scholarly journals Delayed Awareness of the History of Barium Examination: Perforated Barium Appendicitis

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Susumu Saigusa ◽  
Masaki Ohi ◽  
Satoshi Oki ◽  
Takashi Ichikawa ◽  
Minako Kobayashi ◽  
...  
Keyword(s):  
Early Diagnosis ◽  
Lower Abdominal Pain ◽  
Resected Specimen ◽  
Emergency Laparotomy ◽  
Lower Quadrant ◽  
Barium Examination ◽  
History Of ◽  
Barium Appendicitis ◽  
The Right ◽  
Right Lower Quadrant

A 41-year-old man presented to our hospital with lower abdominal pain and a high-grade fever. Physical examination revealed rebound tenderness and guarding in the lower abdomen. Abdominal X-ray examination showed a radiopaque object in the right lower quadrant of the abdomen. Abdominal computed tomography (CT) demonstrated that the object had a strong artifact with over 10,000 Hounsfield units, as well as ascites around the terminal ileum. We diagnosed acute peritonitis with a suspicion of the perforation due to unknown foreign body and performed an emergency laparotomy. Operative findings showed a contained perforation of a phlegmonous appendicitis, and appendectomy was performed. The resected specimen demonstrated that the appendix contained a fecalith, and histopathological examination showed the crystal structure of barium sulfate in the lumen of the appendix. Unfortunately, we did not obtain the history of screening for gastric cancer using a barium examination one month prior to our appendectomy. Our experience demonstrates the importance of establishing a history of barium examinations of the gastrointestinal tract in a patient with a radiopaque object in the right lower quadrant of the abdomen for early diagnosis of barium appendicitis. Additionally, early diagnosis of barium appendicitis may affect the selection of surgical procedures.

scholarly journals Barium Appendicitis 1 Month After a Barium Meal

2013 ◽  
Vol 97 (4) ◽  
pp. 296-298 ◽  
Author(s):  
Masaaki Urade ◽  
Toshihumi Shinbo
Keyword(s):  
Rare Complication ◽  
Barium Meal ◽  
Lower Abdominal Pain ◽  
Lower Quadrant ◽  
Barium Examination ◽  
Gastrointestinal Imaging ◽  
Uncommon Disease ◽  
Plain Roentgenogram ◽  
Barium Appendicitis ◽  
The Right

Abstract Because barium sulfate (BaSO4) is not harmful to the mucosa, it is widely used for gastrointestinal imaging. Barium appendicitis is a very rare complication of barium meals and barium enema. We report a case of acute appendicitis associated with retained appendiceal barium. A 47-year-old man presented with right lower abdominal pain after upper gastrointestinal imaging was performed using barium 1 month earlier. The abdominal plain roentgenogram showed an area of retained barium in the right lower quadrant. Multiplanar reconstruction of computed tomography scans showed barium retention in the appendix. Emergency appendectomy was performed. A cross section of the specimen revealed the barium mass. Barium-associated appendicitis is a very rare clinical entity but we should be cautious of this uncommon disease when we encounter barium deposits in the appendix after barium examination. This report is significant because barium was identified both macroscopically and microscopically.

Case 11.3

2014 ◽  
pp. 534-535
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Left Ovary ◽  
Quadrant Pain ◽  
Lower Quadrant Pain ◽  
Lower Quadrant ◽  
Weighted Image ◽  
Right Lower Quadrant Pain ◽  
History Of ◽  
The Right ◽  
Superior Margin ◽  
Right Lower Quadrant

11-year-old girl with a 3-month history of increasing intermittent right lower quadrant pain Coronal oblique FSE T2-weighted images (Figure 11.3.1) demonstrate a markedly enlarged right ovary that contains a prominent cyst (the normal left ovary can be seen along the left superior margin of the right ovary, with multiple small follicles). Sagittal fat-suppressed FSE T2-weighted image (...

Stretch too far: rectus sheath haematoma secondary to repetitive trauma and increased intra-abdominal pressure

2021 ◽  
Vol 14 (1) ◽  
pp. e237591
Author(s):  
Joshua Reider ◽  
Logan Radtke ◽  
Caleb Joseph Heiberger ◽  
Douglas Yim
Keyword(s):  
Rectus Sheath ◽  
Abdominal Pressure ◽  
Medial Branch ◽  
Contrast Extravasation ◽  
Lower Quadrant ◽  
Epigastric Artery ◽  
History Of ◽  
The Right ◽  
Repetitive Trauma ◽  
Right Lower Quadrant

A 26-year-old man presented with a 4-week history of right lower quadrant abdominal pain which was managed conservatively at home with ibuprofen. Three days later, he presented to the emergency department with worsening pain and swelling following an episode of coughing and slipping in the bathroom. Following his admission, CT angiography showed an active bleed into a 4.6×6.7×11 cm right rectus sheath haematoma, just inferior to the umbilicus. The patient was then referred to interventional radiology for an angiogram and coil embolisation. A superselective branch angiogram showed contrast extravasation from a medial branch of the right inferior epigastric artery, successfully embolised without incident.

Case 9.10

2014 ◽  
pp. 439-440
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Crohn Disease ◽  
Distal Ileum ◽  
Quadrant Pain ◽  
Lower Quadrant Pain ◽  
Lower Quadrant ◽  
Right Lower Quadrant Pain ◽  
History Of ◽  
The Right ◽  
Right Lower Quadrant

24-year-old man with 5-year history of Crohn disease now with worsening right lower quadrant pain, difficulty eating, and diarrhea Coronal SSFSE (Figure 9.10.1), fat-suppressed 2D SSFP (Figure 9.10.2), and postgadolinium 3D SPGR (Figure 9.10.3) images show marked thickening of the distal ileum, with matted loops of ileum in the right lower quadrant. Note the prominent enteroenteric fistula in the distal ileum....

scholarly journals Giant Cecal Lipoma Causing Intussusception

2018 ◽  
Author(s):  
Arif Aslaner ◽  
Tuğrul Çakır ◽  
Kemal Eyvaz ◽  
Murat Kazım Kazan
Keyword(s):  
Elderly Women ◽  
Right Hemicolectomy ◽  
Resected Specimen ◽  
Lower Quadrant ◽  
The Past ◽  
Physical Examinations ◽  
The Right ◽  
Fluid Levels ◽  
Bowel Dilatation ◽  
Right Lower Quadrant

Colonic lipomas are usually seen as small dimensions in the cecum and ascending colon of elderly women. Many of colon lipomas are asymptomatic and diagnosed incidentally during endoscopy or surgery. As diameter increases it can cause symptoms such as bleeding, obstruction or intussusceptions. 53 years old female patient was admitted to the emergency department with ongoing intermittent abdominal pain more significantly over the past year with nausea and vomiting. On routine physical examinations more pronounced abdominal tenderness and rebound was observed in the right lower quadrant. At blood count leucocytosis was measured as 15,300. Other biochemical parameters were normal. Air-fluid levels were detected on abdominal graphy, bowel dilatation and a mass of 7x5x4 cm in diameters in cecum, compatible with lipoma reported by ultrasound and computed tomography,The  patientunderwent laparotomy the mass which cause the lumen almost completely obstructed was palpated in the cecum with proximal bowel dilatation. A right hemicolectomy and ileotransversostomy was performed. Histopathologic examination of the resected specimen was reported as lipoma consisting of grossly compatible with yellow microscopic fatty cells. On the fifth postoperative day the patient was discharged uneventfully without any complaints and complications. We report a case of giant cecal lipoma causing intussusseption who admitted to our clinic and discharged successfully.

scholarly journals Extrapelvic endometrioma presenting as acute incarcerated right inguinal hernia in a postpartum patient

2019 ◽  
Vol 12 (9) ◽  
pp. e231213 ◽  
Author(s):  
Erum Azhar ◽  
Salma M Mohammadi ◽  
Fauzan M Ahmed ◽  
Abdul Waheed
Keyword(s):  
Inguinal Hernia ◽  
Lower Quadrant ◽  
Hernia Sac ◽  
Incarcerated Inguinal Hernia ◽  
History Of ◽  
Chocolate Cyst ◽  
Atypical Presentations ◽  
Immediate Surgery ◽  
The Right ◽  
Right Lower Quadrant

A 33-year-old postpartum patient, who had an uncomplicated repeat caesarean section 4 weeks prior, presented with a 2-day history of acute right lower quadrant, incisional and groin pain. She was found to have a palpable tender lump in the right groin. A CT scan with contrast identified fluid along the anterior abdominal wall of the right lower quadrant (inguinal region) measuring about 1.7 cm, a preliminary diagnosis of an incarcerated inguinal hernia was made and the patient underwent immediate surgery. The hernia sac was dissected free and had chocolate cyst that was confirmed to be endometrioma on histopathology. The hernia defect was repaired. Postoperative, the patient did well and was discharged home. We emphasise to consider this differential diagnosis of extrapelvic inguinal endometrioma in reproductive-aged women with or without history of endometriosis especially in a post-caesarean patient who has atypical presentations.

scholarly journals Ectopic pregnancy in the ampulla of the fallopian tube at 16 gestational weeks: lessons from a case report

2020 ◽  
Vol 20 (4) ◽  
pp. 1895-7
Author(s):  
Nnabuike Chibuoke Ngene ◽  
Ongombe Lunda
Keyword(s):  
Abdominal Pain ◽  
Ectopic Pregnancy ◽  
Fallopian Tube ◽  
Haemoglobin Concentration ◽  
Lower Abdominal Pain ◽  
First Trimester ◽  
Tubal Pregnancy ◽  
Emergency Laparotomy ◽  
History Of ◽  
The Right

Background: It is uncommon to find ampullary tubal pregnancy in the second trimester. Methods: A 35-year-old G4P3 at 16 gestational weeks presented with a day history of sudden severe lower abdominal pain and no vaginal bleeding. The patient had a normal pulse of 82/minutes, haemoglobin concentration of 6.3 g/dl and ultrasonography showed an empty uterus with an alive fetus in the right adnexa. She was provisionally diagnosed to have an abdominal pregnancy. Results: The patient had an emergency laparotomy where 2.2 L of haemoperitoneum and a slow-leaking right ampullary tubal pregnancy were found. Right total salpingectomy was performed and she had an uncomplicated post-operative fol- low-up. Histology of the lesion confirmed tubal pregnancy. Conclusion: The growth of a pregnancy in the ampulla beyond the first trimester is possibly due to increased thickness and or distensibility of the fallopian tube. A tubal pregnancy may present with a normal pulse despite significant haemorrhage. Keywords: Abdominal pain; ampullary tubal ectopic pregnancy; Bezold–Jarish-like reflex.

scholarly journals Acute eosinophilic appendicitis after generalized skin reaction due to unknown cause in a child: Case report and literature review

2019 ◽  
Vol 9 (3) ◽  
Author(s):  
Maria Aggelidou ◽  
Katerina Kambouri ◽  
Maria Kouroupi ◽  
Dimitrios Cassimos ◽  
Soultana Foutzitzi ◽  
...  
Keyword(s):  
Skin Reaction ◽  
Muscularis Propria ◽  
Stool Examination ◽  
Histopathological Diagnosis ◽  
Lower Quadrant ◽  
Diffuse Abdominal Pain ◽  
History Of ◽  
The Right ◽  
Right Lower Quadrant ◽  
Histopathological Evidence

Acute eosinophilic appendicitis (AEA) is a rare variant of appendix inflammation possibly linked to allergy. Histopathological evidence of eosinophilic infiltration of the muscularis propria and edema separating the muscle fibers is the gold standard for the diagnosis. Here, we report a case of a young boy with AEA following a skin reaction of possible allergic origin. A 6-year-old male was presented to the emergency department with a two-day diffuse abdominal pain and tenderness in the right lower quadrant. A possible allergic reaction had occurred five days before as a pruritic rash. There was no history of allergy and the stool examination was negative for parasites. The initial diagnosis was acute appendicitis, and appendectomy was performed. The histopathological diagnosis was AEA. Further studies on the proper diagnostic and treatment approach of AEA before surgery are required.

scholarly journals Reduction En-Masse of Inguinal Hernia After Self-Reduction

2020 ◽  
Author(s):  
Khosrow Najjari ◽  
Hossein Zabihi Mahmoudabadi ◽  
Seyed Zeynab Seyedjavadeyn ◽  
Reza hajebi
Keyword(s):  
Small Intestine ◽  
Inguinal Hernia ◽  
Closed Loop ◽  
Recurrent Inguinal Hernia ◽  
Lower Quadrant ◽  
Case Presentation ◽  
History Of ◽  
The Right ◽  
Right Lower Quadrant

Abstract Background: Reduction en-mass (REM) is one of the rare complications of inguinal hernia reduction. Case presentation: Our patient is a 50-year-old man with a history of inguinal hernia, who had been referred with the periumbilical pain that radiated to the right lower quadrant following hernia replacement by himself. Conclusions: Finally, REM diagnosis was made based on clinical examination and imaging, and surgical treatment was performed. in very rare cases, hernia was reduced by patients themselves. In this case study, a patient with a history of recurrent inguinal hernia was reported. The patient himself reduced his hernia the last time. In CT of the abdomen and pelvis, evidence of sac wall and small intestine fibrosis was seen as closed loop.

scholarly journals Intestinal obstruction caused by pericecal internal herniation

2020 ◽  
Vol 2020 (2) ◽  
Author(s):  
Floris B Poelmann ◽  
Ewoud H Jutte ◽  
Jean Pierre E N Pierie
Keyword(s):  
Abdominal Pain ◽  
Intestinal Obstruction ◽  
Acute Abdominal Pain ◽  
Treatment Preference ◽  
Treatment Modalities ◽  
Internal Herniation ◽  
Lower Quadrant ◽  
Surgical History ◽  
The Right ◽  
Right Lower Quadrant

Abstract Intestinal obstruction caused by pericecal internal herniation are rare and only described in a few cases. This case describes an 80-year-old man presented with acute abdominal pain, nausea and vomiting, with no prior surgical history. Computed tomography was performed and showed a closed loop short bowel obstruction in the right lower quadrant and ascites. Laparoscopy revealed pericecal internal hernia. This is a viscous protrusion through a defect in the peritoneal cavity. Current operative treatment modalities include minimally invasive surgery. Laparoscopic repair of internal herniation is possible and feasible in experienced hands. It must be included in the differential diagnoses of every patient who presents with abdominal pain. When diagnosed act quick and thorough and expeditiously. Treatment preference should be a laparoscopic procedure.

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