Hospital observation for right lower quadrant abdominal pain with questionable acute appendicitis in children

1990 ◽  
Vol 57 (4) ◽  
pp. 545-550
Author(s):  
D. B. Gahukamble ◽  
F. S. Rakas
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Lower Quadrant ◽  
Quadrant Abdominal Pain ◽  
Right Lower Quadrant

scholarly journals Right Lower Quadrant Abdominal Pain in a Patient with Prior Ventriculoperitoneal Shunting: Consider the Tip!

2012 ◽  
Vol 2012 ◽  
pp. 1-2 ◽  
Author(s):  
Petros Charalampoudis
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Lower Quadrant ◽  
Vp Shunt ◽  
Quadrant Abdominal Pain ◽  
Ventriculoperitoneal Shunting ◽  
Infection Treatment ◽  
Catheter Tip ◽  
Colicky Pain ◽  
Right Lower Quadrant

Introduction. Ventriculoperitoneal (VP) shunting is the treatment of choice for nonobstructive hydrocephalus. In patients with such a device, right lower quadrant abdominal pain can puzzle the surgeon, posing a differential diagnostic problem among appendicitis, nonsurgical colicky pain, and primary shunt catheter tip infection. Treatment is different in either case.Presentation of Case. We hereby present a case of a young woman with prior ventriculoperitoneal shunt positioning who presented to our department with right lower quadrant abdominal pain. The patient underwent a 24-hour observation including a neurosurgery consult in order to exclude acute appendicitis and VP shunt tip infection. Twenty four hours later, the patient’s symptomatology improved, and she was discharged with the diagnosis of atypical colicky abdominal pain seeking a gastroenterologist consult.Discussion. This case supports that when a patient with prior VP shunting presents with right lower quadrant abdominal pain, differential diagnosis can be tricky for the surgeon.Conclusion. Apart from acute appendicitis, primary or secondary VP catheter tip infection must be considered because the latter can be disastrous.

scholarly journals Acute Appendicitis Masquerading Distal Intestinal Obstruction Syndrome in Adult Cystic Fibrosis

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Sushant M. Nanavati ◽  
Hiren Patel ◽  
Gabriel Melki ◽  
Vinod Kumar ◽  
Edward Milman ◽  
...  
Keyword(s):  
Cystic Fibrosis ◽  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Intestinal Obstruction ◽  
Care Program ◽  
Lower Quadrant ◽  
Quadrant Abdominal Pain ◽  
Distal Intestinal Obstruction Syndrome ◽  
Right Lower Quadrant ◽  
Distal Intestinal Obstruction

Overshadowed by Sino-pulmonary infections, Cystic Fibrosis (CF) commonly affects gastrointestinal organs because of secretory and motility dysfunction. Infrequently, these changes result in Distal Intestinal Obstruction Syndrome (DIOS), an increasingly diagnosed gastrointestinal entity in adult Cystic Fibrosis patients. We present a case 22-year-old male who presented to our hospital with right lower quadrant abdominal pain with suspicion of acute appendicitis and was subsequently diagnosed as DIOS. Our case highlights the importance of DIOS as one of the differential diagnosis of right lower quadrant abdominal pain in a patient with a CF, especially for physicians working at community hospitals which may not have a Cystic Fibrosis care program available.

Abdominal CT Scanning in Reproductive-Age Women with Right Lower Quadrant Abdominal Pain: Does Its Use Reduce Negative Appendectomy Rates and Healthcare Costs?

2007 ◽  
Vol 73 (6) ◽  
pp. 580-584 ◽  
Author(s):  
Bryan C. Morse ◽  
Richard H. Roettger ◽  
Corey A. Kalbaugh ◽  
Dawn W. Blackhurst ◽  
William B. Hines
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Ct Scanning ◽  
Reproductive Age ◽  
Negative Appendectomy ◽  
Abdominal Ct ◽  
Lower Quadrant ◽  
Quadrant Abdominal Pain ◽  
Reproductive Age Women ◽  
Right Lower Quadrant

Although acute appendicitis is the most frequent cause of the acute abdomen in the United States, its accurate diagnosis in reproductive-age women remains difficult. Problems in making the diagnosis are evidenced by negative appendectomy rates in this group of 20 per cent to 45 per cent. Abdominal CT scanning has been used in diagnosing acute appendicitis, but its reliability and usefulness remains controversial. There is concern that the use of CT scanning to make this diagnosis leads to increased and unwarranted healthcare charges and costs. The purpose of our study is to determine if abdominal CT scanning is an effective test in making the diagnosis of acute appendicitis in reproductive-age women (age, 16–49 years) with right lower quadrant abdominal pain and to determine if its use is cost-effective. From January 2003 to December 2006, 439 patients were identified from our academic surgical database and confirmed by chart review as undergoing an appendectomy with a pre- or postoperative diagnosis of acute appendicitis. Data, including age, presence and results of preoperative abdominal CT scans, operative findings, and pathology reports were reviewed. Comparison of patients receiving a preoperative CT scan with those who did not was performed using chi-squared analysis. In the subgroup of reproductive-age women, there was a significant difference in negative appendectomy rates of 17 per cent in the group that received abdominal CT scans versus 42 per cent in the group that did not ( P < 0.038). After accounting for the patient and insurance company costs, abdominal CT scan savings averaged $1412 per patient. Abdominal CT scanning is a reliable, useful, and cost-effective test for evaluating right lower quadrant abdominal pain and making the diagnosis of acute appendicitis in reproductive-age women.

scholarly journals S1771 Right Lower Quadrant Abdominal Pain: Time to Think Beyond Acute Appendicitis

2020 ◽  
Vol 115 (1) ◽  
pp. S915-S915
Author(s):  
Aditi Saha ◽  
Mehak Laharwal ◽  
Sohaib Tariq ◽  
Sunil Sapru ◽  
Israel R. Grossman
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Lower Quadrant ◽  
Quadrant Abdominal Pain ◽  
Right Lower Quadrant

Appendicitis: a rare adverse event in colonoscopy

2021 ◽  
Vol 14 (7) ◽  
pp. e242523
Author(s):  
Samer Al-Dury ◽  
Mohammad Khalil ◽  
Riadh Sadik ◽  
Per Hedenström
Keyword(s):  
Emergency Department ◽  
Adverse Event ◽  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Physical Examination ◽  
De Novo ◽  
Perforated Appendicitis ◽  
Lower Quadrant ◽  
The Right ◽  
Right Lower Quadrant

We present a case of a 41-year-old woman who visited the emergency department (ED) with acute abdomen. She was diagnosed with perforated appendicitis and abscess formation on CT. She was treated conservatively with antibiotics and discharged. On control CT 3 months later, the appendix had healed, but signs of thickening of the terminal ileum were noticed and colonoscopy was performed, which was uneventful and showed no signs of inflammation. Twelve hours later, she developed pain in the right lower quadrant, followed by fever, and visited the ED. Physical examination and blood work showed signs consistent with acute appendicitis, and appendectomy was performed laparoscopically 6 hours later. The patient recovered remarkably shortly afterwards. Whether colonoscopy resulted in de novo appendicitis or exacerbated an already existing inflammation remains unknown. However, endoscopists should be aware of this rare, yet serious complication and consider it in the workup of post-colonoscopy abdominal pain.

Angiolipoma of the Colon with Right Lower Quadrant Abdominal Pain

1999 ◽  
Vol 16 (5) ◽  
pp. 441-444 ◽  
Author(s):  
Kazuya Kato ◽  
Minoru Matsuda ◽  
Kazuhiko Onodera ◽  
Hiromi Sakata ◽  
Tatsuo Kobayashi ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Lower Quadrant ◽  
Quadrant Abdominal Pain ◽  
Right Lower Quadrant
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