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Query: UMLS:C0000727 (acute abdomen)
 3,084 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

We report a rare case of acute abdomen caused by the spontaneous rupture of a splenic hydatid cyst into the abdominal cavity, causing a massive hemoperitoneum due to accompanying rupture of the spleen which required splenectomy. A review is made of the literature on this rare entity, its treatment and its consequences and their prevention and treatment.
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PMID:[Acute abdomen caused by spontaneous rupture of splenic hydatid cyst]. 227 Dec 90

The clinical case of an elderly patient hospitalised for acute abdomen type syndrome is reported. Investigation, particularly echography, pointed to a diagnosis of partially ruptured giant biliary cyst of the liver. The clinical pictures and the unusual features of this rare condition are discussed. Differential diagnosis with respect to echinococcosis and polycystic liver is examined.
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PMID:[Partial rupture of biliary cyst of large dimensions. Clinical description and ultrasonic diagnosis]. 305 34

We present a 52-year-old patient who came to the emergency room with non-specific symptoms and whose clinical profile after 24 hours included acute abdomen and paresthesia in both lower extremities. A chest film revealed mediastinic enlargement; embolism was suspected. During surgery intestinal ischemia was found in the superior mesenteric artery; this was resected and termino-terminal anastomosis was accomplished with the remaining jejunum and the descending colon. At the same time, some flaccid vesicles were removed along with embolis in the femoral arteries, leading to suspicion of hydatid embolism. Transthoracic and transesophageal echocardiography showed multivessicular masses with internal blood flow in the posterior-inferior mediastinum, suggestive a ruptured hydatid cyst in the thoracic aorta. This was confirmed by thoracic-abdominal computed tomography. The patient's condition worsened, with acute renal failure, ischemia, necrosis of both legs and multiorgan failure leading to death. We discuss the rarity of this case, the use of imaging tools for diagnosis, and the inexorability of the disease in spite of treatment.
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PMID:[Phreno-mediastinal hydatidosis and cysto-aortic fistula with multiple systemic embolism]. 793 63

Because the clinical signs and symptoms of cardiac hydatid cyst are nonspecific and highly variable, this disease may be difficult to diagnose. In this report, the cases of 3 patients with cardiac hydatid cysts located in the subepicardium are presented. In 2 of the patients the diagnosis was erroneous, and they were operated on for pulmonary hydatid cyst and acute abdomen in provincial hospitals before transfer to our institution. One patient who had an intrapericardially ruptured cardiac hydatid cyst presented with the clinical features of an acute abdomen. A patient with 4 subepicardial cysts had undergone surgery for a cardiac hydatid cyst 10 years before presenting at our hospital. The perforated cyst in this patient was excised while the heart was beating; the 2 other patients were operated on with extracorporeal circulation. The epidemiologic and pathologic features, clinical presentation, complications, diagnostic methods and treatment of cardiac hydatid cyst are discussed in detail in the light of pertinent literature.
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PMID:Surgical treatment of hydatid cysts of the heart: a report of 3 cases and a review of the literature. 971 Nov 67

A 9-year-old boy was admitted with acute abdomen, and a cystic mass in the pancreas was coincidentally detected by ultrasonography. Definitive diagnosis of hydatid disease of the pancreas could be made only at operation, and surgical therapy was effective.
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PMID:Primary pancreatic hydatid disease in a child: case report and review of the literature. 1021 64

The records of 100 children with hydatid disease were reviewed retrospectively from 1978 to 1997; 43 were girls and 57 were boys. The mean age was 9.14 years; 61 patients had 124 hepatic cysts. Presenting symptoms were asymptomatic abdominal masses, found masses incidentally during ultrasonography (US), or acute abdomen. Plain X-ray films, US, or computerized tomography (CT) are sufficient for diagnostic evaluation in endemic areas. In the differential diagnosis, laboratory investigations such as the Casoni and Weinberg tests, indirect hemagglutination, eosinophilia, and ELISA were also used. These tests may give negative results, however, in some patients with hydatid disease. The mean follow-up time was 10.5 years (range 1-18 years), the mean duration of hospitalization 7 days. The complication rate was 3.6%. Mortality was 3.27% and occurred after the administration of formaldehyde and hypertonic scolicidal agents. Hydatid disease of the liver can be treated medically in selected patients; conservative surgical approaches that save as much parenchyma as possible, such as partial cystectomy and capitonnage, are indicated in the other cases.
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PMID:Hydatid disease of the liver in childhood. 1037 27

Echinococcus granulosus is one of the most important parasitic infections in the Mediterranean countries, it presents in the form of cystic lesions of the liver. During their development the cysts may cause various symptoms due to compression. Rupture of the cysts may lead to anaphylactoid reactions and/or to acute abdomen. We operated on a patient with symptoms of cholelithiasis and cholecystitis; she underwent laparoscopic cholecystectomy, during which a cystic tumour in the liver was accidentally detected. Successful laparoscopic pericystectomy was performed with Harmonic Scalpel. We are sure that laparoscopic resection of hydatid cysts is a safe option for a number of patients in the treatment of parasitic cysts of the liver.
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PMID:[Laparoscopic resection of intraoperatively diagnosed parasitic cyst of the liver with the use of harmonic scalpel]. 1557 Sep 14

The hydatidosis is a frequent zoonosis in Spain, but isolated location in pancreas and their onset as acute abdomen is excepcional. We present a boy 14 years old, with abdominal pain and low-grade fever since 1 month. Hemogram shows eosinophilia, and echography an anechoic mass in tail of pancreas beside of free peritoneal liquid. At surgery procedure: a broken hydatid cyst is verified, surrounded of tissues inflammatory reaction that evolved to pancreatic fistula. The differents forms from clinical presentation of the pancreatic hydatid cyst, as well as the complications related to their location are analyzed.
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PMID:[Acute secundary abdomen to pancreatic hydatid cyst]. 1590 Nov 7

The hepatic hydatid cyst can lead to serious complications as a perforation into the biliary system or into the respiratory tract. The perforation into the peritoneal cavity can become dramatic, characterized by acute abdomen, usually with anaphylaxis. We recently treated a patient with a liver hydatid cyst perforated into the abdominal cavity. Computed tomography was a useful diagnostic tool, and the patient underwent emergency surgery. At laparotomy, 8 liters of hydatid liquid with floating daughter cysts and purulent material was found. The peritoneal cavity was washed with hypertonic solution, the hepatic cyst with daughter cysts. was removed, and a subtotal pericystectomy was performed. The critical clinical picture did not allow a cholecystectomy or a probe of the common hepatic duct to verify a biliary leakage. A biliary fistula appeared after 4 days and was successfully treated by endoscopic sphincterotomy. No anaphylactic phenomena were seen, probably because the great quantity of purulent material caused inactivity of the allergic component.
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PMID:A rare complication of the hepatic hydatid cyst: intraperitoneal perforation without anaphylaxis. 1591 99

A 10-year-old girl presented with an acute abdomen because of spontaneous rupture of a liver hydatid cyst (HC) and associated pelvic cystic mass. The pelvic cyst was found to be an intact germinative membrane of the ruptured HC of the liver at operation. This is the first pediatric case presenting with expulsion of an intact germinative membrane of a spontaneously ruptured HC. Intact germinative membrane should be included in the differential diagnosis of intraabdominal and pelvic cystic masses in children. The liver should be evaluated for ruptured cyst, and the lungs should also be evaluated to detect accompanying pulmonary hydatid disease (HD) especially in children living in countries in which the HD is endemic.
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PMID:Spontaneous expulsion of intact germinative membrane of liver hydatid cyst in a child. 1863 70


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