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Query: UMLS:C0740577 (acute abdominal pain)
 1,982 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Coarctation of the abdominal aorta was diagnosed in a pregnant hypertensive patient who presented with acute abdominal pain and fever. Extensive workup failed to establish another cause for the acute illness. Successful vascular reconstruction to correct renovascular hypertension and to bypass the coarctation was accomplished. The relationship of prgnancy to the symptomatology is discussed and evidence is presented which suggests that this case represents a variant of Takayasu's arteritis.
J Cardiovasc Surg (Torino)
PMID:Abdominal aortic coarctation and pregnancy. 610 72

Two patients with sudden onset of acute abdominal pain caused by embolic disease of the superior mesenteric artery (SMA) were evaluated angiographically. In one patient, the study was performed soon after the clinical onset of symptoms, and successful treatment with low-dose topical streptokinase infusion produced total lysis of the clot over a period of 30 h. In the second patient, the angiogram was obtained 6 days following the initial episode of pain. Radiographic and clinical findings indicated advanced gastrointestinal ischemia with bleeding which contraindicated the use of fibrinolytic therapy. Surgical resection of infarcted intestine was required. Early angiographic detection of acute mesenteric thrombus or embolus is crucial for the selection of patients for fibrinolytic therapy. Our cases suggest that with early diagnosis, streptokinase infusion is an alternative to surgical management of selected patients with acute mesenteric ischemia.
Cardiovasc Intervent Radiol 1984
PMID:Treatment of acute embolus of the superior mesenteric artery by topical infusion of streptokinase. 673 30

In a 17-year-old youth, exploratory laparotomy for acute abdominal pain was complicated by circulatory arrest related to pulmonary embolism. Echocardiography after resuscitation revealed a hitherto "silent" right atrial myxoma, fragmentation of which had blocked the right atrioventricular ostium, causing the pain. Operation was successful. As only a few similar cases have been reported, pulmonary embolism due to fragmentation of a right atrial myxoma may account for some unexplained sudden deaths beyond medical help.
Scand Cardiovasc J 1998
PMID:Unusual course of right atrial myxoma, masked by acute abdominal pain, and complicated by pulmonary embolus. 986

A 75-year-old man complaining of acute abdominal pain, 1 month after elective surgical repair of an abdominal aortic aneurysm by an aortabi-iliac bypass graft, was referred and admitted to the emergency room. Imaging by sonography and computed tomography scan revealed a ruptured iliac pseudoaneurysm at the right iliac anastomotic site with associated large retroperitoneal hematoma. We inserted a self-expanding covered Z-stent graft by a transfemoral approach and the iliac anastomotic pseudoaneurysm was successfully excluded. Our case demonstrates the possibilities of an endovascular approach for providing a fast, efficient and less aggravating procedure in order to treat these life-threatening conditions.
Cardiovasc Intervent Radiol
PMID:Successful emergency stenting of acute ruptured false iliac aneurysm. 1190 80

A 42-year-old man was admitted to another hospital complaining of acute abdominal pain that was induced by eating. Abdominal computed tomography and selective angiography revealed an intimal flap separating true and false lumens that was located 3 cm from the origin of the superior mesenteric artery (SMA). Emergency surgery was performed because of the sudden recurrence of diffuse abdominal pain after eating and abdominal aorta-SMA bypass grafting was done using a radial artery graft. Postoperative angiography revealed that the graft showed good patency. The postoperative course was uneventful and abdominal pain no longer occurred after eating. This excellent result was achieved by early diagnosis using CT scanning and angiography plus an aggressive surgical repair with a radial artery bypass graft for isolated dissection of the superior mesenteric artery.
Ann Thorac Cardiovasc Surg 2002 Aug
PMID:Spontaneous and isolated dissection of the main trunk of the superior mesenteric artery. 1247 90

A 74-year-old male claudicant who had a significant abdominal aortic stenosis was hydrated before aortic stent placement because of an elevated creatinine level. During the intervention the patient experienced acute abdominal pain with vomiting. No vascular cause was detected. Due to persistent pain, plain radiography and an abdominal CT scan were performed a few hours after the procedure. Images revealed a bilateral renal fornix rupture with a large retroperitoneal fluid collection. The patient was treated conservatively with ureteral double-J placement and percutaneous nephrostomy. The further course was uneventful and the patient was discharged 2 weeks later free of symptoms. Renal fornix rupture is a very rare complication after contrast medium application that can be treated without surgery.
Cardiovasc Intervent Radiol
PMID:Bilateral renal fornix rupture following intraarterial contrast medium application for infrarenal aortic stent placement. 1622 83

The right gastro-epiploic artery is frequently used as a conduit in coronary artery bypass grafting. A rare complication after this procedure is herniation of omentum or other gastrointestinal contents into the pericardial cavity. Clinical symptoms of this complications are acute abdominal pain, nausea, angina, dyspnea, vomiting or signs of pericardial compression. In this case-report we present one patient with a herniation of omentum into the pericardial cavity without any clinical symptoms of herniation.
Interact Cardiovasc Thorac Surg 2003 Jun
PMID:A rare case of herniation of omentum into the pericardial cavity after using the right gastro-epiploic artery for coronary bypass grafting. 1767 15

A 60-year-old woman after aortic valve replacement had an acute abdominal pain. Computed tomography demonstrated a tumor in the aorta, which originated from the distal portion of the thoracic aorta and extended to the aortic bifurcation. At autopsy, the orifices of celiac, superior and inferior mesenteric, right and left renal arteries were consistently occluded by incursion of the tumor. We present herein a huge primary sarcoma in the abdominal aorta, which has been reported as extremely rare.
Interact Cardiovasc Thorac Surg 2007 Dec
PMID:A primary angiosarcoma in the aorta. 1769 42

Symptomatic caval injury is rare after inferior vena cava (IVC) filter insertion. A 39-year-old woman developed acute abdominal pain after uneventful placement of a retrievable Option IVC Filter (Angiotech Pharmaceuticals, Vancouver, British Columbia, Canada). Two days after placement, computed tomography showed a right-sided retroperitoneal hematoma, and three-dimensional C-arm rotational venography confirmed limb penetration beyond the caval wall. This is the first report of this complication despite two recent studies highlighting the safety profile of this relatively new filter.
Cardiovasc Intervent Radiol 2011 Aug
PMID:Acute abdominal pain after retrievable inferior vena cava filter insertion: case report of caval perforation by an option filter. 2117 May 29

Abdominal complications following cardiac surgery remain unusual, but are associated with high mortality. The most common abdominal surgical complications are mesenteric ischaemia, diverticulitis, pancreatitis, gastrointestinal bleeding and cholecystitis. We describe a case of a 73-year old woman with acute abdominal pain mimicking cholecystitis on day 10 after aortic valve replacement. An abdominal examination showed tenderness of the right upper quadrant with Murphy's sign. Complete blood count, blood chemistries and urinalysis were normal as were the abdominal and chest X-rays and abdominal ultrasonography. The abdominal computed-tomography (CT) scan enabled us to rule out cholecystitis, as it demonstrated the typical appearance of epiploic appendagitis on the right colon, 1 cm below the gallbladder. Epiploic appendagitis results from twisting, kinking or venous thrombosis of an epiploic appendage. Depending on its localization, it mimics many diagnoses requiring surgery: colitis, diverticulitis, appendicitis and cholecystitis. An abdominal CT scan is the diagnostic imaging tool of choice. All physicians involved in post-cardiac surgery care should be aware of this self-limiting disease that usually resolves with non-steroidal anti-inflammatory drugs and watchful waiting, and to avoid unnecessary surgery because the spontaneous evolution of epiploic appendagitis is usually benign.
Interact Cardiovasc Thorac Surg 2012 Aug
PMID:An unusual cause of acute abdominal pain after cardiac surgery: acute epiploic appendagitis. 2254 60


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