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Query: UMLS:C0000737 (abdominal pain)
 31,184 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The patient presented with acute and constant abdominal pain. He had had a lobectomy of the left lung three months before. On the 4th day in hospital the pain increased and he went into temporary shock. The next day a hydropneumothorax and incarcerated stomach were revealed by chest X-ray and computed tomography. He was transferred to the University Hospital immediately and underwent an operation. The diagnosis was an incarcerated para-oesophageal hernia with hydropneumothorax and perforation of the stomach. As a para-oesophageal hernia may be fatal, it is important to diagnose and treat it early.
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PMID:Oesophageal hiatal hernia-induced hydropneumothorax. 979 93

We present a case report of a young man found to have Crohn's appendicitis in an incarcerated spigelian hernia, initially diagnosed via laparoscopy. We have found two published cases of incarcerated appendicitis in spigelian hernias; however, only one of them also showed histologic evidence of Crohn's disease, and neither was discovered during laparoscopy. Therefore, we submit this rare case presentation and discuss the advantages of laparoscopy as an aid in diagnosing the cause of chronic abdominal pain.
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PMID:Spigelian hernia with Crohn's appendicitis. 979 56

We present two cases of catastrophic intestinal obstruction from to strangulation of a left paraduodenal hernia (PDH). PDH is the most common internal hernia. Early diagnosis and treatment are essential because of the high morbidity and mortality associated with strangulation. Early involvement of the surgical team without an overly extensive evaluation in the emergency department is important if this diagnostic suspicion exists. PDH should also be considered when there is a history of chronic, intermittent abdominal pain of unclear cause. To our knowledge, these cases are the first described cases of sudden demise within a few hours of onset of symptoms of a left PDH.
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PMID:Two acute pediatric abdominal catastrophes from strangulated left paraduodenal hernias. 981 3

A 34 year-old female patient was admitted to our hospital with left-sided abdominal pain. Physical examination, chest and abdominal X-rays led to the diagnosis of a colonic obstruction. Colonic gastrografin study showed the splenic flexure herniated into the left hemithorax. Bochdalek hernia was diagnosed and emergency operation was performed. Postoperative course was uneventful.
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PMID:[Bochdalek hernia in Adulthood: case report and overview]. 984 61

A 26-year-old man with acute deterioration of recurrent abdominal pain was admitted to the hospital. Plain film (abdominal radiographs), spiral computed tomography (CT), and barium contrast studies were performed. A left paraduodenal hernia causing acute jejunal obstruction was identified on upper gastrointestinal barium studies and spiral CT. Pre- and postsurgery examinations were compared, and relevant radiological findings were identified. Spiral CT provided excellent visualization of the pathognomonic displacement of the inferior mesenteric vein.
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PMID:Anterior and upward displacement of the inferior mesenteric vein:a new diagnostic clue to left paraduodenal hernias? 993 69

A series of 13 patients (12 males, 1 female, aged 5-57) operated between 1990 and 1997 is presented. In 12 cases the greater omentum was used to cover tissue defect within upper extremity, in 1 case--lower extremity. Complications at donor site and within extremity were assessed in two groups (group I--5 cases of free omentum graft, group II--8 cases of pedicled omentum graft). Two acceptor site complications (flap necrosis and osteomyelitis) and no donor site complications were observed in group I. In group II 2 similar donor site complications occurred but 5 patients from this group complained of strong abdominal pain due to excessively short pedicle of the graft and 1 case of abdominal hernia occurred. The complications have been analyzed, means for prevention discussed.
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PMID:[Transplantation of the greater omentum and complication]. 1009 2

A 12-year old 573-kg (1,261-lb) Quarter Horse gelding was referred with colic of 12 hours' duration and with poor response to medical treatment. On the basis of physical and laboratory findings, a pelvic flexure impaction was suspected. The horse was treated medically. Because signs of mild abdominal pain persisted and the heart rate had increased, an exploratory celiotomy was performed 30 hours after signs of colic were first noticed. At surgery, the ileum was found partially entrapped within the epiploic foramen, in a left-to-right direction, to form a parietal hernia. The entrapped intestinal segment was reduced but not resected, and the horse recovered fully. In retrospect, the delay before surgery in this horse was tolerated because this was a parietal hernia and, therefore, did not cause complete ileal obstruction. This horse had an unusual form of small-intestinal strangulation in the epiploic foramen that might not cause sufficient obstruction initially to allow early detection.
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PMID:Parietal hernia of the small intestine into the epiploic foramen of a horse. 1031 78

A 9-year-old Thoroughbred was evaluated for clinical signs of acute abdominal pain. During laparotomy, a rent in the diaphragm and herniation of the small intestine into the thoracic cavity were detected. Because edges of the rent were smooth and fibrous, which suggested the defect was chronic, the abdomen was closed without repairing the rent. After recurrence of clinical signs, a second laparotomy was performed, during which the intestines were found to have reherniated. The diaphragmatic rent was repaired, using a polypropylene mesh secured with stainless steel staples. The horse recovered and subsequently returned to racing and jumping. A diaphragmatic hernia should be suspected in horses that have moderate to severe signs of abdominal pain for which a definitive cause can not be identified. Thoracic ultrasonography or radiography can be used to confirm the hernia. Diaphragmatic hernias in horses can be successfully repaired using mesh implants secured with staples.
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PMID:Surgical repair of a diaphragmatic hernia in a racehorse. 1034 79

A case of typical Spigelian hernia in an elderly patient successfully treated with operation is reported. A Spigelian hernia, protrusion of preperitoneal fat and peritoneal sac through the Spigelian aponeurosis, may present with uncharacteristic abdominal pain and a palpable mass along the Spigelian aponeurosis. Patients who complain of pain but have no visible or palpable lump present the greatest difficulty in diagnosis. Ultrasound examination is a valuable diagnostic tool both in palpable and nonpalpable Spigelian hernias. The treatment is surgical, with excellent results and low risk of recurrence.
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PMID:[Spigelian hernia. A case of typical Spigelian hernia in an elderly man]. 1035 97

Incisional hernias occur in <1% of women undergoing operative laparoscopy and are mostly limited to trocar sites > or =10 mm. This is a report of a 54-year-old woman with endometrial cancer who presented with nausea, vomiting and abdominal pain 1 week following laparoscopically-assisted vaginal hysterectomy, bilateral salpingo-oophorectomy, and lymphadenectomy. Abdominal radiographs and computed tomography demonstrated small bowel obstruction and herniation through a 5-mm trocar site. Reduction of the hernia and closure of the fascial incision were performed at exploratory laparotomy with normal recovery. Bowel herniation can occur through 5-mm trocar sites following prolonged operative laparoscopy. The peritoneum and fascia of these incisions should be closed.
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PMID:Small bowel obstruction secondary to herniation through a 5-mm laparoscopic trocar site following laparoscopic lymphadenectomy. 1047 21


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