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PubMed1952

ACUTE abdomen.

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Abdomen↗
PubMedDate not supplied

Experience of laparoscopic management in 100 patients with acute abdomen.

BACKGROUND/AIMS: The decision to operate on a patient with acute abdominal pain comes to the mind of the surgeon if routine investigations fail to identify the cause. A negative laparotomy may have complications, while laparoscopy appears to be a valuable way to improve the accuracy of diagnosis of acute abdominal pain and offers a promising modality of treatment. METHODOLOGY: The study included 100 patients with provisional diagnosis of acute abdomen after clinical examination and conventional diagnostic aids. All the patients have been subjected to diagnostic laparoscopy. RESULTS: Eight cases (8%) were managed by laparotomy following diagnosis by laparoscope (disturbed ectopic pregnancy), while 92 cases (92%) were managed laparoscopically which resulted in 81 cases (81%) of successful laparoscopic procedure (31 appendectomies, 19 cholecystectomies, 12 ovarian cyst accident, and others) and 11 cases (11%) were converted to open surgery (4 gallbladder empyema, 2 appendicular mass, 2 intestinal obstruction, and others). Postoperative complications were two cases of wound infection managed conservatively (perforated appendix). The postoperative follow-up for six months was uneventful. CONCLUSIONS: Laparoscopic management of acute abdomen is a safe and effective method with the advantages of small scar, short hospital stay and early recovery.

Abdomen, Acute↗
PubMed2004

Cryptococcal mesenteric lymphadenitis: an unusual cause of acute abdomen.

Cryptococcal infection of intraabdominal organs or tissues is extremely rare. Herein we report a child with mesenteric cryptococcal lymphadenitis who presented with an acute abdomen misdiagnosed as acute appendicitis. Definitive diagnosis was established with 2nd look and lymph node biopsy. Clinicians should remember that cryptococcal infection of mesenteric lymph nodes may rarely mimic an acute abdomen and cause delay in diagnosis.

Abdomen, Acute↗
PubMed1998

[Acute abdomen secondary to pyonephrosis. Perinephritic abscess with fistula to peritoneal cavity].

OBJECTIVE: To describe a case of acute abdomen arising from an underlying urological condition. METHODS/RESULTS: Herein we describe a patient with acute abdomen arising from a pyonephrotic kidney with fistulization to the peritoneal cavity. The clinical manifestations disappeared following nephrectomy by the anterior approach and drainage of the intraperitoneal cavity. CONCLUSION: Although infrequent, it should be taken into account that peritoneal abscess and/or pyonephrosis can cause acute abdomen when they fistulize to the peritoneal cavity.

Abdomen, Acute↗
PubMed1987

[Acute abdomen in immunoreaction mediated diseases].

Assessment of the acute abdomen as a real or simulated complication in immunovasculitis is extremely difficult. Despite modern laboratory and imaging procedures, the number of false diagnoses is considerable, and a superfluous, falsely indicated emergency laparotomy can be just as fatal as the failure to perform a necessary surgical intervention. It is important to do a careful follow-up, including sonography and possibly laparoscopy, and to bear in mind the experience of H. Bailey with PSH that complications are often suspected but only seldom found.

Abdomen, Acute↗
PubMed2007

[Intravascular lymphoma causing acute abdomen].

A 65-year old man presented with acute abdominal pain and fever. The initial diagnosis was small bowel gangrene. Pathology revealed small to large abdominal vessels obliterated by cells of intravascular B-cell-lymphoma (IVL). Visceral IVL involvement is common at autopsy but rarely reported in patients with acute abdomen. The subtype of diffuse large B-cell lymphoma is a rare and aggressive malignancy, which in typical cases is characterized by cephalic or cutaneous manifestation. Few cases showed involvement of large vessels which in combination to fibrin thrombi may lead to infarction of the organ involved. Thus IVL should be considered in cases of ischemic diseases with fever of unknown origin.

Abdomen, Acute↗
PubMed2000

Infantile acute pancreatitis after mumps vaccination simulating an acute abdomen.

We describe an extremely rare case of acute pancreatitis presenting as an acute abdomen that appeared as a complication of mumps vaccination in a young child. A laparotomy performed because of suspected perforated appendicitis proved unnecessary in retrospect. No similar case in infancy and early childhood has been reported to date.

Abdomen, Acute↗
PubMed1991

[Strategy in acute abdomen].

The most important measure in assessing the acute abdomen is the selection of the patients requiring urgent operation. Hitherto, the patient's history and careful physical examination by an experienced surgeon have formed the basis for decision making and management. Provided adequate experience is available, ultrasonography is considered helpful in certain cases. Special laboratory tests and extensive equipment-related measures should be applied only following specific questioning.

Abdomen, Acute↗
PubMed1994

[Acute abdomen--anesthesiologic and intensive care management].

The expression "acute abdomen" is a provisional destination of a complex of various abdominal diseases which require quick diagnostic as well as urgent surgical therapy. A close interdisciplinary cooperation during the whole perioperative period is of high importance for the prognosis of this potentially life-threatening syndrome. The anesthetist must have profound knowledge on causes and clinical signs of this disease, on diagnostic measures and on therapeutic principles. Anaesthesiological problems arise from the discrepancy between an urgent operation on one hand and the necessity of an improvement of the preoperative status of the patient on the other. Furthermore, these patients have high risks of aspiration due to disturbed motility of the gastrointestinal tract. Intensive therapy of these patients is characterized by the peculiarity that a primarily local abdominal disease is frequently followed by severe extraperitoneal general reactions and multiple organ failure, respectively.

Abdomen, Acute↗
PubMed1998

[Surgical laparoscopy in acute abdomen].

In 582 patients, laparoscopy was performed for acute abdominal pain and symptoms of acute abdomen. It allowed a clear diagnosis in 96% as compared to 42% by sonography and 25% by X-ray. In 134 cases (22%) laparotomy (i.e. unnecessary appendectomy) could be avoided. In 42% surgery could be performed laparoscopically, and 36% required surgery by laparotomy.

Abdomen, Acute↗