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38 Possible Causes for Abdominal Distension, Midline Defects, Periumbilical Pain

  • Small Bowel Obstruction

    distension.[] The patient was taken to the operating room for a midline laparotomy, and RPTH with incarcerated small bowel was diagnosed.[] Evaluate pain . Crampy abdominal pain, an early sign, may be centered in the periumbilical area.[]

  • Umbilical Hernia

    distension with vomiting, red shiny painful skin over the swelling.[] We report a case of a painful periumbilical mass ultimately diagnosed as an infected urachal cyst.[] […] supraumbilical incision including the umbilical hernia defect.[]

  • Ventral Hernia

    Opiate pain medications all may slow down GI tract motility and cause constipation and abdominal distension and increased intra-abdominal pressure.[] A hernia caused by weakness of the anterior ABDOMINAL WALL due to midline defects, previous incisions, or increased intra-abdominal pressure.[] distension should be evaluated by physical examination followed by appropriate laboratory testing and CT scanning if the patient does not appear to exhibit an acute surgical[]

  • Epigastric Hernia

    […] wall muscles, or any cause of distension.[] Risk factors obesity pregnancy Radiographic features Ultrasound Shows a midline defect which is usually small with or without herniation of omental/properitoneal fat.[] Clinical Information A hernia caused by weakness of the anterior abdominal wall due to midline defects, previous incisions, or increased intra-abdominal pressure.[]

  • Retractile Mesenteritis

    The patient was referred to a gastroenterologist for the evaluation of new-onset progressively worsening ascites causing abdominal discomfort and distension.[] Click here to view Midline exploratory incision revealed a mass in the mesentery of the small bowel (ileum) with no evidence of hematoma or infarction ( [Figure 2] ).[] Midgut structures (small bowel, proximal colon, and appendix) cause periumbilical pain. Hindgut structures (distal colon and GU tract) cause lower abdominal pain.[]

  • Omphalitis

    . Necrotizing fasciitis is characterized by abdominal distension, fever and tachycardia. Despite the illness, most of the neonates at presentation have good appetite and[] Taping or strapping the hernia does not hasten resolution. 3 An omphalocele is a serious congenital condition in which viscera enclosed in a sac protrude from a midline defect[] A significant decrease in periumbilical pain, elimination of the disturbing chronic discharge, and vaporization of the reactive granulation tissue were achieved, suggesting[]

  • Sigmoid Volvulus

    The patient presented abdominal distension and severe constipation.[] We changed our gowns and redraped the abdomen and then turned to closing the midline fascia defect with 0 PDS in a running fashion.[] We present a rare clinical case of acute abdomen due to torsion of wandering spleen and volvulus of sigmoid in a 14-year-old girl presented with painful periumbilical mass[]

  • Cecal Volvulus

    We report a case in an 86-year-old man presented with an abrupt onset of lower abdominal distension, preoperatively diagnosed as cecal volvulus by abdominal CT.[] The midline structural defects with nonfixation of the cecum and ascending colon, chronic constipation, and previous abdominal surgery might have been the predisposing factors[] Condition Presentation Diagnosis Management Appendicitis [14] Abdominal pain, nausea, vomiting, fever Periumbilical pain, migrates to RLQ Clinical (history & physical exam[]

  • 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.[] A small bowel contrast imaging study revealed a duodenal rotation defect, with the whole small intestine (jejunum and ileum) on the right side of the midline and a vertical[] , nausea and vomiting are nonspecific. 4 The most important clue is a recent history of intermittent, recurring abdominal pain that is usually periumbilical or epigastric[]

  • Littre Hernia

    The patient presents with symptoms and signs of intestinal obstruction (abdominal colic, vomiting, constipation, abdominal distension) (see Small bowel obstruction ), together[] pain  Recurrent episodes of intestinal obstruction  Physical examination  May reveal palpable mass of herniated bowel loops with localized tenderness  Diagnostic studies[] Midline Defects Midline defects include umbilical, epigastric, and hypogastric hernias.[]

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