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16 Possible Causes for Abdominal Distension, Decreased Bowel Sounds, Pelvic Hematoma

  • Hemoperitoneum

    We herein present a case of a 48-year-old woman who was urgently referred to our clinic with colic, abdominal distension, and hypovolemic shock during menstruation.[] […] formed by the intra-pelvic medial migration of the K wire.[] Significant findings on clinical examination were marked pallor, gross abdominal distension with doughy feel, and forniceal fullness on vaginal examination.[]

  • Volvulus

    The patient was admitted to the hospital with enormous abdominal distension and acute respiratory insufficiency.[] Figure 4: Axial CT scan of pelvic objectifying moderately abundant hemoperitoneum at the Dougla’s pouch.[] The most common presentation was abdominal distension (14/19 [74%]) and pain (11/19 [58%]).[]

  • Retroperitoneal Hematoma

    RH can also present as an abdominal mass accompanied by distension, whereas newly form ascites is a highly indicative sign of an ongoing process in the abdomen.[] One complication of femoral artery catheterization is postprocedure pelvic hematoma. These hematomas can be difficult to differentiate from adnexal masses.[] Centro-medial hematoma was found in 31 patients, lateral hematoma in 36 patients, pelvic hematoma in 35 and pelvic-central hematoma in six patients.[]

  • Intestinal Obstruction

    A 27-year-old male presented with a history of gastric pain combined with nausea and abdominal distension that had been present for 5 d.[] When the patient has a mechanical obstruction, the doctor will first hear active, high-pitched gurgling and splashing bowel sounds while listening with a stethoscope.[] […] related to underlying etiology Risk Factors Previous abdominal and/or pelvic surgery (particularly with open surgical techniques) Hernia Chronic constipation Cholelithiasis[]

  • Traumatic Rupture of the Bladder

    These injuries in a child can present as abdominal pain, emesis, constipation, multiple ecchymoses, and abdominal distension.[] bowel sounds, bruising Genitourinary exam: Blood at meatus, gross hematuria, clots in the urine, scrotal/urethral hematoma, free floating or high riding prostate, unstable[] Additionally, the bladder may assume a teardrop shape secondary to compression from a pelvic hematoma.[]

  • Retroperitoneal Hemorrhage

    A patient with end-stage renal disease on maintenance hemodialysis developed sudden severe abdominal pain and distension.[] Contrast computed tomography (CT) revealed an extensive abdominal-pelvic, retroperitoneal hematoma extending approximately 15 cm in length from above L5 cephalad to below[] Surgery After blunt trauma, selected retroperitoneal hematomas in the lateral perirenal and pelvic areas do not require operation and should not be opened if discovered at[]

  • Diverticular Abscess

    […] anorexia; nausea and vomiting; diarrhea; abdominal fullness; distension; obstipation; shock; acidosis; and extra-abdominal organ failure.[] Bowel sounds often are decreased but may be normal early in the condition or increased in the presence of obstruction.[] […] inflammatory disease, hematoma, tumor, and inflammation of the iliopsoas compartment Diagnostic Tests & Interpretation Initial Tests (lab, imaging) Labs: WBC ( 10,000/mL)[]

  • Abdominal Injury

    There are also the following abdominal injury symptoms: Abdominal pain and tenderness Abdominal distension Rigidity to the abdomen Lack of bowel sounds Abdominal guarding[] Most common in this situation are mesenteric hematoma, devascularization of the bowel, severe damage leading to rupture of the bowel wall, bruising, and hemorrhage of the[] Abdominal distension is suggestive of intra-abdominal haemorrhage and in association with signs of hypovolaemia must be dealt with promptly.[]

  • Volvulus of the Small Intestine

    A 56-year-old woman, with a history of appendectomy 30 years previously, was admitted with abdominal distension and signs of peritonitis.[] The bowel sounds were heard in 48 hours and the quantity of the Ryle’s tube aspiration decreased, oral feeding was started.[] Figure 4: Axial CT scan of pelvic objectifying moderately abundant hemoperitoneum at the Dougla’s pouch.[]

  • Retroperitoneal Abscess

    Clinical examination revealed an abdominal distension with a palpable mass in the lower abdomen, as well as signs of peritoneal irritation.[] Abdominal examination revealed distension of abdomen, diffuse abdominal tenderness along with guarding, rigidity and absent bowel sounds.[] Extension of fluid collections Pelvic Extension By the infrarenal retroperitoneal space 27. Retroperitoneal Hematomas 28.[]

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