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 three cases of extrauterine adenomyomas which were located in pararectal space, round ligament and ovary. These cases were treated by laparoscopic excision and diagnosis was confirmed by histopathological examination. A review of the literature identified 34 cases of extrauterine adenomyomas. The most common locations were pararectal space, ovary and broad ligament. Other pelvic locations included the round ligament, paraovarian, parametrial and pelvic wall. Extrapelvic adenomyomas were located in the liver, upper abdomen, inguinal scar, appendix and small bowel mesentery. The abdominopelvic pain was the most c...
CONCLUSIONS: The findings are consistent with a hypothesis of appendectomy causing an increased risk of diverticular disease, for example, by affecting the mucosal immune system or the gut microbiome. However, several other mechanisms may contribute to, or account for, the positive association, including a propensity for abdominal pain increasing the risk of both the exposure and the outcome. See Video Abstract at http://links.lww.com/DCR/A604.
ConclusionsA possible autoimmune association might have caused both conditions in our patient. This case report serves as a warning message that pregnant women with one possible condition with autoimmune association could go on to develop other similar conditions.
BACKGROUND Abdominal pain is the common reason patients seek treatment in emergency departments (ED), and computed tomography (CT) is frequently used for diagnosis; however, length of stay (LOS) in the ED and risks of radiation remain a concern. The hypothesis of this study was the Alvarado score (AS) could be used to reduce CT scans and decrease ED LOS for patients with suspected acute appendicitis (AA). METHODS A retrospective review of patients who underwent CT to rule out AA from January 1, 2015, to December 31, 2015, was performed. Patient demographics, medical history, ED documentation, operative interventions, ...
Conclusions: Alvarado and RIPASA presented good sensitivity, however, AIR is more specific, and has better accuracy for the diagnosis of acute appendicitis, making a better screening and thus reducing unnecessary surgeries. Therefore, it is recommended to use more AIR than Alvarado and RIPASA. PMID: 29809191 [PubMed - in process]
The objective of this article is to review pediatric abdominal conditions that the adult-focused diagnostic radiologist may encounter when covering the emergency department. We address the commonly encountered pediatric abdominal and pelvic emergencies, with emphasis on the imaging findings in conditions such as midgut volvulus, intussusception, foreign body ingestion, acute appendicitis, hypertrophic pyloric stenosis, testicular torsion, and ovarian torsion. Treatment and associated complications also have been mentioned, but the main focus remains on imaging.
Title: Appendicitis (Symptoms, Pain, Tests, Treatments, Surgery)Category: Diseases and ConditionsCreated: 12/31/1997 12:00:00 AMLast Editorial Review: 5/29/2018 12:00:00 AM
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF…introducing Funtabulously Frivolous Friday Five 237. Readers can subscribe to FFFF RSS or subscribe to the FFFF weekly EMAIL Question 1: Who wrote a treatise on appendicitis in 1889? + Reveal the Funtabulous Answer expand(document.getElementById('ddet1042482996'));expand(document.getElementById('ddetli...
Conditions: Appendicitis; Pain, Postoperative Intervention: Drug: Non-narcotic pain control Sponsors: University of Utah; Primary Children's Hospital; University of Utah Center for Clinical and Translational Science Recruiting