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18 Possible Causes for Abdominal Distension, Patient Appears Acutely Ill, Pelvic Hematoma

  • Traumatic Urinary Bladder Rupture

    These injuries in a child can present as abdominal pain, emesis, constipation, multiple ecchymoses, and abdominal distension.[] Additionally, the bladder may assume a teardrop shape secondary to compression from a pelvic hematoma.[] First this patient is at risk for arterial injury with pelvic hematoma, rectal, vaginal injury and bladder injury.[]

  • Splenic Rupture

    In the presence of severe anemia with pallor and abdominal distension, particularly in the context of a difficult birth, an abdominal ultrasound must be urgently performed[] Following the CT, the radiologist immediately called with preliminary results concerning for splenic laceration and hematoma with hemorrhagic abdominal and pelvic ascites[] The classic presentation is a triad of bleeding, abdominal distension, and hemoperitoneum.[]

  • 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.[] Figure 4: Axial CT scan of pelvic objectifying moderately abundant hemoperitoneum at the Dougla’s pouch.[] Abdominal distension, pressure pain, and rebound tenderness were observed throughout his entire abdomen.[]

  • 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.[] Do not explore pelvic hematomas. Use external fixation of pelvic fractures to reduce or stop blood loss in this region.[] Significant findings on clinical examination were marked pallor, gross abdominal distension with doughy feel, and forniceal fullness on vaginal examination.[]

  • Leaking Aortic Aneurysm

    Increased venous pressure can lead to distension of veins in the legs or abdominal wall.[] The mechanical tension in the abdominal aortic wall is therefore higher than in the thoracic aortic wall.[] However, if the aneurysm is small and the patient is obese, or if abdominal guarding or distension are present, one is much less likely to palpate a mass.[]

  • Tubo-Ovarian Abscess

    There was associated central abdominal distension, copious bilious vomiting following meals, absolute constipation and fever. There was no vaginal discharge.[] […] malignancy complex diverticular abscess complex appendiceal abscess pelvic endometriosis pelvic hematoma pelvic hemorrhagic cysts hydrosalpinx ectopic pregnancy 16 inflammatory[] Patients appear acutely ill, and fever is common. Physical examination reveals skin changes that progress from an erythema to a blue-grey discoloration.[]

  • Subcapsular Kidney Rupture

    These injuries may first manifest themselves after being discharged home with symptoms such as worsening abdominal pain, fevers/chills, and increasing abdominal distension[] First this patient is at risk for arterial injury with pelvic hematoma, rectal, vaginal injury and bladder injury.[] The SLH may present as right upper quadrant abdominal pain or shoulder pain, abdominal distension, nausea or vomiting.[]

  • Malignant Ovarian Neoplasm

    Early symptoms are often vague, such as abdominal discomfort, abdominal distension or bloating, urinary frequency or dyspepsia.[] The patient often appears thin and chronically ill. Her abdomen may be grossly distended, but her extremities are thin and even wasted.[] In some women, the pelvic muscles and ligaments that support the vagina, bladder, and rectum may become weak.[]

  • Retrocecal Appendicitis

    Clinical management Main symptoms: · moderate, diffuse abdominal discomfort · constipation · abdominal distension · nausea/vomiting, especially after meals · lack of bowel[] Ureteric stone Primary peritonitis Henoch-Schonlein purpura Yersiniosis Diseases of the Male: Testicular torsion Epididymitis Seminal vesciculitis Gynecologic disorders: Pelvic[] More evident the signs of intestinal paresis (abdominal distension, absence of peristalsis). The general state is worsened.[]

  • Acute Endometritis

    It may also present menorrhagia, lower abdominal pain and abdominal distension. Whether the sex life should be banned?[] […] examination Vaginal hematoma Lochia blockage Foul lochia VII.[] . • Abdominal distension • Abnormal vaginal bleeding • Abnormal vaginal discharge -increased amount -unusual color, consistency or odor • Discomfort with bowel movement (including[]

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