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

Recently encountered is a case of a primary ileal carcinoma in which radical resection was performed. The history follows. A 76-year-old male was admitted to Miyako Hospital on January 12, 1986 complaining of abdominal pain of ten days duration. Pre-operative treatment extended over an eleven-day period without any symptomatic remission. A barium enema and roentgenographic examination that followed a barium ingestion revealed no abnormality in the large bowel, but a mechanical obstruction, typical of a carcinoma, was detected in the small intestine. On January 23, 1986, under a general anesthesia, the abdomen was opened through a midline rectus incision. A tumor was found in the terminal ileum 14 cm proximal to the ileocecal valve, and was causing almost total obstruction of the intestine. This tumor, with involved ileal and regional lymph-nodes, was resected, followed by an end-to-end anastomosis. The tumor, grossly circumscribed, was roughly circular in outline and protruded from the ileal wall. No lymph-node metastasis was found in histological sections. The diagnosis was a primary adenocarcinoma of the ileum. Few reports have been reported in Japan on radically resected primary carcinomas of the ileum. The future course of this case deserves careful study.
 ...
PMID:[Primary ileal carcinoma]. 327 52

Five cases of biliary complications in childhood sickle cell disease are reported. In four cases, the pathology was gall stones causing recurrent abdominal pain in a 10 year old boy, a 13 year old girl and a 2 year old infant, and responsible for a "Salmonella septicaemia" in a 17 year old adolescent. In one case, a biliary cyst was diagnosed at 3 years of age. Four children underwent successful surgery. The complications of gall stones are difficult to distinguish from episodes of vasoocclusive abdominal pain. Ultrasonography is an easy method of detecting gall stones and may be repeated regularly in children over 10 years of age. All the children operated in this series were improved by surgery. Patients with sickle cell disease must be carefully prepared for general anaesthesia with a strict protocol of blood transfusion which is only possible in well equipped centers. Elective surgery is by far the best management as postoperative complications are much less common than after emergency surgery. A review of the literature shows that the general tendency is for surgical intervention as gall stones are a cause of recurrent abdominal pain, cholecystitis and dangerous infective complications in those patients.
 ...
PMID:[Pathology of the bile ducts in children with homozygous sickle-cell anemia. Apropos of 5 recent cases]. 371 16

Inhalation anaesthesia with halothane was compared with i.v. alfentanil in 66 unpremedicated patients undergoing suction termination of pregnancy as outpatients. Blood loss was significantly greater in the halothane group with a mean loss of 213 ml, compared with a mean loss of 89.8 ml in the alfentanil group. There was a greater frequency of nausea and vomiting in the alfentanil group, but no reduction in abdominal pain or need for analgesia after operation. Positive relationships were found between blood loss and duration of anaesthesia and between blood loss and gestational age in the halothane group, but not in the alfentanil group. We conclude that alfentanil-supplemented anaesthesia is satisfactory for suction termination of pregnancy when rapid recovery is required or the duration of the procedure is likely to be long, but that halothane anaesthesia cannot be recommended, especially if the procedure is long.
 ...
PMID:Outpatient termination of pregnancy: halothane or alfentanil-supplemented anaesthesia. 393 28

Postoperative pain was treated by epidural administration of 30 to 50 mg pethidine (5 mg X ml-1) in a group of 36 patients who had undergone retropubic prostatectomy. Surgery was carried out under epidural anaesthesia with lidocaine. Pain was assessed by means of the visual analogue scale. A general study of the effects of injections and reinjections showed that analgesia thus obtained was excellent at the first hour after injection and lasted 3 to 5 h. The effect of the first postoperative injection on spontaneous pain was studied in 14 patients. Statistical analysis (Wilcoxon test) demonstrated that the fall in pain score was significant at the first and third hours after injection, but not significant at the fifth hour. The analgesia to that pain produced by coughing was studied in 11 patients. There was a significant decrease in pain at the first hour after injection; differences in pain scores at the third hour were not significant. No noticeable side-effect was observed. It was concluded that low doses of epidural pethidine were efficient on postoperative pelvic abdominal pain, but that doses should be increased if painless coughing was required.
 ...
PMID:[Postoperative analgesic effect of pethidine injected epidurally]. 398 29

A sample of 1003 records of surgical sterilizations was studied from among the 9400 performed between July 1972-June 1982 at a university hospital in Nuevo Leon, Mexico. 12 patients were aged 15-19, 104 were 20-24, 244 were 25-29, 291 were 30-34, 267 were 35-39, and 85 were 40-45. Not all patients met the recommended conditions of being at least 25 years old and/or having at least 3 pregnancies. 11.6% of the patients were sterilized because of psychiatric problems, multiparity, 2 previous cesarean sections or on request of the spouse. 95.5% of the women were married, 2.1% were single, 1.6% lived in free union and .8% were widowed. 14.0% were illiterate, 57.7% had incomplete primary educations, 19.3% had completed primary school, 2.5% had incomplete secondary or technical schooling, and .3% had professional studies. 27 women had had 0-2 pregnancies, 336 had 3-5, 336 had 6-8, 198 had 9-11, and 106 had 12 or more. The maximum number of pregnancies was 20 and the average was 7.1/woman. 6 women had preoperative hemoglobin levels of 6.0 g or less, 12 had 7.0 g, 44 had 8.0, 119 had 9.0 g, 756 had 10.0, and 566 had 11.0 g or higher. Transfusions were given to all women with less than the minimum level of 10.0 g. 460 of the operations were postpartum, 334 were transcesarean, and 209 were interval procedures. 696 operations were done by the Pomeroy method, 52 by modified Pomeroy, 27 by fimbriectomy, 16 by salpingectomy, and 2 by the Uchida method. Among laparoscopic methods, 82 were done by cauterization and 128 with Yoon rings. 392 postpartum and 286 transcesarean operations were performed using the Pomeroy technique, while 82 interval sterilizations were done using cauterization and 107 using Yoon rings. Epidural anesthesia was used in 457 postpartum and 325 transcesarean procedures, while general anesthesia was used in 175 interval sterilization. There were few transoperative complications. There were 2 cases of failure to achieve salpingoclasy, 4 cases of hemorrhage, 1 case of burning of the visceral wall, 1 case of anesthetic accident, and 12 cases of other complications. Among postoperative complications there were 15 cases of abdominal pain, 1 each of fever and infection, and 1 of other complication. There was 1 pregnancy among the 1003 cases. All the procedures were performed by physicians in training.
 ...
PMID:[Surgical sterilization: 10 years' experience]. 406 65

This report describes five cases of hepatocellular injury following halothane anesthesia. Four patients had multiple exposures to the anesthetic. Three of the five died from submassive to massive liver cell necrosis. The two survivors developed jaundice and/or dark urine following each exposure to halothane; liver biopsy in one showed centrilobular and linear areas of necrosis. Fever, anorexia, nausea, vomiting, abdominal pain and jaundice were present in all cases. In the two survivors the prothrombin time was less than 20 seconds throughout the course of the disease, whereas in the three who died the prothrombin time was more than 20 seconds from the onset. The English literature to the end of 1971 is reviewed. Approximately 600 cases of halothane-related hepatitis have been reported
 ...
PMID:Halothane hepatitis. 468 24

This study examines the efficacy of transabdominal intraamniotic injection of prostaglandins (PGs) in therapeutic abortions. Transabdominal amniocentesis was performed under local anesthesia (1% lignocaine) in 27 patients 14-22 weeks pregnant. Uterine activity was monitored. PGF2alpha 25 mg was given as a single intraamniotic injection in the 1st 14 cases. It was given in 3 doses at 24-hourly intervals for 3 successive days in 1 patient. PGE2 was given in 13 patients, 1 mg initially followed by 2 further 1 mg doses at 10-minute intervals. Intravenous oxytocin infusions were used where necessary, as was hysterotomy. Blood samples were collected in 10 patients before and at 4-6 hourly intervals following PGF2alpha administration until abortion occurred, and in 3 patients 40 hours prior to PG administration. A single 25 mg intraamniotic injection of PGF2alpha successfully terminated pregnancy in only 6 of 14 cases. Average-induction delivery interval was 19.52 hours. 6 other patients necessitated intravenous oxytocin infusions to stimulate effective uterine activity; average induction-abortion interval was 59 hours. 2 patients failed to abort, requiring hysterotomy. 7 of 12 vaginally delivered patients had incomplete abortion. Success rate was higher in PGE2-treated patients, with 11 of 13 patients aborting; average induction-delivery interval was 23 hours and 16 minutes. Side effects experienced included severe abdominal pain (for PGF2alpha), vomiting and mild pyrexia (38 degrees Celsius). No consistant change was observed in plasma steroid concentration until after delivery of fetus and placenta occurred. Transamniotic administration of PGE2 appears effective for therapeutic abortion, but not PGF2alpha.
 ...
PMID:Therapeutic abortion by intraamniotic injection of prostaglandins. 480 68

A six-year-old boy with abdominal pain since the age of two years is described. Physical examination revealed no abnormality but under general anaesthesia a mass could be felt in the left upper abdominal quadrant. An X-ray showed calcification in that quadrant, anterior to the vertebrae and an IVP revealed incomplete duplication of the left ureter. At laparotomy, small multiple calculi were removed from the pancreatic duct and pancreatico-jejunostomy was performed. Following surgery, his crippling abdominal pain ceased dramatically and he has remained symptom-free.
 ...
PMID:Juvenile tropical pancreatitis syndrome in northern Nigeria: a case report. 608 49

The clinical presentation of ectopic pregnancy is explored in this study along with the most constant predisposing factors among Saudi women. The medical records of 68 cases of suspected ectopic pregnancies were reviewed. Only 45 of the 68 cases, those that were finally diagnosed as ectopic pregnancies, constitute the basis of this study. The incidence of ectopic pregnancy was 1:742 pregnancies. 39 of the 45 patients with ectopic pregnancies were para 1-5; only 1 and 5 patients were reported to be nulliparous and grandmultipara, respectively. 27 of the 45 cases were 20-30 years of age. Between 40% and 45% of the 45 patients had positive histories of pelvic infection, abdominal or pelvic surgery, or infertility. 1 case each of an IUD in situ and of a recurrent ectopic pregnancy were reported. Amenorrhea with lower abdominal pain and tenderness were the most constant features of ectopic pregnancy. Vaginal bleeding was present in about 51% of the cases; fainting attacks and shoulder tip pains were late manifestations. Duration of amenorrhea was 6-8 weeks in about 63% of the cases; 36% had amenorrhea lasting 12-16 weeks. Only 1 patient presented with amenorrhea of longer duration (20 weeks), and she proved to have a cervical pregnancy. Laparoscopy was the only reliable diagnostic procedure. In all cases of clinically suspected hemoperitoneum, laparotomy was performed as a mandatory procedure. Pelvic examinations performed with the patient under anesthesia and also culdocentesis were both unreliable and inconclusive as diagnostic measures. Of the 40 cases of tubal ectopic pregnancy seen at laparotomy, 21 had already ruptured, 15 were still intact and 4 were cases of tubal abortion. The incidence of ectopic pregnancy is modified by age, parity, race, socioeconomic factors, sexual habits, contraceptive used and pelvic infection. The part played by 1 or more of those factors is unknown but definitely variable. In this study there were 40 tubal (88.8%), 1 cervical (2.2%), and 2 ovarian pregnancies (4.4%).
 ...
PMID:A study of 45 cases of ectopic pregnancy. 610 59

In 1979, the North Carolina Medical Care Commission approved the performance of laparoscopic sterilizations in free-standing surgical facilities. This paper reports the 1st 101 laparoscopic sterilizations performed at the Crist Clinic in Jacksonville. The majority of patients were white, married, and receiving medical assistance. Median age was 30, and median number of children was 2. 36 women had been using oral contraception, 10 were IUD acceptors, 23 had been using other methods, and 32 had been using no contraception. Surgery averaged 28 minutes. The recovery time after surgery averaged 86 minutes; however, 16 women left within 1 hour and only 12 required 2 or more hours of observation. Operative complications occurred in 3 cases. There was 1 failed trocar insertion and 1 loose clip. The 3rd complication observed, extrusion of omentum and vaginal bleeding, was noted in a combined midtrimester abortion-sterilization procedure. Postoperatively, 3 patients complained of superficial wound infection, 2 of abdominal pain, and 1 of heavy bleeding. 6 women developed vaginitis and there was 1 urinary tract infection. However, none of these complications required hospitalization. 3 pregnancies were detected after the procedure, 1 of which existed at the time of tubal ligation. Total costs of the procedure in this free-standing facility were 30-45% those of a hospital, reflecting savings in room and board, anesthesiology, and operating room fees. It is estimated that if half of the women seeking laparoscopic sterilization were to have the procedure performed in a free-standing facility, the annual savings would be more than $70 million. There is no evidence that the cost reductions achieved with this series were at the expense of increased risk of medical complications. The only serious complication involved a midtrimester abortion-sterilization procedure, leading to the recommendation that sterilization be postponed to 4-6 weeks after evacuation. It is further suggested that physicians perform at least 200 laparoscopies, including 100 under local anesthesia in an operating room with back-up anesthesia, before attempting this procedure in a free-standing facility. Such experience gives physicians skills and the judgment required to select appropriate low risk patients.
 ...
PMID:Laparoscopic clip sterilization in a free-standing facility: an evaluation of cost and safety. 622 79


<< Previous 1 2 3 4 5 6 7 8 9 10 Next >>