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

Campylobacter jejuni Skirrow biotype 1, Lior serotype 8 was isolated from the appendix of an 11-year-old boy who had a 6-h history of acute abdominal pain. Histological diagnosis on the appendix section was early acute appendicitis. Dilute carbol fuchsin stain and indirect fluorescent antibody test performed on the appendix section also revealed the presence of Campylobacter sp. The patient developed a significant bactericidal antibody titer of 1,024, providing substantial clinical evidence of the pathogenicity of the isolate. This case indicated that not only may abdominal pain caused by Campylobacter enteritis mimic appendicitis, but the organism may actually be recovered from the infected appendix.
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PMID:Isolation of Campylobacter jejuni from an appendix. 635 36

In a review of 22 years of clinical experience, we found seven previously healthy children with primary peritonitis. The diagnosis was made at laparotomy in all patients. Their symptoms included diffuse abdominal pain, fever, vomiting, and diarrhea. Abdominal tenderness was maximal in the right lower quadrant in five children, which led to confusion with the diagnosis of acute appendicitis. Streptococcus pneumoniae was identified as the etiologic agent in three patients and group A beta-hemolytic Streptococcus in one patient. The remaining three patients all had prior antibiotic therapy, and peritoneal fluid cultures were sterile. All children had a prompt response to treatment with antibiotics and recovered without complications. Long-term follow-up (4 1/2 to 15 years) was available for three patients; all three remained healthy.
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PMID:Primary peritonitis in previously healthy children. 638 16

During early 1982, an outbreak of yersiniosis occurred in northern Mississippi. Abdominal pain suggestive of appendicitis was a common manifestation, but laparotomy revealed mesenteric adenitis. Yersinia enteritis should enter the differential diagnosis of acute appendicitis.
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PMID:Acute yersiniosis and its surgical significance. 650 63

The management of 722 patients admitted to Christchurch Hospital in 1979 with acute appendicitis (308) or non-specific abdominal pain (414) was such that 86% of the appendicitis patients had a timely removal of an inflamed but not perforated appendix and 9.2% of the patients with non-specific abdominal pain had an unnecessary appendicectomy. The mean stay in hospital was 4.8 days for patients who had a timely operation for acute appendicitis, 8.1 days for patients undergoing operation for perforated appendicitis, 6.1 days for patients who had non-specific abdominal pain and appendicectomy, and 2.7 days for patients who had non-specific abdominal pain without appendicectomy. There was no mortality.
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PMID:Acute appendicitis: a quality assurance analysis. 657 49

Complications after ineffective medical management are indications for surgical treatment in Crohn's disease and ulcerative colitis. Immediate intervention is necessary in perforation, bleeding and intestinal obstruction, but abscess, fistulation, chronic bowel obstruction and an inflammatory tumor need also surgery without longer delay. Acute ileitis terminalis imitating acute appendicitis is an exceptional case of Crohn's disease. Local recurrence, severe abdominal pain, diarrhoea, retardation of growth and development, and risk of malignant change may be reasons for elective surgery. As development of recurrence after operation is frequent and the results of colectomy and proctocolectomy with ileostomy are not always satisfactory some caution to surgery in ulcerative colitis and Crohn's disease in childhood is advisable.
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PMID:[Surgical indications in Crohn's disease and ulcerative colitis in childhood]. 660 Dec 4

Four cases are reported, in whom radiologically opaque appendiceal coproliths (appendicoliths) were recognised on plain abdominal radiographs. These were undertaken for diagnostic purposes, in patients with right-sided abdominal pain, in whom the diagnosis was not immediately apparent. The pathology, radiological features, and clinical significance of the phenomenon are discussed, and the association of appendicoliths with appendiceal perforation and gangrene is stressed. The fact that clinical signs and symptoms of acute appendicitis are often misleading and sometimes minimal, even in the presence of severe local peritoneal infection is of importance to physicians as well as surgeons.
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PMID:The radio-opaque appendicolith--its significance in clinical practice. 666 79

The incidence of campylobacter gastroenteritis in the population of Nottingham over a period of 3 years was studied. There was a seasonal variation with the highest number of cases occurring in the summer months. Campylobacter sp. were isolated from the stools of a total of 780 patients over this period. Of these 160 patients with gastroenteritis required admission to hospital. These patients' illness had an acute onset, and the predominant features were diarrhoea, severe abdominal pain, nausea and bright red blood with the stool. However not all the patients had diarrhoea. More than a third of the patients studied were less than 10 years old. The mean duration of symptoms was 4 days and the average stay in hospital was 5 days; some patients required prolonged admission (14 days). In a few cases campylobacter enteritis mimicked other clinical conditions including acute appendicitis. This study emphasises the importance of campylobacter enteritis as a cause of gastroenteritis in the community and the degree of morbidity associated with this illness.
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PMID:Campylobacter enteritis in Nottingham. 668 Nov 61

The emergency surgical admissions to one firm during the year 1979 have been reviewed. Emergency cases constituted half the workload of this and other units in the hospital. Male and female admissions were equal. The under twenty year old was the largest age group admitted. The commonest diagnosis, non specific abdominal pain, was made in 22.9% of all the patients and acute appendicitis accounted for 11.1%, whilst the remainder fell into a large number of diagnostic categories with only a few patients in each. Only 30.2% of all the patients had an operation within 48 of admission. These figures suggest that surgical trainees may no longer gain the experience in managing acute admissions which was once possible and that any future training programmes must ensure wider exposure to surgical emergencies.
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PMID:Surgical emergencies and manpower. 670 22

Ten cases of primary peritonitis in children demonstrate that the usual presentation is one of rapid onset of lower abdominal pain in girls, clinically indistinguishable from acute appendicitis. Recovery after appendectomy is rapid. Fewer cases have positive peritoneal cultures or associated illnesses than in historical descriptions. Contemporary primary peritonitis follows a more benign course than in the past.
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PMID:Primary peritonitis in children. 670 26

A case is described where acute appendicitis developed after a roentgen examination of the large bowel. The causal relationship is discussed. This report recommends a careful examination of the patient developing abdominal pain after a colon x-ray examination.
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PMID:Acute appendicitis as a complication of the barium enema. A case report. 672 71


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