scholarly journals A Rare Cause of Left Lower Quadrant Abdominal Pain: Atypically Located Acute Appendicitis Due to Malrotation: Case Report

2017 ◽  
Vol 27 (1) ◽  
pp. 22-24
Author(s):  
Bartu Badak
2012 ◽  
Vol 2012 ◽  
pp. 1-2 ◽  
Author(s):  
Petros Charalampoudis

Introduction. Ventriculoperitoneal (VP) shunting is the treatment of choice for nonobstructive hydrocephalus. In patients with such a device, right lower quadrant abdominal pain can puzzle the surgeon, posing a differential diagnostic problem among appendicitis, nonsurgical colicky pain, and primary shunt catheter tip infection. Treatment is different in either case.Presentation of Case. We hereby present a case of a young woman with prior ventriculoperitoneal shunt positioning who presented to our department with right lower quadrant abdominal pain. The patient underwent a 24-hour observation including a neurosurgery consult in order to exclude acute appendicitis and VP shunt tip infection. Twenty four hours later, the patient’s symptomatology improved, and she was discharged with the diagnosis of atypical colicky abdominal pain seeking a gastroenterologist consult.Discussion. This case supports that when a patient with prior VP shunting presents with right lower quadrant abdominal pain, differential diagnosis can be tricky for the surgeon.Conclusion. Apart from acute appendicitis, primary or secondary VP catheter tip infection must be considered because the latter can be disastrous.


2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Sushant M. Nanavati ◽  
Hiren Patel ◽  
Gabriel Melki ◽  
Vinod Kumar ◽  
Edward Milman ◽  
...  

Overshadowed by Sino-pulmonary infections, Cystic Fibrosis (CF) commonly affects gastrointestinal organs because of secretory and motility dysfunction. Infrequently, these changes result in Distal Intestinal Obstruction Syndrome (DIOS), an increasingly diagnosed gastrointestinal entity in adult Cystic Fibrosis patients. We present a case 22-year-old male who presented to our hospital with right lower quadrant abdominal pain with suspicion of acute appendicitis and was subsequently diagnosed as DIOS. Our case highlights the importance of DIOS as one of the differential diagnosis of right lower quadrant abdominal pain in a patient with a CF, especially for physicians working at community hospitals which may not have a Cystic Fibrosis care program available.


2010 ◽  
Vol 2010 ◽  
pp. 1-2
Author(s):  
Jacques Klein ◽  
Philippe Morel ◽  
Christian Toso

We report about a previously healthy 72 year-old woman, presented with 6 days of left lower quadrant abdominal pain and constipation. There was no report of fever, melena, hematochezia or change in appetite. The physical exam demonstrated a distended abdomen with palpable left lower quadrant pain, without guarding. CT showed images compatible with a sigmoid diverticulitis and a calcification of the sigmoid colon. After antibiotic threatment, a colonoscopy was performed which revealed the presence of a shell in the sigmoid colon. Our case illustrates the need for a colonoscopy following an attack of diverticulitis to look for a cancer or rarely a foreign body.


Gut ◽  
2011 ◽  
Vol 60 (11) ◽  
pp. 1505-1505
Author(s):  
H.-L. Hsu ◽  
C.-C. Chang ◽  
J.-T. Liang ◽  
K.-L. Liu

2020 ◽  
Vol 158 (4) ◽  
pp. e4-e5
Author(s):  
Chia-Che Chen ◽  
Chien-Jui Cheng ◽  
Li-Jen Kuo

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