Wandering spleen with torsion presenting as a rare case of acute abdomen

Wandering spleen is a rare clinical occurrence characterized by the absence of spleen in its normal anatomic place. Patients may present with acute abdomen, abdominal mass, and chronic abdominal pain. Prompt diagnosis and intervention are necessary. Here, we report a case of a woman who presented with acute abdominal pain secondary to a wandering spleen complicated by torsion of its vascular pedicle. Keywords: Wandering spleen; torsion; splenectomy

Incidental Findings of Appendiceal Diverticulitis Presenting as Acute Appendicitis

Diverticulosis of the appendix (DA) is a rare pathological finding that clinically imitates acute appendicitis and is most commonly found in adult males with chronic abdominal pain. It has a higher rate of perforation compared to acute appendicitis (84% vs 12%, P<0.01), and is consequently associated with a higher rate of mortality. Appendiceal diverticulitis has been found to have a significant association with incidental appendiceal neoplasms, therefore elective prophylactic appendectomy is recommended to prevent the risk of complications and to rule out the possibility of a coexisting neoplasm. Meticulous gross examination in addition to thorough histological examination of the entire appendectomy specimen by pathologists is essential in order to identify diverticula. We present two female patients with signs and symptoms consistent with acute appendicitis, they were found to have appendiceal diverticulitis on pathologic evaluation.

EVALUATION OF THE ROLE OF DIAGNOSTIC LAPAROSCOPY IN PATIENTS PRESENTING WITH NON SPECIFIC ABDOMINAL PAIN AND ITS CORRELATION WITH CLINICAL AND RADIOGRAPHIC FINDINGS

Background: The present study was planned to evaluate the role of diagnostic laparoscopy in patients presenting with non-specific abdominal pain and its correlation with clinical and radiographic findings. Methods: Prospective descriptive study conducted on 50 patients, who fulfill the inclusion and exclusion criteria was included in the study. Results: 60% cases laparoscopy provide diagnostic & therapeutic or both. After laparoscopy 92% cases pain were resolve. Conclusion: Diagnostic laparoscopy can identify abnormal findings and improve the outcome in patients with chronic abdominal pain. However, it should be considered only after a complete diagnostic evaluation has been carried out. Keywords: Laparoscopy, diagnostic, therapeutic