Possible Causes for Abdominal Wall Edema Anasarca Over the past 6 months he gained 30 lbs with worsening lower extremity, abdominal wall, and scrotal edema. [ncbi.nlm.nih.gov] Examination revealed generalized pitting edema extending from both lower extremities to the sacrum, abdominal, and thoracic wall, with scrotal swelling and upper extremity [ncbi.nlm.nih.gov] The examiner tests for pitting edema of the abdominal wall. Image Source: Just In Time Medicine. Michigan Stage University. [healthfixit.com] Heart Failure […] can extend to the thighs or even the sacrum, scrotum, lower abdominal wall, and occasionally even higher. [merckmanuals.com] Increase abdominal wall growth, where your pants are fitting tighter, could be an option. [capitalcardiology.com] Severe edema in multiple areas is termed anasarca. Edema may be asymmetric if patients lie predominantly on one side. [merckmanuals.com] Chronic Right-Sided Congestive Heart Failure In severe cases of HF, peripheral edema can extend to the thighs or even the sacrum, scrotum, lower abdominal wall, and occasionally even higher. [merckmanuals.com] Abdominal ultrasonography revealed liver parenchymal echo thickening; widening of the hepatic vein, the right hepatic vein, and the inferior vena cava; gallbladder wall edema [omicsonline.org] Swelling may be so severe as to reach up to the hips, scrotum, abdominal wall, and eventually, the abdominal cavity (ascites). [emedicinehealth.com] Nephrotic Syndrome • Some present with scrotal,labial edema n respiratory compromise.rarely there is diarrhoea secondary to edema of the bowel wall • Occasionlly,NS presents critically ill [slideshare.net] […] due to peritonitis,bacretemia,pneumonia or rarely due to thrombotic episode • Some may have hypotensive symptoms like abdominal pain,persistent vomiting,dizziness and cold [slideshare.net] Inferior Vena Cava Syndrome In addition, if the thrombus is confined to the cava and does not involve the iliac or femoral system, the collateral pathways form along the posterior abdominal wall. [emedicine.medscape.com] In one study, almost 60% of patients did not have bilateral leg edema. [emedicine.medscape.com] Intestinal Perforation Spontaneous intestinal perforation has been shown to be a significant morbidity in the extremely low birthweight neonate. Occult spontaneous intestinal perforation (SIP), without pneumoperitoneum on abdominal radiograph, typically occurs in neonates > 2 weeks of age and is usually diagnosed by visualization of[…] [ncbi.nlm.nih.gov] Inferior Vena Cava Plication Abstract In a group of 70 patients, 40 undergoing the insertion of a Mobin-Uddin umbrella and 30 the placing of an Adams-DeWeese clip, the authors noted a 6% recurrent embolism rate within a follow up period of 14 months to 5 years. This was fatal in 1.5% of cases. There was 10.9% recurrent phlebitis and 9.4%[…] [unboundmedicine.com] Water Intoxication A case of water intoxication with remarkable hyponatremia was investigated with a special reference to EEG changes during and after the episode. The patient recovered his EEG as his consciousness disturbance had improved through an intravenous infusion of high osmolality saline, correlating with the serum sodium[…] [ncbi.nlm.nih.gov] Plasmodium Malariae Malaria Omphalitis Fifteen of these patients died soon after emergence of anterior abdominal wall edema and cellulitis. [ncbi.nlm.nih.gov] Discoloration Crepitance Rapidly expanding erythema or other changes Systemic toxicity and signs of shock OF NOTE – they do not need to have severe abdominal wall changes [pedemmorsels.com] Extensive local disease is characterized by necrotizing fasciitis or myonecrosis, spreading from the periumbilical area to adjacent regions of the abdominal wall and into [symptoma.com] Phlegmonous Gastritis Abdominal CT showed thickening of the stomach wall with edema and gas. [ncbi.nlm.nih.gov] Abdominal computed tomography revealed diffuse gastric wall thickening, edema with perigastric inflammation, and upper abdominal free fluid, but no evidence of pneumoperitoneum [acgcasereports.gi.org] Abdominal CT showed thickening of the stomach wall with edema and gas. On the basis of symptoms and CT imaging findings, the patient was diagnosed with acute PG. [journals.lww.com] Embolic Mesenteric Infarction […] radiograph use AXR to rule out other causes of abdominal pain CT scan with angiography may reveal bowel wall edema or air within the bowel wall prefered first modality, as [medbullets.com] […] radiographs (abnormal in 20-60% of cases) Thumbprinting Non-specific finding indicating intestinal wall edema with hemorrhage in the setting of acute mesenteric ischemia [learningradiology.com] Mesenteric Venous Thrombosis – 5% of cases - causes increased resistance which backflows causing bowel wall edema, decreased arterial flow, and bowel infarction. [errolozdalga.com] Pancreatic Ascites Yang R, Jing ZL, Zhang XM, et al ; MR imaging of acute pancreatitis: correlation of abdominal wall edema with severity scores. [patient.info] Mesenteric Artery Thrombosis […] radiograph use AXR to rule out other causes of abdominal pain CT scan with angiography may reveal bowel wall edema or air within the bowel wall prefered first modality, as [medbullets.com] […] radiographs (abnormal in 20-60% of cases) Thumbprinting Non-specific finding indicating intestinal wall edema with hemorrhage in the setting of acute mesenteric ischemia [learningradiology.com] She was treated with heparin for a week, but edema of lower extremities and the abdominal wall were aggravated. [e-ceth.org] Necrotizing Enterocolitis GIT: Abdominal wall edema, tenderness, intestinal mass as a palpation symptoms. AXR: Extensive pneumatosis of the intestine, early ascites. [symptoma.com] […] of the abdominal wall), or aspiration of purulent material from the peritoneal cavity by paracentesis. [merckmanuals.com] GIT: Spreading severe edema, erythema and an induration of the abdominal wall. AXR: Prominent ascites, sentinel loop sign, however, absent of perforation. [symptoma.com] Renal Anasarca The presence of other signs of portal hypertension, such as distended abdominal wall veins and splenomegaly, also is suggestive of a primary hepatic disease. [statpearls.com] Cirrhotic patients can develop ascites and then edema in the lower extremities because of an increase in venous pressure below the diseased liver. [statpearls.com] Cause of edema can be determined by noting changes in skin temperature, color, and texture. Acute DVT and cellulitis may produce increased warmth over the affected area. [statpearls.com] Delayed Male Puberty Abdominal examination showed positive shifting dullness test and abdominal wall edema without any tenderness and organomegaly. [pubs.sciepub.com] abdominal wall and periorbital edema during recent year with severe exacerbation in recent months and finally fever & chills and progressive dyspnea on exertion followed [pubs.sciepub.com] Reported condition didn't make him demand a consult with healthcare units until he was encountered a progressive edema starting from lower limbs accompanied by scrotal, sacral [pubs.sciepub.com] Acute Superior Mesenteric Artery Insufficiency […] radiograph use AXR to rule out other causes of abdominal pain CT scan with angiography may reveal bowel wall edema or air within the bowel wall prefered first modality, as [medbullets.com] […] radiographs (abnormal in 20-60% of cases) Thumbprinting Non-specific finding indicating intestinal wall edema with hemorrhage in the setting of acute mesenteric ischemia [learningradiology.com] Mesenteric Venous Thrombosis – 5% of cases - causes increased resistance which backflows causing bowel wall edema, decreased arterial flow, and bowel infarction. [errolozdalga.com] Complication of Peritoneal Dialysis Subcutaneous fluid leaks can migrate and cause abdominal wall or genital edema. [advancedrenaleducation.com] Internal Leaks Isolated edema of the abdominal wall suggests an internal leak from the peritoneal cavity, either spontaneously or in association with a surgical hernia. [abdominalkey.com] Literature regarding giant abdominal wall hernia repair before or during peritoneal dialysis is lacking. [sages.org] Shigella Boydii A stool examination revealed occult blood, and an abdominal roentgenogram showed bowel wall edema with colonic dilatation, without intramural gas. [journals.lww.com] Ischemic Bowel Disease […] radiograph use AXR to rule out other causes of abdominal pain CT scan with angiography may reveal bowel wall edema or air within the bowel wall prefered first modality, as [step2.medbullets.com] Laboratory testing shows metabolic acidosis with elevated lactate, and abdominal x-ray and CT angiography may show bowel wall thickening or edema, signs of obstruction, or [smartypance.com] The pathologic specimen showed transmural necrosis Click here to view Other abdominal findings include mesenteric fat stranding due to edema or hemorrhage, engorgement of [ijri.org] Eosinophilic Peritonitis abdominal or chest wall edema that follows laparotomy or thoracotomy in ascitic cirrhotic patients (56). [euroformhealthcare.biz] Other Variants of SBP Another syndrome that appears to be related pathogenetically to acute scrotal edema, which occasionally occurs after paracentesis (47), is unilateral [euroformhealthcare.biz] Intraperitoneal Abscess in the Right Lower Quadrant Abdominal wall edema typically develops in patients with diffuse peritonitis secondary to colonic perforation or anastomotic dehiscence as part of a generalized syndrome of [antimicrobe.org] In septic shock fluids infusion during resuscitation and their accumulation, bowel edema, and forced closure of the abdominal wall cause intra-abdominal hypertension (IAH) [wjes.biomedcentral.com] Surgical approach that leaves the abdomen open may both facilitate reexploration and prevent deleterious effects of abdominal compartment syndrome (ACS) [ 82 ]. [wjes.biomedcentral.com] Recurrent Acute Pancreatitis Yang R, Jing ZL, Zhang XM, et al ; MR imaging of acute pancreatitis: correlation of abdominal wall edema with severity scores. [patient.info] Pancreatic Abscess Yang R, Jing ZL, Zhang XM, et al ; MR imaging of acute pancreatitis: correlation of abdominal wall edema with severity scores. [patient.info] Nemaline Myopathy Type 4 Mulder DJ, Gander S, Hurlbut DJ, Soboleski D, Smith RG, Justinich CJ, 9-2009, Journal of Clinical Pathology, Vol. 62(9):845-846 Abdominal wall edema and labial edema in a [kidsinclusive.ca] Non-Immune Hydrops Fetalis Figure 1 : Fetal USG image (transverse view) showing scalp edema (arrow) Click here to view Figure 2 : Fetal USG image (transverse view) showing ascites with abdominal wall [jmedsoc.org] edema Click here to view Figure 3 : Fetal USG image (longitudinal view) showing ascites (arrow) and pleural effusion (arrowhead) Click here to view Cord blood was submitted [jmedsoc.org] Toxic Megacolon Megacolon is considered to be present if the diameter of the colon is 5.5 cm or more, with apparent edema of the bowel wall on plain abdominal radiographs. [emedicine.com] SAC, i.e., diffuse colonic wall thickening, submucosal edema, pericolonic fat stranding and ascites, and CT findings of TM reported in the literature, i.e., segmental colonic [ncbi.nlm.nih.gov] The CT scans of these patients were retrospectively evaluated in consensus by two abdominal radiologists blinded to the clinical and pathological results for CT findings of [ncbi.nlm.nih.gov] Edema We describe the ultrasound and CT findings of acute idiopathic scrotal edema in a 72-year-old male with coexistent involvement of the inferior abdominal wall. [ncbi.nlm.nih.gov] Examine for parietal edema: Press over or pinch the skin of abdominal wall for atleast 5 seconds and look for pitting edema. D. [epomedicine.com] When excess fluid accumulates within the peritoneal space (space between the abdominal wall and organs), this is termed " ascites ." [cvphysiology.com] Complement Factor D Deficiency Edema of the bowel wall can occur and is typified by self-limited severe abdominal pain, guarding (without fever), abdominal rigidity, vomiting, diarrhea, and leukocytosis [sinobiological.com] Swelling of the intestinal wall can cause intense abdominal cramping with vomiting and diarrhea. Laryngeal edema may prove fatal. [sjkdt.org] Most notably, in HAE, edema is not associated with urticaria or pruritus. [sinobiological.com]