2%) patients. All the patients were treated conservatively. They were hospitalized for 1 to 23 days. There was no mortality. All the patients were followed up between 3 months and 2 years and no recurrence was recorded. Conclusion. Considering the presence of SRSH particularly in older female patients who use anticoagulant drugs and have newly developed an abdominal pain and a palpable mass after coughing spells is the key to make an early and correct diagnosis and to prevent possible morbidity and mortality with an appropriate treatment method.

scholarly journals A case report: Acute abdominal pain caused by a mesenteric cyst in a 20 years old female patient

2020 ◽  
Vol 50 ◽  
pp. 28-30 ◽  
Author(s):  
Irene Cantarero Carmona ◽  
José Fernando Trebollé ◽  
Daniel Milian García ◽  
María José Luesma Bartolomé
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Female Patient ◽  
Acute Abdominal Pain ◽  
Mesenteric Cyst

Abdominal Pain and Abdominal Mass

2018 ◽  
Author(s):  
Blake D. Babcock ◽  
Alexander E. Poor ◽  
Mohammad F. Shaikh ◽  
Wilbur B. Bowne
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Physical Examination ◽  
Acute Abdominal Pain ◽  
Abdominal Mass ◽  
Gastroesophageal Junction ◽  
Percutaneous Biopsy ◽  
Clinical History ◽  
Diagnostic Process ◽  
Abdominal Masses

Acute abdominal pain and abdominal mass are intimately connected; therefore, the diagnostic process for evaluating abdominal pain and abdominal masses is largely the same and has been preserved since ancient times. The primary goals in the management of patients with abdominal pain and/or abdominal mass are to establish a differential diagnosis by obtaining a clinical history, to refine the differential diagnosis with a physical examination and appropriate studies, and to determine the role of operative intervention in the treatment or refinement of the working diagnosis. This review describes the process of diagnosing abdominal pain, including taking a clinical history and performing a physical examination. Investigative studies, including laboratory tests, imaging, and pathology are reviewed. Management, including surgical treatment, is discussed. Tables describe intraperitoneal and extraperitoneal causes of acute abdominal pain, frequency of specific diagnoses in patients with acute abdominal pain, and common abdominal signs and findings noted on physical examination. Figures show abdominal pain in specific locations, a data sheet, the differential diagnosis of an abdominal mass by quadrant or region, characteristic patterns of abdominal pain, acute appendicitis with associated appendicolith, bilateral adrenal masses, adrenocortical carcinoma, retroperitoneal leiomyosarcoma, pancreatic mass, a sagittal ultrasonogram of the pancreas, ultrasonograms of the liver, a dark and well circumscribed abdominal mass, gastroesophageal junction adenocarcinoma, and percutaneous biopsy of a large abdominal mass. An algorithm outlines the assessment of acute abdominal pain and abdominal mass. This review contains 14 figures, 5 tables, and 143 references.

scholarly journals Pediatric Ileocolica Invagination: A Case Report

2020 ◽  
Vol 2 (3) ◽  
pp. 615-619
Author(s):  
Sulaiman Yusuf ◽  
Tita Menawati Liansyah
Keyword(s):  
Abdominal Pain ◽  
Intestinal Ischemia ◽  
Abdominal Ultrasound ◽  
Stool Examination ◽  
Coffee Bean ◽  
Palpable Mass ◽  
Common Cause ◽  
Intestinal Segments ◽  
History Of ◽  
In Infants And Children

Invagination or intussusception is an inversion of intestinal segments into other intestinal segments which is the most common cause of intestinal obstruction in infants and children. Early diagnosis and therapy can cause intestinal ischemia, perforation, and peritonitis which can be fatal. Trias classic symptoms consist of abdominal pain, vomiting, and blood in the stool. Invagination often occurs in children under 2 years old, with the highest incidence in children aged 4 - 9 months. The most common cause of invagination is idiopathic. Reportedly a boy, 10 months with a history of mucus with blood, vomiting, flatulence, history of colds cough. Physical examination reveals that the child is aware and active. The abdomen appears distended, palpable mass such as sausages, and intestinal hyperperistaltic. In the rectal toucher, there is mucus and blood on the handscoon. Investigations found anemia and leukocytosis. Stool examination showed blood, erythrocytes 4-6 LPB and leukocytes 8-10 LPB. Radiological examination of the abdomen appears to dilate the intestine (colon) with a coffee bean sign, the impression is in accordance with the picture of invagination. Abdominal ultrasound impression according to the picture of invagination (colo-colica). The patient was diagnosed as ileocolica intussusception and acute diarrhea without dehydration.

scholarly journals Laparoscopy in acute abdomen between encouragement and inhibition

2019 ◽  
Vol 6 (10) ◽  
pp. 3507
Author(s):  
Mena Zarif Helmy ◽  
Ahmed Abdel Kahaar Aldardeer
Keyword(s):  
Abdominal Pain ◽  
Acute Abdomen ◽  
Acute Abdominal Pain ◽  
Past History ◽  
Abdominal Distension ◽  
X Ray ◽  
Main Complaint ◽  
Number Of Patients ◽  
History Of

Background: Laparoscopy has been a valuable technique in the treatment of acute abdominal diseases and can be considered either to diagnose or to treat selected cases.Methods: Here, we randomly select patients with acute abdominal pain in whom the diagnosis was not clear after ultrasonography and plain X-ray, we did diagnostic laparoscopy and according to its findings, we proceeded to surgical intervention. 50 cases with acute abdomen were included in this study in order to clarify the role of laparoscopy in the diagnosis and treatment of acute abdomen.Results: From the 50 patients, the main complaint was abdominal pain and presented in (100%) of patients, 38 of patients had vomiting, fever in 29 patients and 14 patients had abdominal distension, 7 patients had alteration in bowel habits and burning micturition in 6 patients. In this study, 10 patients had past history of previous surgery. By laparoscopy we could see the pathology in 46 patients and complete the management in all of patients but failed to reach the diagnosis in 2 cases and conversion to laparotomy in other 2 cases. Laparoscopic surgery mean was 47.9±12.4 minutes. Hospital stay mean was (1.851) days. Morbidity was 10%. No mortality was found in our study.Conclusions: Laparoscopy can be considered safe for diagnosis and effective in the treatment of patients with acute abdomen. It may be useful to avoid the unnecessary laparotomies in a large number of patients presented with acute abdominal pain.

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