scholarly journals Eosinophilic gastroenteritis with acute abdomen: A case report

2021 ◽  
Vol 38 (1) ◽  
pp. 96-100
Author(s):  
Tahmineh Biazar ◽  
Parisa Sabbagh ◽  
Soheil Ebrahimpour ◽  
Masomeh Bayani
Keyword(s):  
Abdominal Pain ◽  
Acute Abdomen ◽  
Recurrent Abdominal Pain ◽  
Eosinophilic Gastroenteritis ◽  
Severe Abdominal Pain ◽  
Pathological Examination ◽  
Gi Tract ◽  
Upper Gi ◽  
Upper Gi Endoscopy

Eosinophilic gastroenteritis (EGE) as a rare inflammatory gastrointestinal (GI) disorder is primarily characterized by long-term or recurrent abdominal pain. Peripheral eosinophilia is usually caused by eosinophilic infiltrations into the multiple layers of the GI tract. In this report, a case of EGE with an acute abdomen is presented. A 14-year-old female experienced severe abdominal pain and hypereosinophilia. She underwent appendectomy due to severe abdominal pain approximately one week before readmission. Because of the persistence of pain, the upper GI endoscopy and biopsy were performed and the result of the pathological examination was eosinophilic gastroenteritis. Due to the nonspecificity of EGE symptoms, it is recommended that clinicians study pathology in atypical and nonresponsive GI diseases; biopsy should be performed as well.

scholarly journals A case of hereditary angioedema due to C1-inhibitor deficiency with recurrent abdominal pain diagnosed 40 years after the occurrence of the initial symptom

2021 ◽  
Author(s):  
Daisuke Honda ◽  
Isao Ohsawa ◽  
Keiichi Iwanami ◽  
Hisaki Rinno ◽  
Yasuhiko Tomino ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Hereditary Angioedema ◽  
Recurrent Abdominal Pain ◽  
Acute Attack ◽  
Severe Abdominal Pain ◽  
Initial Symptom ◽  
C1 Inhibitor ◽  
Self Administration ◽  
C1 Inhibitor Deficiency ◽  
Appropriate Treatment

AbstractHereditary angioedema due to C1-inhibitor deficiency (HAE-C1-INH) is a rare disease, which induces an acute attack of angioedema mediated by bradykinin. HAE-C1-INH can cause serious abdominal pain when severe edema develops in the gastrointestinal tract. However, because it takes a long time, 13.8 years on average in Japan, from the occurrence of the initial symptom to the diagnosis due to low awareness of the disease, undiagnosed HAE-C1-INH patients sometimes undergo unnecessary surgical procedures for severe abdominal pain. We herein present a 56-year-old patient with HAE-C1-INH, who underwent numerous abdominal operations. He frequently needed hospitalization with the administration of opioid due to severe abdominal pain. However, after he was accurately diagnosed with HAE-C1-INH at 55 years of age, he could start self-administration for an acute attack with icatibant, a selective bradykinin B2 receptor antagonist. Consequently, he did not need hospitalizing for ten months after the beginning of the treatment. A series of an accurate diagnosis and appropriate treatment for HAE-C1-INH improved his quality of life. Thus, HAE-C1-INH should be considered, when we meet patients with unidentified recurrent abdominal pain. This case highlights significance of an early diagnosis and appropriate treatment for HAE-C1-INH.

scholarly journals The “mule” with golden eggs: Retrieval of unusual foreign body

2015 ◽  
Vol 06 (02) ◽  
pp. 079-080
Author(s):  
Chhavi Wadhwa ◽  
Shibumon Madhavan ◽  
Alfred J. Augustine ◽  
Suresh Shenoy ◽  
Abid Mirza
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Gi Tract ◽  
Unusual Foreign Body ◽  
Upper Gi ◽  
Intentional Ingestion ◽  
History Of ◽  
Upper Gi Endoscopy ◽  
Pass Through ◽  
Body Packers

AbstractForeign body ingestions often consist of benign objects that will readily pass through the gastrointestinal (GI) tract without necessitating further intervention. There are various reports in the literature about intentional ingestion of foreign bodies in prisoners and body packers, which required intervention. We present a case of 44-year-old male with a history of intentional ingestion of 30 gold pellets as a carrier from Dubai to India. The pellets were successfully retrieved by upper GI endoscopy after 1-week of observation and unsuccessful attempts of conservative trial. There have been many foreign body extractions but gold retrieval has been a rare case.

Long-Term Health Outcomes in Patients with Recurrent Abdominal Pain

1995 ◽  
Vol 20 (2) ◽  
pp. 233-245 ◽  
Author(s):  
Lynn S. Walker ◽  
Judy Garber ◽  
Deborah A. Van Slyke ◽  
John W. Greene
Keyword(s):  
Abdominal Pain ◽  
Health Outcomes ◽  
Recurrent Abdominal Pain

The case of recurrent abdominal pain in a girl

2013 ◽  
Vol 4 (4) ◽  
pp. 93-95
Author(s):  
Dmitry Vladimirovich Pechkurov ◽  
Evgeniya Nikolayevna Voronina ◽  
Yuliya Evgenyevna Allenova
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Abdominal Pain ◽  
Rare Disease ◽  
Surgical Procedures ◽  
Acute Intermittent Porphyria ◽  
Recurrent Abdominal Pain ◽  
Dominant Type ◽  
Different Parts

Abdominal pain is often occur in practice of the pediatrician and gastroenterologist. Recurrent, intense, intractable abdominal pain for several years should be a symptom of anxiety. In this article, we present a case of long-term recurrent abdominal pain in a girl, accompanied by neurological symptoms, as a symptom of a rare disease - acute intermittent porphyria. Acute intermittent porphyria - inherited by dominant type disease characterized by lesions of the peripheral and central nervous system, the most frequent symptom of which is pain in the abdomen. Abdominal pain with this disease are recurrent paroxysmal and may be localized in different parts of the stomach, leading to the setting false diagnoses, multiple hospitalizations and unjustified surgical procedures.

scholarly journals Limited Wedge Resection of a Duodenal Gist in a Patient with Intermittent Melena

2021 ◽  
Keyword(s):  
Wedge Resection ◽  
Gi Bleeding ◽  
Gi Tract ◽  
Epigastric Discomfort ◽  
Stromal Tumors ◽  
Upper Gi ◽  
Duodenal Gist ◽  
Upper Gi Endoscopy ◽  
Subepithelial Lesion ◽  
Unexplained Symptoms

Gastrointestinal Stromal Tumors account for 1% - 2% of all gastrointestinal (GI) tract tumors. Among GISTs, duodenal localization occurs in less than 5% and usually presents with upper GI bleeding. A 45-year-old man presented in the outpatient department with complaints of epigastric discomfort, intermittent melena and undocumented weight loss for the preceding 3 months. Initial upper GI endoscopy showed mild duodenitis and no other upper GI pathology. For unexplained symptoms, a CT Scan was performed which demonstrated a well-defined solid lesion along the second part of the duodenum. An endoscopic ultrasound (EUS)-guided biopsy of a subepithelial lesion at D2 was performed. Immunohistochemistry findings were suggestive of GIST. Wedge resection of the duodenal mass was done. Duodenal GIST should be considered as a differential in cases of GI bleeding when other differentials have been ruled out. Limited resection of duodenal GIST should be considered over pancreaticoduodenectomy, in case of small size tumors.

scholarly journals Evaluation of persistent upper abdominal pain by upper gastrointestinal endoscopy

2020 ◽  
Vol 7 (3) ◽  
pp. 791
Author(s):  
Keyur Suryakant Patel ◽  
Prabhat B. Nichkaode ◽  
Sunil V. Panchabhai ◽  
Manichandra Reddy ◽  
Balaji Prathep Santhan ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Common Finding ◽  
Rapid Urease Test ◽  
Gi Endoscopy ◽  
Upper Gi ◽  
Duodenal Lesions ◽  
Urease Test ◽  
Upper Gi Endoscopy ◽  
Upper Abdominal ◽  
Upper Gastrointestinal

Background: The upper gastrointestinal tract is affected by a spectrum of conditions which span from infectious, idiopathic, inflammatory diseases, polyps, motility disorders and malignancy. Upper gastrointestinal scopy is believed to be the most effective screening modality as it not only allows direct visualization of oesophagus, gastric and duodenal mucosa but to perform biopsies in suspected malignancies. Aim: To evaluate persistent upper abdominal pain by upper gastrointestinal scopy.Methods: A total of 100 patients presented with complains of persistent upper abdominal pain were subjected to upper gastrointestinal scopy. Biopsies in indicated cases were taken from abnormal areas and sent for histopathology.Results: Most common finding in patients according to upper gastrointestinal scopy was gastritis (27%), followed by duodentitis (9%), and gastroduodenitis (7%). Rapid urease test in cases of gastritis and duodenitis to determine H. pylori infection were positive in 53.8% cases.Conclusions: Because of its precision and relatively safe technique upper GI endoscopy can be considered in patients above age of 50 years presenting to surgical OPD with complaints of persistent pain in upper abdomen. Investigating helicobacter pylori should be considered in all patients found to have gastric or duodenal lesions on upper GI endoscopy as its association with these lesions ranges from 50 to 80%.

scholarly journals Combination of Low Dose Ketamine, Paracetamol, and Tramadol for Opioid Induces Hyperalgesia in Lung Cancer with Intra Abdominal Metastases

2020 ◽  
Vol 12 (2) ◽  
pp. 30-36
Author(s):  
Boyke Marthin Simbolon ◽  
Mual Kristian Sinaga
Keyword(s):  
Lung Cancer ◽  
Abdominal Pain ◽  
Total Dose ◽  
Low Dose ◽  
Severe Abdominal Pain ◽  
Pain Severity ◽  
Cancer Stage ◽  
Fentanyl Patch ◽  
Opioid Induced Hyperalgesia

Background: Opioid induced hyperalgesia or OIH is one of exaggerated response to pain secondary to using of the opioid itself. High dosage of opioid in long term (days to weeks) relate to increased OIH occurrence.Case: Female, 58 yrs, BMI 17.77, complained severe abdominal pain with NRS 8/10. Patient suffered from lung cancer stage 3 with intra abdominal metastases. Previously patient had received analgesic paracetamol 1gr TID, dexketoprofen 25mg TID, parecoxib 40mg OD, morphine 10mg BD and fentanyl patch 50 µg. Then fentanyl was given 25 µg IV twice with interval of 15 minutes. Patient still complained for pain and eventually pain severity increased to NRS 10/10. Afterwards patient was given low dose ketamin 0.1mg/kg slow IV push, paracetamol 1gr IV, and tramadol 50mg IV. After 15 minutes observation, pain decreased to NRS 5/10.Discussion: Decreasing total dose of opioid consumed may decresed OIH. It may be performed by improving analgesia by using combination of analgesic and intervention strategy.Conclusion: combination of low dose ketamine (0.1mg/kg), paracetamol, and tramadol may be benefit for patient with opioid induces hyperalgesia in lung cancer stage 3 with intra abdominal metastases.

scholarly journals Duodenal strongyloidiasis infection mimicking lymphangiectasia

2017 ◽  
Vol 8 (5) ◽  
pp. 98-100 ◽  
Author(s):  
Muhammad Bilal ◽  
Nisar Ahmed
Keyword(s):  
Middle Age ◽  
Strongyloides Stercoralis ◽  
Definitive Diagnosis ◽  
Pathological Examination ◽  
Stool Examination ◽  
Intestinal Infection ◽  
Medical Sciences ◽  
Endoscopic Findings ◽  
Upper Gi ◽  
Upper Gi Endoscopy

Strongyloides stercoralis infection usually causes a chronic asymptomatic intestinal infection or otherwise non-specific generalized complaints. The diagnosis of strongyloidiasis by routine stool examination is very limited. Endoscopic findings in strongyloidiasis range from mucosal granularity to friable edema to frank ulceration or Small bowel obstruction secondary to intense infestation. The pathological examination of tissue biopsy and aspirate can give the definitive diagnosis. We report a case of middle age patient who presented with the symptoms of weight loss and diarrhea. On evaluation, upper GI endoscopy (EGD) showed the findings of lymphangiectasia but biopsy findings were consistent with strongyloidiasis which was successfully treated with Ivermectin 200 μg/kg, given for two days.Asian Journal of Medical Sciences Vol.8(5) 2017 98-100

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