scholarly journals Appendagitis following Diagnostic Laparoscopy and Laparoscopic Appendicectomy

2016 ◽  
Vol 2016 ◽  
pp. 1-2
Author(s):  
R. Kumar ◽  
R. F. Bamford ◽  
D. Kumar ◽  
G. Singh-Ranger
Keyword(s):  
Abdominal Pain ◽  
Diagnostic Laparoscopy ◽  
Laparoscopic Resection ◽  
Clinical Entity ◽  
Laparoscopic Appendicectomy ◽  
Careful Examination ◽  
Proven Case

Appendagitis is an uncommon clinical entity, often not recognised, and mistaken for more serious infective conditions. We describe a proven case of appendagitis which occurred after confirmed appendicitis. We postulate that this condition can coexist with appendicitis and indeed may be the result of coinflammation. This has several implications. Firstly, clinicians must retain an index of suspicion for this condition in a patient with localised abdominal pain which occurs after appendicitis. Secondly, it would be reasonable to suggest careful examination of colocated appendages in a patient with an otherwise normal-appearing appendix. Treatment might require laparoscopic resection, as performed in this case.

scholarly journals Appendicular tuberculosis: a less encountered clinical entity

2021 ◽  
Vol 14 (2) ◽  
pp. e237718
Author(s):  
Sachin Ambekar ◽  
Mohit Bhatia
Keyword(s):  
Abdominal Pain ◽  
Female Patient ◽  
Diagnostic Laparoscopy ◽  
Clinical Presentation ◽  
Iliac Fossa ◽  
Lower Abdominal Pain ◽  
Clinical Entity ◽  
The Right ◽  
Test Finding

A 21-year-old female patient presented with vague lower abdominal pain associated with nausea since 2 days. On examination, she was tender in the right iliac fossa. Based on clinical presentation and radiological test finding, she was diagnosed as appendicitis and was subjected for diagnostic laparoscopy and appendectomy. Histopathology proved it to be a tubercular appendix, which is a rarely encountered entity. However, in a country like India, tuberculosis (TB) is highly prevalent; however, TB of appendix is rare and less known.

Recurrent Abdominal Pain During Childhood

1993 ◽  
Vol 14 (8) ◽  
pp. 313-319
Author(s):  
Tim F. Oberlander ◽  
Leonard A. Rappaport
Keyword(s):  
Abdominal Pain ◽  
Recurrent Abdominal Pain ◽  
Underlying Disease ◽  
Careful Examination ◽  
Environmental Aspects ◽  
Successful Management ◽  
Developmental Issues ◽  
Physical Findings ◽  
Over Time

RAP offers a complex and often confusing array of symptoms and diagnostic possibilities. This may be due to its unique age of presentation, its inherent somatic and cognitive developmental issues, or the physiology of abdominal pain itself. A careful examination of the historic and physical findings should produce a therapeutic plan that addresses somatic, psychological, and environmental aspects of the child. This process will avoid overly simplistic and premature misdiagnosis or potentially unnecessary investigations that convey a sense of disinterest, haste, and disbelief in the problem. The successful management of RAP lies in the recognition that serious underlying disease frequently is not present and that time usually is on our side. It is the process of continued and thoughtful evaluation and reassurance over time that counts.

scholarly journals LAPAROSCOPY;

2012 ◽  
Vol 19 (01) ◽  
pp. 033-039
Author(s):  
NAZIA MUSSARAT ◽  
SIAMA QURESHI ◽  
AWAIS SHUJA ◽  
Mehnaaz Roohi
Keyword(s):  
Abdominal Pain ◽  
Gold Standard ◽  
Open Surgery ◽  
Diagnostic Laparoscopy ◽  
Data Entry ◽  
Lower Abdominal Pain ◽  
Descriptive Study ◽  
Lower Abdomen ◽  
Patient Case ◽  
Polycystic Ovarian Disease

Introduction: Diagnostic Laparoscopy is considered to be the gold standard for the evaluation of the pelvis and is considered asafe procedure. Diagnostic Laparoscopy is a technique in the routine investigation and treatment of infertility as well as other gynecologicalproblems. Objectives: To determine, Laparoscopic findings in different gynecological conditions, different causes of infertility andcomplications of laparoscopy Design: Retrospective, descriptive study. Material And Methods: We reviewed case records of all patients whounderwent laparoscopy for their different Gynecological problems. Data were collected from patient case records in a data entry sheet Results:In our study a total of Thirty patients under went laparoscopy for investigation of different gynecological problems. There were 17 patients whohave primary infertility and 6 have secondary infertility while 7 presented with Lower abdominal pain. In our study the leading cause of primaryinfertility was Polycystic Ovarian Disease(29%).Other causes were bilateral tubal blockade (23.53 %) ,17% has PID and fibroid uteri, While onepatients shown Endometriosis as well as one patient had no obvious pathology.(5.88 %).On laparoscopic examination of secondaryinfertility 50% shown Tubal blocked while 16.67 shown Fibroid uterus and PID.One patient had normal pelvic findings(16.67). Regardingpatients presented with pain lower abdomen 57.15% has ovarian cyst,28.58% has Ectopic pregnancy while one case(14.29%) had hetrotropicpregnancy. In 24 patients had no complication and recovery was smooth. laparoscopy had to be converted into Laparotomy due to significanthemorrhage in two patient and wound infection was observed in two patients. One patient presented with post operative fever and onepresented with abdominal pain. Conclusions: Laparoscopy is a valuable diagnostic tool for females in different gynecological problems. Thebenefit of the laparoscopy to open surgery include less pain, less scarring, less disability and quicker recovery.

Iatrogenic bladder injury from port insertion during laparoscopic appendicectomy

2021 ◽  
Vol 14 (1) ◽  
pp. e239361
Author(s):  
Chloe Liwen Lim ◽  
Shu Hui Neo ◽  
Lui Shiong Lee ◽  
Palaniappan Sundaram
Keyword(s):  
Diagnostic Laparoscopy ◽  
Laparoscopic Appendicectomy ◽  
Bladder Injury ◽  
Urethral Catheterisation ◽  
Contrast Enhanced ◽  
Computed Tomography Urography ◽  
Drain Fluid ◽  
High Index Of Suspicion ◽  
Enhanced Computed Tomography ◽  
Contrast Enhanced Computed Tomography

A 26-year-old man underwent laparoscopic appendicectomy for acute appendicitis that was carried out uneventfully after initial urethral catheterisation to empty the bladder. Postoperatively, he developed oliguria associated with high drain output and elevated drain fluid creatinine. A contrast-enhanced computed tomography urography scan showed a small amount of contrast in the intraperitoneal space. A diagnostic laparoscopy performed for a suspected bladder injury revealed that the drain (inserted via the suprapubic port) had traversed the bladder. The drain was removed, and the bladder defects were repaired. The catheter was removed 2 weeks later uneventfully. It is important to recognise and avoid the urinary bladder during suprapubic port insertion during laparoscopic appendicectomy. This complication can be minimised via initial bladder decompression and introduction of the suprapubic port lateral to the umbilical ligaments. A high index of suspicion is required to diagnose a small bladder injury.

scholarly journals Paraduodenal inflammatory pseudotumor masquerading as malignancy

2019 ◽  
Vol 12 (2) ◽  
pp. bcr-2018-226460 ◽  
Author(s):  
June S Peng ◽  
Haiyan Lu ◽  
Michael W Cruise ◽  
Sricharan Chalikonda
Keyword(s):  
Abdominal Pain ◽  
Inflammatory Pseudotumor ◽  
Laparoscopic Resection ◽  
Abdominal Distension ◽  
The Other ◽  
Inflammatory Pseudotumour ◽  
Persistent Symptoms ◽  
Abdominal Masses ◽  
Nodular Hyperplasia ◽  
Left Lateral Segment

A 30-year-old woman presented with severe abdominal pain and abdominal distension. CT demonstrated two intra-abdominal masses, one involving the left lateral segment of the liver and the other adjacent to the duodenum. Initial biopsies were consistent with focal nodular hyperplasia of the liver and non-specific lymphocytic infiltrate in the paraduodenal mass. Due to persistent symptoms, the patient underwent laparoscopic resection of the paraduodenal mass. Final pathology was consistent with an inflammatory pseudotumour and the patient’s symptoms subsequently resolved.

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