Abdominal pain warning: What YOUR stomach ache really means
ABDOMINAL pain is usually harmless and passes after a short period of time. However, it could be a symptom of a more serious condition, such as appendicitis or a stomach ulcer.
We describe the case of an asymptomatic 53-year-old man with stage 2A diffuse large B-cell lymphoma, who underwent 18F-FDG PET/CT at the completion of chemotherapy. The scan showed complete lymphomatous disease remission. Incidentally, there was increased FDG uptake in a tubular structure adjacent to the cecum. Clinical examination was negative. Subsequently, the patient presented 6 days later with typical acute appendicitis symptoms. This case is interesting wherein increased FDG uptake in the appendix predated the appearance of clinical symptoms.
AbstractPurpose of ReviewThe purpose of this review is to introduce the non-pediatric radiologist to the many common conditions that can be diagnosed via pediatric magnetic resonance imaging (MRI), particularly in the emergency setting.Recent FindingsThe vast majority of radiologic examinations in children occurs in non-pediatric facilities, and is interpreted by non-pediatric radiologists. Therefore, it is essential that the non-pediatric radiologist is aware of the current and potential imaging trends occurring in the pediatric setting, largely focused on increased MRI utilization. With advances in MR technolo...
CONCLUSION: Helminths may lead to life-threatening clinic conditions such as acute abdomen, gastrointestinal perforation, intestinal obstruction, and hemorrhages. There is a relationship between surgery and helminths. It is very important for surgeons to consider and remember helminths in differential diagnoses during their daily routines. PMID: 28761475 [PubMed]
Conclusion:Nobody would miss the precordial ST-depressions in this case. The problem is not in identifying these abnormalities, but rather in identifying their etiology. Patients with Isolated Posterior STEMI often do not receive appropriate reperfusion therapy simply because infarction of this anatomical area of the myocardium may manifests without ST Elevation on standard 12-Lead ECG. Tips for recognizing Acute Posterior STEMI:1. Pattern recognition is one of the most powerful - and often subconscious - mechanisms by which we read ECGs. Remember this classic pattern of Posterior STEMI of Standard 12-Lead ...
We appreciate Dr Strain ’s comments because they highlight a nuance on the wording of our article, in which we explicitly describe imaging in the diagnosis and management of appendicitis without referring to suspected appendicitis . The study of imaging utilization for suspected appendicitis would require the inclusi on of all patients with right lower quadrant pain. Previous authors have also referred to suspected appendicitis when including all patients who underwent an appendectomy, even when the final diagnosis was not appendicitis (ie, negative appendectomies) .
AbstractAppendicitis is the most common pediatric surgical emergency. Ultrasound (US) receives the highest appropriate rating scale in children with right lower quadrant pain suspected to have appendicitis. The US exam of the appendix has improved since Puylaert pioneered the technique of graded compression in 1986. In this article, we review ultrasonography of the pediatric appendix as it pertains to the normal appendix, acute appendicitis and the different sonographic manifestations. We also briefly describe technical optimization of image acquisition, common pitfalls and differential diagnoses.
Conclusion The mainstay of clinical presentation is intermittent abdominal pain while patients may be completely asymptomatic between attacks. Appendiceal intussusception may act as a leading point to ileocolic intussusception and is frequently concealed by it. The treatment is appendectomy. Both pediatric surgeons and radiologists should be aware of this occurrence to provide adequate management and avoid complications. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents | Abstract | Full text
Acute appendicitis (AA) is one of the most common pediatric surgical conditions seen in children. The annual incidence of AA is 37.2 per 10,000 American children between the ages of 0 –14years . The decision to perform operation on a patient with suspected AA is based mainly on disease history and physical findings and ultrasound findings . However, the diagnosis of acute appendicitis in children is often challenging. This may be related to the variable presentation and g reater diagnostic uncertainty in younger children presenting with acute abdominal pain.
Conclusions A substantial number of patients underwent readmission or outpatient examination within 90-days after appendectomy in the current study. The procedure is common and attempts to prevent readmissions are important. Correct use of antibiotics and not removing a non-inflamed appendix may be key points.
Chronic debilitating pain is a rare but significant cause of postoperative morbidity after inguinal surgery. Such pain is usually of neuropathic origin and frequently caused by intraoperative nerve damage. In ...