scholarly journals A Case of Valentino's Syndrome Presenting as Possible Appendicitis

2019 ◽  
Vol 104 (11-12) ◽  
pp. 540-541
Author(s):  
Brandon H. Cherry ◽  
Denish Patel ◽  
Joseph E. Ronaghan
Keyword(s):  
Acute Appendicitis ◽  
Signs And Symptoms ◽  
Perforated Peptic Ulcer ◽  
Exploratory Laparotomy ◽  
Good Health ◽  
Lower Quadrant Pain ◽  
Lower Quadrant ◽  
Right Lower Quadrant Pain ◽  
The Right ◽  
Purulent Fluid

Introduction We present a case of a 24-year-old female who presented with the signs and symptoms of acute appendicitis. Case report When computed tomography and ultrasound were not definitive for the diagnosis, the decision was made to perform a laparoscopic appendectomy. The appendix showed no gross signs of inflammation, so intraoperative esophagogastroduodenoscopy was used to examine for a perforated peptic ulcer. When no perforations were found, exploratory laparotomy was performed and revealed purulent fluid in the right colic gutter and a pinhole perforation in the first part of the duodenum. The defect was repaired and the abdominal space was washed thoroughly and closed. The patient recovered well and was discharged from the hospital in good health. Conclusion Valentino's syndrome is an uncommon cause of right lower quadrant pain and symptoms mimicking acute appendicitis.

scholarly journals FISH BONE PERFORATION OF SMALL BOWEL MIMICKING ACUTE APPENDICITIS

2016 ◽  
Vol 4 (7) ◽  
pp. 66-74
Author(s):  
Shariful Islam ◽  
Anthony Maughn ◽  
Patrick Harnarayn ◽  
Vijay Naraynsingh
Keyword(s):  
Small Bowel ◽  
Acute Appendicitis ◽  
Bowel Perforation ◽  
Exploratory Laparotomy ◽  
Fish Bone ◽  
Lower Quadrant Pain ◽  
Lower Quadrant ◽  
Delay In Diagnosis ◽  
Right Lower Quadrant Pain ◽  
Right Lower Quadrant

Accidental ingestion of foreign bodies is a commonly encountered event in clinical practice. However, small bowel perforation due to a fish bone is a rare phenomenon. Often, the exact diagnosis is missed preoperatively and is revealed only at laparotomy. Delay in diagnosis and treatment can be associated with significant morbidity and mortality. We report a case of 54- year male who presented with right lower quadrant pain with nausea and vomiting. Clinically, Acute appendicitis was diagnosed. Computerized tomography (CT) of the abdomen confirmed pockets of free air in the right lower quadrant with fat streaking suggestive of perforated ileum. On exploratory laparotomy, the ileal perforation was confirmed secondary to a fish bone. Although rare, foreign body perforation of the small bowel should be entertained in the differential diagnosis in certain groups of patients presenting with acute abdomen.

scholarly journals A Case of Postpartum Thrombophlebitis of a Retroperitoneal Varix Mimicking Acute Appendicitis

2019 ◽  
Vol 35 (5) ◽  
pp. 432-437
Author(s):  
Paula Glackin ◽  
Lars G. Crabo
Keyword(s):  
Acute Appendicitis ◽  
Correct Diagnosis ◽  
Ovarian Vein ◽  
Quadrant Pain ◽  
Sonographic Examination ◽  
Lower Quadrant Pain ◽  
Lower Quadrant ◽  
Right Lower Quadrant Pain ◽  
The Right ◽  
Right Lower Quadrant

A case of thrombophlebitis of a retroperitoneal varix in a postpartum patient with right lower quadrant pain is presented. The sonographic examination was falsely positive for appendicitis, but the correct diagnosis was made with a subsequent computed tomogram. The thrombosed varix was likely a collateral of the right ovarian vein, analogous to postpartum ovarian vein thrombophlebitis (POVT), an uncommon potentially fatal disorder. POVT is reviewed, emphasizing features useful for distinguishing it from appendicitis at sonography. Sonographers should be aware of the possibility of thrombophlebitis when examining postpartum patients with right lower quadrant pain.

scholarly journals A Patient with an Unusual Cause Right Lower Quadrant Pain and Vomiting: Pyelonephritis of an Ectopic Right Kidney Masquerading as Acute Appendicitis

2009 ◽  
Vol 2009 ◽  
pp. 1-3 ◽  
Author(s):  
Michele N. Lossius ◽  
Carlos E. Araya ◽  
Dwayne D. Henry ◽  
Richard E. Neiberger
Keyword(s):  
Acute Appendicitis ◽  
Surgical Intervention ◽  
Clinical Findings ◽  
Adolescent Female ◽  
Quadrant Pain ◽  
Lower Quadrant Pain ◽  
Lower Quadrant ◽  
Right Lower Quadrant Pain ◽  
The Right ◽  
Right Lower Quadrant

An adolescent female presented with one day of abdominal pain and clinical findings of acute appendicitis. CT scan revealed an ectopic right kidney with changes of acute pyelonephritis. This paper underscores the importance of imaging the right pelvis prior to surgical intervention in suspected cases of acute appendicitis in children.

Appendicitis

2019 ◽  
Author(s):  
James Creswell Simpson ◽  
Sarah Sebbag
Keyword(s):  
Age Groups ◽  
Signs And Symptoms ◽  
Vermiform Appendix ◽  
The United States ◽  
Likelihood Ratios ◽  
Lower Quadrant Pain ◽  
Lower Quadrant ◽  
Right Lower Quadrant Pain ◽  
Computed Tomographic ◽  
High Index Of Suspicion

Appendicitis is defined as inflammation of the vermiform appendix. It is the most common abdominal surgical emergency and occurs at an annual rate of approximately one in 10,000 in the United States. The lifetime risk of appendicitis is about 9% for males and 7% for females; approximately 80% of cases occur before 45 years of age. Appendicitis rarely occurs in infants; it increases in frequency between 2 and 4 years of age and reaches a peak between the ages of 10 and 19 years. However, clinicians must maintain a high index of suspicion in patients of all age groups. This review covers the pathophysiology, stabilization and assessment, and diagnosis and treatment of complicated and uncomplicated appendicitis. The disposition and outcomes are also reviewed. Figures show an image of appendicitis on a bedside sonogram, and a computed tomographic image of appendicitis. Tables list likelihood ratios of signs and symptoms of appendicitis, the sonographic appearance of appendicitis, the Alvarado scoring system, and the differential diagnosis of appendicitis.  This review contains 2 figures, 7 tables, and 36 references. Key words: appendicitis, obstructed appendiceal lumen, rebound abdomen, right lower quadrant pain, ruptured appendix

scholarly journals Predictive value of scoring systems for the diagnosis of acute appendicitis in emergency department patients: Is there an accurate one?

2019 ◽  
Vol 27 (5) ◽  
pp. 262-269
Author(s):  
Rohat Ak ◽  
Fatih Doğanay ◽  
Ebru Unal Akoğlu ◽  
Haldun Akoğlu ◽  
Aslı Bahar Uçar ◽  
...  
Keyword(s):  
Inflammatory Response ◽  
Acute Appendicitis ◽  
Area Under The Curve ◽  
Scoring Systems ◽  
Acute Inflammatory Response ◽  
Quadrant Pain ◽  
Lower Quadrant Pain ◽  
Lower Quadrant ◽  
Right Lower Quadrant Pain ◽  
Right Lower Quadrant

Background: Acute appendicitis is one of the challenging surgical conditions presented in the emergency departments. Clinical scoring systems were developed to reduce the negative appendectomy rate and also to avoid unnecessary diagnostic evaluation. Objectives: The primary aim was to compare the clinical adequacy of the Alvarado, Acute Inflammatory Response, and the Raja Isteri Pengiran Anak Saleha Appendicitis scores in patients with right lower quadrant pain for the diagnosis of acute appendicitis. Methods: This was a prospective and observational study. All patients over the age of 18 years who presented with a complaint of right lower quadrant pain were enrolled. The Alvarado, Acute Inflammatory Response, and Raja Isteri Pengiran Anak Saleha Appendicitis scoring systems were compared. The patients were either admitted or followed-up as out-patient. Face-to-face or telephone follow-up visits were arranged for the patients who did not have surgery and who were not admitted. Results: 232 patients were included and 14 patients were excluded from the study. Of the 218 patients, 114 patients underwent surgery. Of the 114 patients, 107 patients were pathologically diagnosed with acute appendicitis. It was determined that Raja Isteri Pengiran Anak Saleha Appendicitis score was the most valuable score with 0.88 accuracy, followed by Acute Inflammatory Response (area under the curve = 0.79) and Alvarado (area under the curve = 0.71) scores. Conclusion: The accuracy of Raja Isteri Pengiran Anak Saleha Appendicitis scoring system was higher for the diagnosis of acute appendicitis than the other scores. The cut-off of the Raja Isteri Pengiran Anak Saleha Appendicitis score from a 7.5-point threshold provides a practical, non-invasive, rapid diagnostic method that increases acute appendicitis discriminative power in patients presenting with right lower quadrant pain.

Appendicitis

2019 ◽  
Author(s):  
James Creswell Simpson ◽  
Sarah Sebbag
Keyword(s):  
Age Groups ◽  
Signs And Symptoms ◽  
Vermiform Appendix ◽  
The United States ◽  
Likelihood Ratios ◽  
Lower Quadrant Pain ◽  
Lower Quadrant ◽  
Right Lower Quadrant Pain ◽  
Computed Tomographic ◽  
High Index Of Suspicion

Appendicitis is defined as inflammation of the vermiform appendix. It is the most common abdominal surgical emergency and occurs at an annual rate of approximately one in 10,000 in the United States. The lifetime risk of appendicitis is about 9% for males and 7% for females; approximately 80% of cases occur before 45 years of age. Appendicitis rarely occurs in infants; it increases in frequency between 2 and 4 years of age and reaches a peak between the ages of 10 and 19 years. However, clinicians must maintain a high index of suspicion in patients of all age groups. This review covers the pathophysiology, stabilization and assessment, and diagnosis and treatment of complicated and uncomplicated appendicitis. The disposition and outcomes are also reviewed. Figures show an image of appendicitis on a bedside sonogram, and a computed tomographic image of appendicitis. Tables list likelihood ratios of signs and symptoms of appendicitis, the sonographic appearance of appendicitis, the Alvarado scoring system, and the differential diagnosis of appendicitis.  This review contains 2 figures, 7 tables, and 36 references. Key words: appendicitis, obstructed appendiceal lumen, rebound abdomen, right lower quadrant pain, ruptured appendix

Appendicitis

2019 ◽  
Author(s):  
James Creswell Simpson ◽  
Sarah Sebbag
Keyword(s):  
Age Groups ◽  
Signs And Symptoms ◽  
Vermiform Appendix ◽  
The United States ◽  
Likelihood Ratios ◽  
Lower Quadrant Pain ◽  
Lower Quadrant ◽  
Right Lower Quadrant Pain ◽  
Computed Tomographic ◽  
High Index Of Suspicion

Appendicitis is defined as inflammation of the vermiform appendix. It is the most common abdominal surgical emergency and occurs at an annual rate of approximately one in 10,000 in the United States. The lifetime risk of appendicitis is about 9% for males and 7% for females; approximately 80% of cases occur before 45 years of age. Appendicitis rarely occurs in infants; it increases in frequency between 2 and 4 years of age and reaches a peak between the ages of 10 and 19 years. However, clinicians must maintain a high index of suspicion in patients of all age groups. This review covers the pathophysiology, stabilization and assessment, and diagnosis and treatment of complicated and uncomplicated appendicitis. The disposition and outcomes are also reviewed. Figures show an image of appendicitis on a bedside sonogram, and a computed tomographic image of appendicitis. Tables list likelihood ratios of signs and symptoms of appendicitis, the sonographic appearance of appendicitis, the Alvarado scoring system, and the differential diagnosis of appendicitis.  This review contains 2 figures, 7 tables, and 36 references. Key words: appendicitis, obstructed appendiceal lumen, rebound abdomen, right lower quadrant pain, ruptured appendix

Case 11.3

2014 ◽  
pp. 534-535
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Left Ovary ◽  
Quadrant Pain ◽  
Lower Quadrant Pain ◽  
Lower Quadrant ◽  
Weighted Image ◽  
Right Lower Quadrant Pain ◽  
History Of ◽  
The Right ◽  
Superior Margin ◽  
Right Lower Quadrant

11-year-old girl with a 3-month history of increasing intermittent right lower quadrant pain Coronal oblique FSE T2-weighted images (Figure 11.3.1) demonstrate a markedly enlarged right ovary that contains a prominent cyst (the normal left ovary can be seen along the left superior margin of the right ovary, with multiple small follicles). Sagittal fat-suppressed FSE T2-weighted image (...

scholarly journals Nail Biting as a Cause of Appendicitis

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Michael Pagacz ◽  
Philip Bao ◽  
Juan Carlos Alvarez Moreno ◽  
Lydia Howard
Keyword(s):  
Abdominal Pain ◽  
Foreign Body ◽  
Acute Appendicitis ◽  
Treatment Options ◽  
Signs And Symptoms ◽  
Primary Treatment ◽  
Lower Quadrant ◽  
Nail Biting ◽  
Periappendiceal Abscess ◽  
The Right

Ingestion of a foreign body is commonly encountered in clinical practice, but most cause no complications, passing spontaneously through the gastrointestinal tract. However, they can cause obstructive signs and symptoms, and surgical intervention for extraction of the foreign body may be required after identifying its location. We present here the case of a 49-year-old woman who presented to our emergency room with abdominal pain localizing to the right lower quadrant. Evaluation was most consistent with acute appendicitis, and she underwent uncomplicated appendectomy. A keratin nail with Actinomyces was identified in her appendix. Foreign bodies in the appendix can cause simple appendicitis, perforation, periappendiceal abscess, and peritonitis. Regardless of etiology, an appendectomy often ends up the primary treatment, but unusual and rare causes are worth noting if only for the clinician to be aware of when evaluating the next patient with abdominal pain and considering treatment options or future prevention. Our case is an example of a rare scenario in which an Actinomyces-contaminated human nail lodged in the appendix of a woman eventually resulting in acute appendicitis.

Case 9.10

2014 ◽  
pp. 439-440
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Crohn Disease ◽  
Distal Ileum ◽  
Quadrant Pain ◽  
Lower Quadrant Pain ◽  
Lower Quadrant ◽  
Right Lower Quadrant Pain ◽  
History Of ◽  
The Right ◽  
Right Lower Quadrant

24-year-old man with 5-year history of Crohn disease now with worsening right lower quadrant pain, difficulty eating, and diarrhea Coronal SSFSE (Figure 9.10.1), fat-suppressed 2D SSFP (Figure 9.10.2), and postgadolinium 3D SPGR (Figure 9.10.3) images show marked thickening of the distal ileum, with matted loops of ileum in the right lower quadrant. Note the prominent enteroenteric fistula in the distal ileum....

Sign in / Sign up

Export Citation Format

Share Document