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PubMedDate not supplied

Laparoscopic diagnosis and treatment of an acute epiploic appendagitis with torsion and necrosis causing an acute abdomen.

Acute epiploic appendagitis is not as rare as previously thought; but, since the presenting signs and symptoms are not specific, preoperative diagnosis has been rarely made. At the present time, a laparoscopic exploration of the peritoneal cavity will establish the correct diagnosis, and the treatment can be provided during the same procedure. Herein, a case of a 63-year-old female patient with acute abdominal syndrome caused by a necrotic epiploic appendix that was successfully diagnosed and treated laparoscopically is described. A review of the literature is made, as well.

Abdomen, Acute↗
PubMed2000

Approach to the acute abdomen.

Acute abdominal pain is a clinical sign associated with several underlying disease processes, many of which can be life threatening. Abdominal pain requires efficient diagnostic evaluation to determine the appropriate course of treatment. Definitive treatment involves medical and/or surgical management. The emergency clinician must be well versed in the diagnostic approach to these patients to facilitate appropriate therapy.

Abdomen, Acute↗
PubMed1988

Gynecologic causes of the acute abdomen.

Acute surgical emergencies of gynecologic origin occur for the most part in women of reproductive age but occasionally in newborn and adolescent patients and rarely in the postmenopausal patient. The most common and most important conditions to be considered include pelvic inflammatory disease (PID) with abscess, ectopic pregnancy, hemorrhage from a functional ovarian cyst, and adnexal or ovarian torsion.

Abdomen, Acute↗
PubMed1992

C-reactive protein in the differential diagnosis of the acute abdomen, especially acute appendicitis.

Serum C-reactive protein (CRP) was qualitatively determined before surgery in 189 patients undergoing appendicectomy. The sensitivity, specificity, negative predictive value and overall accuracy of CRP were assessed: CRP had a high specificity (76.3%) but a sensitivity of only 39.7%. CRP may be of value in the assessment of acute abdominal pain, by helping to exclude from surgery those patients with normal appendices.

Abdomen, Acute↗
PubMedDate not supplied

[A rare case of acute abdomen: perforated acute diverticulitis of the cecum].

The Authors report a rare case of perforated diverticulitis of the cecum. The patient was a 68-year-old man who was referred to the Authors attention with the classic symptoms of acute appendicitis. During laparotomy a perforated "omentum-sealed" diverticulum was found on the lateral wall of the cecum, whereas the appendix appeared to be completed unaffected. A right hemicolectomy was performed. The Authors analyse the similarities and peculiarity of the case. Special attention is drawn to the problems of differential diagnosis raised by this pathology. A preoperative diagnosis is arduous because the disease is difficult to distinguish from acute appendicitis and may be even difficult to distinguish it intraoperatively from a carcinoma of the cecum. There is no characteristic clinical pattern pointing to this diagnosis. Diagnostic maneuvers are usually unrewarding. Right hemicolectomy is a safe procedure when the diagnosis is doubtful.

Abdomen, Acute↗
PubMedDate not supplied

[Coexistence of surgical acute abdomen and acute myocardial infarct].

Based on experience acquired in 10 cases the authors stress the difficulties of the clinical and the para-clinic diagnosis when such events occur simultaneously. The severity of the clinical picture (death-rate is over 90 per cent) requires great capacity of perception of therapeutic priorities, and the success cannot be achieved but through a close medico-surgical cooperation.

Abdomen, Acute↗
PubMed1982

Acute abdomen masquerading as acute retention.

Urologists should remain constantly alert for patients with acute abdominal emergencies who may be admitted under their care with the erroneous diagnosis of acute retention. These cases are not uncommon. The patients may be suffering from suppression of urine, or their inability to pass urine may be the predominant symptom of their intra-abdominal catastrophe. When catheterization has yielded only a small amount of concentrated urine and has failed to relieve the patient's discomfort, think of an acute abdomen, investigate this possibility and treat the patient accordingly.

Abdomen, Acute↗
PubMed1993

The geriatric acute abdomen.

An acute abdomen requires prompt diagnosis and therapy in all age groups. In the elderly population, rapid recognition is particularly important, because the patient may have delayed seeking medical care and may have uncommon illnesses complicating the ultimate course. The causes of an acute abdomen in this population are similar to those found in younger patients with some differences in frequency. In each case, a sense of urgency to make the proper diagnosis and then institute appropriate therapy is critical.

Abdomen, Acute↗