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AppendicitisAbdominal painPeritonitisLaparotomyIntestinal obstructionAbscessPancreatitisDiverticulitisPelvisComputed tomographyDiagnosis of Acute AbdomenRuptureRight lower quDuodenal perforationIntra-abdominalSymptomsComplicationsMidlineTendernessLower abdomenColonicSpontaneousTerminal ileumCecumEctopicPneumatosis intestinalisTraumaUpper abdomenGastric ulcerSmall intestineSurgical abdomenPeritonealGastrointestinal tractClinicalDifferentialPregnancyEndoscopicSurgeryDissectionFeverComplicationBowel obstructionLaparoscopicOccurPulmonary embolism2017UrinaryResectionModalitiesBile duct

Appendicitis14

• The most common causes of acute abdomen are acute appendicitis, acute peptic ulcer, acute cholecystitis, acute pancreatitis, intestinal obstruction, acute peritonitis and acute pyelonephritis [8]. (who.int)
• Operative findings showed a contained perforation of a phlegmonous appendicitis, and appendectomy was performed. (hindawi.com)
• Our experience demonstrates the importance of establishing a history of barium examinations of the gastrointestinal tract in a patient with a radiopaque object in the right lower quadrant of the abdomen for early diagnosis of barium appendicitis. (hindawi.com)
• Operative findings showed a contained perforation of a phlegmonous appendicitis with purulent ascites, and appendectomy was performed. (hindawi.com)
• Acute Appendicitis- Occurs in all age groups. (maxhealthcare.in)
• Conditions that cause an acute severe pain in the abdomen like appendicitis (inflammation of the appendix), salpingitis (inflammation of the fallopian tubes in women), perforation and colic can cause constipation. (medindia.net)
• Acute Appendicitis -- 2. (stanford.edu)
• Surgery is often necessary for conditions like appendicitis, bowel perforation, or gallbladder issues. (dravinashtank.in)
• Lower bowel perforation (eg, in patients with acute diverticulitis or acute appendicitis) results in free intraperitoneal contamination. (medscape.com)
• To our knowledge, only two cases of PI secondary to acute appendicitis have been reported in the literature. (tmu.edu.tw)
• ultrasonography reported a solid heterogeneous mass, poorly circumscribed in the right lateral abdomen, which led to the Ramírez Serrano R. suspicion of acute appendicitis. (bvsalud.org)
• In some rare instances, acute appendicitis has been shown to occur simultaneously with a variety of gynaecologic diseases, which can add to the diagnostic dilemma. (bvsalud.org)
• Method: We report a case of concurrent acute appendicitis and infected ovarian cyst in a 49 year old P6+4A6 who presented with recurrent abdominal pain for 4 years duration. (bvsalud.org)
• Fifty-four cases (41.9%) had histologically normal appendices, while 75 cases (58.1%) had various histopathologically demonstrable lesions ranging from acute appendicitis (the most frequent with 27%) to neoplasia (one case of mucinous adenocarcinoma). (bvsalud.org)

Abdominal pain15

• citation needed] Gastrointestinal perforation results in severe abdominal pain intensified by movement, nausea, vomiting and hematemesis. (wikipedia.org)
• The diagnostic approach to pregnant patients with severe abdominal pain is very similar to that for nonpregnant patients with acute abdomen. (medscape.com)
• When evaluating the gravid patient with acute abdominal pain, remember that the reference ranges for some very commonly used laboratory tests are altered in pregnancy. (medscape.com)
• A 12-year-old boy from Tokh El Khail, Minia governorate, Egypt, was admitted to the emergency department of Minia University Hospital, Minia, Egypt, on 10 March 2012, with acute colicky periumbilical abdominal pain not referred to other sites, vomiting and constipation for 3 days. (who.int)
• A 56-year-old Vietnam veteran man was admitted with a three-day history of worsening abdominal pain progressing into an acute abdomen. (diagnosticimaging.com)
• What is Acute Abdominal Pain & Why Not Ignore It? (maxhealthcare.in)
• Acute attack of pain in the region bounded above by ribs and diaphragm, below by pubic bones and on the sides by flanks is known as acute abdominal pain. (maxhealthcare.in)
• Acute gastroenteritis- It is due to infection in the gastrointestinal tract and may present with cramping abdominal pain, loose stools, fever, nausea and vomiting. (maxhealthcare.in)
• Acute intestinal obstruction - Abdominal pain, vomiting, abdominal distension, inability to pass flatus and stools. (maxhealthcare.in)
• After two days, the patient suffered from acute abdominal pain and bile leakage was observed from the incision line. (tgv.org.tr)
• A fertilized egg implants outside the uterus, causing acute abdominal pain. (dravinashtank.in)
• A 30-year-old G0P0 woman presents to the emergency room for acute onset abdominal pain and nausea. (medbullets.com)
• The elderly have acute abdominal pain, and the two-day examination is completely different. (articles01.com)
• Two hours after admission, she begins to experience an acute exacerbation of her abdominal pain and is believed to have a diverticular perforation and acute abdomen. (studyresearchpapers.com)
• The adulto mayor patient was a 74-year-old woman who consulted for acute abdominal pain, with four days of evolution, accompanied by nausea, vomiting, and hyporexia. (bvsalud.org)

Peritonitis6

• We diagnosed acute peritonitis with a suspicion of the perforation due to unknown foreign body and performed an emergency laparotomy. (hindawi.com)
• Surgery should be performed in patients who are not responding to nonoperative treatment, especially those with signs of perforation, peritonitis, or abdominal sepsis. (medscape.com)
• Spontaneous choledochus perforation in adults leading to biliary peritonitis is an uncommon entity. (tgv.org.tr)
• Conclusion: Spontaneous perforation of bile duct can present and should be suspected as an important cause of neonatal biliary ascites or peritonitis. (edu.pk)
• Free perforation occurs when bowel contents spill freely into the abdominal cavity, causing diffuse peritonitis (eg, duodenal or gastric perforation). (medscape.com)
• Perforation of gastric carcinoma results in an acute abdominal syndrome due to the spilled gastric contents and the consequent peritonitis. (biomedcentral.com)

Laparotomy6

• Perforation anywhere along the gastrointestinal tract typically requires emergency surgery in the form of an exploratory laparotomy. (wikipedia.org)
• citation needed] Surgical intervention is nearly always required in the form of exploratory laparotomy and closure of perforation with peritoneal wash. (wikipedia.org)
• A 78?year-old male patient underwent urgent laparotomy because of acute abdomen, and a spontaneous perforation on the posterior side of the distal choledochus was determined. (tgv.org.tr)
• The second-look laparotomy determined duodenal ulcer perforation, and primary repair was performed. (tgv.org.tr)
• An urgent laparotomy did not show bowel perforation, but peritoneal cultures yielded Klebsiella pneumoniae , Escherichia coli, and Candida glabrata , and RT-PCR from the concentrated peritoneal fluid was positive for CHIKV ( 3 ). (cdc.gov)
• In most instances gastric carcinoma is not suspected as the cause of perforation prior to emergency laparotomy and the diagnosis of malignancy is often made only on postoperative pathologic examination. (biomedcentral.com)

Intestinal obstruction2

• Emergency surgical treatment may be necessary in acute intestinal obstruction in which the mass of the parasite obstructs the intestinal lumen or intestinal obstruction develops due to volvulus [11]. (who.int)
• Subsequently, a study by Sharma et al documented the use of ERAS in emergency settings in patients with perforation and intestinal obstruction and found it to be safe and feasible. (medscape.com)

Abscess3

• We present a case of an anterior abdominal abscess as the initial presentation of a duodenal perforation in a 65-year-old female with no pre-morbidities. (bvsalud.org)
• Contrast-enhanced CT (CECT) of the abdomen showed a subcapsular hepatic abscess with parietal extension, but no signs of hollow viscus perforation were visible. (bvsalud.org)
• 8. Gotian A, Katz S. Jejunal diverticulitis with localized perforation and intramesenteric abscess. (spcir.com)

Pancreatitis1

• Acute Pancreatitis - Commonly seen after 30 yrs of age. (maxhealthcare.in)

Diverticulitis4

• We diagnosed the patient with acute diverticulitis after colonoscopy. (koreamed.org)
• With a review of the relevant literature, we report a case of acute colonic diverticulitis as a complication of colonoscopy. (koreamed.org)
• The most common complication is jejunal diverticulitis, which is frequently overlooked and not routinely considered as a differential diagnosis of acute abdomen because of the location of the diverticula, the patient's age and the rarity of the disease. (spcir.com)
• 15. Veen M, Hornstra BJ, Clemens CH, Stigter H, Vree R. Small bowel diverticulitis as a cause of acute abdomen. (spcir.com)

Pelvis4

• The initial workup included a CT of the abdomen and pelvis with IV contrast. (radiologytoday.net)
• Contrast-enchanced CT of the abdomen and pelvis demonstrated a dilated, tubular blind-ending structure arising from the terminal ileum. (radiologytoday.net)
• CT scan of the abdomen and pelvis revealed a dilated stomach proximal to the baloon with a retained device and a small passage of contrast to the small bowel, consistent with mechanical gastric outlet obstruction due to the BIB. (sages.org)
• Abdomen-pelvis computed tomography showed bowel wall thickening of the cecum and ascending colon and multiple inflamed diverticula at the cecum with pericolic fat infiltration and fluid collection. (koreamed.org)

Computed tomography3

• The perforation can often be visualised using computed tomography. (wikipedia.org)
• Test Characteristics of Abdominal Computed Tomography for the Diagnosis of Gastro-gastric Fistula in Patients with Roux-en-Y Gastric Bypass. (harvard.edu)
• Abdominal computed tomography scan revealed marked bowel distension, bubble-like intramural gas scattered in the proximal small bowel, and localized fluid accumulation in the right lower quadrant of the abdomen. (tmu.edu.tw)

Diagnosis of Acute Abdomen1

• Admitted to the health service with diagnosis of acute abdomen and induced abortion using antibiotic therapy. (bvsalud.org)

Rupture1

• Pneumoperitoneum may represent rupture of subserosal cysts in benign primary pneumatosis, or it may occur after perforation in the setting of intestinal necrosis. (medscape.com)

Right lower qu3

• Abdominal X-ray examination showed a radiopaque object in the right lower quadrant of the abdomen. (hindawi.com)
• Radiographic differential diagnoses for a radiopaque object in the right lower quadrant of the abdomen include right ureteral lithiasis, colonic diverticulum with a calcified fecalith, and a foreign body. (hindawi.com)
• Radiopaque object consistent with a metallic foreign body in the right lower quadrant of the abdomen (a). (hindawi.com)

Duodenal perforation1

• Duodenal perforation most commonly presents with life-threatening symptoms of acute abdomen. (bvsalud.org)

Intra-abdominal3

• As defined in the 27th edition of Stedman's Medical Dictionary, acute abdomen is "any serious acute intra-abdominal condition attended by pain, tenderness, and muscular rigidity, and for which emergency surgery must be considered. (medscape.com)
• Concerning the section inside the abdomen: Because of the terrible accident, Frank suffered from an intra-abdominal bleeding which required an immediate operation. (wordinfo.info)
• No other acute pathology was noted outside of the obvious inflammatory changes secondary to the ongoing intra-abdominal process. (aapc.com)

Symptoms3

• Signs and symptoms may include a sudden pain in the epigastrium to the right of the midline indicating the perforation of a duodenal ulcer, while a gastric ulcer perforation reveals itself by burning pain in epigastrium, with flatulence and dyspepsia. (wikipedia.org)
• Clinical features range from an acute abdomen with severe gastrointestinal hemorrhage and/or perforation to chronic symptoms of obstruction and anemia. (radiologytoday.net)
• Acute pulmonary embolism (PE) is when one or more thrombus travel to the lungs and obstruct the pulmonary artery or one of the branches of the pulmonary tree, producing signs and symptoms immediately after the obstruction. (scientificarchives.com)

Complications3

• Nevertheless, it can induce many serious complications such as perforation and hemorrhage. (koreamed.org)
• However, in rare cases, a perforation may have an indolent course due to subclinical progression, and the patient may present with complications at the first visit. (bvsalud.org)
• Various surgical procedures for management of perforation, with simple closure in two layers most commonly used in the current study, and post operative complications commonest seen in the study was wound infection. (journalcra.com)

Midline1

• This mesh was incised in the midline and the abdomen was entered. (aapc.com)

Tenderness5

• In any case, the abdomen becomes rigid with tenderness and rebound tenderness. (wikipedia.org)
• Abdominal examination revealed abdominal tenderness and rigidity in the central and mid-abdomen. (who.int)
• Physical examination revealed rebound tenderness and guarding in the lower abdomen. (hindawi.com)
• Physical examination revealed tenderness in the right side of the abdomen. (koreamed.org)
• Case presentation A 77-year-old woman presented with distended abdomen, tenderness in the left upper quadrant and severe anemia 12 hours after LC. (medscape.com)

Lower abdomen1

• At the scene the patient is awake, alert and oriented to person, complains of pain in the lower abdomen and left shoulder and arm. (cdc.gov)

Colonic1

• If left untreated, it carries a high risk of colonic perforation and ischemia leading to death. (scientificarchives.com)

Spontaneous5

• The spontaneous perforation of the choledochus without etiologic factors, which leads to acute abdomen, is a very rare condition, with only a few cases reported in the literature. (tgv.org.tr)
• Background: Spontaneous perforation of bile duct (SPBD) is a rare and often misdiagnosed entity. (edu.pk)
• This study was planned to determine the clinical presentation, study different diagnostic modalities, treatment and outcome of patients with spontaneous perforation of bile duct. (edu.pk)
• Methods: This descriptive case series, comprising 22 patients with spontaneous perforation of bile duct over a period of 24 months. (edu.pk)
• In patients with a spontaneous small-bowel perforation, there was no significant difference in outcomes between those treated at a small rural hospital when compared to those treated at a tertiary centre. (ispub.com)

Terminal ileum1

• Background: Small bowel perforations are widely considered as an emergency intervention for a general surgeon, of which, terminal ileum perforations are common are most tricky to be dealt with. (journalcra.com)

Cecum2

• The laparoscopic exploration showed an appendix base perforation and laparoscopic appendectomy and partial resection of the cecum has been performed. (sages.org)
• Cecal perforation due to colon tumor that spanned from the cecum to the proximal third of the ascending colon, in addition, a transverse ileum angiostrongyliasis in an elderly anastomosis was performed, without further complication. (bvsalud.org)

Ectopic1

• In this case, ectopic pregnancy can also occur in the ovary, the abdomen, or in the cervical canal which is the opening from the uterus to the vaginal canal. (wordinfo.info)

Pneumatosis intestinalis2

• Pneumatosis intestinalis is usually identified on plain radiographs of the abdomen. (medscape.com)
• Pneumatosis intestinalis may be complicated by pneumoperitoneum, which can be detected as free air on a simple upright or cross-table lateral view of the abdomen. (medscape.com)

Trauma3

• Trauma and enteric fever contribute to major causes for multiple number of perforations. (journalcra.com)
• Conclusion: This study denotes the etiological distribution of small bowel perforations, with highest number of cases of enteric fever and trauma. (journalcra.com)
• In accordance with Virchow's triad, tissue trauma and endothelial injury from surgery cause an acute inflammatory reaction. (medscape.com)

Upper abdomen2

• A laparascopic exploration revealed turbid fluid in the upper abdomen. (springeropen.com)
• Attention then turned towards the upper abdomen. (aapc.com)

Gastric ulcer1

• the terms "perforated", "perforation", "gastric cancer", "gastric ulcer" were associated for the search and English language journals only were selected. (biomedcentral.com)

Small intestine1

• Acute abdomen due to small intestine perforation treated by ileostomy. (controllab.com)

Surgical abdomen1

• No acute gastrointestinal conditions, such as: obstruction, fecal impaction, obstipation, acute surgical abdomen, ongoing need for manual maneuvers to induce bowel movements (such as digital evacuation). (mayo.edu)

Peritoneal1

• In the Emergency Department, his abdomen was markedly distended and showed peritoneal signs. (tmu.edu.tw)

Gastrointestinal tract4

• Gastrointestinal perforation, also known as ruptured bowel, is a hole in the wall of part of the gastrointestinal tract. (wikipedia.org)
• Acute perforation of the gastrointestinal tract. (epnet.com)
• Iatrogenic gastrointestinal tract perforation in adults. (epnet.com)
• Available at: https://www.dynamed.com/condition/iatrogenic-gastrointestinal-tract-perforation-in-adults. (epnet.com)

Clinical4

• Clearly, the case of a pregnant patient with acute abdomen is a clinical scenario that overlaps specialties. (medscape.com)
• A detailed history and thorough clinical examination should be done in every case of acute abdomen. (maxhealthcare.in)
• Histopathological confirmation of a perforated meckel's diverticulum with heterotopic gastric mucosa confirmed the clinical suspicion of perforation secondary to chronic NSAIDs usage. (ijsurgery.com)
• Patients who had a clinical diagnosis of a full-thickness bowel wall ischaemia at time of surgery without histological perforation, anastomotic leak following previous operation or pneumoperitoneum without a documented source were all excluded from this review. (ispub.com)

Differential1

• The table on the left lists the differential diagnosis for acute abdomen in the neonate. (radiologyassistant.nl)

Pregnancy4

• Acute abdomen, as it presents with pregnancy, has many possible causes. (medscape.com)
• Any cause for acute abdomen can occur coincident with pregnancy. (medscape.com)
• The patient should be asked to differentiate these normal pregnancy changes from the acute event for which she presents. (medscape.com)
• Dabbas N, Abdelaziz M, Hamdan K, Stedman B, Hilal AM. Gallstone-Induced perforation of the common bile duct in pregnancy. (edu.pk)

Endoscopic3

• We report a case of a esophageal perforation following endoscopic removal of an intragastric balloon. (sages.org)
• Endoscopic abdominal exploration in the acute abdomen: No longer a contraindication? (harvard.edu)
• Endoscopic sleeve gastroplasty of the remnant stomach in Roux-en-Y gastric bypass: a novel approach to a gastrogastric fistula with weight regain. (harvard.edu)

Surgery2

• It is often difficult to recognize the kind of lesion that caused gastric perforation at the time of emergency surgery, particularly when pathologic evaluation of frozen sections is not available. (biomedcentral.com)
• Age and sex, preoperative diagnosis, location of perforation, depth of gastric wall invasion, absence or presence of lymph node metastasis, type of surgery, degree of lymph node dissection, UICC stage and outcome of the patients were examined. (biomedcentral.com)

Dissection1

• Further dissection showed a perforation in a gastrojejunocolic fistula. (springeropen.com)

Fever2

• It can present with pain mainly on right lower side of abdomen with fever and vomiting. (maxhealthcare.in)
• Developing countries like India shows increased cases of enteric fever, which correspond to acute abdomen as ileum perforations. (journalcra.com)

Complication1

• Perforation is a rare complication of gastric carcinoma, accounting for less than 1% of all gastric cancer cases. (biomedcentral.com)

Bowel obstruction1

• The aim of this report is to present a case of bowel obstruction caused by A. lumbricoides as a cause of acute abdomen in one governorate in Egypt. (who.int)

Laparoscopic1

• Combining the findings of our case with other literature, a laparoscopic repair with wide resection of the fistula, a revision of the gastric pouch and gastrojejunal anastomosis as well as closing the defect in the colon seems to be the best approach in case of an acute perforation in a gastrojejunocolic fistula after LRYGB. (springeropen.com)

Occur1

• Costa Rica is considered the most endemic angiostrongiliasis en un country, and it has been shown in different reviews that most cases occur in children and males. (bvsalud.org)

Pulmonary embolism1

• Saddle pulmonary embolism (SPE) is a rare type of acute PE that can lead to hemodynamic instability and death. (scientificarchives.com)

20171

• 2017 WSES guidelines for the management of iatrogenic colonoscopy perforation. (epnet.com)

Urinary1

• Relating to the abdomen and urinary bladder: Since Kitty was having some pain when urinating, or micturating, she went to her doctor who said that she had abdominovesical irritations which had to be treated. (wordinfo.info)

Resection1

• Currently, in patients with gastric perforation, simple closure of perforated ulcers is more commonly performed than is gastric resection. (medscape.com)

Modalities1

• This study shows various causative factors, diagnostic modalities and management of small bowel perforation. (journalcra.com)

Bile duct1

• Banani SA, Bahador A, Nezakatgoo N. Idiopathic perforation of the extrahepatic bile duct in infancy: pathogenesis, diagnosis, and management. (edu.pk)