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

A case of lactobezoar is described in a toddler with an acute history of abdominal pain, vomiting, and lethargy. Despite normal dietary habits, he had developed a gastric milk coagulum which led to a palpable epigastric tumor. Intussusception was suspected but disproven by barium enema. In retrospect, plain abdominal radiographs demonstrated characteristic mottled filling defects in the stomach from a lactobezoar. Conservative therapy led to prompt disintegration of the lactobezoar.
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PMID:Lactobezoar causing an abdominal triad of colicky pain, emesis, and mass. 318 25

Intussusception of the appendix in a 25-yr-old man was diagnosed preoperatively. Only six such cases have been reported. This patient presented with episodes of recurrent severe right lower abdominal pain, each episode separated by several uneventful months. The diagnosis was made by radiological visualization of a polypoid lesion with a dimple at the top in the caput cecum, and by the endoscopic appearance of the polypoid mass. A sessile polypoid mass (about 1 cm) that looked like foreskin and glans was observed by colonoscopy. The dimple at the top, like glans, was partially reddish, and the steeply sloped surface, like foreskin turned inside out, was smooth. The area of dimple at the top became discernibly smaller and the appearance changed as air was led into cecum. Appendectomy was without untoward events, and the patient no longer experienced such episodes. Although intussusception of the appendix is rare, it should be included in the differential diagnosis of acute abdominal syndrome.
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PMID:Endoscopic appearance of the intussuscepted appendix and accurate preoperative diagnosis. 318 67

The authors review their experience with lipomas of the colon at St. Boniface General Hospital in Winnipeg, Man., during the period 1974 to 1985, and compare their clinicopathologic evaluation with that reported in the literature. Among 15 patients (average age 66.7 years), the majority of whom were women, 17 lipomas were found; all were submucosal. One-third of the lesions were symptomatic. The most frequent symptoms were abdominal pain, rectal bleeding and a change in bowel habit. Only one patient had multiple lesions. The right colon was most frequently affected. Five patients underwent major colonic resection either because the diagnosis was confused with carcinoma or because of intussusception. Only one patient was treated by colotomy and polypectomy. Although most lipomas are small and asymptomatic, tumours larger than 2 cm tend to produce complications or be confused with carcinoma.
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PMID:Lipomas of the colon: a clinicopathologic review. 328 24

Ultrasound examination is at present a subsidiary aid in the definition of bowel lesions. There are, however, echographic features suggestive or diagnostic of intussusception. These should be borne in mind during ultrasound examination of the patient with a tender abdominal mass or intermittent diffuse abdominal pain.
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PMID:Ultrasound diagnosis in intussusception of the bowel. A case report. 330 69

A 9-year-old pregnant Standardbred broodmare was evaluated for signs of mild abdominal pain, failure to defecate, and mild abdominal distention. Rectal examination revealed the leading edge of a small colon intussusception, and peritoneal fluid analysis indicated suppurative peritonitis. Surgical management, including reduction of the intussusception and small colon resection with end-to-end anastomosis, resulted in successful outcome (1-year follow-up evaluation). Postoperative complications including dehiscence of the ventral midline surgical incision and simple obstruction at the anastomosis site necessitated a second surgical procedure. Small colon intussusception is an uncommon cause of signs of abdominal pain and is similar to type-IV rectal prolapse.
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PMID:Small colon intussusception in a broodmare. 335 76

Intussusception is an uncommon condition, but it is the most frequent cause of bowel obstruction in infants and children aged 3 months to 5 years. If undiagnosed, it can result in bowel necrosis, perforation, and even death. Four cardinal signs and symptoms (abdominal pain, rectal bleeding, vomiting, and abdominal mass) are described in patients with intussusception, but these manifestations are not always present and their absence may lead to misdiagnosis. Lethargy might be considered a fifth cardinal symptom. As demonstrated in this case, lethargy may be a significant presenting feature in an infant with no history of abdominal pain, and in association with the other cardinal symptoms, it may be an early indication of a significant illness such as intussusception. Awareness of this association may result in an earlier diagnosis and an improved outcome in patients with intussusception.
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PMID:Intussusception. A case that suggests a new cardinal symptom--lethargy. 337 51

16 cases of intussusception, occurred in the last 9 years in the Pediatric Department of the Ospedale di Circolo of Varese, are reported. Barium enema was carried out in 15 cases and the reduction of the intussusception, attempted in 5 of them, was obtained in 3 (20%). The low rate of the attempts of reduction by barium enema is consistently related to a delay in the diagnosis; 56% of the patients showed actually at the diagnosis the three main symptoms simultaneously: abdominal pain, vomiting, "currant jelly stool". The significant positive correlation (p less than 0.01) between the symptoms duration at the diagnosis and the hospitalization period points out that a correct treatment of the intussusception depends mainly on a precocious diagnosis.
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PMID:[Intestinal invagination. Analysis of cases]. 344 35

From 1972 to 1985, a total of 35 children with histological diagnosis of non-Hodgkin's lymphoma were treated. A previously undiagnosed abdominal non-Hodgkin's lymphoma produced intussusception in three of these children between 5 and 10 years of age. Our experience indicates that any child around 6 years of age with abdominal pain, bloody stools and a palpable mass plus radiographic evidence of intussusception should be considered to have an intestinal wall lymphoma until proven otherwise. Inadequate surgical treatment may result from failure to recognize relationship between intussusception and lymphoma in older child.
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PMID:[Non-Hodgkin's lymphoma as a cause of intussusception in children]. 344 99

The hospital records of 111 children aged 2 to 15 years who were treated for intussusception between mid-1974 and mid-1984 were reviewed. Severe intermittent abdominal pain was the most consistent, and frequently the only, clinical feature. Hydrostatic reduction was almost as successful as in children under 2 years of age, and its success was independent of the duration of symptoms. Most cases were idiopathic, but lead points were common in children 6 years of age or older. There was an unexpectedly high recurrence rate, 20%. In all three children with lymphoma the signs and symptoms were clearly atypical and were suggestive of pre-existing disease. In the absence of suspicious clinical or radiologic findings, laparotomy to rule out lymphoma is not warranted.
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PMID:Intussusception in children 2 years of age or older. 349 57

Of 217 children with vitelline duct anomalies, 85 (40%) had symptomatic lesions (mean age, 2.4 years). Forty-eight patients presented with rectal bleeding; 28, with intestinal obstruction; five, with abdominal pain; and four, with bilious umbilical drainage. An asymptomatic Meckel's diverticulum was discovered incidentally at laparotomy in 132 children. Surgical therapy included bowel resection in nine patients with volvulus, four with intussusception, seven with bleeding, three with vitelline cysts, and one with a perforation. Diverticulectomy was performed in 189 cases, and excision of a patent vitelline duct was accomplished in four neonates with umbilical drainage. Ectopic gastric mucosa was present in all 48 patients with bleeding and in four of five with inflammation but in only two asymptomatic specimens. More than one third of the cases were symptomatic and presented in younger patients. This suggests that elective resection of asymptomatic vitelline remnants in early childhood is reasonable at the time of laparotomy for other conditions.
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PMID:Vitelline duct anomalies. Experience with 217 childhood cases. 349 50


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