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23 Possible Causes for Hypokalemia, Midline Defects, Periumbilical Pain

  • Small Bowel Obstruction

    Hypovolemic (from vomiting) Hypochloremic (from vomiting) Hypokalemia (from vomiting) Alkalosis (from vomiting) What must be ruled out on physical exam in pts with SBO?[] The patient was taken to the operating room for a midline laparotomy, and RPTH with incarcerated small bowel was diagnosed.[] Evaluate pain . Crampy abdominal pain, an early sign, may be centered in the periumbilical area.[]

  • Retractile Mesenteritis

    Leukocytosis, hypokalemia, hypernatremia, and acidosis may be present, but they are not specific findings.[] 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] ).[] Midgut structures (small bowel, proximal colon, and appendix) cause periumbilical pain. Hindgut structures (distal colon and GU tract) cause lower abdominal pain.[]

  • Bezoar

    . 4 Chlorophylla, menthol, and butyl hydroxytoluene additives can induce a disseminated cutaneous urticaria. 5 Licorice flavoring in chewing gum (glycyrrhiza) can induce hypokalemia[] The bowel loop distal to the filling defect has collapsed (arrow).[] The patient had had persistent nausea, early satiety and periumbilical abdominal pain lasting for 2 weeks.[]

  • Spigelian Hernia

    […] insufficiency (thrombosis, embolism) • Mechanical ventilation • Extra-abdominal infection (sepsis, pneumonia, empyema, osteomyelitis of spine) • Metabolic/toxic abnormalities (hypokalemia[] Hernia, Ventral (腹壁ヘルニア) () Scope Note: A hernia caused by weakness of the anterior ABDOMINAL WALL due to midline defects, previous incisions, or increased intra-abdominal[] Chronic 379 Pemphigus Vulgaris 380 Peptic Ulcer Disease 381 Pericarditis 382 Peritoneal Carcinomatosis 383 Peritonitis Secondary 384 Periumbilical Swelling 385 Photodermatoses[]

  • Chest Wall Disorder

    […] joint arthralgia ( M26.62- ) Periumbilical pain Abdominal pain, periumbilical (around navel) ICD-10-CM Diagnosis Code R10.33 Periumbilical pain 2016 2017 2018 2019 Billable[] Patients affected by these drugs often have mild or latent myasthenia; occasionally, concurrent electrolyte disturbances, such as hypokalemia, hypocal-cemia, or hypomagnesemia[] Through a midline incision over the defect, excision of all deformed cartilage from the perichondrium, division of the xiphoid from the sternum, division of the intercostals[]

  • Sigmoid Volvulus

    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[] Hypokalemia associated with sigmoid volvulus. Surg Gynecol Obstet 1966; 123: 35-42. Friedlander E.[] We changed our gowns and redraped the abdomen and then turned to closing the midline fascia defect with 0 PDS in a running fashion.[]

  • Cecal Volvulus

    They are only a reflection of bowel obstruction and/or sepsis: fluid and electrolyte disorders, hypokalemia, azotemia, leukocytosis, inflammatory syndrome, or even bleeding[] The midline structural defects with nonfixation of the cecum and ascending colon, chronic constipation, and previous abdominal surgery might have been the predisposing factors[] Condition Presentation Diagnosis Management Appendicitis [14] Abdominal pain, nausea, vomiting, fever Periumbilical pain, migrates to RLQ Clinical (history & physical exam[]

  • Postoperative Pancreatitis

    Underlying sepsis and electrolyte abnormalities, particularly hypokalemia, hyponatremia, and hypomagnesemia, may worsen ileus.[] 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.[] […] 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[]

  • Omental Volvulus

    Upon transfer to our institution, he had persistent bilious emesis with periumbilical abdominal pain.[] […] vagal nerve迷走神経 vagal stimulation of pylorus迷走神経幽門刺激 vagotomy迷走神経切離術 virtual colonoscopy仮想結腸鏡検査[法]、バーチャル結腸鏡検査[法] visceral inversion内臓逆位[症] volvulus軸捻転 w watery diarrhea-hypokalemia-achlorhydria[] 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.[]

  • Bochdalek Hernia

    Apart from minimal hypokalemia, her laboratory values were normal.[] The transoperative findings were: Diaphragmatic defect in the left posterior region of about 6 centimeters in length, stomach, spleen, splenic flexure of the colon and omentum[] Her abdominal pain started at the periumbilical region and radiated toward the left lower abdominal quadrant.[]

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