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

A 30-year-old man with symptomatic acquired immunodeficiency syndrome presented with abdominal pain and disseminated intravascular coagulation. Radiographic studies revealed thickening of the gallbladder wall. Following stabilization of the coagulation disorder, the patient underwent a cholecystectomy, and the gallbladder was found to contain Kaposi's sarcoma (KS). There have been no previously published reports of KS found in the gallbladder of a living patient in the absence of cutaneous manifestations of KS. The current case illustrates that KS is a multi-focal systemic disease which may have extracutaneous primary manifestations.
Mil Med 1992 Oct
PMID:Kaposi's sarcoma of the gallbladder. 145 84

Blastocystis hominis (B. hominis) is a protozoan that may inhabit the human gastrointestinal tract. In our study we reviewed the signs and symptoms of patients at Wilford Hall with stool specimens positive for B. hominis. These patients fell into four groups, HIV-positive adults, foreign nationals, children, and adults not known to be HIV positive. B. hominis caused an acute self-limited diarrheal illness, or chronic gastroenteritis with nausea, abdominal pain, and mild diarrhea. Metronidazole effectively relieved the symptoms and cleared the organism in some but not all patients.
Mil Med 1990 Sep
PMID:Blastocystis hominis infection: signs and symptoms in patients at Wilford Hall Medical Center. 212 Jun 22

During 1983, a multinational military intervention took place on Grenada. After deployment, troops from several U.S. Army units noted signs and symptoms consistent with soil-transmitted helminthic infection. Of 684 soldiers screened five to seven weeks post-deployment, over 20% reported abdominal pain and/or diarrhea during or after the action. Eosinophilia of at least 10% was observed in 119 (22.5%) of 529 soldiers evaluated further; eosinophilia of 5-9% was documented in another 126 (23.8%) of the 529 soldiers. Stool examinations confirmed hookworm infection in 35 soldiers. One case of strongyloidiasis was also documented. Infection was attributed to ground exposure near homes with compromised sanitation. Units that joined the operation after the initial assault phase were at low risk of hookworm infection.
Mil Med 1989 Feb
PMID:An outbreak of hookworm infection associated with military operations in Grenada. 249 77

This is a retrospective review of 139 patients who had 152 admissions for acute pancreatitis. Mean patient age was 40 years (range, 1 to 83 years), although the largest percentage (56%) fell between ages 20 and 39 years. There were 92 males and 47 females. Abdominal pain was universal and typically epigastric (88%). Radiologic ultrasound study was used in 80% of patients, which demonstrated pancreatic abnormalities in 37% and gallstones in 16%. Alcohol was the most common cause of acute pancreatitis, accounting for 37% of first attacks and 52% of recurrent attacks. About 15% of patients required intensive care unit management and 23% required operations. Only one patient died (mortality = 0.6%). Among our patients, 58% had at least one of 11 risk factors according to Ranson's criteria, although no one had more than four. Presence of Ranson's risk factors was predictive of need for intensive care unit management (p less than 0.001) and for the need of operation in general (p less than 0.05). Compared to other series reported in the literature, our patients appear to have been diagnosed and admitted earlier.
Mil Med 1989 Nov
PMID:Acute pancreatitis in a military hospital. 251 11

Medical personnel who evaluate children for child abuse and neglect (CAN) must be familiar with the many pediatric conditions that resemble CAN in order to avoid over reporting. During a 3-year period, a total of 504 suspected child abuse patients were evaluated by our CAN team. After preliminary evaluation, 264 (52%) of these cases were unsubstantiated. Eighteen of these 264 (7%) were initially considered as cases of CAN but were later proven to be conditions that were misdiagnosed as CAN. Thirteen of the 18 (72%) were readily diagnosed after consultation with a pediatrician or other health care consultant. Investigation of the remaining 5 patients (29%) was more difficult and more extensive, requiring a period of separation from the parents with consequent emotional hardship to the family. These conditions included (1) a patient with osteogenesis imperfecta type IV, (2) a patient with Ehlers-Danlos syndrome, (3) two patients with benign external hydrocephaly of infancy, and (4) a patient with Crohn's disease, who was evaluated for sexual abuse because of chronic abdominal pain. A comprehensive literature review of pediatric conditions that may mimic CAN is presented by diagnostic categories to assist clinicians in differentiating medical conditions that may simulate CAN. Methods to support parents who have been incorrectly reported are discussed.
Mil Med 1995 Jan
PMID:The mistaken diagnosis of child abuse: a three-year USAF Medical Center analysis and literature review. 774 27

An 18-year-old female Pacific Islander with abdominal pain, ascites, and fever was transferred to our hospital with suspected ovarian malignancy. These nonspecific clinical features of tuberculous peritonitis in a female frequently contribute to misdiagnosis. Preoperative findings included negative sputums, negative purified protein derivative, and no acid-fast bacilli (AFB) found in peritoneal fluid or fine needle biopsy of the omentum. Tuberculous peritonitis was diagnosed after omental biopsy obtained at mini-laparotomy showed granulomatous inflammation and positive isolation of AFB.
Mil Med 1994 Nov
PMID:Tuberculous peritonitis in a young female diagnosed using mini-laparotomy: a case report. 788 4

Diarrhea represents a major health threat to U.S. military forces overseas, especially in developing countries. For military units, this illness can adversely affect combat readiness. USNAMRU-2 investigators joined several U.S. Navy ships to assess the epidemiology of diarrhea illness as a result of port visits to Asia. The primary goals were to enumerate episodes of diarrhea associated with port visits, identify epidemiologic factors leading to illness, and characterize the etiologic agents. Enterotoxigenic Escherichia coli (ETEC) was the most common organism isolated from patients presenting with diarrhea and represented 22% of diarrhea cases. Vomiting and abdominal pain differentiated ETEC from other causes of diarrhea.
Mil Med 1996 Aug
PMID:Epidemiology of enterotoxigenic Escherichia coli-associated diarrheal disease occurring on board U.S. Navy ships visiting Asian ports. 877 2

In July 1993, an outbreak of Salmonella occurred in a U.S. Army child care center in Heidelberg, Germany. Sixteen children and 4 staff members had confirmed positive cultures; the center had an average census of 135 children during the time of the outbreak. Rectal swabs were done on all the children in rooms with symptomatic children or staff or in rooms with confirmed cases. A total of 246 rectal swabs was done initially, with 216 representing paired specimens. A case was defined as a staff member, child, or family member of an ill staff member or child who attended the center with diarrhea or abdominal pain with at least one of the following symptoms: diarrhea, fever, nausea, loss of appetite, abdominal pain, vomiting, or lethargy. The attack rate for the children was 40 of 86 (47%), and the attack rate for staff was 15 of 47 (32%). No associations were found when looking at the attack rates in each of the 10 rooms in the center. Complete environmental investigation revealed that the cook was preparing food 1 day before it was served. In addition, he was running the dishwasher without a sufficient amount of soap. Although food was not available for testing, the source of the Salmonella outbreak appears to be uncooked or inadequately cooked and prepared food with some person-to-person transmission.
Mil Med 1997 Dec
PMID:Salmonella outbreak in an American child development center in Germany. 943 81

A young, active duty sailor presented with right upper quadrant abdominal pain. History, physical, and laboratory findings initially suggested cholecystitis or related disease. Further evaluation found myoglobinuria and a recently increased exercise program, leading to the diagnosis of exercise-induced right upper abdominal wall rhabdomyolysis. Although not a common cause of abdominal pain, this diagnosis should be considered in the patient with abdominal pain and a recently increased exercise program, particularly exercises of the abdominal wall such as "abdominal crunches."
Mil Med 1999 Feb
PMID:"Abdominal crunch"-induced rhabdomyolysis presenting as right upper quadrant pain. 1005 May 78

Acute appendicitis is the most common nonobstetrical surgical condition of the abdomen complicating pregnancy. Appendectomy reportedly is performed during pregnancy once for every 1,500 deliveries. Although the incidence of appendicitis occurring in pregnant women is considered to be the same as in nonpregnant women, the signs and symptoms, and the laboratory findings usually associated with appendicitis in the nonpregnant condition, are frequently unreliable during pregnancy. Using the Computer Diagnostic Data System, we completed a retrospective analysis on all appendectomies performed at two Army Medical Activities (MEDDACs) during a 2-year period. With a representative large Army MEDDAC and a representative medium-sized Army MEDDAC studied, the incidence of appendectomy during pregnancy was the same frequency as in previous reports. The only consistent finding in all pregnant patients who underwent appendectomy was right lower quadrant abdominal pain. Presenting signs and symptoms, clinical evaluations, laboratory findings, and surgical management is discussed. No morbidity or mortality occurred during this study.
Mil Med 1999 Oct
PMID:Appendectomy during pregnancy: a survey of two army medical activities. 1054 17


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