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17 Possible Causes for Abdominal Rigidity, Decreased Bowel Sounds, Pelvic Hematoma

  • Diverticular Abscess

    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)[] […] lower quadrant abdominal rigidity R1934Left lower quadrant abdominal rigidity R1935Periumbilic abdominal rigidity R1936Epigastric abdominal rigidity R1937Generalized abdominal[]

  • Hemoperitoneum

    Do not explore pelvic hematomas. Use external fixation of pelvic fractures to reduce or stop blood loss in this region.[] […] formed by the intra-pelvic medial migration of the K wire.[] If a pelvic hematoma was found and the patient continues to lose blood after external fixation of a pelvic fracture, arteriography with embolization can be used to stop the[]

  • Constipation

    Rigid endoscopy may be used in an urgent situation when flexible endoscopy is not available.[] Objective signs of constipation include discovery of a palpable mass in the abdomen and decreased bowel sounds. Etiology.[] Digital examination revealed a pulseless tumor and pelvic CT and US showed the big cystic lesion.[]

  • Retroperitoneal Hematoma

    Inspection showed an abdominal mass. The abdominal wall was tender and rigid on examination. The mass was fixed and not pulsating.[] 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.[]

  • Abdominal Injury

    Signs of a serious injury vary from mild discomfort to abdominal rigidity andshock.[] First this patient is at risk for arterial injury with pelvic hematoma, rectal, vaginal injury and bladder injury.[] Bladder Rupture Mechanism: direct blow to distended bladder Symptoms: abdominal pain, difficulty urinating Objective Signs: haematuria, abdominal rigidity Action Required:[]

  • Intestinal Obstruction

    bowel sounds.[] […] related to underlying etiology Risk Factors Previous abdominal and/or pelvic surgery (particularly with open surgical techniques) Hernia Chronic constipation Cholelithiasis[] This mass may be difficult to locate in inconsolable infants because of abdominal rigidity from muscle straining. Early on, vomiting of undigested food may occur.[]

  • Traumatic Urinary Bladder Rupture

    Signs of peritoneal irritation (abdominal rigidity, rebound tenderness, and voluntary guarding) may also be present because of extravasation of blood or urine into the peritoneal[] 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

    Contrast computed tomography (CT) revealed an extensive abdominal-pelvic, retroperitoneal hematoma extending approximately 15 cm in length from above L5 cephalad to below[] Inspection showed an abdominal mass. The abdominal wall was tender and rigid on examination. The mass was fixed and not pulsating.[] 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[]

  • Volvulus

    The physical examination revealed hypoactive bowel sounds and diffuse abdominal tenderness with rebound; there was no fever, abdominal rigidity, or guarding.[] Figure 4: Axial CT scan of pelvic objectifying moderately abundant hemoperitoneum at the Dougla’s pouch.[] The presenting symptoms include the acute onset of bilious vomiting and abdominal distension, followed by abdominal wall erythema, rigidity and peritonitis if left untreated[]

  • Intraperitoneal Abscess in the Right Lower Quadrant

    Signs of peritoneal inflammation, including rebound tenderness, abdominal wall rigidity, and decrease in bowel sounds are observed.[] […] and ureter – nephrolithiasis (ureteric colic) In females (gynecologic) – Right ovary – ovarian cyst rupture, ovarian torsion, endometriosis Right fallopian tube – acute pelvic[] […] height * (n*) 腹部硬直 ** ふくぶこうちょく PubMed , Scholar , Google , WikiPedia abdominal rigidity * (n) 腹部コンパートメント症候群 * ふくぶこんぱーとめんとしょうこうぐん シソーラス PubMed , Scholar , Google , WikiPedia[]

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