scholarly journals LEFT LOWER QUADRANT EXCRUCIATING ABDOMINAL PAIN IN A PATIENT WITH PRIOR VENTRICULOPERITONEAL SHUNT AND ABANDONED INTRATHECAL CATHETER: CONSIDER PERITONEAL IRRITATION

2020 ◽  
Vol 50 (S1) ◽  
pp. 37-37
2010 ◽  
Vol 2010 ◽  
pp. 1-2
Author(s):  
Jacques Klein ◽  
Philippe Morel ◽  
Christian Toso

We report about a previously healthy 72 year-old woman, presented with 6 days of left lower quadrant abdominal pain and constipation. There was no report of fever, melena, hematochezia or change in appetite. The physical exam demonstrated a distended abdomen with palpable left lower quadrant pain, without guarding. CT showed images compatible with a sigmoid diverticulitis and a calcification of the sigmoid colon. After antibiotic threatment, a colonoscopy was performed which revealed the presence of a shell in the sigmoid colon. Our case illustrates the need for a colonoscopy following an attack of diverticulitis to look for a cancer or rarely a foreign body.


Gut ◽  
2011 ◽  
Vol 60 (11) ◽  
pp. 1505-1505
Author(s):  
H.-L. Hsu ◽  
C.-C. Chang ◽  
J.-T. Liang ◽  
K.-L. Liu

2021 ◽  
Vol 8 (6) ◽  
Author(s):  
Smith JL ◽  
◽  
Potts SE ◽  

Appropriate triage of abdominal pain in the outpatient setting is critical for safe and effective management of patients. Abdominal pain has a broad differential, heavily dependent on elicitation of a clear history, and pertinent physical exam findings. In adults >50 with left lower quadrant pain, diverticulitis is the most common cause. Diverticulitis can cause significant morbidity in this population, frequently requiring inpatient management, systemic antibiotics, and occasionally surgical intervention. A frequently overlooked cause of left lower quadrant pain in adults is Epiploic Appendagitis (EA). While similar in presentation, unlike diverticulitis, EA rarely requires more than outpatient treatment with non-steroidal anti-inflammatories for pain management. Here we present a report of left lower quadrant pain consistent with diverticulitis in a 55 yo female in the outpatient setting, found to have EA by imaging. This case demonstrates that the differential for LLQ pain without signs of an acute abdomen in an adult, should include EA.


2019 ◽  
Vol 2019 ◽  
pp. 1-5 ◽  
Author(s):  
James Joseph Yahaya ◽  
Edward Ketson Msokwa ◽  
Alex Mremi

Colorectal carcinoma (CRC) is commonly found in adults. CRC in the pediatric population is extremely rare. Usually, CRC is diagnosed in children at advanced stage due to a low clinical index of suspicion. Mucinous type of CRC and its signet ring variant are the most common histological types which carry very poor clinical outcomes. This paper reports a 17-year-old male who presented with mild pallor and a 3-month history of abdominal pain accompanied with a mass on the left lower quadrant, and it was then confirmed histologically to be mucinous CRC of signet ring variant. This paper will help to raise awareness among the physicians and pediatricians in including CRC in the preliminary workouts for the purpose of shortening the delay for diagnosis which in turn would compromise the prognosis of the patients.


2020 ◽  
Vol 158 (4) ◽  
pp. e4-e5
Author(s):  
Chia-Che Chen ◽  
Chien-Jui Cheng ◽  
Li-Jen Kuo

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