Cases reported "Anorexia"

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1/14. Mesenteric angina complicating a mesodermal anomaly.

    A child with macrocephaly-cutis marmorata developed severe abdominal pain thought to represent mesenteric angina. There were abnormalities of the aortic and mesenteric vasculature not previously reported in this condition. Angina therapy afforded amelioration of his symptoms. Mesenteric angina should be considered as a cause for abdominal pain in children with mesodermal anomalies.
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keywords = abdominal pain
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2/14. A suspected case of proximal diabetic neuropathy predominantly presenting with scapulohumeral muscle weakness and deep aching pain.

    A 48-year-old man with a 14-year history of type 2 diabetes with proliferative diabetic retinopathy and distal symmetrical diabetic polyneuropathy visited our hospital. Eight months later, he subacutely developed difficulty in both shoulder movement and trouble standing up from a squatting position. This was accompanied by severe bilateral shoulder and thigh pain. magnetic resonance imaging of the brain, cervical and lumbar spine, computed tomography of the shoulder and X-ray films of the cervical spine and shoulder revealed no abnormality. cerebrospinal fluid showed a mild elevation of protein (0.93 g/l) without cell infiltration. Antiganglioside antibodies and point mutation of mitochondrial dna at position 3243 were not found. Neuropathology of the sural nerve showed a moderate myelinated fiber loss, active axonal degeneration, but onion-bulb formation, endoneurial or epineurial vasculitis were not observed. electromyography revealed neurogenic changes in the proximal upper limb muscles. Nerve conduction studies revealed mild bilateral slowing in nerve conduction velocity in both of the upper and lower limbs. The diagnosis of this patients was suspected to be a proximal diabetic neuropathy (diabetic amyotrophy). The pain and muscle weakness had persisted more severely in the shoulder than in the thigh throughout the clinical course. His unbearable symptoms could be partially alleviated by an administration of a selective serotonin reuptake inhibitor, fluvoxamine maleate. Proximal diabetic neuropathy is a rare disabling type of neuropathy, which is characterized with subacute bilateral muscle weakness and wasting in the proximal part of the lower limbs. The involvement of the scapulohumeral region observed in this case is very unusual in proximal diabetic neuropathy.
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ranking = 0.0076896727870881
keywords = upper
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3/14. Transient adult jejunal intussusception.

    intussusception is a rare cause of abdominal pain in adults. It occurs in fewer than 1% of all cases of adult small bowel obstruction. In the adult population, most cases are the result of some type of intestinal lesion like adhesions, melanomas, lipomas or adenomatous polyps. Idiopathic intussusceptions are an extremely rare occurrence in adults, comprising only 2-23% of diagnosed intussusceptions. This report describes two cases of transient, idiopathic adult jejunal intussusception in a 19-year-old woman and a 39-year-old man, both presenting to the same hospital 1 week apart. Both patients complained of nonspecific abdominal pain and nausea and were diagnosed with intussusception by computed tomography (CT) scan. In both cases, no underlying bowel abnormality was identified and neither required a bowel resection. This report discusses the common presentation, diagnosis, and treatment of adult intussusception and questions whether patients with transient intussusceptions require exploratory laparotomy.
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ranking = 1
keywords = abdominal pain
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4/14. Laparoscopic management of Chilaiditi's syndrome.

    Chilaiditi's syndrome refers to the symptoms of abdominal pain, distention, vomiting, anorexia, and constipation caused by hepatodiaphragmatic interposition of the intestine. Although patients with this radiographic finding are commonly asymptomatic, presentation with symptoms is rare and accurately refers to this syndrome. There is an increased incidence of Chilaiditi's syndrome among mentally ill adults. Traditionally, Chilaiditi's syndrome is managed medically by discontinuing causative medicines. However, among the mentally ill population whose psychotropic medications precipitate the interposition of the colon, ceasing these psychotropic medications is not an appropriate option. The case presented involves a mentally ill patient with Chilaiditi's syndrome who was successfully managed with laparoscopic colopexy. At follow-up, the patient reported marked improvement of abdominal symptoms.
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keywords = abdominal pain
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5/14. The technique of laparoscopic retroperitoneal splenopexy for symptomatic wandering spleen in childhood.

    BACKGROUND: wandering spleen is an uncommon diagnosis, difficult to prove by standard investigations. The authors report a new method for laparoscopic splenopexy in children using a balloon-dilated retroperitoneal pouch. methods: From 3 accesses, the spleen is mobilized and displaced into a retroperitoneal pouch dilated to the double splenic volume. The pouch is dilated by a self-made balloon via a further intercostal access and narrowed by sutures incorporating the cranial and caudal edge of the gastrosplenic ligament. RESULTS: The peritoneal pouch contracts around the retroperitoneal spleen resulting in a firm fixation of the organ. This technique was successful in a 9-year-old girl with a 5-year history of severe recurrent abdominal pain. CONCLUSIONS: Laparoscopic retroperitoneal pouch splenopexy is a safe and effective procedure for symptomatic wandering spleen precluding the use of foreign materials in this age group.
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ranking = 0.5
keywords = abdominal pain
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6/14. Counterclockwise barber-pole sign on CT: SMA/SMV variance without midgut malrotation.

    We report on a 10-year-old girl who presented with worsening pain and anorexia after blunt trauma to the abdomen. Contrast-enhanced CT of the abdomen was performed, and a counterclockwise rotation of the superior mesenteric vein around the superior mesenteric artery was seen. An upper gastrointestinal (UGI) series with small-bowel follow-through demonstrated a normally located duodenal-jejunal junction. This is the first case report of a counterclockwise barber-pole sign seen by CT with UGI that was negative for malrotation or volvulus.
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ranking = 0.003844836393544
keywords = upper
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7/14. Virchow's node, jaundice, and weight loss--lymphoma mimicking gastrointestinal malignancy.

    BACKGROUND: A 46-year-old white male with a history of well-controlled paranoid schizophrenia presented with painless jaundice, progressive anorexia, weight loss, and dyspnea of 3 months' duration. His only medication at presentation was the antipsychotic olanzapine, taken orally. INVESTIGATIONS: physical examination and laboratory tests, including a complete blood cell count, electrolyte, lactate dehydrogenase and haptoglobin levels, liver function tests, and a Coombs' test; CT scan of the chest and abdomen; invasive investigations, including thoracentesis and pleural fluid analysis, bone-marrow biopsy, and left supraclavicular lymph-node biopsy. diagnosis: Diffuse large B-cell lymphoma. MANAGEMENT: Large-volume thoracentesis. Rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisolone chemotherapy followed by dexamethasone, cytarabine, and cisplatin chemotherapy, and autologous stem-cell transplantation.
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ranking = 0.0015124254953635
keywords = chest
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8/14. anorexia in a 14-year-old girl: why won't she eat?

    This is a clinical presentation of a 14-year-old female who had weight loss and vomiting following spinal fusion surgery. Her case was complicated by social and behavioral issues. After an initial diagnosis of atypical eating disorder, an upper gastrointestinal study revealed superior mesenteric artery syndrome. Her course continued to be complicated until consistent follow-up with a nutritionist was established.
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ranking = 0.003844836393544
keywords = upper
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9/14. Brainstem tumor presenting as an upper gut motility disorder.

    This case study of an adult with a medullary glioma documents the potential for brainstem lesions to present solely with symptoms of abnormal gastrointestinal motor function. The case illustrates the potential of manometric and scintigraphic techniques in confirming the presence of organic disease in patients with unexplained vomiting.
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ranking = 0.015379345574176
keywords = upper
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10/14. Renal cysts in a cow with anorexia, hypocalcemia and abdominal pain.

    A ten-year-old Holstein cow developed anorexia, fever, and recumbency 2 weeks before calving. She was hypocalcemic with concurrent mild pneumonia and mastitis. Due to evidence of impending abortion, parturition was induced and the cow developed metritis. Despite post partum improvement of pneumonia, mastitis and metritis, the cow remained anorexic and had signs of abdominal pain. An exploratory lapartomy via the left flank revealed a greatly enlarged right kidney. On examination through the right flank, 2 large simple renal cysts were found and a nephrectomy was performed. Postoperatively, the cow's appetite gradually improved and she made an apparent clinical recovery.
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ranking = 2.5
keywords = abdominal pain
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