1/10. A rare cause of acute abdomen: splenic infarction.splenic infarction is a rare disorder. We have treated 4 patients during the last year. abdominal pain in the left upper quadrant was the common complaint. Other complaints were fever, nausea and vomiting. Computed tomography showed infarcted areas in the spleen in all of the patients. splenectomy was applied to three of the patients with recurring symptoms. The other patient had the first episode treated medically. pulmonary embolism in one and surgical wound infection occurred in another patient during postoperative follow-up for nine (range: 4-14) months.- - - - - - - - - - ranking = 1keywords = embolism (Clic here for more details about this article) |
2/10. Acute abdomen during adjuvant chemotherapy: superior mesenteric artery thrombosis associated with CMF chemotherapy.We report a case of superior mesenteric artery thrombosis in a 57-year-old woman undergoing chemotherapy for T1N1M0, breast cancer. Although cancer itself is associated with an increased risk of thrombotic events, treatment with chemotherapy and/or tamoxifen in breast cancer patients increases this risk. Most cases reported are of venous thromboembolism; arterial events are rare.- - - - - - - - - - ranking = 1.7685283374332keywords = embolism, thromboembolism (Clic here for more details about this article) |
3/10. Conservative laparoscopic management of ovarian teratoma torsion in a young woman.Benign cystic tumors, specifically dermoid or mucinous cysts, are the most frequent causes of ovarian torsion. In clinical practice, adnexal torsion is usually subjected to adnexectomy to prevent embolism of thrombosed ovarian veins and its sequelae. However, this intervention is unsatisfactory for young women who want to preserve their fertility. In such situations, conservative management with untwisting of the adnexa, followed by cystectomy to preserve part of the ovary, would be a better option. In this report, we present a case of adnexal torsion due to cystic teratoma. A 25-year-old unmarried woman with lower abdominal pain and nausea was referred to our emergency room with suspicion of an ovarian mass. ultrasonography showed a left ovarian mass measuring 9.7 x 6.5 x 6.2 cm with heterogeneous components within it. laparoscopy showed an enlarged, dusky left ovary with torsion. Detorsion was performed and followed by cystectomy. The pathology revealed cystic teratoma of the ovary. We report this case to emphasize that untwisting of potentially viable adnexa, followed by cystectomy, in patients with adnexal torsion appears to be a safe procedure. This conservative approach should be encouraged in women of childbearing age to reduce the possibility of premenopausal loss of ovarian function.- - - - - - - - - - ranking = 1keywords = embolism (Clic here for more details about this article) |
4/10. Chest disease presenting as an acute abdomen.Four patients with primary disease in the chest are discussed, each coming to laparotomy. The final postoperative diagnoses were empyema, pulmonary tuberculosis, pulmonary embolism and bacterial endocarditis. These cases well illustrate the real risk of confusing an acute chest condition with an acute abdomen.- - - - - - - - - - ranking = 2.2934611898692keywords = pulmonary embolism, embolism (Clic here for more details about this article) |
5/10. pulmonary embolism presenting as acute abdominal pain.pulmonary embolism has protean manifestations. This report describes a 20-year-old woman without risk factors with pulmonary embolism presenting as abdominal pain. Previous cases and potential etiologies of pain are reviewed.- - - - - - - - - - ranking = 7.2934611898692keywords = pulmonary embolism, embolism (Clic here for more details about this article) |
6/10. pulmonary embolism presenting as an acute surgical abdomen.pulmonary embolism remains a serious cause of morbidity and mortality. diagnosis based on clinical manifestations remains difficult. Prior reviews have rarely noted the potential for patients to present with abdominal complaints. Presented here is the case of a 28-yr-old woman who had signs and symptoms of an intra-abdominal catastrophe. The patient underwent laparotomy and at surgery had findings suggesting primary intra-abdominal pathology. autopsy results indicated that pulmonary embolism was responsible for the patient's presentation and death.- - - - - - - - - - ranking = 7.2934611898692keywords = pulmonary embolism, embolism (Clic here for more details about this article) |
7/10. Abdominal manifestations of pulmonary embolism.The cardiopulmonary manifestations of acute pulmonary embolism are well known. However, abdominal manifestations of thromboembolic disease are less well appreciated. We recently encountered three patients with pulmonary emboli who also had complications of abdominal signs and symptoms. Two patients initially had abdominal complaints that obscured the diagnosis. In the other patient, symptoms and signs developed that were indistinguishable from an acute surgical condition of the abdomen after the diagnosis of massive pulmonary embolism was established. Abdominal manifestations alone may be the presenting features of pulmonary embolism or may complicate the clinical course.- - - - - - - - - - ranking = 16.054228329084keywords = pulmonary embolism, embolism (Clic here for more details about this article) |
8/10. Coeliac axis thrombosis associated with the combined oral contraceptive pill: a rare cause of an acute abdomen.We report a case of coeliac axis thrombosis and splenic infarction presenting in a girl of 14 years who had been on the oral contraceptive pill (OCP), Marvelon (ethinyloestradiol 30 microg plus desogestrel 150 microg, Organon, Cambridge, UK), for 3 weeks. She had no other risk factors for thrombo-embolism. diagnosis was made with duplex Doppler ultrasound and confirmed with dynamically-enhanced comput-ed tomography and magnetic resonance angiography, thus avoiding the need for percutaneous arteriography. Though mesenteric thrombo-embolic disease is recognised in association with use of the combined OCP, it has not previously been reported to affect the coeliac axis. Paediatricians and surgeons should be aware of the risks to young girls on the OCP, and consider it in their differential diagnosis of the acute abdomen.- - - - - - - - - - ranking = 1keywords = embolism (Clic here for more details about this article) |
9/10. Fatal air embolism: a complication of manipulation of a cavitating metastatic lesion of the liver.A patient undergoing emergency laparotomy for an acute abdomen developed fatal air embolism as a result of surgical manipulation of a cavitating metastatic lesion of the liver. The diagnosis was made at postmortem examination. This cause of air embolism has apparently not been reported before. The causes and management of air embolism are briefly reviewed. It is concluded that in exceptional circumstances when intubated patients are sent to a recovery area, the continuation of CO2 monitoring into the post-operative period should be considered.- - - - - - - - - - ranking = 7keywords = embolism (Clic here for more details about this article) |
10/10. Unusual course of right atrial myxoma, masked by acute abdominal pain, and complicated by pulmonary embolus.In a 17-year-old youth, exploratory laparotomy for acute abdominal pain was complicated by circulatory arrest related to pulmonary embolism. echocardiography after resuscitation revealed a hitherto "silent" right atrial myxoma, fragmentation of which had blocked the right atrioventricular ostium, causing the pain. Operation was successful. As only a few similar cases have been reported, pulmonary embolism due to fragmentation of a right atrial myxoma may account for some unexplained sudden deaths beyond medical help.- - - - - - - - - - ranking = 4.5869223797384keywords = pulmonary embolism, embolism (Clic here for more details about this article) |
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