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)

Primary Type I Hyperlipoproteinaemia is the rarest phenotype of the inherited hyperlipidaemias. A study of the plasma lipids, lipoprotein distribution and apoprotein concentrations has been carried out in a propositus and in three generations of her immediate family, as has associated post heparin lipolytic activity (PHLA). The propositus presented in infancy with spontaneous bruising and abdominal pain. She has gross chylomicronaemia in the presence of depressed PHLA, which is due to deficiency of lipoprotein lipase. Apo Al and B levels are depressed in concert with low density and high density lipoproteins. Introduction of a low fat diet has resulted in loss of symptoms but plasma lipids remain abnormal. Within her immediate family, six of nine members have depressed PHLA. Two such members have elevated plasma triglycerides, one associated with hypercholesterolaemia and peripheral vascular disease. Low PHLA in this family is then associated with different lipoprotein phenotypes.
Aust N Z J Med 1979 Dec
PMID:Primary type I hyperlipoproteinaemia--a metabolic and family study. 29 27

A case is reported of multiple calculi occurring in a Meckel's diverticulum which caused chronic abdominal pain in a 48-year-old man. The problem was diagnosed before operation by radiological studies. The features of this condition are well illustrated in this patient. The published literature is reviewed.
Aust N Z J Surg 1978 Dec
PMID:Calculi in a Meckel's diverticulum: a case report and a review. 29 10

Portal vein thrombosis with a patent shunt is a distinct clinical entity which can follow selective distal splenorenal shunt and should be looked for in patients in whom ascites and abdominal pain develop postoperatively. Possible mechanisms include an increase in blood viscosity and a decrease in portal flow which may be aggravated by inadequate devascularization.
Surg Gynecol Obstet 1979 Dec
PMID:Thrombosis of the portal vein following distal splenorenal shunt. 31 21

A case of a Meckel's diverticulum is described in a young man presenting with abdominal pain and gastrointestinal bleeding. Methods of arriving at the diagnosis preoperatively are reviewed. A false-negative as well as a true-positive small bowel series and technetium scan were obtained in this case. The factors influencing technetium uptake by a Meckel's diverticulum are reviewed.
Am J Gastroenterol 1979 Dec
PMID:Meckel's diverticulum. Vagaries of technetium scanning. 31 20

5 cases of IUD perforation of the cervix were encountered during a 5-year period (1973-78). In these cases, the distal end of the stem (vertical limb) of the T had penetrated through the cervical wall into 1 of the fornices of the vagina. Case 3 involves a 31-year old gravida 3, para 1 who presented at the Hasharon Hospital in the 10th week of pregnancy complaining of lower abdominal pain and mild bleeding. Her physician had previously recommended removal of IUD upon finding out of her pregnancy, but she had refused because the IUD removal "might harm the pregnancy". The present examination revealed cervical perforation by the copper T-IUD, which was then removed through the tiny fistula in the cervix. Bleeding and pain disappeared within 3 days. The woman delivered a normal healthy baby 29 weeks later. Case 4 concerns a 24-year old gravida 3, para 2 who presented at the clinic at the 12-monthly check-up. The string of the IUD was found protruding through the cervical os, while the copper-covered long arm of the IUD had perforated the cervix and was felt in the posterior fornix. The fistula disappeared after the IUD was removed. Although cervical perforations rarely consititute a risk to the woman and are easily removed without permanent damage to the cervix, such complications if they do occur should be reported in view of their extensive use world wide. In addition, risk of pregnancy is increased due to the displacement of the device.
Eur J Obstet Gynecol Reprod Biol 1979 Dec
PMID:Secondary cervical perforation by the Copper-T intrauterine device. 40 Aug 70

Cholescintigraphy, ultrasonography, and contrast cholangiography were compared in 60 patients. Among those having abdominal pain but no biliary disease or jaundice, cholescintigraphy was normal in 14/14, ultrasound in 10/13, and cholangiography in 13/14. Jaundice due to hepatocellular disease was correctly distinguished from complete biliary obstruction by cholescintigraphy in 17/17 patients and by ultrasound in 14/17. In cholelithiasis, ultrasound was abnormal in 10/12 and cholangiography in 7/9. Cholescintigraphy appeared most sensitive to active cholecystitis; only cholangiography and ultrasound visualized gallstones.
Radiology 1979 Dec
PMID:Evaluation of hepatobiliary imaging by radionuclide scintigraphy, ultrasonography, and contrast cholangiography. 50 61

Amebiasis, that is, infection with Entameba histolytica, continues to be endemic in the United States, with liver abscess occurring as an infrequent but constant complication. Seven cases are reported, with epidemiologic investigation of two. Reliable findings in hepatic abscess include fever, abdominal pain, respiratory distress, tender abdomen, and large, tender liver. Anemia, elevated white count with left shift, and the radiographic findings of an elevated right hemidiaphragm are constant. Epidemiologically, amebiasis occurs in clusters in the United States with person-to-person transmission predominant in spread. Infection is associated with poor sanitation and crowding. Investigation of the families of two patients documented 9/21 carriers and an additional 3/21 who were seropositive, as well as crowding and poor sanitation. In this country, treatment of a patient with amebic disease should include investigation of his home and family.
Pediatrics 1979 Dec
PMID:Amebic liver abscess in children: clinical and epidemiologic features. 51 19

Tuberculous peritonitis is an uncommon disorder and is often not considered on initial evaluation of ascites. A negative 5-TU PPD test, a normal chest roentgenogram, or a low level of ascitic fluid protein may erroneously direct attention away from tuberculosis. Failure to thoroughly evaluate nonmalignant exudative ascites, especially in alcoholics, is a common diagnostic pitfall. TB peritonitis should be considered in the differential diagnosis in every patient who presents with ascites, fever, and abdominal pain, particularly when alcoholism, a lung lesion, weight loss, or cirrhosis is also present. Percutaneous needle biopsy of peritoneum, followed by peritoneoscopy if necessary, may preclude the need for laparotomy. Antituberculous drugs, when conscientiously taken, afford a rapid response with a cure in most patients. Case material on four patients is presented.
South Med J 1979 Dec
PMID:Tuberculous peritonitis. 51 68

One case of massive ovarian edema is reported in addition to other 20 cases published in the literature. A 17-year-old nulligravida girl had severe abdominal pain of 2 hours' duration. On laparotomy, the right ovary was enlarged and oophorectomy was performed. The ovary measured 5 x 7 cm. The external surface was gray and blue. Cut surfaces showed a soft, watery brown and yellow tissue without distinct tumoral mass. Microscopically, there was a diffuse interstitial edema of the ovarian stroma, a dilatation of lymphatic and venous channels with preservation of ovarian structures. The cause of massive ovarian edema remains unclear. The most probable explanation is partial torsion, possibly recurrent, of the mesovarium with an impairment of the lymphatic and venous drainage. Since this nonneoplastic lesion occurs in children and young women, it should be recognized at the time of laparotomy and treated conservatively.
Geburtshilfe Frauenheilkd 1979 Dec
PMID:[The so-called massive edema of the ovary. A case report and review of the literature (author's transl)]. 52 Jul 83

The symptoms, diagnosis, and management of three patients with gastrocolic fistula secondary to benign peptic ulcer disease are reviewed. To our knowledge, this brings the total of such cases reported in the literature to 50. The most frequent symptoms were abdominal pain, weight loss, diarrhea, and vomiting followed by anemia, foul eructations, and fecal vomiting. Barium meal demonstrated the fistula in about 70% of the patients, whereas barium enema examination demonstrated the fistula in nearly all of them. The diagnostic workup should rule out the possibility of a malignant cause for the fistula. The surgical management of these patients consists of the one-stage, when possible, resection of the involved portion of the antrum and the fistula of the transverse colon with appropriate reconstruction of gastrointestinal continuity. An increased awareness of the benign cause of some gastrocolic fistulas is necessary to avoid unduly extensive surgery in these cases.
Arch Surg 1979 Dec
PMID:Gastrocolic fistula as a complication of benign gastric ulcer. 53 62


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