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145 Possible Causes for Abdominal Pain, Acute Peritonitis, Periumbilical Pain

  • Appendicitis

    Snap Shot 24-year-old presents with nausea, vomiting, constipation, and periumbilical pain that settles in the lower right quadrant.[] Compared to the no appendicolith group, the appendicolith group demonstrated more prolonged abdominal pain ( 48 hours) before the ED visit (23.1% vs. 11.5%; P 0.013), clinical[] […] with generalized peritonitis (disorder) acute appendicitis with peritoneal abscess acute appendicitis with peritoneal abscess (disorder) vermiform appendixitis vermiform[]

  • Small Bowel Obstruction

    Evaluate pain . Crampy abdominal pain, an early sign, may be centered in the periumbilical area.[] The clinical presentations varied, ranging from asymptomatic, chronic abdominal pain, or acute abdominal pain as acute abdomen.[] We successfully treated a 26-year-old male case of small bowel obstruction with acute peritonitis.[]

  • Acute Pancreatitis

    […] in the left upper quadrant, periumbilical region, and/or epigastrium, although in some cases acute pancreatitis may be painless.[] The clinical value of amylase and lipase measurement for the diagnosis of acute pancreatitis was evaluated in 253 patients presenting with acute abdominal pain.[] Peritoneal lavage in severe acute pancreatitis. Br J Surg. (1985); 72 :677–680. [ PubMed : 4041722 ] 8. Karimgani I, Kathaleen A, Porter A, Langevin R E, Banks F A.[]

  • Meckel Diverticulum

    Localised periumbilical pain may be experienced in the right lower quadrant (like appendicitis).[] RESULTS: The presenting complaints represented a variety of common GI presentations, including nausea, vomiting, and acute abdominal pain (n 3); acute abdominal pain with[] Keller, M.D. 1 Citing Article A 10-year-old boy presented to the emergency department with increasing periumbilical and epigastric pain after a 3-week period of intermittent[]

  • Meckel Diverticulitis

    The most common initial presentation is a periumbilical, gnawing pain that migrates within a few hours to the right iliac fossa.[] […] mortality in elderly patients who present to the emergency department (ED) with abdominal pain exceeds 10%. 1 In this population, small bowel obstruction is one of the most[] The adjacent small bowel had mucosal ischemic necrosis with ulceration, transmural acute inflammation, and acute peritonitis.[]

  • Pancreatic Abscess

    The sequence is typical: periumbilical or epigastric reference of pain at onset, followed by a shift to the right lower quadrant after a few hours.[] On the 26th day of the first intervention, the patient had fever and abdominal pain and his clinic was deteriorated.[] Pseudocysts and abscesses may result in prolonged abdominal pain, rupture leading to acute peritonitis, fistula formation, and erosion into vessels with acute hemorrhage.[]

  • Umbilical Hernia

    We report a case of a painful periumbilical mass ultimately diagnosed as an infected urachal cyst.[] At the clinical and radiological examination, the patient showed an enormous strangulated umbilical hernia with acute abdomen, atrial fibrillation, and pulmonary subedema.[] Peritoneal dialysis 3. Liver cirrhosis 4. Recurrence 5. Acute strangulation 6. American Society of Anesthesiologists (ASA) score more than III 7.[]

  • Intestinal Obstruction

    Evaluate pain . Crampy abdominal pain, an early sign, may be centered in the periumbilical area.[] This was associated with cyclical lower abdominal pains, abdominal swelling, and weight loss.[] Here, we present a case of acute intestinal obstruction in a 22-year-old woman. Imaging showed dilated bowel loops confined to the centre of the peritoneal cavity.[]

  • Mesenteric Vein Thrombosis

    A 76-year-old Caucasian man presented with acute onset of intense periumbilical abdominal pain associated with nonbloody diarrhea.[] Severe subcontinuous abdominal pain out of proportion to the physical findings and abdominal distension were the major symptoms in both patients.[] In this case report we present a young male who presented to emergency department with acute peritonitis after cigarette over-consumption.[]

  • Intestinal Perforation

    It should be differentiated from other causes of abdominal pain as the manifestations of the different etiologies can be diverse with abdominal rigidity being common to all[] Abdominal examination suggested acute peritonitis. At laparotomy, three ileal perforations were detected and histopathology demonstrated caseous granulomas.[] METHODS: 111 patients with acute peritonitis underwent emergency laparotomy: number of perforations, distance of perforations from the ileocaecal valve, and type of surgery[]

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