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

Having read the Feb. 9 paper by Dr. Neuberger and colleagues, we should like to report another case of hepatic adenoma that underwent spontaneous regression upon discontinuance of oral contraceptives. In November 1976, a 55-year old female who had been on norethynodrel with mestranol (Enovid) 5 mg/day for about 10 years without interruption, presented with an acute abdomen. At laparotomy, an enlarged, diffusely bleeding liver was encountered, and biopsy findings were interpreted as hepatic cell adenoma. This was confirmed by Professor William M. Christopherson, University of Louisville School of Medicine, Louisville, Kentucky. A nuclide scan revealed a large mass in the right lobe of the liver. Hepatic angiography disclosed a 6x8 cm avascular mass. The included figures, computerized tomographic scans of the liver done on November 28, 1977 and December 12, 1979, respectively, exhibit reduction in tumor size. The oral contraceptive was discontinued and the patient has remained well.
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PMID:Oral-contraceptive-associated liver tumours. 610 64

An experience of surgical non-thoracic emergencies in patients admitted for chronic lung disease is herein presented. Fifty-four patients out of 10457 admitted in the four Departments of Pneumology of the Binaghi Hospital (Cagliari) between 1-1-1985 and 31-3-1993, were referred to our Department of General Surgery due to non-thoracic surgical emergencies. There was a considerable delay in the referral (only 25% of patients within 12 hours from the onset of symptoms): indeed predominant respiratory symptoms, hypoxia and hypercapnia made these patients no responsive to symptoms of surgical emergency. Surgical emergencies in causal correlation with respiratory disease (intestinal occlusion due to abdominal metastases of lung carcinoma, complicated peptic ulcer) had the worst prognosis (mortality: 52.9%). Those in chance connection, such as acute limb ischemia and preexisting abdominal disease, had a less adverse outcome. Mortality, however, was 37.5%: this datum outlines the role of chronic lung disease in defining operative risk. The authors call attention to three groups of observed patients: 1) three patients were operated on for intestinal occlusion due to unrecognized abdominal neoplasia, that showed itself in the course of hospitalization in the Department of Pneumology for lung metastases; 2) in 3 cases symptoms and signs of acute abdomen were observed without abdominal disease. The cause of acute pseudoabdomen was diaphragmatic pleural or basal pulmonary inflammation; 3) the eight patients with pulmonary embolism were all admitted in the Department of Pneumology with a wrong diagnosis of bronchopneumonia.
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PMID:[Extrathoracic surgical emergencies in hospitalized patients with bronchopulmonary diseases. Analysis of the operative risk]. 780 66

From September 1992 to September 1993, 150 patients aged 15-68 years underwent laparoscopic gynecologic surgery. These patients included 63 patients with acute abdominal diseases (46 had ectopic pregnancy, 9 rupture of ovary, and 8 torsion of ovarian cyst), which consisted of 90% of total patients with acute abdomen in corresponding period, 63 patients with mass of adnexa, which made up 72% of total patients with ovarian tumors, and 24 patients with uterine diseases. We successfully performed laparoscopic salpingostomy, fallotomy, removal of ovarian cyst, oophorosalpingectomy, myomectomy and laparoscopy assisted vaginal hysterectomy (LAVH) with 2-4 puncture technic after general anesthesia. The largest ovarian tumor and the enlarged uterus were 14 and 16 cm in diameter respectively. Four patients had laparotomy because of severe pelvic adhesions and the laparotomy rate was about 2.6%. The procedure lasted 20-240 minutes and bleeding was less than 200ml. No major surgical complication was encountered.
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PMID:[150 cases of vedio-laparoscopic gynecologic surgery]. 792 58

A 21-year-old woman, previously operated for an acute abdomen from an infected urachal cyst, developed an urachal carcinoma. The importance of systematically and completely exciding urachal cysts is stressed by clinical considerations of the uncommon neoplasm that is associated with a poor prognosis.
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PMID:Urachal adenocarcinoma. A case report. 799 Dec 12

We encountered two chemotherapy (CDDP and 5-FU) cases related to mesenteric thrombotic occlusion. Case 1 was a 26 yo male with adrenal carcinoma recurrence. He had been treated by CDDP and 5-FU. Five days after completion of the second course, he suffered from acute abdomen. Laparotomy revealed thrombotic occlusion of the superior mesenteric artery. Most of the small intestine and a part of the ascending colon were necrotic. Case 2 was a 60 yo female with lung and hepatic metastasis from uretal tumor. CDDP based chemotherapy was initiated. Severe abdominal pain and melena occurred one day after completion of the second course of chemotherapy. The inferior mesenteric artery was occluded and the descending colon was necrotic. Recently, a variety of chemotherapy-induced vascular lesions, including thrombotic microangiopathy, myocardial infarction and cerebral infarction, have been reported. CDDP and 5-FU were shown to be related to the acute thrombotic occlusion of the major vessels. Although the incidence is rare, the prognosis is poor. Acute vascular obstruction should be taken into consideration as a possible course of chemotherapy-related complications.
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PMID:[Chemotherapy-induced thrombotic occlusion of mesenteric arteries--case report and review of the literature]. 803 Nov 73

Ovarian carcinoma commonly has an insidious onset. By the time the diagnosis is made, advanced disease is usually present. Rarely does a patient have acute symptoms which require immediate medical attention and lead to the correct diagnosis. A 40-year-old white female presented with lower abdominal pain, nausea, and light-headedness. Physical examination revealed a markedly tender lower abdomen with the right lower quadrant slightly more tender than the left. Hemoglobin level was noted to have decreased 2.6 g/dl over 16 hr. At exploratory laparotomy, 1500 cc of blood and a ruptured right ovarian mass were found. Pathologic analysis revealed a malignant mixed mesodermal tumor of the right ovary and an endometrioma of the left ovary. In conclusion, ovarian carcinoma may present as an acute abdomen because of intra-abdominal hemorrhage. It should be part of the differential diagnosis in a woman with an acute surgical abdomen and a hemoperitoneum.
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PMID:Ovarian carcinoma presenting as intra-abdominal hemorrhage. 820 16

Malignant tumors of the small intestine are rare and their symptoms are discrete and of a chronic nature. At times they manifest as an acute abdomen, with high mortality. Carcinoid tumors represent one of the types of intestinal tumors, of the neuroendocrine line, more frequently located in the cecal appendix. In the small intestine, carcinoid tumors are most often located in the ileum. Carcinoid tumors produce several hormonal substances, some of which may induce symptoms such as the carcinoid syndrome. Gangrene of the small intestine is a rare complication attributed to hormonal substances produced by the tumor which causes high mortality rates. We report, here, a case of ileal segmental gangrene with an excellent course.
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PMID:Ileal segmental gangrene caused by a metastatic mesenteric carcinoid. 828 83

Benign tumours of the liver, being rare compared to malignant forms, constitute a big diagnostic and therapeutic problem to prove their benignity and the relation between the patients' symptoms and their existence. During 1983-91, we had the chance to study ten (10) patients with benign liver tumour-six (6) women and four (4) men-with a mean age of 51 years, concerning 5 hemangiomas, one hepatic adenoma and 4 focal nodular hyperplasia. Two of the hemangiomas coexisted with metastatic liver tumours. In seven patients there was surgical confirmation of tumor existence and in the remaining two patients the diagnosis was based upon laboratory findings and imaging techniques. Four patients were asymptomatic and the tumors were identified as an incidental finding during operations concerning the liver and biliary system or under imaging techniques. The disease was confirmed by intraoperative biopsy. Surgical intervention was undertaken to one patient with hepatic adenoma appearing symptoms of acute abdomen and haemorrhagic shook and a partial hepatectomy was attempted. There was no considerations of any therapeutic intervention to the rest of the patients. The diagnostic procedures used by our team to investigate and to follow up the progress of the disease in our series were ultrasonography, CT scan, magnetic tomography and selective hepatic arteriography.
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PMID:[Benign tumors of the liver]. 839 25

The acute abdomen in childhood is in most cases caused by an acute appendicitis and rarely it is secondary to other diseases. It is for that reason, that we present two cases extremely rare of acute abdomen: the first one was an abdominal Actinomycosis secondary to acute appendicitis that looked like a tumor and the second that was an acute omentitis due to pinworms.
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PMID:[Acute abdomen of unusual cause in children]. 849 39

Peritoneal mesothelioma is a rare neoplasm with generic and non-specific symptoms. In some cases it is associated with various and particular clinical syndromes. These findings make it so insidious that the diagnosis is rarely make the preoperative course. Usually, there has been previous exposure to asbestos, during even if other causes are reported. Rarely, a peritoneal mesothelioma appears with signs and symptoms suggestive of acute abdomen, such as the present case. On admission the patient presented clinical features apparently requiring emergency surgery. In fact, at laparotomy, the tumour, arising from the mesenterium, had perforated the peritoneal cavity and communicated with the digiunal lumen, causing a septic hemoperitoneum. A radical resection was performed and the continuity of the intestinal tract was restored through an end-to-end entero-anastomosis. The patient, with a history of exposure to asbestos, was alive four years later. But over the last twelve months diffuse metastasis has occurred in the lung and liver, and there was no response to systemic chemotherapy. This case may be considered singular of the clinical syndrome, the long-term survival and the circumscribed aspect of the tumour. Through a review of the literature, the features of the present diagnostic procedure are underlined and the importance of multidisciplinary treatment as the best approach to peritoneal mesothelioma is emphasized.
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PMID:[Peritoneal mesothelioma as a rare case of acute abdomen. Review of the literature]. 852 46


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