11/158. Metastasis from small cell carcinoma of the lung producing acute appendicitis.A case of acute gangrenous appendicitis with perforation caused by metastatic small cell carcinoma of the lung in a 65 year old man is reported. The manifestation of appendicitis occurred more than 4 years after the diagnosis of the bronchogenic carcinoma. With longer survival of patients with disseminated tumors it is probable that new manifestations of those malignancies will be discovered. Acute appendicitis due to metastasis from a distant neoplasm should be considered in the differential diagnosis of right lower abdominal pain in the oncology patient.- - - - - - - - - - ranking = 1keywords = abdominal pain (Clic here for more details about this article) |
12/158. Two cases of appendicitis in Kawasaki disease.Two cases of appendicitis in Kawasaki disease (KD) are presented. appendicitis in KD is very rare condition, and only a few cases have been previously reported. This report suggests the need to expand the differential diagnosis of abdominal pain in this group of patients.- - - - - - - - - - ranking = 1keywords = abdominal pain (Clic here for more details about this article) |
13/158. Right lower quadrant abdominal pain due to appendicitis and an incarcerated spigelian hernia.Spigelian hernias are uncommon and difficult to diagnose because of their location in the aponeurosis in the anterior abdominal wall. When they occur on the right side, the symptoms can include nonspecific abdominal pain mimicking appendicitis. We present an adult with right lower quadrant abdominal pain due to an incarcerated spigelian hernia and acute appendicitis. Early recognition and prompt surgical treatment were important to the successful treatment of our patient.- - - - - - - - - - ranking = 6keywords = abdominal pain (Clic here for more details about this article) |
14/158. Laparoscopic cholecystectomy and appendectomy in situs inversus totalis.situs inversus totalis is an uncommon anatomic anomaly that complicates diagnosis and management of acute abdominal pain. Expedient diagnosis of common intraperitoneal disease processes such as biliary colic, acute appendicitis and diverticulitis is often delayed as a result of seemingly incongruous physical findings. We present the case of a young woman with prior emergency room visits for complaints of a vague left upper quadrant abdominal pain. An ultrasound performed on her third presentation revealed visceral situs inversus with cholelithiasis and dilated intra- and extrahepatic biliary ducts. Standard laparoscopic cholecystectomy and cholangiography with a mirror-image surgical approach was performed successfully and without complication.- - - - - - - - - - ranking = 2.0004075371282keywords = abdominal pain, upper (Clic here for more details about this article) |
15/158. Primary omentitis as a cause of acute abdomen.A 5-year-old boy admitted with localized lower abdominal pain and tenderness simulating acute appendicitis underwent surgery, and primary omentitis without appendicitis or other cause of an acute abdomen was diagnosed. The absence of other concomitant signs and symptoms of acute abdomen was remarkable. This is the first case of primary omentitis as a cause of acute abdomen in the English-language literature.- - - - - - - - - - ranking = 1keywords = abdominal pain (Clic here for more details about this article) |
16/158. Transvaginal ultrasonographic identification of appendicitis in a setting of chronic pelvic pain and endometriosis.Our patient had a history of chronic endometriosis and pelvic pain and complained of recent onset of right-sided abdominal pain, nausea, and vomiting. Transvaginal ultrasonography revealed a thick-walled mass superior and medial to the right ovary, which was thought to be an inflamed appendix. The woman was not pregnant, and the structure appeared to be anatomically separate from the uterus. Subsequent laparoscopy confirmed the diagnosis of acute appendicitis; uncomplicated laparoscopic appendectomy followed. In the setting of chronic endometriosis, other nongynecologic sources of acute pelvic pain must be considered. Surgical intervention is appropriate whenever clinical suspicion for an acute abdomen is high, and the a priori diagnosis of endometriosis should not result in operative delay.- - - - - - - - - - ranking = 1keywords = abdominal pain (Clic here for more details about this article) |
17/158. Eosinophilic gastroenteritis mimicking acute appendicitis.Eosinophilic gastroenteritis is a rare entity that can be treated successfully with glucocorticoid therapy if the appropriate diagnosis is made. However, it may present with symptomatology mimicking acute surgical conditions. We present the case of a 26-year-old man who presented with diffuse epigastric pain, nausea, vomiting, and diarrhea. Extensive workup including upper endoscopy and imaging study revealed gastritis with ulcer and ascites. The patient developed right lower quadrant pain with localized peritonitis and leukocytosis. He underwent appendectomy and small bowel biopsy. pathology revealed eosinophilic cellular infiltrate of both the appendiceal and small intestinal wall. The unique features of this condition are reviewed and surgical approaches are discussed.- - - - - - - - - - ranking = 0.00040753712820146keywords = upper (Clic here for more details about this article) |
18/158. Left lower quadrant pain of unusual cause.The differential diagnosis of left lower quadrant abdominal pain in an adult man includes, among others, sigmoid diverticulitis; leaking abdominal aortic aneurysm; renal colic; epididymitis; incarcerated hernia; bowel obstruction; regional enteritis; psoas abscess; and in this rare instance, situs inversus with acute appendicitis. We report a case of situs inversus totalis with left-sided appendicitis and a brief review of the literature. There were several subtle indicators of total situs inversus present that were missed by the physicians and surgeons who initially evaluated the patient prior to surgery. Computed tomography scan with contrast, however, revealed the diagnosis immediately, and treatment was successfully initiated.- - - - - - - - - - ranking = 1keywords = abdominal pain (Clic here for more details about this article) |
19/158. Laparoscopic treatment of two patients with omental infarction mimicking acute appendicitis.BACKGROUND: Omental infarction is a rare entity that usually causes symptoms similar to those of appendicitis. Ultrasound or computerized tomography scan can diagnose omental infarction preoperatively. methods: We treated two patients with omental infarction by performing a laparoscopic omentectomy in each one. RESULTS: The pathology verified the operative diagnosis, and both patients were discharged home on the first postoperative day. CONCLUSION: Omental infarction can be accurately diagnosed and safely treated with laparoscopy. Key Words: laparoscopy, Omental infarction, Acute abdominal pain.- - - - - - - - - - ranking = 1keywords = abdominal pain (Clic here for more details about this article) |
20/158. Acute appendicitis in a young adult with midgut malrotation: a case report.Midgut malrotation is defined as a developmental anomaly that may cause atypical clinical symptoms in relatively common intestinal disorders due to altered anatomy. A 27-year-old woman presented with acute left-sided abdominal pain. Underlying type Ia malrotation prevented the correct clinical diagnosis of perforated, ulcerated appendicitis. Cross-sectional imaging demonstrated all the typical signs of this type of malrotation, i.e., right-sided duodenojejunal junction, left positioned cecum and ascending colon, inverted position of the superior mesenteric vessels, and hypoplasia of the uncinate process of pancreas, and surgical treatment was initiated.- - - - - - - - - - ranking = 1keywords = abdominal pain (Clic here for more details about this article) |
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