1/5. Sigmoid colon rupture secondary to Crede's method in a patient with spinal cord injury.Crede's method is a manual suprapubic pressure exerted with a clenched fist or fingers, used to initiate micturition, in patients with spinal cord injury (SCI) who have neurovesical dysfunction. It is usually a benign maneuver unassociated with any major complications. This paper will illustrate a case report involving a sigmoid colon rupture secondary to Crede's method in a patient with SCI. Various techniques of Crede's method are briefly described. It is recommended that patients with quadriplegia avoid forceful use of Crede's method, as it may cause contusion of the abdominal wall and injuries to internal viscera, possibly leading to colonic rupture. It is believed that this is the first reported case of such an unusual complication of Crede's method in patients with SCI.- - - - - - - - - - ranking = 1keywords = dysfunction (Clic here for more details about this article) |
2/5. Herbal remedy poisoning presenting with acute abdomen and raised urine porphyrins.We describe a case of lead poisoning due to herbal remedies, presenting with an acute abdomen, raised porphyrins and increased liver enzyme activities. We suggest that lead poisoning should be considered in the differential diagnosis of the 'acute abdomen', and that the presence of liver dysfunction points to the possibility of Asian herbal remedies as the source of the lead poisoning.- - - - - - - - - - ranking = 1keywords = dysfunction (Clic here for more details about this article) |
3/5. Addison's disease presenting with an acute abdomen and complicated by cardiomyopathy.adrenal insufficiency typically presents with non-specific symptoms, followed by shock secondary to a salt-wasting crisis and/or the vascular effects of glucocorticoid deficiency if it progresses to acute adrenal insufficiency. rhabdomyolysis and cardiac dysfunction are rarely reported, particularly in children. We report a child with adrenal insufficiency, presenting with acute abdominal signs, probably secondary to rhabdomyolysis, and complicated by reversible cardiomyopathy. Acute adrenal insufficiency should be considered with this presentation. The possibility of impaired cardiac function during its treatment should also be considered.- - - - - - - - - - ranking = 1keywords = dysfunction (Clic here for more details about this article) |
4/5. Thoracoabdominal radiculopathy.Thoracic nerve root dysfunction (TNRD) manifested as abdominal pain is an infrequently reported condition. We present data on six patients who had chronic intermittent thoracoabdominal pain originating in the back. Diabetes and osteoarthritis of the spine were the chief causes of these symptoms. The electromyogram in all patients showed changes consistent with an acute radiculopathy. All patients responded to anti-inflammatory therapy in combination with phenytoin, carbamazepine, amitriptyline, or local nerve block. TNRD is a condition that may be diagnosed earlier if clinical suspicion is increased, thus sparing patients excessive testing and surgery, and affording quicker relief.- - - - - - - - - - ranking = 1keywords = dysfunction (Clic here for more details about this article) |
5/5. Acute intermittent porphyria--an unusual cause of "surgical" abdomen. Response to propranolol therapy.We report a case of Acute Intermittent Porphyria which presented with acute abdominal distress, autonomic dysfunction and laboratory abnormalities. The treatment is discussed with special emphasis on the effect of large doses of propranolol.- - - - - - - - - - ranking = 1keywords = dysfunction (Clic here for more details about this article) |