PubMed · 154839
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R Walbaum. 1979. Prune belly syndrome.. https://doi.org/10.1001/archpedi.1979.02130030108024
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Migration of foreign material to the genitourinary tract, often from the gastrointestinal tract through a fistula or perforation is well known. In this case, migration of a non-absorbable suture material from the abdominal wall to the urethra is illustrated. The possible mechanism was insufficient closure technique.
Three athletes (one female, two males), aged 18-21 years, developed acute abdominal pain, two of them immediately after exercise including abdominal muscle training. The female patient had a pulmonary infection of uncertain cause at the time. The second patient obviously suffered from an allergic or parasitic disease (eosinophilia of 26%). The third patient, a swimmer, had the symptoms in the course of a flu-like infection after drinking about 100 g alcohol. Serum creatinine kinase activity was 7,800-17,500 U/l, making acute muscle damage likely, probably rhabdomyolysis. Ultrasound examination revealed echo-dense areas of the rectus abdominis muscle in two of the patients, in one of them associated with marked muscle swelling. In the third patient ultrasound was unremarkable during a symptom-free interval 8 days after the onset of symptoms. These observations indicate that even during banal infections sport exercise involving special strain on the abdominal musculature should not be undertaken because of the risk of rhabdomyolysis.
OBJECTIVE: To carry out a review of hematoma in the abdominal wall: etiology, triggering factors, diagnosis and treatment. To consider differential diagnosis with other causes of acute abdominal pain with palpable mass. DESIGN: Based on two clinical observations. SITE. Iscar Health Centre, Valladolid. PATIENTS: Two patients who presented themselves at Casualty complaining of acute abdominal pain and with palpable abdominal mass (lump). MAIN MEASUREMENTS AND RESULTS: The anamnesis and physical exploration provided the tentative diagnosis, and they were sent to the Hospital centre in question. The analyses, X-rays and abdominal scans were not conclusive and an abdominal laparotomy was carried out which confirmed the diagnosis. CONCLUSIONS: Spontaneous haematoma in the abdominal wall is a cause of acute abdominal pain which is encountered most frequently in women receiving anticoagulant treatment or in situations that increase abdominal muscular tension (coughing, pregnancy, constipation, previous laparotomies and intraabdominal injections). Confirmation of initial diagnosis is obtained, normally, using sonic scanners, or abdominal TAC, but on occasions findings are not conclusive, and are submitted to abdominal laparotomy. The treatment is conservative except with hemodynamic complications.