Diagnostic Laparoscopy in Acute Pain of the Right Lower Abdomen

1998 ◽  
pp. 155-158 ◽  
Author(s):  
St. Wagner ◽  
Th. Clerici ◽  
J. N�geli ◽  
M. Z�nd ◽  
J. Lange
Keyword(s):  
Acute Pain ◽  
Diagnostic Laparoscopy ◽  
Lower Abdomen ◽  
The Right

Late-onset malignant glaucoma

2020 ◽  
Vol 3 ◽  
pp. 1
Author(s):  
Ramiro José Daud ◽  
Horacio Freile ◽  
Mauricio Freile ◽  
Soledad Mariano
Keyword(s):  
Intraocular Pressure ◽  
Case Report ◽  
Acute Pain ◽  
Late Onset ◽  
Slit Lamp ◽  
Normal Range ◽  
Slit Lamp Examination ◽  
Complete Occlusion ◽  
Malignant Glaucoma ◽  
The Right

A case report on a 49-year-old female with diagnoses of ocular hypertension in her left eye (LE) treated with 250 mg/day acetazolamide for 2 years. During the slit-lamp examination, complete occlusion of both iridocorneal angles was detected. Intraocular pressure (IOP) was 10 and 35 mmHg in the right eye and LE, respectively. Phacotrabeculectomy was performed in the LE. After 1 month of the procedure, the patient developed a slowly progressive miopization from −1 to −3 diopters (D) the following months. Approximately 3 months after surgery, the patient developed an episode of acute pain, athalamia, and IOP 45 mmHg in her LE. Late-onset malignant glaucoma was suspected and the patient was treated with topical hypotensive and cycloplegic agent until a prompt vitrectomy was performed. Deepening of the anterior chamber and restoration of IOP to normal range was obtained after surgery.

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.

scholarly journals Omental infarction in an obese 10-year-old boy

2011 ◽  
Vol 3 (3) ◽  
pp. 22 ◽  
Author(s):  
Katerina Kambouri ◽  
Stefanos Gardikis ◽  
Alexandra Giatromanolaki ◽  
Aggelos Tsalkidis ◽  
Efthimios Sivridis ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Preoperative Diagnosis ◽  
Acute Abdominal Pain ◽  
Accurate Diagnosis ◽  
Lower Abdomen ◽  
Omental Infarction ◽  
Appropriate Treatment ◽  
Low Incidence ◽  
The Right

Primary omental infarction (POI) has a low incidence worldwide, with most cases occurring in adults. This condition is rarely considered in the differential diagnosis of acute abdominal pain in childhood. Herein, we present a case of omental infarction in an obese 10-year-old boy who presented with acute abdominal pain in the right lower abdomen. The ultrasound (US) examination did not reveal the appendix but showed secondary signs suggesting acute appendicitis. The child was thus operated on under the preoperative diagnosis of acute appendicitis but the intraoperative finding was omental infarct. Since the omental infarct as etiology of acute abdominal pain is uncommon, we highlight some of the possible etiologies and emphasize the importance of accurate diagnosis and appropriate treatment of omental infarction.

Opioid Prescribing Limits for Acute Pain — Striking the Right Balance

2018 ◽  
Vol 379 (6) ◽  
pp. 504-506 ◽  
Author(s):  
Margaret Lowenstein ◽  
David Grande ◽  
M. Kit Delgado
Keyword(s):  
Acute Pain ◽  
Opioid Prescribing ◽  
The Right

scholarly journals Choroidal and Cutaneous Metastasis from Urothelial Carcinoma of the Bladder after Radical Cystectomy: A Case Report and Literature Review

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Yozo Mitsui ◽  
Naoko Arichi ◽  
Keita Inoue ◽  
Miho Hiraki ◽  
Shigenobu Nakamura ◽  
...  
Keyword(s):  
Bladder Cancer ◽  
Radical Cystectomy ◽  
Metastatic Potential ◽  
Cutaneous Metastasis ◽  
Bladder Cancer Patient ◽  
Lower Abdomen ◽  
Cutaneous Metastases ◽  
Multiple Metastases ◽  
Carcinoma Of The Bladder ◽  
The Right

Bladder cancer is the second most common genitourinary malignancy and has variable metastatic potential; however, choroidal and cutaneous metastases are extremely rare. Generally, a patient with these uncommon metastases has a very poor prognosis. We present a bladder cancer patient with a visual disorder in the right eye and multiple nodules on head and lower abdomen that developed 17 months after a radical cystectomy. These symptoms were determined to be caused by choroidal and cutaneous metastasis of bladder cancer. Although two cycles of combination chemotherapy were performed, the patient died 5 months after diagnosis of multiple metastases.

scholarly journals Duplicate Appendix With Acute Ruptured Appendicitis: A Case Report

2015 ◽  
Vol 100 (4) ◽  
pp. 662-665 ◽  
Author(s):  
Sharique Nazir ◽  
Alex Bulanov ◽  
Mohammed Iyoob Mohammed Ilyas ◽  
Ibrahim I. Jabbour ◽  
Larry Griffith
Keyword(s):  
Diagnostic Laparoscopy ◽  
Medical Literature ◽  
The Other ◽  
Associated Anomalies ◽  
Blood Cell Count ◽  
Lower Quadrant ◽  
Rare Congenital Anomaly ◽  
Life Threatening ◽  
The Right ◽  
Right Lower Quadrant

Duplication of the appendix is a rare congenital anomaly that, in adults, is most often found incidentally during surgery for other reasons. Appendicitis in the duplicated appendix is very rare and has been reported less than 10 times in the medical literature. We describe a 33-year-old woman with worsening periumbilical pain, nausea, vomiting, and fever. Physical examination showed localized peritonitis in the right lower quadrant. She had an elevated white blood cell count with neutrophilia. Computed tomography showed acute ruptured appendicitis. Diagnostic laparoscopy showed 2 appendices attached via separate bases to a single cecum with no other concurrent anomalies. Both appendices were removed laparoscopically. Histopathology confirmed normal appendiceal tissue in one and severe acute transmural appendicitis in the other. Awareness of appendiceal duplication and a thorough intraoperative inspection are critical to assess the presence of significant associated anomalies and avoid life-threatening complications.

scholarly journals Spigelian hernia in the right lower abdomen: A case report

2020 ◽  
Vol 3 (3) ◽  
pp. 114
Author(s):  
Rohit Chauhan ◽  
Neeti Kapur ◽  
ArvindKumar Shekhar ◽  
PNaveen Kumar
Keyword(s):  
Case Report ◽  
Spigelian Hernia ◽  
Lower Abdomen ◽  
The Right

scholarly journals Rare case: enucleation of multiple fibroids after intraoperative vaginal sonographic detection of the solitary pelvic kidney by patient with Mayer-Rokitansky-Kuster-Hauser syndrome

2020 ◽  
Vol 9 (9) ◽  
pp. 3873
Author(s):  
Elvin Piriyev ◽  
Thomas Romer
Keyword(s):  
Genital Tract ◽  
Kidney Injury ◽  
Contralateral Side ◽  
Uterine Horn ◽  
Pelvic Kidney ◽  
Lower Abdomen ◽  
Mrkh Syndrome ◽  
Tissue Alteration ◽  
Vaginal Sonography ◽  
The Right

Mayer-Rokitansky-Kuster-Hauser syndrome (MRKH) is a congenital anomaly of the genital tract that occurs in about 1 in 4000 women. MRKH syndrome can be associated with renal, skeletal, heart and hearing abnormalities. The frequency of renal/urinary tract abnormalities is 33%. Only a few cases of fibroid development in MRKH syndrome have been described in the literature. The diagnosis and surgery of a fibroid in MRKH syndrome may be complicated in associated kidney abnormality by an atypical kidney position, as in this case: pelvic kidney on one side and renal agenesia on the contralateral side. Authors present the case of a 47-year-old female patient with a known MRKH syndrome and a pelvic kidney on the right side who had presented with an unclear tumour in the right lower abdomen. A completed CT scan revealed the tumour directly next to the pelvic kidney. A malignancy could not be excluded with certainty, so that a laparoscopy in laparotomy readiness was indicated and performed. During surgery, two rudimentary uterine horns were found; on the right side retroperitoneally, below the uterine horn, the tumour was located and directly below it there was a soft tissue alteration, probably the kidney. For safety, a vaginal sonography was performed in between, to clearly identify the only kidney and to avoid damaging it. The tumour could be extirpated laparoscopically without kidney injury. The two uterine horns were removed simultaneously. Histologically the fibroid could be confirmed. In addition, three other fibroids (one on the left side and two on the right side) were detected. Due to the high probability of a simultaneous kidney abnormality in the MRKH syndrome, authors suggest an accurate kidney diagnosis preoperatively. If necessary, in the case of a pelvic kidney and/or renal agenesia, as in this case, an additional intraoperative kidney check should be performed.

scholarly journals Perioperative Pain Management: Present outlook

JMS SKIMS ◽  
2011 ◽  
Vol 14 (1) ◽  
pp. 1-3
Author(s):  
Javaid A Zargar ◽  
Abdul Qayoom Lone
Keyword(s):  
Pain Relief ◽  
Acute Pain ◽  
Pain Control ◽  
Elective Surgery ◽  
The United States ◽  
Political Conflict ◽  
Medical Illness ◽  
Perioperative Pain Management ◽  
The Right ◽  
Developed World

The individuals rights in the United States, and the rise of democratic states, has created an environment in which individual pursuit of better health care, including pain relief, became explicit goals in the civilized world. The 'right to pain relief' has now multidimensional foundations in the developed world. Knowingly, acute pain is a universal phenomenon. All emergency and elective surgery, severe medical illness, trauma, childbirth, burns, natural calamities, war and torture, all contribute to its burden. In many countries political conflict, social dislocation, and inadequate availability of analgesics conspire to make the relief of acute pain sporadic at best. Effective and efficient pain control, however, is an ethical responsibility and moral obligation of a caring physician, whether working in the developed or developing world . JMS 2011;14(1):1-3

scholarly journals Unexplained Unilateral Absence of Fallopian Tube and Ovary: A Rare Occurrence

2014 ◽  
Vol 2 (1) ◽  
pp. 46-47
Author(s):  
Mehul Sukhadiya ◽  
Shweta Varade Grover
Keyword(s):  
Fallopian Tube ◽  
South Asian ◽  
Diagnostic Laparoscopy ◽  
Outcome Measure ◽  
Transvaginal Ultrasound ◽  
Rare Occurrence ◽  
Intravenous Pyelography ◽  
Main Outcome Measure ◽  
Feasible Option ◽  
The Right

ABSTRACT Objective To present a case of right-sided unilateral tubal and ovarian absence, along with laparoscopic images. Patient A 23-year-old patient presented with primary infertility of 4 years’ duration. Right adnexal structures were not visualized on transvaginal ultrasound and laparoscopy. Intervention Diagnostic laparoscopy and hysteroscopy. Main outcome measure Complete absence of the right fallopian tube together with ovary was detected during laparoscopy. Subsequent urinary tract evaluation with intravenous pyelography was planned. Result Ipsilateral absence of the fallopian tube and ovary without any other system anomalies were detected. Conclusion Torsion or congenital defect might be the possible etiologic factors. However, vascular accident stands in the forefront of suggested etiologies. Laparoscopy is a feasible option as a diagnostic tool for these kinds of cases. How to cite this article Sukhadiya M, Grover SV. Unexplained Unilateral Absence of Fallopian Tube and Ovary: A Rare Occurrence. J South Asian Feder Menopause Soc 2014;2(1): 46-47.

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