1/5. A preventable cause of acute abdomen.Haemoperitoneum is an extremely rare presentation of hepatocellular carcinoma in the industrialised world. We present the first reported case in the UK. In contrast, up to 10% of hepatocellular carcinomas in africa present in this way, the median time between presentation and death being just six weeks. hepatitis b infection at birth and during childhood is the major cause of hepatocellular carcinoma in the developing world. The world health Organisation, UNICEF and the World Bank have all advocated routine hepatitis b vaccination of children. This can reduce the burden of disease in these communities, among people in their productive years of life.- - - - - - - - - - ranking = 1keywords = hepatitis (Clic here for more details about this article) |
2/5. Acute abdominal attack of hereditary angioneurotic oedema associated with ultrasound abnormalities suggestive of acute hepatitis.Hereditary angioneurotic oedema (HANO) is an autosomal dominant disorder caused by a deficiency of the inhibitor protein Cl-esterase. Recurrent subcutaneous and/or submucosal oedema formation is a hallmark of this disease. HANO is a rare, but potentially life-threatening disorder with a mortality around 20-30%. Acute oedematous abdominal attacks of HANO can mimic a surgical emergency; this is exemplified by the case of a 14-y-old male patient with HANO admitted for such clinical manifestations. Conclusion: Diagnostic clues include ascites and abnormalities of hepatic structure visible with ultrasound during the oedematous attack. The importance of appropriate treatment is emphasized.- - - - - - - - - - ranking = 4keywords = hepatitis (Clic here for more details about this article) |
3/5. Polymicrobial bacteremia caused by escherichia coli, edwardsiella tarda, and shewanella putrefaciens.edwardsiella tarda, a member of enterobacteriaceae, is found in freshwater and marine environments and in animals living in these environments. This bacterium is primarily associated with gastrointestinal diseases, and has been isolated from stool specimens obtained from persons with or without clinical infectious diseases. shewanella putrefaciens, a saprophytic gram-negative rod, is rarely responsible for clinical syndromes in humans. Debilitated status and exposure to aquatic environments are the major predisposing factors for E. tarda or S. putrefaciens infection. A 61-year-old woman was febrile with diarrhea 8 hours after ingesting shark meat, and two sets of blood cultures grew escherichia coli, E. tarda and S. putrefaciens at the same time. She was successfully treated with antibiotics. We present this rare case of polymicrobial bacteremia caused by E. coli, E. tarda and S. putrefaciens without underlying disease, which is the first found in taiwan. This rare case of febrile diarrhea with consequent polymicrobial bacteremia emphasizes that attention should always be extended to these unusual pathogens.- - - - - - - - - - ranking = 7.323817627743E-5keywords = animal (Clic here for more details about this article) |
4/5. Acute abdomen due to eosinophilic colitis with liver abscess.Eosinophilic colitis is an uncommon condition and rarely presents as acute abdomen. We report a 65-year-old man who presented with acute abdomen-- severe pain in upper abdomen, with pyrexia, tachycardia, guarding and right-sided intercostal tenderness--secondary to eosinophilic colitis and was successfully managed. He had additional problems in form of cirrhosis, chronic hepatitis, cholangitis, pyogenic liver abscesses and gout.- - - - - - - - - - ranking = 1keywords = hepatitis (Clic here for more details about this article) |
5/5. Perihepatitis and chlamydial salpingitis.In 4 patients with acute salpingitis (3 of whom also had perihepatitis) the diagnoses were verified by laparoscopy or laparotomy and all 4 had cultural and serological evidence of current infection with chlamydia trachomatis, whereas none had signs of gonococcal infection. 3 of the 4 had symptoms in the right upper abdomen, but the liver surface showed signs of perihepatitis in only 2. In the 4th patient, perihepatitis was diagnosed, although she denied symptoms in the hepatic region. Thus symptoms from the right upper abdomen in a young woman may be an indirect sign of a genital infection.- - - - - - - - - - ranking = 7keywords = hepatitis (Clic here for more details about this article) |