An audit of inter‐hospital transfers of children with abdominal pain and their associated medical imaging findings

Sonography ◽  
2021 ◽  
Author(s):  
Tristan Reddan ◽  
Toni Halligan ◽  
Jonathan Corness
Keyword(s):  
Abdominal Pain ◽  
Medical Imaging ◽  
Imaging Findings

scholarly journals Idiopathic Sclerosing Encapsulating Peritonitis in a Patient with Atypical Symptoms and Imaging Findings

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Joseph Wetherell ◽  
Katherine Woolley ◽  
Rishi Chadha ◽  
Julia Kostka ◽  
Edin Adilovic ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Small Bowel ◽  
Respiratory Distress ◽  
Clinical Symptoms ◽  
Failure To Thrive ◽  
Rare Condition ◽  
Imaging Findings ◽  
Atypical Symptoms ◽  
Sclerosing Encapsulating Peritonitis ◽  
Encapsulating Peritonitis

Sclerosing encapsulating peritonitis is a rare condition caused by a fibrotic membrane covering the small bowel which may lead to abdominal pain or obstruction. The cause may be primary and idiopathic or secondary to several diseases, treatments, and/or medications. The condition typically presents with bowel obstruction, and only one previous case has described ascites as the presenting sign. Sclerosing encapsulating peritonitis is typically diagnosed intraoperatively. We present a case of a patient who presented with atypical clinical symptoms including respiratory distress, recurrent abdominal ascites, and failure to thrive who was diagnosed nonoperatively.

scholarly journals Ewing sarcoma of the rib: respiratory tract infection as initial symptoms in a 14-year-old boy. Functional medical imaging findings

Research ◽  
2014 ◽  
Vol 1 ◽  
Author(s):  
Angel González-Sistal ◽  
Alicia Baltasar-Sánchez ◽  
Miguel Garrido Pumar ◽  
Álvaro Ruibal Morell
Keyword(s):  
Medical Imaging ◽  
Tract Infection ◽  
Respiratory Tract ◽  
Respiratory Tract Infection ◽  
Ewing Sarcoma ◽  
Imaging Findings ◽  
Initial Symptoms

scholarly journals Analysis of the risk of ovarian torsion in 49 consecutive pediatric patients treated at a single institution

2019 ◽  
Vol 2 (2) ◽  
pp. e000009
Author(s):  
Koshiro Sugita ◽  
Takafumi Kawano ◽  
Mukai Motoi ◽  
Toshihiro Muraji ◽  
Shun Onishi ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Pediatric Patients ◽  
Clinical Symptoms ◽  
White Cell Count ◽  
Ovarian Torsion ◽  
Imaging Findings ◽  
Single Institution ◽  
Exact Test ◽  
Cystic Masses ◽  
Ovarian Masses

PurposeAn early diagnosis of ovarian torsion is sometimes difficult due to variable clinical symptoms and non-specific imaging findings. We retrospectively reviewed patients with pediatric ovarian masses manifesting torsion.MethodsFifty-eight ovarian masses (55 episodes) in 49 non-neonatal patients treated from April 1984 to March 2017 were retrospectively analyzed. The Mann-Whitney U test and Fisher’s exact test were used for the statistical analysis.ResultsThe median age of these 55 episodes was 10.5 years old (range 1.0–23.0). Thirty-three patients presented with abdominal pain. Forty-five tumors and 13 cystic masses were resected and diagnosed pathologically (50 benign and 8 malignant). Torsion was identified in 15 cases (25.9%) at operation. The torsion masses were all benign, and 8 ovaries (53.3%) were successfully preserved. Comparing the torsion cases with the non-torsion cases, only the white cell count was significantly higher in the torsion cases (p=0.0133) and in the patients presented with abdominal pain (p=0.0068). The duration of abdominal pain was significantly shorter in ovary preserved cases than in oophorectomy cases.ConclusionThe white blood cell may be a helpful indicator of the presence of torsion as well as the need for surgery.

scholarly journals Parasitic diseases as a cause of acute abdominal pain: imaging findings

2020 ◽  
Vol 11 (1) ◽  
Author(s):  
Emre Ünal ◽  
Sevtap Arslan ◽  
Mehmet Ruhi Onur ◽  
Erhan Akpinar
Keyword(s):  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Parasitic Diseases ◽  
Imaging Findings

scholarly journals A case report of mesenteric panniculitis

2019 ◽  
Vol 47 (7) ◽  
pp. 3354-3359 ◽  
Author(s):  
Ming-en Zhao ◽  
Ling-qiang Zhang ◽  
Li Ren ◽  
Zhen-wei Li ◽  
Xiao-lei Xu ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Inflammatory Markers ◽  
Imaging Findings ◽  
Mesenteric Panniculitis ◽  
Intermittent Abdominal Pain ◽  
Rule Out

A 65-year-old man had intermittent abdominal pain for the previous 2 years. This pain suddenly became worse with a fever and elevated inflammatory markers. We took a while to diagnose the patient with mesenteric panniculitis (MP). Although imaging findings suggested MP, we needed to rule out other diseases. Choosing a treatment for the patient also took some time and we finally used glucocorticoid to cure the patient.

scholarly journals Juxtapapillary duodenal diverticulitis in an elderly female

2019 ◽  
Vol 12 (4) ◽  
pp. e229259
Author(s):  
Andrew Groff ◽  
Leonard Walsh ◽  
Manpreet Singh ◽  
Rohit Jain
Keyword(s):  
Abdominal Pain ◽  
Clinical Presentation ◽  
Duodenal Diverticulum ◽  
Purulent Discharge ◽  
Caucasian Woman ◽  
Upper Endoscopy ◽  
Imaging Findings ◽  
Elderly Female ◽  
Duodenal Diverticulitis

We describe the case of an 82-year-old Caucasian woman who presented to our institution as a transfer from an outside hospital with nausea, vomiting and abdominal pain with CT imaging concerning for a duodenal mass or abscess in the juxtapapillary region of the second part of the duodenum. Upper endoscopy showed a non-bleeding duodenal diverticulum with purulent discharge consistent with diverticulitis. She underwent endoscopic disimpaction with irrigation and received a 14 day course of antibiotics, after which she presented for follow-up 1 month after discharge without complications. This case highlights the rarity of juxtapapillary duodenal diverticulitis, its nonspecific clinical presentation and imaging findings and the importance of early diagnosis and management to prevent severe complications including perforation.

Solitary Fibrous Tumor of the Great Omentum: A Case Report and Literature Review

2021 ◽  
Vol 17 ◽  
Author(s):  
Huikang Yin ◽  
Daixi Ye ◽  
Yechen Zhu ◽  
Chengjun Geng
Keyword(s):  
Abdominal Pain ◽  
Solitary Fibrous Tumor ◽  
Preoperative Diagnosis ◽  
Great Omentum ◽  
Greater Omentum ◽  
Visceral Pleura ◽  
Imaging Findings ◽  
Case Presentation ◽  
Fibrous Tumor ◽  
Reliable Basis

Background: We report a case of a 23-year-old man with a solitary fibrous tumor of the great omentum who presented clinically as a case of dull abdominal pain. Case Presentation: Solitary fibrous tumor normally occurs in the visceral pleura. Extrathoracic solitary fibrous tumor is rare, especially those from the great omentum, with approximately 31 cases reported in the literature. Conclusion: After reviewing and summarizing the imaging findings of 31 cases of solitary fibrous tumor of the greater omentum, we considered that the characteristic findings can provide a reliable basis for preoperative diagnosis.

scholarly journals 1073 Synchronous Cholecystitis and Appendicitis: A Case Report Highlighting Learning Points on Medical Imaging and Consent

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
B David ◽  
M Issa ◽  
A Gallucci
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Medical Imaging ◽  
Acute Appendicitis ◽  
Laparoscopic Appendicectomy ◽  
Consent Process ◽  
Surgical Interventions ◽  
The Uk ◽  
Us Scan ◽  
Learning Points

Abstract Laparoscopic appendicectomy and laparoscopic cholecystectomy are separately two of the most common emergency surgical procedures carried out in the UK. Only a small number of synchronous presentations of acute appendicitis and acute cholecystitis have been reported in surgical literature and this rare co-existent pathology gives rise to several valuable learning points with regards to laparoscopy, medical imaging interpretation and the consent process. Our case report involves a 58-year-old female patient presenting with both RUQ and RIF pain and positive Murphy’s sign on clinical examination. US scan demonstrated several gallstones within a thin-walled gallbladder. Subsequent CT scan reported acute appendicitis which was treated definitively with laparoscopic surgery. Intraoperatively a perforated gangrenous gallbladder containing multiple calculi was discovered, and the decision was made to perform a double procedure of laparoscopic appendicectomy and cholecystectomy. Histopathology confirmed synchronous pathology of appendicitis with faecolith and calculus cholecystitis. This case demonstrates the importance of considering multiple pathologies when assessing a patient with ambiguous and migratory abdominal pain. It reinforces the importance of diagnostic laparoscopy to rule out multiple pathologies. This acts as a cautionary case against over-reliance on medical imaging and reminds surgeons of their obligation to maintain competence in CT interpretation plus correlation of imaging with clinical assessment of the patient. Readers should also be reminded that the consent process for surgical interventions should be undertaken meticulously in patients with ambiguous abdominal pain.

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