Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0000737 (abdominal pain)
 31,184 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

A 72-year-old woman with a remote surgical history of a laparoscopic cholecystectomy (LC) complicated by gallstone spillage presented with fever, 3 weeks of nausea and anorexia, and increasing right upper quadrant abdominal pain. After the LC performed 11 years before symptom presentation, the patient was found to have a fluid collection in the right upper quadrant. The patient was asymptomatic at the time, and had no symptoms while being monitored with sequential scans over the next 5 years. At presentation, computed tomography scans revealed a subhepatic, lobulated fluid collection and a radioopacity, consistent with a gallstone, at the inferior aspect of the fluid collection. Subsequent percutaneous drainage of the fluid collection yielded pus that eventually grew Actinomyces israelii. Intravenous clindamycin therapy was initiated, and with further drainage, the abscess resolved. Intra-abdominal abscess formation can present as a delayed complication dropped stones during LC, but these cases usually present within a few years of the procedure. In this case, however, an intra-abdominal abscess formed 11 years after the LC. This extended duration from surgical manipulation to symptom onset is likely secondary to the indolent nature of the infecting organism, A. israelii.
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PMID:Intra-abdominal actinomycosis 11 years after spilled gallstones at the time of laparoscopic cholecystectomy. 1809 19

Ingestion of a foreign body is not uncommon, but rarely results in perforation of the gastrointestinal tract. The most common sites of perforation are reportedly the narrowest parts of the bowel, and perforation of the right side of the colon is rare. We report herein the case of a 69-year-old man who presented with an 8-week history of right upper abdominal pain. Laboratory data revealed inflammation at the first hospital visit. Computed tomography revealed a hypodense lesion containing a hyperdense foreign body in the abdomen. Intra-abdominal abscess caused by foreign body perforation was diagnosed. After administering antibiotics for 2 weeks, surgery was performed. Symptoms had resulted from perforation of the ascending colon by a fish bone.
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PMID:Successfully treated intra-abdominal abscess caused by fish bone with perforation of ascending colon: a case report. 2578 22