Splenomegaly 387 C Laparoscopic Splenectomy 389 D MinimalAccess Open Splenectomy 392 E Preoperative Splenic Artery Embolization 399 F Conclusions 400 32 Insulinoma of Tail of Pancreas 405 C Laparoscopic Distal Pancreatectomy Without Splenectomy 406 D [books.google.com]

Intussusception Intussusception is primarily a pediatric disease; however, it is estimated that between 5% and 16% of all intussusceptions in the Western world occur in adults, of which approximately two thirds of adult intussusception cases are caused [intranet.tdmu.edu.ua]

Without having shown great attention to pregnancy of the patient when appendicitis demands special vigilance, the duty infectiologist of a reception undertook a number of risky medical actions — a gastric lavage and a cleansing enema. [infomeds.net]

His lungs were clear to auscultation except for decreased breath sounds over the right base, and there was a grade II-VI systolic ejection murmur along the left sternal border. [journals.lww.com]

Ascending retrocecal appendicitis presenting with right upper abdominal pain may be clinically indistinguishable from acute pathology in the gallbladder, liver, biliary tree, right kidney and right urinary tract. [ncbi.nlm.nih.gov]

Keywords: Computed tomography Retrocecal appendicitis Upper abdominal pain Issue Date: 2009 Citation: Ong, E.M.W., Venkatesh, S.K. (2009). Ascending retrocecal appendicitis presenting with right upper abdominal pain: Utility of computed tomography. [scholarbank.nus.edu.sg]

Clinical science Physician Summary Appendicitis refers to acute inflammation of the appendix, and is the most common cause of acute abdomen requiring emergency surgery. [amboss.com]

After the general surgery consultation with the diagnosis of acute abdomen, the patient underwent surgery immediately. Appendectomy was performed with the right paramedian incision. The stump was buried and mesoplasty was performed. [turkjsurg.com]

It is diagnosed either after contrast enhanced computed tomography scan of abdomen or after diagnostic laparoscopy for acute abdomen. It is best to go for diagnostic laparoscopy in acute abdomen whenever there is diagnostic difficulty. References 1. [ispub.com]

INTRODUCTION Appendicitis is a common cause of acute abdomen, with an expected lifetime occurrence of 7% and a mortality rate of less than 1% if the appendix is not perforated [1]. [academic.oup.com]

The obturator sign indicates the presence of an inflamed pelvic appendix. [en.wikipedia.org]

sign raise the patient's right leg with the knee flexed rotate the leg internally at the hip increased abdominal pain indicates a positive obturator sign Rovsing's sign pressure over the descending colon causes pain in the RLQ Evaluation Labs absolute [medbullets.com]

Anatomic basis for the obturator sign: inflamed appendix in the pelvis is in contact with the obturator internus muscle, which is stretched by this maneuver. [aafp.org]

O bturator (Cope’s obturator) sign: Flexion and medial rotation at hip produces pain due to irritation of obturator muscle in pelvic appendicits. 5. [medchrome.com]

A 3-year-old girl presented with high fever and right flank pain for more than 1 week. Ultrasonography showed a right perinephric fluid collection with normal renal parenchyma and collecting system. [ncbi.nlm.nih.gov]

Jul 28, 2009; 15(28): 3576-3579 Published online Jul 28, 2009. doi: 10.3748/wjg.15.3576 Figure 3 A 34-year-old man with colicky right flank pain and clinical diagnosis of right ureteric colic. [wjgnet.com]

Two years later, she presented with fever, limping gait, and right flank pain. Ultrasound revealed fixed dilated bowel loops, a fecalith and a heterogeneous hypoechoic lesion (3.7 3.6 3.3 cm) at right psoas muscle, suspecting PA. [omicsonline.com]

Appendicitis in a patient with a retrocecal appendix may present atypically, with less or poorly localized pain, discomfort on coughing or walking, or flank, rather than right lower quadrant, tenderness. [acuteabd.weebly.com]

Due to the location of the retrocecal appendix, right lower quadrant tenderness may not be observed. Therefore, there could be difficulties in the diagnosis (4). [turkjsurg.com]

In 80% of cases, physical examination will reveal right lower- quadrant tenderness with guarding and rebound. Pain is localized at McBurney point, or 1.5-2 inches from the anterior superior iliac spine on a line from the spine to the umbilicus. [clinicaladvisor.com]

The most important physical examination finding is right lower quadrant tenderness to palpation. [aafp.org]

In this case, the cause of the right upper quadrant pain (presence of Murphy’s sign) was the irritation of the liver fascia. [turkjsurg.com]

There was right hypochondrial tenderness with negative Murphy’s sign and renal punch. She had leukocytosis (13 200 cells/μL). A clinical diagnosis of acute cholecystitis was made. [ncbi.nlm.nih.gov]

His lungs were clear to auscultation except for decreased breath sounds over the right base, and there was a grade II-VI systolic ejection murmur along the left sternal border. [journals.lww.com]

She also complained of foul-smelling urine and vaginal discharge. She had a termination of pregnancy 4 d earlier. The pain was increasing in severity and aggravated by movement and coughing. [ncbi.nlm.nih.gov]

May present with profuse diarrhoea and pelvic pain. Retrocaecal appendix – 15% cases present in this way. Pain may localise to psoas muscle, the flank or right upper quadrant (5). [teachmepaediatrics.com]

McBurney sign) pelvic pain, diarrhea and tenesmus (pelvic appendix) flank pain (retrocecal appendix) groin pain - appendix within an inguinal hernia (Amyand hernia) or a femoral hernia (De Garengeot hernia) right upper quadrant pain (subhepatic appendicitis [radiopaedia.org]

In pelvic inflammatory disease, including salpingitis and tubo-ovarian abscess, there is a longer duration of symptoms, higher fever, greater leucocytosis and more pelvic pain. Gonococcal and chlamydial infection are the most common causes. [surgwiki.com]

It is especially well suited in evaluating right lower quadrant or pelvic pain in pediatric and female patients. A normal appendix (6 mm or less in diameter) must be identified to rule out appendicitis. [aafp.org]

She also complained of foul-smelling urine and vaginal discharge. She had a termination of pregnancy 4 d earlier. The pain was increasing in severity and aggravated by movement and coughing. [ncbi.nlm.nih.gov]

Her hospital course was complicated with empyema, peritonitis, and pericardial effusion. A 6-year-old girl had lower abdominal pain for 3 days and high fever on the day of admission. [ncbi.nlm.nih.gov]