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

Torsion of the wandering spleen is an unusual cause of an acute abdomen, rarely diagnosed preoperatively. The authors describe a case which was suspected prior to surgery and confirmed by radionuclide imaging. Radiographic findings include an extrinsic mass on barium-enema examination and absence of the splenic shadow in the left upper quadrant.
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PMID:Torsion of the wandering spleen seen as a migratory abdominal mass. 84 69

Four cases of sarcoma of the small intestine (2 leiomyosarcoma, 1 fibrosarcoma, and 1 Hodgkin's disease) are described. In each case, diagnosis was the outcome of surgery: emergency operation for acute abdomen in three cases (2 mechanical ileus, 1 perforation); exploratory laparotomy for recurrent haemorrhage following negative X-ray examination per os and clyster of the digestive tract on a number of occasions. The relevant literature is surveyed. Attention is drawn to the different anatomopathological and clinical forms, and to the difficulty of diagnosis.
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PMID:[Sarcomas of the small intestine]. 85

Recent use of higher doses of contrast material for excretory urography in adults has made differentiation between cystic and solid masses feasible in adults just as it has been in children. The first two adults to have the cystic nature of their pseudocysts ascertained by total body opacification are presented. In one case, the mass was not palpable because the abdomen was markedly tender, suggesting that total body opacification may be helpful in the examination of the acute abdomen. The second case suggests the importance of the prone position.
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PMID:Pseudocysts: diagnosis in the adult by total body opacification. 85 22

Liver cell adenoma as a cause of spontaneous haemoperitoneum has been noted with increasing frequency since Baum's initial report (Baum et al., 1973). The relationship between the use of oral contraceptives and bleeding from a hepatic tumour makes awareness of this condition mandatory for the physician involved in the differential diagnosis of the acute abdomen. The report presented here is that of a woman who, while taking oral contraceptives, subsequently bled from her liver 3 years after an initial hepatic haemorrhage.
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PMID:Recurrent massive haemorrhage from benign hepatic tumours secondary to oral contraceptives. 87 19

At the University College Hospital, Ibadan, Nigeria, a common differential diagnosis of acute abdomen is intestinal ascariasis. This condition mimics many causes of acute abdomen so that accurate pre-operative diagnosis depends mainly on a high index of suspicion.The purpose of this paper is to call attention to this condition which is prevalent in tropical countries, where preventive and social medicine have not reached their peak, and to review the pathological processes resulting from this disease.
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PMID:Surgical aspects of intestinal ascariasis. 87 64

Percutaneous transhepatic cholangiography (PTC) for jaundice of undetermined etiology was performed with the Chiba needle in 30 patients. Successful visualization of the biliary ductal system was accomplished in 26 patients (86.7%); two of six patients (33.3%) with normal biliary systems had ducts visualized, and the ducts were visualized in the 24 patients (100%) with obstruction. Bile leakage of 50 to 500 ml (average, 200 ml) was observed at laparotomy or autopsy in 12 patients (40%), nine (30%) of whom had symptoms of peritonitis. Six (20%) of these were transient and three (10%) progressed to an acute abdomen. Bacteremia occurred in seven patients (23.3%), in three (10%) it progressed to septic shock, with one death (3.3%). There were no complications in patients with nonobstructed ducts. This study suggests that PTC with the Chiba needle has little advantage over the larger sheathed needles, and surgical standby is indicated in suspected cases of obstructive jaundice.
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PMID:Bile leakage following percutaneous transhepatic cholangiography with the Chiba needle. 88 44

A report presented of a case of giant dysgerminoma which initiated an acute abdomen necessitating surgical intervention during the mid-trimester of pregnancy. Two months later the patient was delivered of a healthy baby by Caesarean section. Repeated follow-up examinations of the patient have so far confirmed the favourable prognosis based on the pathological findings and intra-operative assessment.
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PMID:[Dysgerminoma of the ovary during pregnancy (author's transl)]. 91 Apr 45

An unusual case of lymphoma is presented in which small bowel intussusception due to a lymphomatous nodule caused an acute abdomen, requiring small bowel resection. Four weeks later a second intussusception caused intestinal obstruction, necessitating a second laparotomy and bowel resection. The high incidence of malignant tumor in adult cases leads us to recommend primary resection without manual reduction in all but rectosigmoid and selected small bowel cases.
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PMID:Adult intussusception; case report of recurrent intussusception and review of the literature. 93 58

A comatose 4-year-old hemophiliac presented with an acute abdomen; subsequently he developed unrelenting hypotension. An immediate exploratory laparotomy was required, without time for determining baseline factor VIII (AHF) levels. Despite hypotension and hemorrhage, vigorous intraoperative fluid volume replacement and the administration of fresh frozen plasma and AHF concentrates brought a successful conclusion.
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PMID:Unrelenting hypotension associated with an acute abdomen in a comatose hemophiliac child: a case report. 94 15

The most important facts for the anesthesiologist about porphyria are presented on the basis of an own case. The acute abdomen with unusual accompanying symptoms (tachycardia, neurologic and psychic disorders) should rise suspicion of possible porphyria. The clinical diagnosis is most important for the anesthesiologist, because barbiturates may cause fatalities in 50% of the cases. Halothane should be avoided, too. Every suspected case should be carefully investigated including the family. The symptomatic therapy of the severe porphyria-attack is presented in short.
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PMID:[Porphyria and anesthesia. A case report and a short review (author's transl)]. 95 35


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