Possible Causes for tenderness in the epigastric region Cholelithiasis Pediatr Emerg Care. 2012 Jan;28(1):68-76; quiz 77-8. doi: 10.1097/PEC.0b013e31823f5b1e. Abstract In recent years, gallbladder disease, primarily in the form of cholelithiasis, has been on the rise among infants and children. Although pediatric gallbladder disease is still less prevalent than adult gallbladder disease,[…] [ncbi.nlm.nih.gov] Acute Gastritis We report a case of gastric colonization of large spiral-shaped bacteria in a patient with acute gastritis. Endoscopy showed an acute erosive and hemorrhagic gastroduodenitis. Histopathological examination of antral biopsies revealed intense neutrophil infiltrates with microabscesses. Numerous large spiral-shaped[…] [ncbi.nlm.nih.gov] Pancreatic Abscess On admission, an elastic hard mass with tenderness was palpable in the epigastric region. [ncbi.nlm.nih.gov] There was no abdominal distension or any obvious organomegaly but a mild tenderness was noted in the epigastric region. [ijpmonline.org] A 50-year-old female was referred to our hospital because of postprandial epigastric pain and pancreatic head mass. [ncbi.nlm.nih.gov] Duodenal Ulcer Abstract Typical symptoms of duodenal ulcers include epigastric pain, nausea, vomiting, chest pain and shortness of breath. Here we present the case of a 39-year-old man who had a sudden onset of chest and epigastric pain following the use of recreational amphetamines. There were ST changes in the inferior leads[…] [ncbi.nlm.nih.gov] Irritable Bowel Syndrome Irritable bowel syndrome is defined as abdominal discomfort or pain associated with altered bowel habits for at least three days per month in the previous three months, with the absence of organic disease. In North America, the prevalence of irritable bowel syndrome is 5 to 10 percent with peak prevalence from 20[…] [ncbi.nlm.nih.gov] Acute Pancreatitis LMP: 2072/05/29 G/C: Agonized; Lying still on bed Pallor: Present; Icterus: Absent P/A: Guarding present Tenderness Diffuse but more marked on Epigastric region and Left Iliac [epomedicine.com] On abdominal exam, he has involuntary guarding and tenderness to palpation in the right upper quadrant and epigastric regions. [medbullets.com] Acute, constant and intense abdominal pain might last for several days, is mostly experienced in the epigastric region or the right upper quadrant and may radiate to the back [doi.org] Duodenal Ulcer with Obstruction Deep palpation of relaxed abdomen may reveal an epigastric mass, which is hard, irregular, mildly tender and may move with respiration. [jebmh.com] One may get hard, subcutaneous metastatic nodules in umbilical region (Sister Mary Joseph’s nodules). [jebmh.com] Biliary Colic Abdominal examination showed no evidence of peritonitis but revealed tenderness in the RUQ and epigastric regions. Urine dipstick for blood and pregnancy was negative. [dovepress.com] Patients typically appear uncomfortable with tenderness to palpation isolated to the epigastric region. [emdocs.net] Pancreatitis classically presents as severe epigastric pain that radiates to back. [emdocs.net] Acute Cholecystitis The physical examination may reveal fever, tachycardia, and tenderness in the RUQ or epigastric region, often with guarding or rebound. [emedicine.com] […] in the RUQ or epigastric region, often with guarding or rebound Palpable gallbladder or fullness of the RUQ (30%-40% of patients) Jaundice ( 15% of patients) The absence [emedicine.com] […] prolonged total parenteral nutrition (TPN), hemolytic conditions, or congenital and biliary anomalies The physical examination may reveal the following: Fever, tachycardia, and tenderness [emedicine.com] Ventral Hernia Laparoscopic ventral hernia repair is an operation associated with significant postoperative pain, and regional anaesthetic techniques are of potential benefit. The erector spinae plane (ESP) block performed at the level of the T5 transverse process has recently been described for thoracic surgery, and we[…] [ncbi.nlm.nih.gov] Bezoar On physical examination, a palpable non-tender mass can be found in the epigastric region. [scielo.br] Alcoholic Gastritis BACKGROUND/AIMS: Alcohol abuse exerts deleterious effects on the internal organs of the body, and alcohol-related gastritis is a common disease for which prompt treatment is essential to prevent the condition from growing worse. However, the therapeutic methods have some adverse effects. Determining the[…] [ncbi.nlm.nih.gov] Gastropathy Protein-losing gastropathy is a rare entity. Unlike the disease in adults, it usually is benign and self-limited in children. The aetiological contribution of cytomegalovirus has been insufficiently documented and the immunological status of patients was rarely described in most reports. The authors report an 11-year-old[…] [ncbi.nlm.nih.gov] Postoperative Pancreatitis She had tenderness and guarding in the epigastric region. Liver dullness was not obliterated, and there were no signs of generalized peritonitis. [acgcasereports.gi.org] Pancreatic Pseudocyst Physical examination revealed tenderness in the epigastric and umbilical regions. Intestinal sounds were normal. [ncbi.nlm.nih.gov] Abdomen: Tenderness with palpation in the epigastric region. There was no guarding or rebound tenderness. His abdomen was not rigid. Bowel sounds were quiet. [casesjournal.biomedcentral.com] Chronic Pancreatitis Pancreaticopericardial fistula (PPF) is an extremely rare clinical problem encountered in patients with chronic pancreatitis. The diagnosis should be suspected if a patient presents with pericardial effusion on a background of chronic pancreatitis. Significantly raised amylase in the pericardial fluid offers an[…] [ncbi.nlm.nih.gov] Viral Gastroenteritis BACKGROUND: Viral gastroenteritis is common, especially in young children. In adults, particularly amongst the elderly, it can lead to outbreaks at a time when demands on clinical services are at their peak. AIM: To evaluate seasonal screening of young children and elderly patients with suspected viral gastroenteritis[…] [ncbi.nlm.nih.gov] Stomach Perforation Gastrointestinal foreign bodies are commonly encountered in clinical practice. However, although perforation of the gastrointestinal tract by a foreign body is not unusual, the formation of a hepatic abscess as a result of the migration of a foreign body is extremely rare. Patients usually present with atypical[…] [ncbi.nlm.nih.gov] Gastric Rupture Gastric rupture with resulting tension pneumoperitoneum occurs rarely in infants. It may be associated with resuscitative efforts. This report presents a unique case of gastric rupture and illustrates the factors necessary for prompt recognition and treatment. The patient was a 16-week-old infant with nasal[…] [ncbi.nlm.nih.gov] Malignant Neoplasm of the Stomach Chemotherapy is of crucial importance in advanced gastric cancer patients, in order to obtain palliation of symptoms and improve survival. The most extensively studied drugs as single agents are 5-fluorouracil, cisplatin, doxorubicin, epirubicin, mitomycin C and etoposide. Newer chemotherapeutic agents include the[…] [ncbi.nlm.nih.gov] Mallory-Weiss Syndrome The majority of patients with scleroderma have gastrointestinal involvement, and a few experience gastrointestinal hemorrhage, however, gastrointestinal hemorrhage due to Mallory-Weiss syndrome is very rare. We report upon a 24-year-old pregnant woman with scleroderma who had gastrointestinal hemorrhage due to[…] [ncbi.nlm.nih.gov] Gastric Adenocarcinoma Adenocarcinoma and lymphoma represent the two most common malignant tumours of the stomach, with both neoplasms being associated with infection by Helicobacter pylori. However, the presence of lymphoma and adenocarcinoma in the same patient is a rare entity with synchronous neoplasms being more common than[…] [ncbi.nlm.nih.gov] Gallbladder Carcinoma Biochimie. 2018 Mar;146:56-67. doi: 10.1016/j.biochi.2017.10.027. Epub 2017 Nov 17. Author information 1 Department of General Surgery, Affiliated Hospital, Logistics University of People's Armed Police Force, Tianjin 300162, China. 2 Department of Hepatopancreatobiliary and Splenic Medicine, Affiliated Hospital, Logistics[…] [ncbi.nlm.nih.gov] Duodenal Ulcer Perforation On examination all patients had tenderness all over abdomen, which was most marked in epigastric region. [webmedcentral.com] Pericarditis Classic "bread-and-butter" appearance of fibrinous pericarditis had been described in rheumatic disease and other immunologic diseases such as systemic lupus erythematosus, post-myocardial infarct, uremia, tuberculosis, radiation effects, bacterial, and viral etiology. In most of the described cases, pericarditis[…] [ncbi.nlm.nih.gov] Chronic Duodenitis To the authors' knowledge, multiple carcinoid tumors of the duodenum have not been reported previously. However, multiple carcinoids in the stomach, ileum, and rectum, which were accompanied by the proliferation of endocrine cells, have been reported in the published literature. A patient with multiple carcinoids[…] [ncbi.nlm.nih.gov] Zieve's Syndrome Zieve's syndrome Specialty Gastroenterology Zieve's syndrome is an acute metabolic condition that can occur during withdrawal from prolonged alcohol abuse. It is defined by hemolytic anemia (with spur cells and acanthocytes), hyperlipoproteinaemia (excessive blood lipoprotein), jaundice (elevation of unconjugated[…] [en.wikipedia.org] Hereditary Pancreatitis Summary Epidemiology The estimated prevalence of hereditary pancreatitis is approximately 1/300,000 people in Europe ranging from 1/800,000 to 1/330,000. (1/800,000 in Germany, 0.3/100,000 in France and 0.57/100,000 in Denmark). Clinical description Onset of HCP is typically early in life. The clinical presentation is highly[…] [orpha.net] Pancreatic Duct Obstruction OBJECTIVE: Pancreatic neuroendocrine tumors expressing serotonin (carcinoid tumors) account for a small portion of pancreatic neuroendocrine tumors. The purpose of this study was to describe cases of small serotonin-producing pancreatic neuroendocrine tumors associated with pancreatic duct obstruction.[…] [ncbi.nlm.nih.gov] Corrosive Gastritis Acid corrosive gastritis is infrequently seen. It spares the esophagus and damages the antrum. It causes mucosal ulceration, damages the muscularis and ends in a typical antral stricture. The dynamic perpetuating pathophysiologic events, starting with coagulation necrosis, impose postponement of surgical[…] [ncbi.nlm.nih.gov]
