Acute abdomen: syndromes and causes of surgeries in a hospital of taubaté − sp

2008 ◽  
Vol 2 (2) ◽  
pp. 165
Author(s):  
Ana Lucia De Faria ◽  
Silvana Novaes ◽  
Monica Silva Gonçalves ◽  
Regina Celia C Peres
Keyword(s):  
Septic Shock ◽  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Acute Abdomen ◽  
Surgical Intervention ◽  
Abdominal Cavity ◽  
Signs And Symptoms ◽  
Age Group ◽  
Inflammatory Syndrome ◽  
Hospital General

ABSTRACTAcute abdomen refers to a not traumatic disorder located in the bowels of the abdominal cavity and classifies itself in five syndromes named, inflammatory perforating, obstructive, hemorrhagic and vascular. The signs and symptoms are: abdominal pain that is installed of quick and sudden form, vomiting, fever, interruption of the elimination of gases and evacuation. The aim was identify the syndromes and the causes of surgeries resulting on acute abdomen in patients interned and submitted to a surgical intervention in a General Hospital of the Taubaté - SP. The research was the type retrospective, documentary, descriptive and quantitative, in the period 2004 to 2006. The results showed that the 91 (100%) cases studied prevailing male in the 55 (60,44%); the surgery occurred more in the age group of 40-49 years in 16 (17,58%); among the signs and symptoms abdominal pain was present in (100%) and vomiting in 41 (29,50%); due to the higher incidence of surgery was acute appendicitis with 45 (49,45%); the predominant syndrome was the inflammatory in 49 (53,85%), but perforating appeared in 23 (25,27%) to be obstructive in 18 (19,78%), vascular in 1 (1,10%) of the cases; the most frequent cause of death was septic shock in 10 (38,46%); the mortality prevailed in the age group between 80 to 89 years old with 5 (45,46%), with perforating syndrome in 6 (54,55%). It is concluded that the inflammatory syndrome and the cause appendicitis were the most frequent. Descriptors: acute abdomen; surgery; mortality.RESUMOAbdome agudo refere-se a uma afecção não traumática, localizada nas vísceras da cavidade abdominal, e classifica-se em cinco síndromes, nomeadas de: inflamatória, perfurativa, obstrutiva, hemorrágica e vascular. Os sinais e sintomas são: dor abdominal que se instala de forma súbita e rápida, vômito, febre, interrupção da eliminação de gases e fezes. O objetivo da pesquisa foi identificar as síndromes e as causas de cirurgias decorrentes do quadro de abdome agudo em pacientes internados e submetidos a uma intervenção cirúrgica em um Hospital Geral de Taubaté - SP. A pesquisa foi do tipo retrospectiva, documental, descritiva e quantitativa, no período de 2004 a 2006. Os resultados mostraram que, dos 91 (100%) casos estudados, o sexo masculino predominou em 55 (60,44%); as cirurgias ocorreram mais na faixa etária de 40-49 anos de idade, em 16 (17,58%); dentre os sinais e sintomas, a dor abdominal esteve presente em 100%, e o vômito, em 41 (29,50%); a causa cirúrgica de maior incidência foi a apendicite aguda, em 45 (49,45%); a síndrome predominante foi a inflamatória, em 49 (53,85%), a perfurativa apareceu em 23 (25.27%), a obstrutiva em 18 (19,78%),e a vascular, em 1 (1,10 %) dos casos; a causa de morte mais frequente foi o choque séptico, em 10 (38,46%); a mortalidade prevaleceu na faixa etária entre 80 e 89 anos de idade, em 5 (45,46%), com síndrome perfurativa em 6 (54,55%). Concluiu-se que a síndrome inflamatória foi predominante e que a apendicite foi a causa mais freqüente de cirurgia. Descritores: abdome agudo; cirurgia; mortalidade.RESUMENAbdomen agudo se refiere a un trastorno no traumático que se  encuentra en las vísceras de la cavidad abdominal y se clasifica en cinco síndromes nombrados de inflamatorio, perforativa, obstructiva, hemorrágica y vasculares. Las señales y síntomas son: dolor abdominal que se instalan de forma repentina y rápida, vómitos, fiebre, interrupción en la eliminación de gases y heces. El objetivo era determinar los síndromes y las causas de cirugías derivadas del cuadro de abdomen agudo en pacientes hospitalizados y sometidos a un procedimiento quirúrgico en el Hospital General del Taubate - SP. La investigación es del tipo retrospectivo, documental, descriptivo y cuantitativo, en el período de 2004 a 2006. Los resultados mostraron que de los 91 (100%) casos estudiados predominó el sexo masculino en 55 (60,44%); La cirugía ocurrieron en más frecuencia en el grupo de edad de 40 -49 años en 16 (17,58%); entre las señales y síntomas el dolor  abdominal estuvo presente en el (100%) y los vómitos en 41 (29,50%) la causa de cirugía de mayor incidencia fue apendicitis aguda con 45 (49,45%); El síndrome predominante  fue la inflamatoria en 49 (53, 85% ), Pero  perforativa apareció en 23 (25,27%), la obstructiva en 18 (19,78%), vasculares en 1 (1,10%) de los casos; la causa más frecuente de muerte fue el  choque séptico, 10 (38,46%); Prevaleció la mortalidad en el grupo de edad entre 80 a 89 años con 5 (45,46%), con síndrome  perforativa en 6 (54,55%). Se concluye que la síndrome inflamatoria y la causa apendicitis fueron las más frecuentes. Descriptores: abdomen agudo; cirurgía; mortalidad. 

COVID-19 associated multisystem inflammatory syndrome in children mimicking acute appendicitis - how to differentiate and conduct pediatric patients during the pandemic? - Proposal of a management flowchart

2021 ◽  
Vol 48 ◽  
Author(s):  
LORAINE ENTRINGER FALQUETO ◽  
CAROLINA MARTINS VISSOCI ◽  
ISABELLA CRISTINA BONETTO FERREIRA ◽  
AMANDA GINANI ANTUNES ◽  
FERNANDO ANTÔNIO BERSANI AMADO ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Acute Abdomen ◽  
Initial Phase ◽  
Pediatric Patients ◽  
Pediatric Population ◽  
Gastrointestinal Symptoms ◽  
Signs And Symptoms ◽  
Clinical History ◽  
Pediatric Hospital ◽  
Inflammatory Syndrome

ABSTRACT Introduction: the new coronavirus pandemic has been a reality throughout 2020, and it has brought great challenges. The virus predominantly manifests in the pediatric population with mild symptoms. However, an increase in the incidence of Multisystemic Inflammatory Syndrome in Children (MIS-C) associated with COVID-19 has been described in the literature. MIS-C manifests mainly with fever and gastrointestinal symptoms and may mimic acute abdomen due to acute appendicitis. The objective of this study is to propose a care flowchart for suspected cases of acute appendicitis in the initial phase in pandemic times, considering the possibility of MIS-C. This situation was brought up by a patient treated in a pediatric hospital in Brazil. Discussion: It was possible to identify common signs and symptoms in the reported patient and those published cases that may serve as alerts for early identification of MIS-C cases. Based on the literature review and on the similarities between the syndrome and the inflammatory acute abdomen in children, we elaborated an initial approach for these cases to facilitate the identification, early diagnosis, and management. The flowchart considers details of the clinical history, physical examination, and complementary exams prior to the indication of appendectomy in patients with initial phase symptoms. Conclusion: MIS-C, although rare and of poorly known pathophysiology, is most often severe and has a high mortality risk. The use of the proposed flowchart can help in the diagnosis and early treatment of MIS-C.

Appendix

2020 ◽  
pp. 15-26
Author(s):  
Jad M. Abdelsattar ◽  
Moustafa M. El Khatib ◽  
T. K. Pandian ◽  
Samuel J. Allen ◽  
David R. Farley
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Clinical Diagnosis ◽  
Surgical Intervention ◽  
Open Appendectomy ◽  
Wound Dehiscence ◽  
Signs And Symptoms ◽  
Wound Infections ◽  
Deep Wound ◽  
Blind Ending

The appendix is an antimesenteric cecal outpouching that forms in the fifth month of gestation. It is a hollow, blind-ending tube approximately 11 cm in length and less than 6 mm in diameter. Obstruction of the appendiceal lumen with a fecalith, or less commonly foreign bodies, worms, and lymphadenopathy, may result in swelling of the appendix. Patients present with periumbilical abdominal pain. Acute appendicitis is a clinical diagnosis. The majority of patients with signs and symptoms of acute appendicitis should receive prompt surgical intervention. Laparoscopic or open appendectomy can be associated with ileus, superficial or deep wound infections, GI leak, bleeding or hematoma, wound dehiscence, or hernia.

scholarly journals Torsion of the Omentum: A Rare Cause of Acute Abdomen in a 14-Year-Old Boy

2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Chijioke Chinaka ◽  
Shahbaz Mansoor ◽  
Mohamed Salaheidin
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Acute Abdomen ◽  
Acute Abdominal Pain ◽  
Age Group ◽  
First Line ◽  
Omental Torsion ◽  
Younger Age ◽  
Remarkable Recovery ◽  
Rule Out

Acute abdominal pain is a common surgical presentation, and most often, the first line of consideration is to rule out acute appendicitis; this is more so when the patient is an adolescent or within younger age group. In most cases, other differentials are considered before omental torsion. Omental torsion is a cause of acute abdominal pain and sometimes mimics acute appendicitis in its presentation. We present a case of a 14-yr-old boy who presented with acute abdomen with symptoms mimicking acute appendicitis. Laparoscopy revealed torsion of the omentum. Omentectomy and appendicectomy were done, and the child discharged four days after following a remarkable recovery.

scholarly journals ANALISIS OF THE STTUCTURE OF ABDOMINAL PAIN SINDROME IN CHILDREN IN CONDITIONS OF THE CENTRAL REPUBLICAN HOSPITAL

2019 ◽  
Vol 23 (1) ◽  
pp. 35-37
Author(s):  
Nail V. Rayanov ◽  
R. N. Rayanov ◽  
N. R. Nizaev
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Pediatric Surgery ◽  
Surgical Intervention ◽  
Abdominal Cavity ◽  
Emergency Operation ◽  
Acute Calculous Cholecystitis ◽  
Abdominal Organs ◽  
Functional Nature ◽  
Calculous Cholecystitis

Abdominal pain is a serious problem in pediatric surgery. Abdominal pain is one of the most frequent complaints addressed by children and their parents to doctors of various specialties: pediatrician, gastroenterologist, infectious diseases specialist, pediatric surgeon, ambulance workers. Abdominal pain is a symptom of many diseases of organs of abdominal cavity. It may be of a functional nature, which does not pose a threat to the life of the child and does not require surgical intervention, and pain associated with acute pathology of the abdominal organs (acute appendicitis, invagination of the intestine, diverticulitis, intestinal obstruction, acute calculous cholecystitis, injuries of the abdominal cavity and so on. e) requiring an emergency operation.

A COMPREHENSIVE STUDY ON ACUTE NON-TRAUMATIC ABDOMINAL EMERGENCIES

2021 ◽  
pp. 14-16
Author(s):  
Md. Quamar Zubair ◽  
A. K. Jha Suman
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Surgical Intervention ◽  
Age Groups ◽  
Diagnostic Procedures ◽  
Accurate Diagnosis ◽  
Postoperative Patient ◽  
Correct Treatment ◽  
Abdominal Emergencies ◽  
Comprehensive Study

Abdominal pain is one of the most common reasons for visit to the emergency room. Acute appendicitis is the commonest cause. An accurate diagnosis is essential for the correct treatment, which in many cases will prevent the death of the patient. Mainstay of diagnosis is history and physical examination. If this information is inadequate to establish a diagnosis and urgent or immediate operation is unnecessary, the periodic re-examination helps document the progression of the disease and often avoids unnecessary surgical intervention. Today the combination of improved diagnostic procedures, antibiotic and better anaesthesia and preoperative and postoperative patient care has led to a decrease in morbidity and mortality of patients with acute abdomen. The objective of this study was to determine the various causes of nontraumatic acute abdominal emergencies, their incidence, management and mortality in both sexes and all age groups >12 years age.

scholarly journals SARS-CoV-2 identification in an acute appendicitis case: Acute abdomen as manifestation of Multisystem Inflammatory Syndrome in a child with COVID-19

2021 ◽  
pp. 101651
Author(s):  
Amanda Munhoz Serra ◽  
Andréa Maria Cordeiro Ventura ◽  
Lucas Freitas Xavier ◽  
Angélica Braz Simões ◽  
Amaro Nunes Duarte-Neto
Keyword(s):  
Acute Appendicitis ◽  
Acute Abdomen ◽  
Inflammatory Syndrome

scholarly journals Predictive Value of Alvarado Score and Ultrasound in the Diagnosis of Acute Appendicitis (A prospective study

2021 ◽  
Vol 62 (4) ◽  
pp. 99-103
Author(s):  
Waleed Saadi Ahmed ◽  
Salah M. Tajer ◽  
Hend M. Sayaly
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Signs And Symptoms ◽  
Cost Effective ◽  
General Surgeon ◽  
Emergency Ward ◽  
Alvarado Score ◽  
Combined Application ◽  
Abdominal Emergencies ◽  
A Prospective Study

Background:  Acute appendicitis is the commonest non traumatic cause of acute abdominal pain that needs surgical management .Alvarado score and ultrasonographies are the most cost effective, easy and available aids for diagnosis. The aim of the study was determining   the reliability of Alvarado score and ultrasound in the diagnosis of acute appendicitis. Results: The study was applied with 100 cases with different types of abdominal pain at presentation with 51 males and 49 females .The sensitivity was97.3% ,specificity 90%, and accuracy  89 of combined usage of Alvarado score and U/S findings preoperatively. Patients and method:  A prospective non-interventional study including patients admitted with suggestive history with signs and symptoms of acute appendicitis to the surgical emergency ward of Baghdad teaching hospital from July 1st 2017 to Feb 10th 2018, Alvarado score calculated and ultrasonography done for each patient enrolled in this study, then to be followed for intraoperative findings. Conclusions: Combined application of Alvarado score and U/S has sensitivity 94.1% ,specificity 90% and accuracy 89% . In our medical facility and emergency ward, acute appendicitis remains as one of the top acute abdominal emergencies needing surgery in patients presenting with atypical clinical finding. So diagnosis becomes difficult. So Alvarado score along with ultrasound findings are useful for increasing the reliability in emergency department for  accurate diagnosis of acute appendicitis therefore there should be training for the use of U/S by emergency physician and general surgeon in the diagnosis of acute appendicitis in order to decrease the rate of negative appendectomies .  

scholarly journals Acute Abdomen—A Clinical Presentation of MIS-C in Children

2021 ◽  
Author(s):  
Emrah Gün ◽  
Tanıl Kendirli ◽  
Edin Botan ◽  
Berrin Demir ◽  
Ergun Ergün ◽  
...  
Keyword(s):  
Acute Abdomen ◽  
Clinical Presentation ◽  
Surgical Intervention ◽  
Clinical Course ◽  
Treatment Options ◽  
Pediatric Intensive Care ◽  
Multiple Organ ◽  
Multiple Organ Dysfunction ◽  
Pathology Reports ◽  
Inflammatory Syndrome

Abstract Objective Multisystemic inflammatory syndrome in children (MIS-C) is characterized by persistent fever, systemic hyperinflammation, and multiple-organ dysfunction. There are a few reports about MIS-C presenting with acute abdomen. The aim of this study is to demonstrate the clinical characteristics and treatment options for MIS-C-related acute abdomen and appendicitis. Methods This was a retrospective study conducted between April 2020 and October 2020 in our pediatric intensive care unit in Turkey. Patients between the ages of 1 month and 18 years who presented with acute abdomen and were ultimately diagnosed with MIS-C were included. Results Seven patients with a median age of 12.5 (interquartile range 10.5–13) years were enrolled. Four were females. The most frequent symptoms were fever, abdominal pain, and vomiting. Three patients had involvement of the appendix that required surgical intervention. All pathology reports were compatible with appendicitis. The other patients also had an acute abdomen. One patient had malignant hyperthermia during induction of anesthesia, so surgery was postponed and medical management was commenced. The clinical picture regressed with immunomodulation. All patients were treated with intravenous immunoglobulin and steroids. Four patients with acute abdomens improved with immunomodulation, and surgery was not needed. Conclusion MIS-C may present with an acute abdomen. Immunomodulation should be considered instead of surgery if the clinical course is not complicated.

scholarly journals Primary omental infarction: a report of a series of cases in an Indian tertiary care hospital

2020 ◽  
Vol 7 (5) ◽  
pp. 1623
Author(s):  
Ruru Ray ◽  
Ann Sunny ◽  
Giridhar Ashwath ◽  
Anthony Prakash Rozario ◽  
Rahul Sima
Keyword(s):  
Abdominal Pain ◽  
Acute Abdomen ◽  
Surgical Intervention ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Abdominal Abscess ◽  
Short History ◽  
Omental Infarction ◽  
History Of

Primary omental infarction is a relatively rare and often presents as right sided abdominal pain. It is often diagnosed as appendicitis and is usually picked up intra-operatively, or - as often seen nowadays - on imaging. We describe a series of four cases of primary omental infarction that presented to us with varying clinical features. Three of them had a short history of right sided abdominal pain, whereas the fourth patient had a longer history of left sided abdominal pain. All 4 were managed operatively, with the fourth having presented with an intra-abdominal abscess that required laparotomy. Primary omental infarction is a diagnosis which must be considered in any case of acute abdomen. Cases diagnosed with certainty on imaging may be managed conservatively but must be followed up closely. Need for surgical intervention should be considered in select cases.

scholarly journals Acute appendicitis as the first manifestation of HenochSchönlein purpura

2020 ◽  
Vol 0 ◽  
pp. 1-3
Author(s):  
Pedro Nogarotto Cembraneli ◽  
Julia Brasileiro de Faria Cavalcante ◽  
Renata Brasileiro de Faria Cavalcante ◽  
José Edison da Silva Cavalcante
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Acute Abdomen ◽  
Joint Pain ◽  
Systemic Vasculitis ◽  
Symptom Control ◽  
Small Vessel ◽  
Palpable Purpura ◽  
Gangrenous Appendicitis ◽  
Schonlein Purpura

Henoch-Schönlein purpura (HSP) is a small vessel systemic vasculitis. Typical symptoms include palpable purpura, joint pain, and abdominal pain. Most cases improve after a few weeks, not requiring any treatments other than symptom control. Acute abdomen resulting from vasculitis is very rare and should be treated as a surgical emergency. We report the case of a 9-year-old boy with acute gangrenous appendicitis as the first manifestation of HSP.

Sign in / Sign up

Export Citation Format

Share Document