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13 Possible Causes for Hyperactive Bowel Sounds, Midline Defects, Periumbilical Pain

  • Small Bowel Obstruction

    The patient was taken to the operating room for a midline laparotomy, and RPTH with incarcerated small bowel was diagnosed.[] On the other hand, if very hyperactive bowel sounds are heard they are indicative of mechanical obstruction.[] Evaluate pain . Crampy abdominal pain, an early sign, may be centered in the periumbilical area.[]

  • 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.[] bowel sounds.[] Clinical Information A hernia caused by weakness of the anterior abdominal wall due to midline defects, previous incisions, or increased intra-abdominal pressure.[]

  • Littre Hernia

    pain  Recurrent episodes of intestinal obstruction  Physical examination  May reveal palpable mass of herniated bowel loops with localized tenderness  Diagnostic studies[] Midline Defects Midline defects include umbilical, epigastric, and hypogastric hernias.[] Clinical diagnosis Auscultation revealed obstructive and hyperactive bowel sounds and palpation revealed serious tenderness with rebound pain that was particularly robust[]

  • Obturator Hernia

    The majority of published evidence favours the abdominal approach, utilizing a low midline incision.[] There were hyperactive bowel sounds. No abnormal signs were found on rectal and vaginal examinations. Biochemical parameters were within normal limits.[] The pain localized over the periumbilical area with radiation along the medial side of the thigh.[]

  • Cecal Volvulus

    The midline structural defects with nonfixation of the cecum and ascending colon, chronic constipation, and previous abdominal surgery might have been the predisposing factors[] As regards clinical examination, it demonstrated a distended tender abdomen with hyperactive bowel sounds. Laboratory works were within normal limits.[] Condition Presentation Diagnosis Management Appendicitis [14] Abdominal pain, nausea, vomiting, fever Periumbilical pain, migrates to RLQ Clinical (history & physical exam[]

  • Sigmoid Volvulus

    We changed our gowns and redraped the abdomen and then turned to closing the midline fascia defect with 0 PDS in a running fashion.[] We present a rare clinical case of acute abdomen due to torsion of wandering spleen and volvulus of sigmoid in a 14-year-old girl presented with painful periumbilical mass[] Clinical Features Abdominal pain Crampy and intermittent type of pain. It may be periumbilical or diffuse.[]

  • Bezoar

    The bowel loop distal to the filling defect has collapsed (arrow).[] The patient showed abdominal tenderness, positive Murphy sign, hyperactive bowel sounds, a pale tongue with scalloped edges, greasy moss, and pulse moisten.[] The patient had had persistent nausea, early satiety and periumbilical abdominal pain lasting for 2 weeks.[]

  • Richter's Inguinal Hernia

    Symptoms of abdominal herniations may be absent or non-specific, consisting of mild abdominal discomfort alternating with episodes of intense periumbilical pain and nausea[] defects, and often meningoceles.[] Physical examination was significant for abdominal distension, abdominal tenderness, guarding over the right lower quadrant and inguinal region, and hyperactive bowel sounds[]

  • Omental Volvulus

    A midline laparotomy showed a large congenital defect of the left hemidiaphragm. The left hemithorax contained the stomach, spleen, left lobe of the liver and omentum.[] bowel sounds High rate of mortality, particularly in older patients ( Eur Rev Med Pharmacol Sci 2013;17:127 ) Radiology description Dilated loops of intestine Volvulus may[] Upon transfer to our institution, he had persistent bilious emesis with periumbilical abdominal pain.[]

  • Postoperative Pancreatitis

    The name paraumbilical hernia applies when this defect is adjacent to the umbilicus, while the term epiplocele or ventral hernia is used to describe more craniad defects.[] Hyperactive bowel sounds occur early as GI contents attempt to overcome the obstruction. Hypoactive bowel sounds occur late.[] […] or epigastric pain migrating to the right lower quadrant of the abdomen; D) often begins as periumbilical or epigastric pain, accompanies with vomiting, nausea high temperature[]