scholarly journals Pediatric Gallbladder Dysmotility: Not as Rare as Previously Considered a Case Report and Review of Literature

2021 ◽  
Vol 12 (2) ◽  
Author(s):  
Moein Zangiabadian ◽  
Ahmad Khalili-chelik ◽  
Amirhossein Hosseini ◽  
Leily Mohajerzadeh ◽  
Mehdi Sarafi ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Gastrointestinal Symptoms ◽  
Chronic Abdominal Pain ◽  
Hepatobiliary Scintigraphy ◽  
Case Presentation ◽  
Gallbladder Ejection Fraction ◽  
Recurrent Vomiting ◽  
Underlying Causes ◽  
One Year ◽  
Pediatric Center

Introduction: Chronic abdominal pain in children is mostly functional, but in association with alarm symptoms such as recurrent vomiting, it is necessary to determine proper tests for the diagnosis of probable underlying organic problems. Case Presentation: Four patients with chronic refractory abdominal pain and nonspecific gastrointestinal symptoms presented to our tertiary pediatric center. After thorough medical and psychological investigations and hepatobiliary scintigraphy, and calculating gallbladder ejection fraction, laparoscopic cholecystectomy was performed. One year after the surgery, they were relatively symptom-free and returned to their routine life. Conclusions: Biliary tract abnormalities should be considered as a probable cause of chronic abdominal pain in children. Hepatobiliary scintigraphy can provide promising results to help to identify the underlying causes of chronic abdominal pain in association with nonspecific gastrointestinal manifestations.

scholarly journals Monomorphic epitheliotropic intestinal T-cell lymphomas: a case report

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Haibin Zhong ◽  
Yang Zheng ◽  
Feiran Zhang
Keyword(s):  
Abdominal Pain ◽  
T Cell ◽  
Poor Prognosis ◽  
Gastrointestinal Symptoms ◽  
Effective Management ◽  
Common Site ◽  
Case Presentation ◽  
Diagnostic Measures ◽  
T Cell Lymphomas ◽  
Aggressive Subtype

Abstract Background Monomorphic epitheliotropic intestinal T-cell lymphomas (MEITL) is a rare and aggressive subtype of lymphoma. The most common site of origin is small intestine. Patients are often presented with diagnosis of intestinal perforation with abdominal pain as the main consulting symptoms. Because of the deficiency of specific diagnostic measures and effective management, diagnosis is often confirmed in advanced stage with poor prognosis. Case presentation Here, we introduce a patient who has suffered from abdominal pain and diarrhea, and eventually been diagnosed as Monomorphic epitheliotropic intestinal T-cell lymphomas. Conclusion MEITL is rare in clinical practice with deficiency of early diagnostic measures and poor prognosis. Therefore, any patient with ambiguous gastrointestinal symptoms or perforation of the digestive tract where the primary lesion is difficult to identify should be alert to the possibility of this disease.

scholarly journals A one-year survey of campylobacter enteritis and other forms of bacterial diarrhoea in Hong Kong

1985 ◽  
Vol 94 (1) ◽  
pp. 55-60 ◽  
Author(s):  
B. S. W. Ho ◽  
W. T. Wong
Keyword(s):  
Hong Kong ◽  
Abdominal Pain ◽  
North America ◽  
Campylobacter Jejuni ◽  
Teaching Hospital ◽  
Vibrio Parahaemolyticus ◽  
Gastrointestinal Symptoms ◽  
Late Summer ◽  
Second Year ◽  
One Year

SUMMARYThe following enteropathogens were isolated from the faeces of 769 (10·2%) of 7,545 patients of whom 5,704 had diarrhoea or abdominal pain, attending a teaching hospital in Hong Kong during one year: salmonellae 458 (6·1%);Vibrio parahaemolyticus125 (1·7%); campylobacters 108 (1·4%); shigellae 83 (1·1%); others 19 (0·3 %). Further identification of the campylobacter isolates showed that 63 (58%) wereCampylobacter jejunibiotype 1, 44 (41%) wereC. coliand only one wasC. jejunibiotype 2. Seventy-five (69%) of the 108 campylobacters were isolated from children under two years of age, mostly during the second year of life. Faecal specimens from 1,841 children under the age of two years without gastrointestinal symptoms yielded almost the same percentages of salmonellae, campylobacters and shigellae as children with diarrhoea.Salmonellae, shigellae and vibrios were isolated most often in the hot late summer months (August to October), but, contrary to the pattern in Europe and North America, bothC. jejuniandC. coliwere most prevalent in the coolest months of the year (January to March). The reasons for this ‘reversed’ trend are unknown.

Etiology of isolated terminal ileal ulcers in symptomatic patients

2019 ◽  
Vol 4 (2) ◽  
pp. 2-9
Author(s):  
Suresh Thapa ◽  
Binod Karki ◽  
Dibas Khadka ◽  
Sanjit Karki ◽  
Roshan Shrestha ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Clinical Features ◽  
Clinical Presentation ◽  
Chronic Diarrhea ◽  
Histopathological Examination ◽  
Gastrointestinal Symptoms ◽  
Chronic Abdominal Pain ◽  
Intestinal Spirochetosis ◽  
Observational Descriptive Study ◽  
Ileal Intubation

Introduction: Isolated terminal ileal ulcers (ITIUs) are being frequently encountered by the clinicians with the increasing numbers of ileal intubation during colonoscopies. This study was aimed at finding the etiologies of these ulcers in symptomatic patients and their association with various clinical features. Methods: This was a hospital based prospective, observational, descriptive study performed on all consecutive patients who underwent ileocolonoscopy for various gastrointestinal symptoms between 1 July 2018 and 30 June 2019. Clinical, endoscopic and histopathological findings were analyzed to determine the etiology of ITIUs in symptomatic patients. Statistical analysis was done by SPSS 20. Results: Among 60 (7.67%) of 782 symptomatic patients who had ITIUs on ileocolonoscopy, specific etiologies were established in 28 (46.67%) of them. Intestinal TB was the most common specific diagnosis, which was seen in 18 (30%) patients. Chronic abdominal pain with or without chronic diarrhea was the most common indication for ileocolonoscopy. Conclusions: Specific etiologies like tuberculosis, Crohn’s disease, NSAID-induced ulcer and intestinal spirochetosis were seen in 28 (46.67%) of patients with isolated terminal ileal ulcers. The most common clinical features were chronic abdominal pain (65%) and abdominal pain with diarrhea (16.7%). No clinical presentation was significantly associated with any specific etiology, thus emphasizing the need for routine ileal intubation and tissue sampling for histopathological examination in all symptomatic patients undergoing colonoscopy.

Effect of yoga and naturopathy on disease activity and symptom burdens in a patient with active ulcerative colitis: a case report

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Y. Deepa ◽  
A. Mooventhan ◽  
N. Lilly ◽  
N. Manavalan
Keyword(s):  
Ulcerative Colitis ◽  
Abdominal Pain ◽  
Disease Activity ◽  
Alternative Therapy ◽  
Quality Of Sleep ◽  
Case Presentation ◽  
Blood Stains ◽  
Conventional Medication ◽  
One Year

Abstract Objectives Ulcerative colitis (UC) is a chronic idiopathic inflammatory disease that affects the large bowel. The objective of this study is to find the effect of yoga and naturopathy (YN) in a patient with active moderate pancolitis. Case presentation An 18-year old unmarried female diagnosed with UC in 2017. Patient’s symptoms began with abdominal pain, nausea, vomiting and diarrhea with/without blood stains more than seven times a day, daily. The symptoms reduced after taking regular conventional medication for a period of one-year. However, in February-2019, the patient visited our hospital with the same complaints and received 21-days of YN treatments. Results showed a better reduction in the abdominal pain, disease activity, stress and depression and a better improvement in hemoglobin levels, quality of sleep, and quality of life with no adverse effects. Conclusions YN could be considered as an alternative therapy in the management of UC. However, further studies are required to warrant this effect.

Enterogastric Reflux: an Uncommon Diagnosis Analyzed by Hepatobiliary Imaging

2019 ◽  
Vol 8 (2) ◽  
Author(s):  
Peter Wang
Keyword(s):  
Abdominal Pain ◽  
Digestive Enzymes ◽  
Gallbladder Disease ◽  
Hepatobiliary Scintigraphy ◽  
Hepatobiliary Imaging ◽  
Upper Gi ◽  
Gi Symptoms ◽  
Upper Abdominal ◽  
Enterogastric Reflux

Enterogastric reflux (EGR) is the reflux of bile and digestive enzymes from the small bowel into the stomach. While it is a normal physiologic process in small amounts, excessive reflux and chronic EGR can cause upper GI symptoms often mimicking more common diseases such as gallbladder disease and GERD that often leads to its underdiagnosis. Identifying EGR is significant as it has been associated with the development of gastroesophogeal pathology including gastritis, esophagitis, ulcers, and mucosal metaplasia. This article presents a 22-year-old male with enterogastric reflux causing upper abdominal pain and will discuss the role of hepatobiliary scintigraphy in its diagnosis.

Assessment of clinical outcomes among CT scan in the diagnosis of chronic abdominal pain

2019 ◽  
Vol 10 (3) ◽  
pp. 15-18
Author(s):  
Anant Madhukarrao Bhuibhar ◽  
◽  
Challa Anil Kumar ◽  
Lalwani Shyam Tekchand ◽  
◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Ct Scan ◽  
Clinical Outcomes ◽  
Chronic Abdominal Pain
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