Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0085693 (acute appendicitis)
 3,606 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Among a variety of acute abdomens, acute torsion of omentum, first reported by Marchett in 1851, is least suspected under the impression of, most commonly, acute appendicitis and then acute cholecystitis, mesenteric thrombosis, ovarian cyst, perforated peptic ulcer, etc. A 52-years-old woman was admitted on May 2, 1987 with anorexia, nausea and RLQ pain for 2 days. Physical examination revealed tenderness, guarding and rigidity over RLQ. White cell count was 12.100/mm3. A reducible hernia was found in the right inguinal region. The operation through McBurney's incision showed blood-stained fluid. Appendix was slightly congested. A solid, gangrenous mass was palpated at right iliac fossa that disclosed a completely tight torsion of omentum twisting 6 times counterclockwise with distal infarction. Segmental omentectomy, appendectomy and hernioplasty were done. The patient's recovery was uneventful. This case emphasizes the necessity of routine examination of the omentum during the course of abdominal exploration especially when serosanguinous fluid was encountered in the peritoneal cavity.
 ...
PMID:[Acute torsion of greater omentum. Report of a case mimicking acute appendicitis]. 263 74

We reviewed the files of all patients who entered the hospital because of acute abdominal pain within a period of one year in order to study the frequency of this symptom and its lethal effects. The total cases found (562) were divided into two groups: patients under 50 years of age (279) and patients older than that age (283). The most frequent causes in the first group were reno-urethral lithiasis, acute appendicitis and acute pancreatitis. While in the second group were abdominal wall hernias, peptic acid disease and mesenteric thrombosis. No differences where found between the sexes of patients. Hospital mortality was 13.9% and that related to surgery 20.9%. The most frequent cause of death among patients under 50 years of age was acute pancreatitis and in those older than 50 years of age it was peptic acid disease.
 ...
PMID:[Morbidity and mortality in patients presenting with acute abdominal pain]. 269 93