1639: ACUTE ABDOMINAL PAIN IN A TEENAGER WITH MARFAN SYNDROME: A KNOWN COMPLICATION IN A NEW LOCATION
Abbie WoudwykJason ThomasNikita VandenboschJambunathan KrishnanH SowińskiElizabeth RosnerAdam RobinsonAnthony Olivero
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Woudwyk, Abbie; Thomas, Jason; Vandenbosch, Nikita; Krishnan, Jambunathan; Sowinski, Heather; Rosner, Elizabeth; Robinson, Adam; Olivero, AnthonyKeywords:
Acute abdominal pain
Acute abdominal pain is one of the most common conditions encountered in the emergency department. The differential diagnosis of acute abdominal pain is extensive and identifying the underlying etiology can be challenging. We report a case of acute transient ischemic jejunitis due to symptomatic isolated superior mesenteric artery dissection in a patient with no cardiovascular risk factors or autoimmune diseases. Symptomatic isolated superior mesenteric artery dissection is a rare cause of acute abdominal pain usually treated in the surgical department. The patient had criteria for conservative treatment and rapidly recovered. We highlight a rare condition which should be taken into account for the differential diagnosis of acute abdominal pain.
Acute abdominal pain
Etiology
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Acute abdominal pain
Acute Pain
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Acute abdominal pain
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The clinical and laboratory data for an 8 year old girl with abdominal pain as a presenting manifestation of acute rheumatic fever are reported. An abdominal investigation with ultrasonography carried out at the same time showed free peritoneal fluid. These findings support the proposal that the abdominal pain classically described in acute rheumatic fever is one of the manifestations of the inflammatory process. It is suggested that in patients with abdominal pain, fever, and increased erythrocyte sedimentation rate in whom the diagnosis is not clear, an abdominal investigation with ultrasonography could be helpful in establishing the correct diagnosis.
Acute abdominal pain
Abdominal ultrasonography
Erythrocyte sedimentation rate
Peritoneal fluid
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Pregnant women with acute abdominal pain are a clinical challenge. We present a rare but potential life-threatening condition of a pregnant woman with acute abdominal pain. The woman was in gestational week 37 with severe abdominal pain and was admitted to the labour ward. She became haemo-dynamic instable 24 hours after vaginal delivery, and emergency laparotomi revealed a spontaneous rupture of the right uterine artery. Spontaneous rupture of the uterine artery is rare but should be considered as a possible cause of acute abdominal pain in pregnant women.
Acute abdominal pain
Uterine rupture
Lower abdominal pain
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Cryptorchidism is associated with a higher risk of malignancy, infertility, and torsion. Torsion of an intra-abdominal testis is a rare cause of acute abdominal pain in the post-pubertal male but must be considered in men presenting with abdominal pain and a history of cryptorchidism. We present an unusual case of a patient with acute abdominal pain found to have torsion of a left intra-abdominal testis and his management.
Acute abdominal pain
Ovarian torsion
Lower abdominal pain
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This chapter contains sections titled: The interpretation of abdominal pain in children Assessment of physical findings Acute appendicitis Abdominal pain of uncertain origin Abdominal emergencies in mentally handicapped children Intestinal obstruction Meckel's diverticulum Primary peritonitis Paediatric gynaecologic emergencies Further reading
Acute abdominal pain
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Acute abdominal pain is one of the most common presentations encountered in the emergency department (ED). The differential diagnosis of acute abdominal pain is extensive and identifying the underlying etiology can be challenging. Spontaneous renal artery thrombosis is a rare cause of acute abdominal pain. We review a case of acute presentation of renal artery thrombosis in a patient without risk factors for thromboembolism, and highlight the importance of considering this rare cause of abdominal pain.
Acute abdominal pain
Presentation (obstetrics)
Etiology
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Acute appendicitis is an extremely rare complication of colonoscopy, with no reports in the British literature. Here we discuss a case report of a patient who developed acute appendicitis 24 hours following a normal diagnostic colonoscopy. This case report highlights the rarity of this life threatening complication and discusses its aetiology.
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Prinzipiell muss man bei Kindern zwischen chronisch-rezidivierenden und akuten abdominalen Schmerzen unterscheiden. Im Folgenden werden die chronischen Schmerzen nur kurz erwähnt, sollten aber genauso ernst genommen werden wie die akuten. Sehr häufig und abhängig vom Alter des Kindes "tut der Bauch weh", auch wenn die Ursache nicht in abdomine zu finden ist. Das Alter der Kinder spielt eine große Rolle, da bestimmte Erkrankungen selten außerhalb gewissen Altersgrenzen vorkommen. Im Folgenden werden die typischen kinderspezifischen Erkrankungen mit akuten Abdominalschmerzen besprochen.
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