scholarly journals Gallbladder Volvulus

HPB Surgery ◽  
1993 ◽  
Vol 7 (2) ◽  
pp. 147-148 ◽  
Author(s):  
Ricardo F. Gonzalez-Fisher ◽  
Lourdes Vargas-Ramirez ◽  
Elias Rescala-Baca ◽  
Elias Dergal-Badue
Keyword(s):  
Abdominal Pain ◽  
Acute Cholecystitis ◽  
Acute Abdominal Pain ◽  
Rare Condition ◽  
Unknown Origin ◽  
Anatomical Variants ◽  
Torsion Of The Gallbladder

A case of torsion of the gallbladder is presented. This is a rare condition that occurs more frequently in elderly females, it is associated with anatomical variants related to abnormal fixation of the gallbladder to the liver bed. It is usually diagnosed at laparotomy and treatment consists of cholecystectomy. This condition should be suspected in elderly females with acute cholecystitis or acute abdominal pain of unknown origin.

Torsion of the gallbladder: a rare but important differential to consider when treating acute cholecystitis non-operatively

2021 ◽  
Vol 14 (1) ◽  
pp. e237842
Author(s):  
Arun Ahluwalia ◽  
Matthew George Roy Allaway ◽  
Serena Giga ◽  
Richard James Curran
Keyword(s):  
Acute Cholecystitis ◽  
Inflammatory Markers ◽  
Epigastric Pain ◽  
Vital Signs ◽  
Rare Condition ◽  
Liver Function Tests ◽  
Uneventful Recovery ◽  
Imaging Characteristics ◽  
Gallbladder Torsion ◽  
Torsion Of The Gallbladder

A 79-year-old woman presented with postprandial epigastric pain. She had normal vital signs, inflammatory markers and liver function tests. Ultrasound and CT of the abdomen demonstrated features consistent with acute cholecystitis. Her medical comorbidities and extensive abdominal surgical history prompted the decision to treat non-operatively. Despite optimal medical management, worsening abdominal pain and uptrending inflammatory markers developed. She underwent an emergency laparoscopy which revealed a necrotic gallbladder secondary to an anticlockwise complete gallbladder torsion; a rare condition associated with significant morbidity and mortality if managed non-operatively. Laparoscopic cholecystectomy was achieved without complication and the patient had an uneventful recovery. Preoperative diagnosis of torsion of the gallbladder is difficult. However, there are certain patient demographics and imaging characteristics that can help surgeons differentiate it from acute cholecystitis; a condition which can be safely managed non-operatively in selected patients. The differentiating features are elaborated on in this case report.

scholarly journals Torsion of the Ovary in Infancy, a Rare Emergency; A Case Report

2021 ◽  
pp. 90-96
Author(s):  
Abdelilah Radi ◽  
Karima Larbi Ouassou ◽  
Amal Hassani ◽  
Rachid Abilkassem ◽  
Aomar Agadr ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Clinical Evaluation ◽  
Clinical Picture ◽  
Acute Abdominal Pain ◽  
Rare Condition ◽  
Ovarian Torsion ◽  
Positive Diagnosis ◽  
Hemorrhagic Risk ◽  
Made In

Torsion of the ovary is a rare condition whose diagnosis remains difficult given the non-specificity of the clinical picture as well as the difficulty of clinical evaluation, especially in young girls. It is a surgical emergency because it involves the vital prognosis by the hemorrhagic risk, and functional prognosis by the risk of infertility. The clinical picture is dominated by acute abdominal pain. Our work reports the case of a 2-year-old girl in whom the diagnosis of ovarian torsion was made in front of an atypical clinical picture. Laparoscopy is the method of choice for making a positive diagnosis and performing a conservative procedure as described in this work.

scholarly journals Acute Appendicitis Secondary to Appendiceal Endometriosis

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
João Paulo Nunes Drumond ◽  
André Luis Alves de Melo ◽  
Demétrius Eduardo Germini ◽  
Alexander Charles Morrell
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Laparoscopic Appendectomy ◽  
Clinical Picture ◽  
Acute Abdominal Pain ◽  
Rare Condition ◽  
Vermiform Appendix ◽  
Histopathological Analysis ◽  
Women Of Childbearing Age ◽  
Childbearing Age

Endometriosis in the vermiform appendix is a rare condition that affects women of childbearing age. The clinical picture can simulate inflammatory acute abdominal pain, especially acute appendicitis. Laboratory and imaging tests may assist in the diagnosis but are not conclusive. This article reports a case of acute appendicitis caused by appendiceal endometriosis for which laparoscopic appendectomy and diagnostic confirmation were performed after histopathological analysis.

scholarly journals Isolated fallopian tube torsion associated with hydrosalpinx in a 12-year-old girl: a case report

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Javier Martín-Vallejo ◽  
Enrique E. Garrigós-Llabata ◽  
Patricia Molina-Bellido ◽  
Pedro A. Clemente-Pérez
Keyword(s):  
Abdominal Pain ◽  
Fallopian Tube ◽  
Acute Abdominal Pain ◽  
Pediatric Population ◽  
Rare Condition ◽  
Case Presentation ◽  
Reactive Protein ◽  
Clinical Case Study ◽  
Caucasian Girl

Abstract Background Isolated fallopian tube torsion associated with hydrosalpinx is a rare condition in the pediatric population. We present this unusual clinical case study in a sexually inactive girl. Case presentation a12-year-old Caucasian girl presented symptoms of acute abdominal pain. Pelvic ultrasound revealed a normal looking uterus and ovaries and next to left ovary a imaging compatible with hydrosalpinx. She was discharged 48 hours later after clinical monitoring with oral analgesia and normal blood workup. At 3 weeks, she was readmitted for acute abdominal pain. Leukocytosis with left shift and raised C-reactive protein were observed. Her clinical condition worsened, and complication of the preexisting hydrosalpinx was suspected. Exploratory laparoscopy confirmed torsion of the fallopian tube. Left salpingectomy was performed. Histopathologic study confirmed a fallopian tube with hemorrhagic infarct. Conclusion Torsion of the fallopian tube must be considered in the event of acute abdominal pain. Early diagnosis and trying conservative management with a view to preserving fertility in this group of patients are essential.

scholarly journals Paediatric ovarian torsion: a case report and review of literature

2020 ◽  
Vol 9 (6) ◽  
pp. 2638
Author(s):  
Umang . ◽  
Harleen Kaur Cheema ◽  
Sidharth Khullar ◽  
Madhu Nagpal
Keyword(s):  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Rare Condition ◽  
Signs And Symptoms ◽  
Conservative Surgery ◽  
Ovarian Torsion ◽  
High Clinical Suspicion ◽  
Abdominal And Pelvic Pain ◽  
Intra Abdominal Infection ◽  
Prompt Diagnosis

Ovarian torsion is a surgical emergency, can result in ovarian loss, intra-abdominal infection and even death. Paediatric ovarian torsion is a rare condition, requires high clinical suspicion and prompt diagnosis. Diagnosis is a challenge since signs and symptoms are similar to those of other causes of acute abdominal pain such as appendicitis, gastroenteritis, urinary tract infection, renal colic or other conditions of acute abdominal and pelvic pain. Here, authors describe a case of a 4-year-old girl with a presentation of acute abdominal pain, treated empirically elsewhere. After investigations, a provisional diagnosis of ovarian torsion was made and patient was taken up for surgery. Intraoperatively, ovary was found to be necrosed. Detorsion was tried but ovary was unsalvageable. Right sided salpingectomy with oophorectomy was performed. Conservative surgery by laparoscopic detorsion can be tried in cases of ischemia but if necrosis has already set in, then salpingo-oophorectomy has to be performed.

scholarly journals Acute Abdominal Pain Secondary to Chilaiditi Syndrome

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
David Kang ◽  
Andrew S. Pan ◽  
Michael A. Lopez ◽  
Jessica L. Buicko ◽  
Miguel Lopez-Viego
Keyword(s):  
Abdominal Pain ◽  
Bowel Obstruction ◽  
Conservative Management ◽  
Acute Abdominal Pain ◽  
Rare Condition ◽  
Symptomatic Treatment ◽  
Conservative Surgery ◽  
Chilaiditi Syndrome ◽  
Clinically Significant ◽  
The Right

Chilaiditi syndrome is a rare condition occurring in 0.025% to 0.28% of the population. In these patients, the colon is displaced and caught between the liver and the right hemidiaphragm. Patients' symptoms can range from asymptomatic to acute intermittent bowel obstruction. Diagnosis is best achieved with CT imaging. Identification of Chilaiditi syndrome is clinically significant as it can lead to many significant complications such as volvulus, perforation, and bowel obstruction. If the patient is symptomatic, treatment is usually conservative. Surgery is rarely indicated with indications including ischemia and failure of resolution with conservative management.

Campylobacter Enteritis—An In-Patient Study

1979 ◽  
Vol 24 (4) ◽  
pp. 299-301 ◽  
Author(s):  
B. Pentland
Keyword(s):  
Abdominal Pain ◽  
Clinical Features ◽  
Acute Abdominal Pain ◽  
Unknown Origin ◽  
Communicable Diseases ◽  
Bloody Diarrhoea ◽  
Patient Study ◽  
Campylobacter Infection

During the first eight months of 1978, 26 patients were admitted to the Communicable Diseases Unit at King's Cross Hospital, Dundee with a diagnosis of campylobacter enteritis. The variety of clinical features encountered is described. Although diarrhoea occurred in all cases, it was preceded or accompanied by abdominal pain in the majority of cases and by fever in over half of the patients. The article emphasises the need to consider campylobacter infection in patients presenting with bloody diarrhoea, acute abdominal pain or pyrexias of unknown origin.

scholarly journals Congenital Internal Hernia: Rare Cause of Acute Abdominal Pain

2021 ◽  
pp. 791-794
Author(s):  
Jay Patel ◽  
Antoine Hamedi ◽  
Muhammad Khalil ◽  
Jessica El-Bahri
Keyword(s):  
Abdominal Pain ◽  
Early Diagnosis ◽  
Internal Hernia ◽  
Poor Prognosis ◽  
Surgical Intervention ◽  
Acute Abdominal Pain ◽  
Rare Condition ◽  
Internal Hernias ◽  
Congenital Internal Hernia ◽  
Prompt Diagnosis

Acute abdominal pain is a common presenting symptom that possesses a wide differential. Congenital internal hernias are a rare condition that often presents with abdominal pain and can lead to obstruction. Early diagnosis is often difficult and therefore can present acutely and in an emergent setting. Prompt recognition of symptoms and evaluation are important to prevent poor prognosis. We are presenting a case of a congenital internal hernia in a patient presenting with nonspecific symptoms. Prompt diagnosis and subsequent surgical intervention allowed for appropriate management and resolution of symptoms.

scholarly journals Pylephlebitis Associated with Inferior Mesenteric Vein Thrombosis Treated Successfully with Anticoagulation and Antibiotics in a 37-Year-Old Male

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Mohamed Abdallah ◽  
Ahmad Gohar ◽  
Smitha Naryana Gowda ◽  
Hafez M. Abdullah ◽  
Ali Al-hajjaj
Keyword(s):  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Rare Condition ◽  
Inferior Mesenteric Vein ◽  
Mesenteric Vein Thrombosis ◽  
Mesenteric Vein ◽  
Vein Thrombosis ◽  
Common Causes ◽  
Intra Abdominal Infection ◽  
Hispanic Male

Pylephlebitis is a condition in which there is septic thrombophlebitis of the portal-mesenteric venous system. It is a rare condition that usually arises as a complication of an intra-abdominal infection or inflammation. Being rare, it may be overlooked as a differential in cases of abdominal pain when the more common causes have been excluded. We present a case of a 37-year-old Hispanic male who presented with acute abdominal pain and loose stools. He was initially treated for acute gastroenteritis but his clinical condition deteriorated. He was eventually diagnosed with pylephlebitis with associated inferior mesenteric vein thrombosis. He was successfully treated with IV antibiotics and warfarin. Pylephlebitis should not be overlooked as a differential in an appropriate clinic setting as it has a high mortality rate.

scholarly journals TRANSIENT ISCHEMIC JEJUNITIS DUE TO SYMPTOMATIC ISOLATED SUPERIOR MESENTERIC ARTERY DISSECTION: CASE REPORT AND REVIEW OF LITERATURE

2016 ◽  
Vol 90 (1) ◽  
pp. 107-112
Author(s):  
Mihaela Mocan ◽  
Ionuț Isaia Jeican ◽  
Mihai Moale ◽  
Romeo Chira
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Acute Abdominal Pain ◽  
Rare Condition ◽  
Artery Dissection ◽  
Review Of Literature ◽  
Surgical Department ◽  
Superior Mesenteric Artery Dissection

Acute abdominal pain is one of the most common conditions encountered in the emergency department. The differential diagnosis of acute abdominal pain is extensive and identifying the underlying etiology can be challenging. We report a case of acute transient ischemic jejunitis due to symptomatic isolated superior mesenteric artery dissection in a patient with no cardiovascular risk factors or autoimmune diseases. Symptomatic isolated superior mesenteric artery dissection is a rare cause of acute abdominal pain usually treated in the surgical department. The patient had criteria for conservative treatment and rapidly recovered. We highlight a rare condition which should be taken into account for the differential diagnosis of acute abdominal pain.

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