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.
CONCLUSION: Pain management was inadequate in most of the groups studied, particularly after appendicectomy or umbilical hernia repair, with most children experiencing at least moderate pain on the day of and day after surgery. There was a need for a standardized management, with increased dual analgesia prescribing, to ensure that children receive adequate postoperative analgesia in hospital and at home. PMID: 29030932 [PubMed - in process]
This article discusses tips and pitfalls in diagnosis and addresses many of the controversies that surround the management of this condition.
This study was conducted with a group of 89 patients over 17 years of age who were admitted with the complaint of right lower quadrant pain to ED and had a preliminary diagnosis of acute appendicitis clinically and the control group of 31 healthy volunteers in a tertiary university hospital for 3 months. RESULTS: Median PTX3 levels were 3.28 (1.08-30.24) ng/mL in the acute appendicitis groups and 0.97 (0.34-2.62) ng/mL in the control group. A significant difference was observed between acute appendicitis groups and the control group (p
Conclusion Acute appendicitis can mimic acute scrotum and surgeons must have a high index of suspicion of this complication for diagnosing. This unusual clinical presentation may be challenging and can delay the diagnosis leading to perforated peritonitis.
ConclusionPain management was inadequate in most of the groups studied, particularly after appendicectomy or umbilical hernia repair, with most children experiencing at least moderate pain on the day of and day after surgery. There was a need for a standardized management, with increased dual analgesia prescribing, to ensure that children receive adequate postoperative analgesia in hospital and at home.
CONCLUSION Full preoperative workup for a femoral hernia often fails to diagnose the presence of the Appendix within the hernia. It is important to have a high clinical suspicion for a de Garengeot’s hernia in patients with incarcerated or strangulated right femoral hernias.
Acute right lower quadrant abdominal (RLQ) pain is one of the most common causes of presentation to emergency department. In most patients presenting with acute right lower quadrant pain, acute appendicitis needs to be excluded, especially in male patients. However, a broad spectrum of pathologies may mimic acute appendicitis both clinically and on imaging findings [1 –5]. Therefore, to make a differential diagnosis in patients with acute RLQ pain with suspicion of acute appendicitis is very important to avoid misdiagnosis which may result in delayed treatment or lead to the removal of a normal appendix .
ConclusionUterine rupture caused by double uterus is very rare and easily Ignored by the surgeon. The survival of patients suffered from uterine rupture depends on the time interval between rupture and intervention.
AbstractPurposeAcute appendicitis (AA) is among the most common causes of lower abdominal pain and admissions to the emergency department. Over the past 20 years, there has been a renewed interest in the conservative management of uncomplicated AA, and several studies demonstrated that an antibiotic-first strategy is a viable treatment option for uncomplicated AA. The aim of this prospective non-randomized controlled, multicenter trial is to compare antibiotic therapy and emergency appendectomy as treatment for patients with uncomplicated AA confirmed by US and/or CT or MRI scan.MethodsAll adult patients in the age r...
Conclusion and discussion Since the omental infarction as etiology of acute abdominal pain is uncommon in children, we emphasize the importance of accurate diagnosis and appropriate treatment of omental infarction.