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

A retrospective analysis of 140 cases with amebic liver abscess (ALA) seen at the AUNL University Hospital was done to see if patients with complications can be identified earlier in order to decrease morbidity and mortality. Sixteen patients (11.4%) presented complications and six patients died (4.2%). Patients with complications presented jaundice, large or multiple abscesses, acute abdomen, liver failure and sepsis more often than patients without complications. Hemoglobin, hematocrit, prothrombin time, total proteins, albumin, LDH, and BUN were more altered in patients who presented complications. The titer of antibodies against E. histolytica was higher in this group of patients. The six patients who died had been operated on. The causes of death were septic shock in two, sepsis in one, peritonitis in one, liver failure in one and colon perforation in one patient. Pleural effusion, jaundice and acute abdomen were seen in three patients, respectively (50%), two cases had multiple abscesses (33.3%), one patient had a ruptured abscess (16.7%). Patients who died exhibited more alterations in six laboratory examinations at admission: partial prothrombin time, total bilirubin, albumin, BUN, LDH, and leukocytes. Clinical data together with the severe alterations in laboratory examinations at admission for patients with ALA should alert the clinician to suspect complications earlier in order to decrease morbidity and mortality.
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PMID:Early detection of complications in amebic liver abscess. 134 Mar 6

10 patients with a history of systemic anticoagulation presented with an acute abdomen which proved to be due to a rectus sheath hematoma. Four patients gave a history of antecedent trauma. The prothrombin time was prolonged beyond the therapeutic range in 8 patients and therapeutic in two. The diagnosis of rectus sheath hematoma was made by non-invasive imaging (sonography [n = 8], CT-scan) in 9 patients and by operative exploration in one. 8 patients were treated non-operatively and one patient required a delayed evacuation of the infected hematoma. One patient died from myocardial infarction. We conclude that a careful history, physical examination and prothrombin time, in combination with radiologic evaluation (sonography, CT-scan) can confirm the suspected diagnosis of rectus sheath hematoma. It is important to think of this specific hemorrhagic complication induced by anticoagulation to prevent unnecessary surgery.
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PMID:[Acute abdomen in abdominal wall hemorrhage in anticoagulation]. 142 33

A 34-year-old female, six months after surgery for implanting a mitral valve bioprosthesis (Hancock), was admitted to hospital because of acute abdomen. The patient had been on coumarin medication since the operation. On the 15th day of her menstrual cycle the patient presented gingival bleeding, epistaxis, and pain in the left lower abdominal quadrant. The prothrombin time was overdepressed (10% of normal), and coumarin drugs were stopped. Bleeding from the left ovary at time of ovulation was suspected and the patient was treated with vitamin K and then submitted to an exploratory laparotomy. A hemorrhagic cyst of the left ovary was found, and the histologic examination showed the cyst to be follicular in type.
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PMID:Hemorrhagic follicular cyst of the left ovary. An unusual complication of anticoagulant treatment. 616 7

A 65-year-old woman receiving long-term oral anticoagulant therapy was admitted with signs and symptoms suggesting colonic obstruction. A tender, firm left lower-quadrant mass, colonic and small bowel distention, mild leukocytosis, and a markedly elevated prothrombin time were the prominent presenting abnormalities. Emergency colon x-ray study did not demonstrate colonic obstruction, and ultrasound of the abdomen was initially nondiagnostic. Computed tomography scanning revealed a large mass localized in the left rectus sheath and muscle consistent, in this clinical setting, with a spontaneous rectus sheath hematoma. The purpose of this report is to suggest the usefulness of computed tomography scanning in the evaluation of indeterminate abdominal masses such as the rectus sheath hematoma. The subject of rectus sheath hematoma is reviewed to emphasize its inclusion in the differential diagnosis of the acute abdomen and to suggest an earlier, more accurate, and noninvasive approach to its diagnosis.
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PMID:Rectus sheath hematoma: diagnosis by computed tomography scanning. 645 45

Splenic infarction is a rare clinical condition seen in the emergency department and can mimic acute abdomen. Hematologic, vascular, and thromboembolic events are considered in the etiology. Treatment options vary between symptomatic treatment and splenectomy. Warfarin is a vitamin K antagonist used for the prevention and treatment of thromboembolic disorders. In overdose situations, there is a possibility of bleeding in every part of the body. Prothrombin complex concentrates, vitamin K, and fresh-frozen plasma are used in the treatment of warfarin overdose. We describe a case of splenic infarction coexistent with warfarin overdose treatment, which has never been published in literature. Prothrombin complex concentrate was administered to the patient because of warfarin overdose. A spleen infarction was detected in computerized tomography of the patient after the occurrence of abdominal pain, and there was no infarction three days before hospitalization. The patient was monitored with symptomatic treatment in the general surgery clinic and discharged without the need for operation. In the pathogenesis, it was thought that prothrombin complex concentrates might be caused by early thrombosis or by warfarin not affecting the existing clot. Emergency physicians should not forget spleen infarction in the differential diagnosis of abdominal pain.
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PMID:Splenic Infarction after Warfarin Overdose Treatment: Is It a Coincidence or Complication? 3100 21