scholarly journals Conservative Management of Segmental Infarction of the Greater Omentum: A Case Report and Review of Literature

2010 ◽  
Vol 2010 ◽  
pp. 1-4 ◽  
Author(s):  
Ramawad Soobrah ◽  
Mohammad Badran ◽  
Simon G. Smith
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Case Report ◽  
Ct Scan ◽  
Conservative Management ◽  
Acute Abdominal Pain ◽  
Correct Diagnosis ◽  
Greater Omentum ◽  
Review Of Literature ◽  
Segmental Infarction

Segmental omental infarction (SOI) is a rare cause of acute abdominal pain. Depending on the site of infarction, it mimics conditions like appendicitis, cholecystitis, and diverticulitis. Before the widespread use of Computed Tomography (CT), the diagnosis was usually made intraoperatively. SOI produces characteristic radiological appearances on CT scan; hence, correct diagnosis using this form of imaging may prevent unnecessary surgery. We present the case of a young woman who was treated conservatively after accurate radiological diagnosis.

scholarly journals Apendagite epiploica do apêndice cecal - um relato de caso raro / Acute epiploic appendagitis of the appendix - a rare case report

2019 ◽  
Vol 65 (1) ◽  
pp. 1
Author(s):  
Kamila Motta Stradiotti ◽  
Felipe Pires de Albuquerque ◽  
Maria Laura Silveira de Castro ◽  
Laiane Milani de Arruda
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Case Report ◽  
Acute Abdomen ◽  
Laboratory Tests ◽  
Acute Abdominal Pain ◽  
Correct Diagnosis ◽  
Diagnostic Methods ◽  
Diagnostic Challenge ◽  
Epiploic Appendagitis

Introdução: Apendagite epiplóica (AE) é uma causa incomum de dor abdominal causada por alterações inflamatórias e isquêmicas relacionadas à torção ou trombose venosa dos apêndices epiplóicos. Estas estruturas consistem em projeções de tecido adiposo que emergem da superfície serosa do cólon e apêndice cecal, sendo maiores e mais numerosas no cólon descendente e sigmóide. A apendagite epiplóica do apêndice cecal (AEA) é uma forma ainda mais rara de apresentação, tendo poucos casos relatados em literatura. Os sinais e sintomas da AE comumente mimetizam outras causas de abdome agudo, que varia dependendo da sua localização, devendo ser considerada no diagnóstico diferencial de dor abdominal localizada. O diagnóstico correto é fundamental para evitar gastos e procedimentos desnecessários, pois se trata de uma condição benigna e autolimitada, com tratamento conservador sendo suficiente na grande maioria dos casos. Atualmente a tomografia computadorizada é o método de escolha na avaliação de pacientes com abdome agudo. Objetivo: Relatar um caso raro de dor abdominal aguda causada por apendagite epiplóica do apêndice cecal e a importância do seu diagnóstico correto. Relato do caso: Paciente com quadro de dor abdominal aguda no quadrante inferior direito, afebril e sem outras queixas gastrointestinais associadas. Ao exame físico referiu dor à palpação profunda no quadrante inferior direito. Exames laboratoriais sem alterações. Foram solicitados exames de imagem complementares, evidenciando apêndice cecal nos limites superiores da normalidade, inflamação periapendicular e uma imagem com densidade de gordura adjacente ao apêndice. Os diagnósticos diferenciais foram de apendicite inicial e apendagite epiplóica. Foi realizado tratamento operatório e exame anatomopatológico, que confirmou o diagnóstico de apendagite epiplóica do apêndice cecal. As informações foram obtidas por meio de revisão do prontuário, entrevista com o paciente, registro dos métodos diagnósticos, incluindo exames laboratoriais, exames de imagem como tomografia computadorizada e anatomopatológico, aos quais o paciente foi submetido e uma breve revisão da literatura. Conclusão: Relatamos um caso raro de apendagite epiplóica do apêndice cecal, demonstrando um desafio diagnóstico e a importância dos métodos de imagem. Palavras Chave: Dor abdominal, Abdome agudo, Apêndice cecal, Diagnóstico por imagemABSTRACT: Introduction: Epiploic appendagitis (LA) is an uncommon cause of abdominal pain caused by inflammatory and ischemic changes related to venous torsion or thrombosis of the epiploic appendages. These structures consist of projections of adipose tissue that emerge from the serous surface of the colon and cecal appendix, being larger and more numerous in the descending and sigmoid colon. Epiploic appendagitis of the appendix (EAA) is an even rarer form of presentation, with few cases reported in the literature. The signs and symptoms of EAA commonly mimic other causes of acute abdomen, which varies depending on their location, and should be considered in the differential diagnosis of localized abdominal pain. Correct diagnosis is essential to avoid unnecessary expenses and procedures, as it is a benign and self-limited condition, with conservative treatment being sufficient in the vast majority of cases. Currently, computed tomography is the method of choice in the evaluation of patients with acute abdomen. Objectives: To describe a rare cause of abdominal pain due acute epiploic appendagitis of the appendix and reinforce the importance of the CT to diagnosis this condition and rule out other causes of acute abdominal pain. Case report: Patient with acute abdominal pain in the lower right quadrant, afebrile and without other associated gastrointestinal complaints. On physical examination, she reported pain on deep palpation in the lower right quadrant. Laboratory tests without changes. Complementary imaging exams were requested, showing the appendix at the upper limits of normal, periapendicular inflammation and an image with fat density adjacent to the appendix. The differential diagnoses were of initial appendicitis and epiplatic appendagitis. Operative treatment and anatomopathological examination were performed, which confirmed the diagnosis of appendagitis of the appendix. Information was obtained by reviewing medical records, interviewing the patient, recording diagnostic methods, including laboratory tests, imaging tests such as computed tomography, anatomopathology, and a brief review of the literature. Conclusion: We report a case of acute epiploic appendagitis of the appendix, demonstrating a diagnostic challenge and the importance of imaging methods.Keywords: Abdominal pain; Abdomen, acute; Appendix, Diagnostic imaging

scholarly journals Idiopathic ovarian vein thrombosis causing pulmonary embolism: case report and literature review

2021 ◽  
Vol 49 (6) ◽  
pp. 030006052110106
Author(s):  
Wenrui Li ◽  
Saisai Cao ◽  
Renming Zhu ◽  
Xueming Chen
Keyword(s):  
Computed Tomography ◽  
Pulmonary Embolism ◽  
Abdominal Pain ◽  
Case Report ◽  
Literature Review ◽  
Ovarian Vein ◽  
Review Of Literature ◽  
Vein Thrombosis ◽  
Medical Disorder ◽  
Ovarian Vein Thrombosis

Ovarian vein thrombosis (OVT) is a rare medical disorder, which is most often found in the immediate postpartum period. OVT is rarely considered idiopathic. We report a case of idiopathic OVT with pulmonary embolism in a 33-year-old woman who presented with abdominal pain. Computed tomography and postoperative pathology confirmed the diagnosis of idiopathic OVT. To date, only 12 cases of idiopathic OVT have been reported. In this case report, we present a summary of these cases and a review of literature regarding management of idiopathic OVT.

scholarly journals Pheochromocytoma during Pregnancy with Acute Abdominal Pain-a Case Report and Review of Literature in Korea

Perinatology ◽  
2020 ◽  
Vol 31 (4) ◽  
pp. 236
Author(s):  
Jeong Min Song ◽  
InHae Na ◽  
Seung Yeon Pyeon ◽  
Hyun-Joo Seol ◽  
Sang Hyun Kim
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Acute Abdominal Pain ◽  
Review Of Literature

scholarly journals Conservative Treatment of Spontaneous Rectus Sheath Hematomas: Single Center Experience and Literature Review

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Banu Karapolat ◽  
Halil Afsin Tasdelen ◽  
Hatice Ayca Ata Korkmaz
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Correct Diagnosis ◽  
Rectus Sheath ◽  
Length Of Hospital Stay ◽  
Initial Symptom ◽  
Abdominal Ultrasonography ◽  
Palpable Mass ◽  
Lower Quadrant

Introduction. Spontaneous rectus sheath hematoma (SRSH) is characterized by bleeding within the rectus abdominis muscle sheath, one of the rare causes of acute abdominal pain. Early diagnosis is imperative in SRSH to prevent complications and the treatment is usually conservative. We intended to present in this study our experience with SRSH patients with respect to diagnostic evaluation and management of their disease. Materials and Methods. In this retrospective study, 14 patients who had received treatment for SRSH in our clinic between January 2012 and December 2017 were assessed in terms of demographic and clinical characteristics, comorbidities, laboratory parameters, diagnostic approach methods, treatment practices, length of hospital stay, and patient outcomes. Results. The patients consisted of 10 (71.4%) females and 4 males (28.6%). The age of the patients ranged between 47 and 93 with a mean age of 66.5 ± 12.1. Anticoagulant treatments were being administered to 5 (35.7%) patients, antiplatelet treatments to 4 (28.5%) patients, and both anticoagulant and antiplatelet treatments to 4 (28.5%) patients. The most common triggering factor was severe cough and the most common initial symptom acute abdominal pain (71.4%). In physical examinations, the entire patients had generalized abdominal tenderness, 10 (71.4%) voluntary guarding and 7 (50%) a right lower quadrant mass. The diagnosis was confirmed by abdominal ultrasonography and computed tomography. Based on the computed tomography findings, the disease was classified as Type 2 found in 9 (64.3%) patients, Type 1 in 3 (21.4%) patients, and Type 3 in 2 (14.2%) patients. All the patients were treated conservatively. They were hospitalized for 1 to 23 days. There was no mortality. All the patients were followed up between 3 months and 2 years and no recurrence was recorded. Conclusion. Considering the presence of SRSH particularly in older female patients who use anticoagulant drugs and have newly developed an abdominal pain and a palpable mass after coughing spells is the key to make an early and correct diagnosis and to prevent possible morbidity and mortality with an appropriate treatment method.

scholarly journals Successful multiple-step management of intravenous leiomyomatosis diagnosed after episode of acute abdominal pain: Case report and review of literature

2015 ◽  
Vol 14 ◽  
pp. 176-178 ◽  
Author(s):  
Christoforos Efthimiadis ◽  
Stamatios Petousis ◽  
Marios Grigoriou ◽  
Aristeidis Ioannidis ◽  
Ioanna Tzouveleki ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Acute Abdominal Pain ◽  
Intravenous Leiomyomatosis ◽  
Review Of Literature ◽  
Multiple Step

scholarly journals Pharmacotherapy Plays Main Role in Managing Acute Epiploic Appendagitis: A Case Report

2020 ◽  
Author(s):  
Touraj Asvadi-Kermani ◽  
Farnaz Naeimzadeh ◽  
Javad Jalili ◽  
Haleh Rezaee
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Case Report ◽  
Antibiotic Therapy ◽  
Surgical Intervention ◽  
Acute Abdominal Pain ◽  
Signs And Symptoms ◽  
Main Role ◽  
Double Contrast ◽  
Epiploic Appendagitis

Epiploic appendagitis is natural fats at the anti-mesenchymal surface of the colon. EP is self- limited. Misdiagnosis can lead to unnecessary hospitalization, antibiotic therapy, and surgical intervention. The incidence reported 8.8 cases / million / year. Here, we report on 36-year-old female patient who presented with acute abdominal pain that was getting worse with the change of position. Based on these symptoms and double contrast computed tomography, she was diagnosed with epiploic appendagitis in adjacent to the sigmoid. The patient was treated successfully with conservative management and antibiotics. Since the signs and symptoms of epiploic appendagitis are nonspecific, but considering of this disease as one of the differential diagnoses of acute abdominal pain can prevent the disease from misdiagnosing.

scholarly journals Idiopathic Renal Infarct as a Rare Cause of Acute Abdominal Pain: A Case Report and Review of Literature

2018 ◽  
Vol 7 (2) ◽  
pp. 53-55
Author(s):  
Yadav Pandey ◽  
Krishna Prasad Joshi ◽  
Akshay Goel ◽  
Priya Priyambada
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Acute Abdominal Pain ◽  
Review Of Literature ◽  
Renal Infarct

scholarly journals Gastroduodenal Trichobezoar: A case report and literature review

2019 ◽  
Vol 5 (3) ◽  
pp. 112-114
Author(s):  
Josaphat Paluku Katswere ◽  
◽  
Alexis Mupepe Kumb ◽  
Janvier Rugendabanga Bazibuhe ◽  
Samson Todalehou ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Case Report ◽  
Blood Transfusion ◽  
Literature Review ◽  
Psychiatric Illness ◽  
Acute Abdominal Pain ◽  
Abdominal Mass ◽  
Surgical Removal ◽  
Upper Abdominal

Gastroduodenal trichobezoar is infrequent. Its diagnosis is easy in the presence of an evocative context. Patients with this condition often have an underlying psychiatric illness and history may not be easily forthcoming. We report a classic case of a 17 year-old patient admitted with acute abdominal pain, vomiting, an upper abdominal mass and anemia. Abdominal computed tomography (CT) scan suggested the diagnosis of bezoar. Surgical removal of trichobezoar by gastrotomy was performed without complications. Preoperative blood transfusion was admitted, the patient was referred to the department of psychiatry.

scholarly journals Neglected Appendicitis? One Patient Two Diagnosis? Differential Diagnosis of Acute Abdominal Pain

2020 ◽  
Author(s):  
Eunice Vieira e Monteiro ◽  
Cláudia Paiva ◽  
Paulo Soares
Keyword(s):  
Computed Tomography ◽  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Case Report ◽  
Physical Examination ◽  
Female Patient ◽  
Laparoscopic Appendectomy ◽  
Acute Abdominal Pain ◽  
Computed Tomography Scan ◽  
Tomography Scan

Authors present a case report of a female patient, with 38-years-old, admitted with alithiasic acute pancreatitis.During the hospitalization on day 6 she referred migration of the pain to the lower right quadrant and had pain in decompression; she underwent a computed tomography scan that was compatible with acute appendicitis.She was admitted to the operating room and laparoscopic appendectomy was performed. Surgery and hospitalization were uneventful and she was discharged on the 10th day after admission.The purpose to present this case is related to need to draw doctors’ attention to do an accurate physical examination and a selective interpretation of diagnostic exams in order to make a correct differential diagnosis and guide treatment.

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