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39 Possible Causes for Ascites, Midline Defects, Periumbilical Pain

  • Umbilical Hernia

    […] supraumbilical incision including the umbilical hernia defect.[] All of the reported cases in the literature were adults with liver disease and ascites.[] We report a case of a painful periumbilical mass ultimately diagnosed as an infected urachal cyst.[]

  • Ventral Hernia

    A hernia caused by weakness of the anterior ABDOMINAL WALL due to midline defects, previous incisions, or increased intra-abdominal pressure.[] On multivariable analysis, morbid obesity, ascites, smaller angle, and taller hernias were independently associated with emergent surgery.[] Clinical Information A hernia caused by weakness of the anterior abdominal wall due to midline defects, previous incisions, or increased intra-abdominal pressure.[]

  • Epigastric Hernia

    Risk factors obesity pregnancy Radiographic features Ultrasound Shows a midline defect which is usually small with or without herniation of omental/properitoneal fat.[] Obesity, ascites, chronic obstructive pulmonary disease (COPD) and pregnancy are all listed as potential risk factors.[] Clinical Information A hernia caused by weakness of the anterior abdominal wall due to midline defects, previous incisions, or increased intra-abdominal pressure.[]

  • Small Bowel Obstruction

    The patient was taken to the operating room for a midline laparotomy, and RPTH with incarcerated small bowel was diagnosed.[] Patients with a clinical score 2 combined with the presence of ascites in ultrasound (US) results or with wall thickness and reduced wall contrast enhancement in abdominal[] Evaluate pain . Crampy abdominal pain, an early sign, may be centered in the periumbilical area.[]

  • Littre Hernia

    Midline Defects Midline defects include umbilical, epigastric, and hypogastric hernias.[] Elevated intra-abdominal pressure is associated with chronic cough, ascites, increased peritoneal fluid from biliary atresia, peritoneal dialysis or ventriculoperitoneal shunts[] pain  Recurrent episodes of intestinal obstruction  Physical examination  May reveal palpable mass of herniated bowel loops with localized tenderness  Diagnostic studies[]

  • Retractile Mesenteritis

    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] ).[] Test tube showing chylous (white) ascitic fluid.[] Midgut structures (small bowel, proximal colon, and appendix) cause periumbilical pain. Hindgut structures (distal colon and GU tract) cause lower abdominal pain.[]

  • Abdominal Hernia

    An emergency midline laparotomy was performed, and the defect was corrected.[] This unexpected complication was caused by rapid resolution of the ascites due to autodiuresis and subsequent collapse of the hernial orifice.[] Symptoms of abdominal herniations may be absent or non-specific, consisting of mild abdominal discomfort alternating with episodes of intense periumbilical pain and nausea[]

  • Obturator Hernia

    The majority of published evidence favours the abdominal approach, utilizing a low midline incision.[] Signs of ischemia (bowel wall thickening and/or ascites) were present in every resected case while both were absent in 69% of patients having viable bowel.[] The pain localized over the periumbilical area with radiation along the medial side of the thigh.[]

  • Urethral Valve Formation

    The events probably, started in the antenatal period before the formation of the phallus as evidenced by distortion of the midline raphe that represents midline fusion of[] Moncada R, Wang JJ, Love L, Bush I (1968) Neonatal ascites associated with urinary outlet obstruction (urine ascites). Radiology 90:1165 PubMed Google Scholar 11.[] Symptoms include pain, fever, umbilical drainage, periumbilical mass, and UTI.[]

  • Volvulus of the Small Intestine

    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[] The ascites collected during surgery revealed high levels of triglycerides at 332 mg/dL, and chylous ascites was diagnosed.[] , 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[]

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