scholarly journals Emphysematous cystitis: An atypical multi-organism presentation

2014 ◽  
Vol 8 (3-4) ◽  
pp. 210 ◽  
Author(s):  
Derek Bos ◽  
Premal Patal ◽  
Sonia DiTullio
Keyword(s):  
Computed Tomography ◽  
Escherichia Coli ◽  
Abdominal Pain ◽  
Klebsiella Pneumoniae ◽  
Bladder Wall ◽  
Lower Abdominal Pain ◽  
Gross Hematuria ◽  
Emphysematous Cystitis ◽  
Prompt Treatment ◽  
Distended Bladder

An 84-year-old diabetic women receiving in-hospital strokemanagement began suffering from vague lower abdominal pain,increased urge incontinence and gross hematuria. Physical examinationrevealed suprapubic tenderness and a tympanic bladder.A computed tomography confirmed a distended bladder with gasfoci delineating the bladder wall. Microbiology revealed an atypicalmulti-organism presentation of Klebsiella pneumoniae andEnterococcus species. Emphysematous cystitis is characterized byair within the bladder wall often found in elderly diabetic females.Predominant organisms include Escherichia coli and Klebsiellapneumonia. Prompt treatment is essential in this potentially fatalcondition.

scholarly journals A case of emphysematous cystitis diagnosed by exploratory laparotomy

2013 ◽  
Vol 5 (2) ◽  
pp. 9
Author(s):  
Keisuke Takano ◽  
Hidetada Fukushima ◽  
Yasuyuki Kawai ◽  
Yasuyuki Urisono ◽  
Michiaki Hata ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Peritoneal Fluid ◽  
Fluid Collection ◽  
Lower Abdominal Pain ◽  
Exploratory Laparotomy ◽  
Urinary Frequency ◽  
Rare Form ◽  
Emphysematous Cystitis ◽  
Peritoneal Sign

Emphysematous cystitis is a rare form of infection. Well known symptoms are: dysuria, urinary frequency and lower abdominal pain. We experienced a case of emphysematous cystitis presented with atypical peritoneal sign and computed tomography findings of massive intra-peritoneal fluid collection and abnormal gas appearance in pelvic space. Due to its presentation as acute abdomen, patient underwent exploratory laparotomy and the diagnosis of emphysematous cystitis was established. As far as we know, our case is the first report of emphysematous cystitis with intra-peritoneal fluid collection.

scholarly journals A rare cause of acute lower abdominal pain: Emphysematous cystitis

2014 ◽  
Vol 40 (1) ◽  
pp. 65-67 ◽  
Author(s):  
Tarkan Ergun ◽  
Halil Olcay Eldem ◽  
Hatice Lakadamyali
Keyword(s):  
Abdominal Pain ◽  
Lower Abdominal Pain ◽  
Emphysematous Cystitis

scholarly journals Uterine Lipoleiomyoma: A Report of Two Cases

2017 ◽  
Vol 7 ◽  
pp. 26 ◽  
Author(s):  
Haji Mohammed Nazir ◽  
Sankesh Mehta ◽  
CR Seena ◽  
N Kulasekaran
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Abdominal Pain ◽  
Magnetic Resonance ◽  
Postmenopausal Women ◽  
Crucial Role ◽  
Imaging Modality ◽  
Lower Abdominal Pain ◽  
Resonance Imaging ◽  
Pelvic Tumors

We report two cases of uterine lipoleiomyoma in postmenopausal women of ages 52 and 55 years, who presented with complaints of leukorrhea and lower abdominal pain, respectively. Lipoleiomyoma is a rare benign variant of leiomyoma, having an incidence of 0.03%–0.2%. These are benign pelvic tumors which are usually asymptomatic and commonly occur in obese postmenopausal women. However, they can occasionally present with typical leiomyoma symptoms. Imaging plays a crucial role in the diagnosis of benign pelvic tumors. Ultrasonography is the first imaging modality for diagnosis of pelvic tumors in females. Computed tomography and magnetic resonance imaging are specific in demonstrating the uterine origin and fat component.

scholarly journals Phlegmonous Proctitis: A Rare Entity of the Presentation of Proctitis

2018 ◽  
Vol 12 (2) ◽  
pp. 254-259
Author(s):  
Apichat Kaewdech ◽  
Pimsiri Sripongpun
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Elderly Woman ◽  
Lower Abdominal Pain ◽  
Rectal Mucosa ◽  
Rare Condition ◽  
Wall Thickening ◽  
Rare Entity ◽  
Rectosigmoid Colon ◽  
Biopsy Site

Phlegmonous proctitis is a rare condition; it was first described in 1940. We report the case of an elderly woman who presented with acute severe lower abdominal pain, tenesmus, and fever. A computed tomography of the whole abdomen revealed a long segment of circumferential wall thickening of the rectum and rectosigmoid colon. Colonoscopy was done subsequently and showed marked edematous and erythematous rectal mucosa. When rectal tissue biopsy was performed, a large amount of pus came out at the biopsy site, which led to the diagnosis of phlegmonous proctitis.

scholarly journals Spontaneous Uterine Leiomyoma Torsion: A Challenging Differential Diagnosis for Radiologists

2020 ◽  
Author(s):  
Ekaterini Tavernaraki ◽  
Sofia Athanasiou ◽  
Pavlos Ampatzis
Keyword(s):  
Computed Tomography ◽  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Laparoscopic Surgery ◽  
Uterine Leiomyoma ◽  
Lower Abdominal Pain ◽  
Uterine Leiomyomas ◽  
Benign Tumours

Uterine leiomyomas are very common gynaecological benign tumours. Spontaneous torsion of a uterine subserosal leiomyoma is a rare cause of acute lower abdominal pain and should be treated immediately with surgery. We report a case of an enlarged subserosal leiomyoma that was first detected by computed tomography (CT) and further confirmed by laparoscopic surgery to be a subserosal leiomyoma with torsion.

scholarly journals Torsion of Hydrosalpinx with Concurrent Acute Cholecystitis: Case Report and Review of Literature

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Preeti R. John ◽  
Amelia M. Pasley
Keyword(s):  
Abdominal Pain ◽  
Acute Cholecystitis ◽  
Fallopian Tube ◽  
Bladder Wall ◽  
Age Groups ◽  
Lower Abdominal Pain ◽  
Abdominal Ultrasound ◽  
Acute Calculous Cholecystitis ◽  
Upper Abdominal ◽  
The Right

Introduction.Isolated torsion of the Fallopian tube is an uncommon cause of acute lower abdominal pain and can occur in women of all age groups. Cholecystitis is a frequent cause of upper abdominal pain. We present an unusual case with the presence of these two distinct pathological entities occurring concurrently in the same patient, causing simultaneously occurring symptoms. To our knowledge, this is the first reported presentation of such a case.Methods.We describe a 34-year-old premenopausal woman who presented with right sided upper and lower abdominal pain and nausea. Abdominal ultrasound (US) revealed acute cholecystitis. Vaginal US was suggestive of right hydrosalpinx. Intravenous antibiotics were administered and consent was obtained for operative intervention. During laparoscopy, the right Fallopian tube with hydrosalpinx was noted to be twisted three times. The right ovary appeared normal. The gall bladder wall was thickened and inflamed. Laparoscopic right salpingectomy and cholecystectomy were performed.Results.Surgical pathology revealed hydrosalpinx with torsion and acute calculous cholecystitis. The patient had an uneventful postoperative course and was discharged home on the first postoperative day. Her symptoms resolved after the procedure.Conclusions.In women with abdominal pain, both gynecologic and nongynecologic etiologies should be considered in the differential diagnoses. Concurrent presence of symptomatic gynecologic and nongynecologic intra-abdominal pathology is rare. Isolated Fallopian tube torsion is rare and is associated most often with hydrosalpinx. Some torqued Fallopian tubes can be salvaged. Laparoscopy is useful in management of both Fallopian tube torsion and cholecystitis.

scholarly journals Improvement of a cecal bascule by supportive care

2017 ◽  
Vol 25 (3) ◽  
pp. 169-172
Author(s):  
Yong In Kim ◽  
Sang Kyoon Han ◽  
Mun Ki Min ◽  
Sung Wook Park ◽  
Seok Ran Yeom
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Abdominal Pain ◽  
Small Bowel ◽  
Supportive Care ◽  
Intestinal Obstruction ◽  
Lower Abdominal Pain ◽  
Bowel Ischemia ◽  
Ascending Colon ◽  
Symptoms And Signs

A cecal bascule is a rare cause of intestinal obstruction, and the diagnosis is often challenging because the symptoms and signs are similar to those of small bowel obstruction. We, herein, present the case of an 82-year-old female who presented to our emergency department with lower abdominal pain. Computed tomography showed anterior medial folding of the cecum over the ascending colon with cecal dilatation, without bowel ischemia or perforation. A good outcome was obtained immediately after supportive care. To the best of our knowledge, this is the first report of a cecal bascule that was improved by supportive care.

Chronic lower abdominal pain is commonly associated with pelvic congestion syndrome

2016 ◽  
Vol 76 (10) ◽  
Author(s):  
A Jurga-Karwacka ◽  
GM Karwacki ◽  
FD Schwab ◽  
A Schötzau ◽  
C Zech ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Lower Abdominal Pain ◽  
Pelvic Congestion Syndrome ◽  
Pelvic Congestion
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