1/4. Perforation of Meckel's diverticulum by a chicken bone, a rare complication: report of a case.A perforation of Meckel's diverticulum by foreign bodies is an extremely rare cause of acute abdomen in adults. We herein present a case of a 30-year-old man who was admitted due to symptoms of right lower quadrant pain, anorexia, and vomiting. An exploratory laparotomy was done, and a perforated Meckel's diverticulum due to a chicken bone was found at exploration. A resection of a segment of ileum including the perforated diverticulum was performed, and the patient had an uncomplicated postoperative course.- - - - - - - - - - ranking = 1keywords = anorexia (Clic here for more details about this article) |
2/4. Acute appendicitis in patients with Gilbert's syndrome.Gilbert's syndrome is a benign disorder characterized by intermittent hyperbilirubinemia. jaundice is provoked by anorexia and fever, conditions associated with acute abdominal illnesses. Three cases of Gilbert's syndrome and acute appendicitis are presented. The presence of jaundice resulted in errors of diagnosis with serious complications.- - - - - - - - - - ranking = 1keywords = anorexia (Clic here for more details about this article) |
3/4. Acute diabetic abdomen in childhood.Three children presented as acute surgical emergencies due to undiagnosed diabetes mellitus. Where diabetic ketoacidosis mimicks the acute abdomen three clinical features are important in reaching the right diagnosis-namely, a history of polydipsia, polyuria, and anorexia preceding the abdominal pain, the deep sighing and rapid respirations, and severe dehydration.- - - - - - - - - - ranking = 1keywords = anorexia (Clic here for more details about this article) |
4/4. Perforated solitary ulcer of the colon. Report of a case.PURPOSE: A patient with a solitary colonic ulcer had sudden onset of crampy abdominal pain, anorexia, fever, and vomiting, with signs of positive peritoneal irritation. methods: The diagnosis was proved by histopathologic examination of right hemicolectomy material. RESULTS: An emergency laparotomy, with right hemicolectomy and ileotransversostomy, gave complete relief from symptoms. The patient was still asymptomatic at the two-year follow-up, and control colonoscopic examinations performed at 6 and 18 months after the operation were normal. CONCLUSION: Preoperative diagnosis of perforated solitary colonic ulcers localized at the right hemicolon may mimic acute appendicitis, and intraoperative findings may mimic colonic carcinoma. If the preoperative diagnosis is not certain, right hemicolectomy and ileotransversostomy, with regular colonoscopic controls, is a safe procedure in the treatment and follow-up of these patients.- - - - - - - - - - ranking = 1keywords = anorexia (Clic here for more details about this article) |