Presentation
Mesenteric cysts present with a variety of clinical presentations, both acute and chronic. [afrjpaedsurg.org]
As a result of right sided torsion, the presentation usually mimics acute cholecystitis, acute appendicitis, cecal diverticulitis and epiploic appendagitis. [tropicalgastro.com]
This case is unusual in its presentation and setting. The patient presented with two rare complications of gastric volvulus, hemoperitoneum and splenic avulsion. [hindawi.com]
Madrid, Spain Case report We present the case of a 65-year-old male, who presented at the Emergency Department due to an increasing abdominal pain with a three-day history. [scielo.isciii.es]
Entire Body System
- Asymptomatic
Recently, several authors have questioned the indication for repair in asymptomatic patients and prefer to monitor asymptomatic or minimally symptomatic PHH by ‘watchful waiting’. [websurg.com]
The pain apparently had subsided, and the patient was asymptomatic until just before admission when he awakened with cramp-like [jamanetwork.com]
Most of the abnormal folds are asymptomatic and go unnoticed throughout life. Some of them might be involved in harbouring disease processes or serve as channels for the spread of malignancies. [synapse.koreamed.org]
The herniation of viscera and gastric volvulus may be asymptomatic or present with chronic intermittent reducible hernia progressing to acute obstruction, as happened in this patient. [journalofmas.com]
Gastrointestinal
- Vomiting
(see Nausea and Vomiting, [[Nausea and Vomiting]]): vomiting may be severe (and non-productive) Hyperamylasemia/Hyperlipasemia (see Hyperamylasemia, [[Hyperamylasemia]] and Hyperlipasemia, [[Hyperlipasemia]]): due to pancreatic ischemia Gastric Ischemia [mdnxs.com]
This can be complicated by pancreatic, omental or splenic ischemia secondary to traction, haematemesis due to vomiting or perforation as a result of ischemia. Signs of volume depletion and metabolic disturbances due to vomiting may also be present. [sciforschenonline.org]
Case: A 52-year-old woman was evaluated for nine months of post-prandial nausea/vomiting of undigested food. [journals.lww.com]
The patient showed symptoms of vomiting, abdominal pain and fullness in the postoperative period and along the two years after sleeve gastrectomy, presented with repetitive attacks of vomiting and dysphagia to solids, which suggested upper gastrointestinal [minsurgery.com]
CASE 2: A 65 yrs old female was admitted with complaints of vomiting of 6 months duration and abdominal pain of 3 months duration. [scirp.org]
- Peritoneal Disease
Keywords : Acute Abdomen, Mesentery, Omentum, Peritoneal Diseases, Tomography. [casereports.in]
Workup
The histologic workup reported aspects of infarction and chronic inflammation. The recovery was uneventful, and the patient was discharged on the fifth postoperative day. [americanjournalofsurgery.com]
Lab workup and ultrasound were unremarkable. Management options were discussed with the patient and diagnostic laparoscopy was planned. [jpma.org.pk]
A thorough blood workup reveals normal values in many cases [ 4, 13 ]. The great majority of cases of omental torsion and infarction reported in the literature were segmental involving the right side of the omentum [ 14, 15 ]. [hindawi.com]
Treatment
Although cases of conservative treatment of primary torsion have been described in cases of partial volvulus, the treatment of complete torsion of the greater omentum with secondary necrosis is surgical [ 3 ]. [em-consulte.com]
The gold standard treatment is laparoscopic surgical resection. [websurg.com]
Significant updates on bariatric surgery, Barrett's esophagus, endoscopic ultrasound, endosonography, treatment of liver disease, and much more keep you current on the latest advances. [books.google.de]
In all cases diagnosis was made by means of laparotomy, treatment was the resection of the affected segment, and there were no further complications. [gastrores.org]
Prognosis
[…] quadrant streaks of whirling and concentric pattern (whirl sign) whirling pattern may not be visualized if the axis of rotation is not perpendicular to the transverse scanning plane 1 free fluid may be detected in the peritoneal cavity Treatment and prognosis [radiopaedia.org]
The prognosis for primary omental torsion POT is good with fast post operative recovery and minimal morbidity. [jpma.org.pk]
The prognosis for primary omental torsion is good with fast post operative recovery and minimal morbidity. [wjes.biomedcentral.com]
Etiology
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
An acute abdomen etiology. Gac Med Mex 2007;143:17-20. 7. Chew DK, Holgersen LO, Friedman D. Primary omental torsion in children. J Pediatr Surg 1995;30:816-7. 8. Floyd MS Jr, Kelly BJ, Udani P, O'Donnell N, Morrison P. [sjmms.net]
Gastroscopy was performed to further elucidate the etiology of the patient’s gastric outlet obstruction. [hindawi.com]
Definition / general Complete twisting of loop of bowel around its mesenteric base of attachment, causing obstruction and infarction Terminology Also called torsion (volvulus is a more specific term referring to gastrointestinal torsion) Etiology Potentially [pathologyoutlines.com]
Primary (idiopathic) version is much less common and predisposing factors such as bifid omentum, redundant omental veins are suggested in etiology. [tropicalgastro.com]
Epidemiology
Epidemiology xxx Diagnosis xxx Clinical Manifestations Acute Gastric Volvulus Cardiovascular Manifestations Hypovolemia/Hypotension (see Hypotension, [[Hypotension]]) Gastrointestinal Manifestations Abdominal/Gastric Distention (with Stomach Filled with [mdnxs.com]
Epidemiology Gastric volvulus occurs in children usually less than 1 year of age and occurs in older adults, those who are older than 50 years. There does not seem to a predilection for gastric volvulus for either gender or race. [statpearls.com]
[…] intestines (Figure 2) Figure 2. https://upload.wikimedia.org/wikipedia/commons/4/44/Sobo_1909_564.png Lymphatic tissue : Part of the circulatory system that collects extra fluid (called lymph) from various tissues and delivers it back to the venous system Epidemiology [eapsa.org]
(See Epidemiology.) In general, treatment of an acute gastric volvulus involves emergency surgical repair. In patients who are not surgical candidates, endoscopic reduction may be attempted. [emedicine.medscape.com]
Pathophysiology
We would like to take advantage of this to present a case with a mesentero-axial type marking the difference of the pathophysiology. [websurg.com]
The pathophysiological basis of surgical diseases is discussed in relation to their management, acting as a bridge between basic medical sciences and clinical problems. [books.google.com]
Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 10th ed. Philadelphia: Elsevier Saunders; 2016. 407-25. Oltmann H. Inaugural discussion. Kiel. 1899. [emedicine.medscape.com]
Prevention
[…] injection of a contrast medium into the gastroepiploic vein in the base of the omentum. omentorrhaphy Suture or repair of the omentum. omentosplenopexy A surgical procedure in which the omentum and the spleen are suspended from the abdominal wall to prevent [wordinfo.info]
It contains fat, prevents friction, and aids in localizing infections. [medical-dictionary.thefreedictionary.com]
A temporary gastrostomy may be added in addition to hernia repair, to fix the stomach to anterior abdominal to prevent the recurrence. [journalofmas.com]
[…] content of the hernia, and also on the morphological and structural adjustments occurring within the abdomino-pelvic cavity to accommodate a long standing, non-strangulated and untreated inguinal hernia so as make the surgeons aware and conscious and to prevent [ijcrls.com]