scholarly journals PANCREATIC METAPLASIA OF THE GASTRIC MUCOSA IN CHILD

2016 ◽  
Vol 65 (3) ◽  
pp. 276-278
Author(s):  
Raluca Damian ◽  
◽  
Cristina Oana Marginean ◽  
Nicoleta Suciu ◽  
Maria Oana Marginean ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Gastric Mucosa ◽  
Abdominal Ultrasound ◽  
Recurrent Abdominal Pain ◽  
Pancreatic Tissue ◽  
Personal History ◽  
Antral Mucosa ◽  
Digestive Endoscopy ◽  
A Value ◽  
Associated Lesions

Pancreatic metaplasia is defined as the development of pancreatic tissue in an abnormal location and without direct connection to the pancreas. The heterotopic pancreatic tissue is most frequently noticed in the antral gastric mucosa, duodenum and jejunum. We present the case of a 13-year-old patient, admitted in Pediatrics Clinic 1 Targu-Mures, for recurrent abdominal pain and heartburns. The laboratory tests pointed out lymphocytosis (41%) with monocytosis (8.9%), eosinophilia (4.9%), an increased number of reticulocytes (20%), a decreased serum level of triglycerides and a value above the superior limit for calcium and magnesium. The abdominal ultrasound did not reveal any pathological modifications. The superior digestive endoscopy showed a granular gastric mucosa, therefore we took a biopsy of the antral mucosa, The pathological exam pointed out a fragment of pancreatic metaplasia in the antral gastric mucosa. The evolution was favorable with diet and treatment for the associated lesions. The particularity of the case consists in the presence of pancreatic metaplasia of the gastric mucosa in a patient with recurrent abdominal pain and heartburns, without significant familial or personal history.

Ureteropelvic Junction Obstruction Presenting With Recurrent Abdominal Pain: Diagnosis by Ultrasound

PEDIATRICS ◽  
1985 ◽  
Vol 76 (6) ◽  
pp. 934-937
Author(s):  
William J. Byrne ◽  
Watson C. Arnold ◽  
Michael W. Stannard ◽  
John F. Redman
Keyword(s):  
Abdominal Pain ◽  
Physical Examination ◽  
Radiation Exposure ◽  
Ureteropelvic Junction Obstruction ◽  
Correct Diagnosis ◽  
Abdominal Ultrasound ◽  
Recurrent Abdominal Pain ◽  
Ureteropelvic Junction ◽  
Contrast Radiography ◽  
Normal Ultrasound

Three cases of ureteropelvic junction obstruction are presented in which the only symptom was recurrent abdominal pain. Results of physical examination and urinalysis were normal. Ultrasound established the correct diagnosis in the two patients in whom it was performed. Because it is safe, involves no radiation exposure, and is useful in evaluating the gallbladder, pancreas, and liver, as well as both kidneys, abdominal ultrasound should be performed prior to contrast radiography in the evaluation of children with recurrent abdominal pain.

scholarly journals Fístula portobiliar como complicación mayor de biopsia hepática transpercutánea bajo marcación ecográfica

2020 ◽  
pp. 147-150
Author(s):  
Francisca Rivera O ◽  
Diego San Martín R
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Percutaneous Biopsy ◽  
Abdominal Ultrasound ◽  
Digestive Endoscopy ◽  
Vasoactive Drugs ◽  
Ct Angiogram ◽  
Bleeding Episodes ◽  
Upper Digestive Endoscopy ◽  
Arteriobiliary Fistula

Woman of 71 years, in study of chronic liver disease, Child-Pugh A, computed tomography (CT) suggestive of cirrhosis, autoimmune hepatitis score probable. It was decided to perform a liver percutaneous biopsy for diagnosis and treatment. After the procedure, the patient presented a self-limited episode of hematemesis. Upper digestive endoscopy without blood or other injury, abdominal ultrasound without free liquid. The patient was hospitalized, evolving hemodynamically stable without new bleeding episodes. Medical discharge was decided after 24 hours of observation. The patient consults the next day at emergency room because of intense abdominal pain and anemia. CT Impressed a dilated bile duct with hyperdense content inside, so she was rehospitalized. The patient evolved with melaena and hypotension. Biliary hematoma due to arteriobiliary fistula was suspected. CT angiogram evidenced portobiliary fistula. It was managed with endovascular therapy but the patient remained hypotense with a requirement for vasoactive drugs and multi-organ dysfunction, and she finally died.

Intermittent hydronephrosis in childhood

2013 ◽  
Vol 154 (24) ◽  
pp. 940-946 ◽  
Author(s):  
Miklós Merksz ◽  
Bálint Sulya ◽  
Mária Polovitzer ◽  
Ildikó Héjj ◽  
Diana Molnár ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Medical Records ◽  
Abdominal Ultrasound ◽  
Recurrent Abdominal Pain ◽  
Final Diagnosis ◽  
Occurrence Rate ◽  
Unknown Etiology ◽  
Delay In Diagnosis ◽  
Pelviureteric Junction Obstruction ◽  
Difficult Condition

Introduction: Intermittent pelviureteric junction obstruction, and its consequence,intermittent hydronephrosis is a difficult condition to identify. The renal collecting system is not dilated between the episodes of abdominal pain attacks and a prompt investigation is hard to carry out during the time of painful crisis. Therefore, most of the patients are initially misdiagnosed. Aim: The aim of the study was to assess the occurrence and the clinical characteristics of this phenomenon in children operated in the Department of Urological Surgery, Heim Pál Children Hospital, Budapest, Hungary. Patients and methods: Medical records of children operated for hydronephrosis between 2008 and 2012 were reviewed. The occurrence rate and clinical features of intermittent hydronephrosis were analyzed. Results: 76 children were operated for pelviureteric junction obstruction, of which 10 met the criteria of intermittent hydronephrosis. The average interval between the onset of symptoms and the final diagnosis was 2 years and 4 months. In 7 patients pyeloplasty, and in 3 patients nephrectomy were performed. Conclusions: Intermittent hydronephrosis represents a well-defined proportion among cases operated for hydronephrosis. The delay in diagnosis led to the loss of the kidney in one third of the patients, and this finding urges for the awareness of health professionals for this phenomenon. In case of recurrent abdominal pain of unknown etiology one must suspect a urological origin, even if a previous abdominal ultrasound showed normal kidneys. Orv. Hetil., 2013, 154, 940–946.

scholarly journals Toothpick Perforation of the Intestines Presenting as Recurrent Abdominal Pain: Possible Roles of Abdominal Ultrasound and MRI

2013 ◽  
Vol 6 ◽  
pp. CCRep.S11486 ◽  
Author(s):  
Robert J. Sealock ◽  
Saman Sabounchi ◽  
David Y. Graham
Keyword(s):  
Abdominal Pain ◽  
Small Bowel ◽  
Ileocecal Valve ◽  
Abdominal Ultrasound ◽  
Recurrent Abdominal Pain ◽  
Small Bowel Resection ◽  
Wall Thickening ◽  
Lower Quadrant Pain ◽  
Lower Quadrant ◽  
Bowel Wall Thickening

We report the case of a middle-aged man admitted for five months of unexplained left lower quadrant pain. He had been hospitalized on two prior occasions and treated with broad spectrum antibiotics. His clinical presentation was suggestive peritoneal irritation with severe, focal pain on abdominal palpation. Computed tomography scans showed non-specific inflammation in the left lower abdomen with adjacent small bowel wall thickening. Upper endoscopy and colonoscopy were unremarkable on prior admission. Given the severity and focality of the patient's recurrent abdominal pain he underwent laparoscopy and was found to have a wooden toothpick perforation of the small bowel thirty centimeters from the ileocecal valve requiring partial small bowel resection. The patient did well post-operatively. On retrospective questioning he may have eaten a cabbage roll or bacon wrapped shrimp pierced with a toothpick weeks before the onset of symptoms. Toothpick perforation should be a consideration in edentulous persons with focal, severe abdominal pain and trans-abdominal ultrasound or MRI may be a better choice for detecting wooden foreign objects.

A RARE CAUSE OF SEVERE RECURRENT ABDOMINAL PAIN

2013 ◽  
Vol 68 (1) ◽  
pp. 68-70
Author(s):  
C Isen ◽  
C Ivens ◽  
SFJ Callens ◽  
J Meeuwissen ◽  
A Vonck ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Recurrent Abdominal Pain

scholarly journals Recurrent abdominal pain in 52‐year‐old male

2015 ◽  
Vol 3 (6) ◽  
pp. 504-505
Author(s):  
Giovanni D. De Palma ◽  
Francesco Maione ◽  
Dario Esposito ◽  
Saverio Siciliano ◽  
Nicola Gennarelli ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Recurrent Abdominal Pain

scholarly journals Intrabiliary and abdominal rupture of hepatic hydatid cyst leading to biliary obstruction, cholangitis, pancreatitis, peritonitis and septicemia: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Manouchehr Aghajanzadeh ◽  
Mohammad Taghi Ashoobi ◽  
Hossein Hemmati ◽  
Pirooz Samidoust ◽  
Mohammad Sadegh Esmaeili Delshad ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Hydatid Cyst ◽  
Hydatid Disease ◽  
Biliary Obstruction ◽  
Abdominal Ultrasound ◽  
Sporadic Case ◽  
Gallbladder Wall ◽  
Liver Cyst ◽  
Biliary Duct ◽  
Wall Thickening

Abstract Background Hydatid cysts are fluid-filled sacs containing immature forms of parastic tapeworms of the genus Echinococcus. The most prevalent and serious complication of hydatid disease is intrabiliary rupture, also known as cystobiliary fistulae. In this study, a sporadic case of biliary obstruction, cholangitis, and septicemia is described secondary to hydatid cyst rupture into the common bile duct and intraperitoneal cavity. Case presentation A 21-year-old Iranian man was admitted to the emergency ward with 5 days of serious sickness and a history of right upper quadrant abdominal pain, fatigue, fever, icterus, vomiting, and no appetite. In the physical examination, abdominal tenderness was detected in all four quadrants and in the scleral icterus. Abdominal ultrasound revealed intrahepatic and extrahepatic biliary duct dilation. Gallbladder wall thickening was normal but was very dilated, and large unilocular intact hepatic cysts were detected in segment IV and another one segment II which had detached laminated membranes and was a ruptured or complicated liver cyst. Conclusion Intrabiliary perforation of the liver hydatid cyst is an infrequent event but has severe consequences. Therefore, when patients complain of abdominal pain, fever, peritonitis, decreased appetite, and jaundice, a differential diagnosis of hydatid disease needs to be taken into consideration. Early diagnosis of complications and aggressive treatments, such as endoscopic retrograde cholangiopancreatography and surgery, are vital.

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