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https://www.readbyqxmd.com/read/29928613/development-of-a-clinically-relevant-symptom-index-to-assess-patients-with-chronic-orchialgia-chronic-scrotal-content-pain
#1
Alan Scott Polackwich, Hans Chin Arora, Jianbo Li, Laurence Levine, Bayo Tojuola, Sijo Parekattil, Daniel A Shoskes
Background: The purpose of this study was to develop a candidate symptom index for men with an established diagnosis of chronic orchialgia. Methods: Based on interviews with patients and providers, we developed a 70-item questionnaire that focused on seven areas of orchialgia symptoms: pain, location, urinary symptoms, sexual dysfunction, medical history and quality of life (QOL) impact. The questionnaire was completed by patients at two medical centers. Cluster analysis was performed with the software package R (3...
May 2018: Translational Andrology and Urology
https://www.readbyqxmd.com/read/29923164/a-case-of-portal-vein-thrombosis-caused-by-blunt-abdominal-trauma-in-a-patient-with-low-protein-c-activity
#2
Erica Nishimura, Takeyuki Misawa, Hiroaki Kitamura, Shuichi Fujioka, Tadashi Akiba, Katsuhiko Yanaga
Portal vein thrombosis (PVT) is caused by several conditions including infection, malignancies, surgery, medications, and coagulation disorders. However, PVT caused by low-energy injury is very rare. A 51-year-old man visited a clinic with a 2-day history of abdominal pain following blunt abdominal trauma. Contrast-enhanced computed tomography (CT) revealed thrombosis in both the portal vein and splenic vein, and he was transferred to our hospital with a diagnosis of PVT. Anticoagulant therapy was initiated using unfractionated heparin...
June 19, 2018: Clinical Journal of Gastroenterology
https://www.readbyqxmd.com/read/29922737/post-coital-hemoperitoneum-the-pain-of-love
#3
Subramanian Senthilkumaran, Narendra Nath Jena, Srinivasan Jayaraman, Florence Benita, Ponniah Thirumalaikolundusubramanian
Acute abdominal pain in women of reproductive age is common and frequent cause for visit to emergency department which warrants emergent evaluation. We present the case of a 23-year-old nulliparous women presenting with post-coital haemoperitoneum secondary to a ruptured corpus luteum cyst. This is a rare case demonstrating the need to elicit sexual history in patients presenting with an acute abdomen in emergency department.
June 2018: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29922640/segmental-colitis-associated-diverticulosis-a-possible-diagnosis-in-teenagers
#4
Cristina O Mǎrginean, Lorena E Meliţ, Maria O Mǎrginean
Segmental colitis associated with diverticulosis (SCAD) is manifested by active chronic inflammation of the colonic segments affected by diverticulosis, luminal-mucosal inflammation, independent of the presence of inflammation within and/or around the diverticula, and it usually spares the rectum. We present the case of a 15-year-old female admitted to our clinic due to lower digestive hemorrhage and abdominal pain in the previous week, associated with fever 1 day prior to admission. The patient had pallor, painful abdomen upon palpation, accelerated bowel movements, and macroscopic evidence of blood in the stools...
2018: Frontiers in Pediatrics
https://www.readbyqxmd.com/read/29922463/cecal-duplication-a-mimicker-of-intussusception-a-case-report-and-review
#5
Veerabhadra Radhakrishna, Ashok Rijhwani, Bhushanrao Jadhav
Introduction: Cecal duplication is a rare congenital anomaly and to the best of our knowledge, only 43 cases have been reported in the literature till date. Most of them present within the first year of life. They can mimic intussusception, and the delay in diagnosis can lead to high morbidity. Case report: A five-year boy presented with pain abdomen for a week. He was found to have ileocolic intussusception. The intussusception could only be partially reduced by the hydrostatic method...
July 2018: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/29916919/uterine-corpus-metastasis-from-rectal-adenocarcinoma-detected-using-18f-fdg-pet-ct
#6
Hongxi Wang, Minggang Su, Futao Cui, Xia Wu, Rong Tian
We report an unusual case of uterine corpus metastasis from rectal adenocarcinoma detected using F-FDG PET/CT. A 47-year-old woman was diagnosed with rectal adenocarcinoma and treated with surgery and radiochemotherapy 3 years ago. During follow-up, she presented with lower abdomen pain and elevated tumor markers, but ultrasonography findings were unremarkable. We performed an F-FDG PET/CT scan, which showed intense F-FDG avidity in the myometrium of the uterine corpus. Uterine corpus metastasis was suspected, and complementary MRI and diagnostic curettage histopathology confirmed uterine metastasis from rectal adenocarcinoma...
June 19, 2018: Clinical Nuclear Medicine
https://www.readbyqxmd.com/read/29915634/renal-cell-carcinoma-presenting-as-an-ampullary-mass-a-case-report-and-review-of-literature
#7
Syed Hasan, Zubair Khan, Mohammad Saud Khan, Umar Darr, Toseef Javaid, Raheel Ahmed, Ali Nawras
We present a case of a 60-year-old female patient who has significant medical history of renal cell carcinoma diagnosed 2 years back and had undergone right nephrectomy and chemotherapy. She presented to the hospital with complaints of abdominal pain and jaundice of 2 weeks duration and was found to have periampullary mass lesion causing compression of distal common bile duct on imaging with computed tomography of abdomen. Endoscopic retrograde cholangiography and endoscopic ultrasound showed ampullary mass lesion causing biliary obstruction along with abdominal lymphadenopathy...
June 2018: Gastroenterology Research
https://www.readbyqxmd.com/read/29915485/strangulated-interstitial-hernia-with-strangulated-cryptorchid-testis-first-case-report-in-the-medical-literature
#8
Khalid Muqueem, Somasekhar Kasa, Nagareddy Patil, Mohammed Minhajuddin Harsoori
Interstitial hernias are a rare subtype of abdominal hernias, where sac is present in between the abdominal wall layers. Although, difficult to diagnose clinically, they are usually detected on imaging studies. Interstitial hernias presenting with undescended testis are common. Even after a meticulous online search of the medical literature, we could not find a case report of 'Strangulation of Interstitial hernia, with a strangulated undescended testis in an elderly man. We hereby present this extremely rare case, and possibly, this could be the first of its kind, case report in the medical literature...
April 2018: Indian Journal of Surgery
https://www.readbyqxmd.com/read/29911459/a-case-of-linezolid-induced-toxicity
#9
Philip E Tobias, Christy A Varughese, Amy P Hanson, Payal K Gurnani
Adverse effects of linezolid are typically limited to diarrhea, nausea, and headache when shorter durations are used; however, as extended durations of linezolid therapy are increasingly more common, additional monitoring parameters should be considered in these patients. We describe a unique case of hypoglycemia, lactic acidosis, and pancreatitis related to an extended duration of linezolid therapy. A 52-year-old woman presented with altered mental status, abdominal pain, and hypotension following six weeks of linezolid and ertapenem therapy...
January 1, 2018: Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/29909389/delayed-presentation-of-iatrogenic-splenic-injury-21-days-after-laparoscopic-donor-left-nephrectomy
#10
Kelvin Yafan Wang, Omar Abbassi, Ali Warsi
We report the case of a 46-year-old woman who had presented with left-sided abdominal pain 21 days after undergoing a left-sided laparoscopic nephrectomy for donation. Initial haemoglobin and haematocrit levels were within normal range, and vital signs on admission were unremarkable. Significant intra-abdominal pathology was not suspected; however, inpatient CT scan of the abdomen showed a posterolateral subcapsular splenic haematoma with free abdominal fluid. Initial trial of conservative management was not successful as the patient became hypotensive on the third day of admission with a sudden decrease in haemoglobin and haematocrit...
June 15, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29906334/spontaneous-gastric-dilatation-volvulus-in-two-cats
#11
Meredith L Leary, Virginia Sinnott-Stutzman
OBJECTIVES: To describe 2 cases of gastric dilatation-volvulus (GDV) in cats. To describe 2 unique clinical settings in which the disease occurs in cats, and to highlight the differences between GDV in cats and dogs. CASE SERIES SUMMARY: Two neutered female Persian cats were presented for evaluation of respiratory distress. Initial physical examination revealed tachypnea, dyspnea, and a markedly distended and painful abdomen in both cats. Radiographs revealed a gas-dilated stomach and gastrointestinal (GI) tract in both cats but were only diagnostic for GDV in 1 case...
June 15, 2018: Journal of Veterinary Emergency and Critical Care
https://www.readbyqxmd.com/read/29903776/retroperitoneal-seminoma-a-rare-cause-of-testicular-pain
#12
Shivani Joshi, Vernon Sivarajah
Extragonadal retroperitoneal seminomas are a rare cause of testicular pain in males. We report the case of a 46-year-old man, who presented with right-sided testicular pain, clinically mimicking testicular torsion. The patient underwent a scrotal exploration, which revealed normal testes. He went on to have a contrast-enhanced CT abdomen and pelvis, which revealed a 55 mm para-aortic mass, displacing the duodenum and inferior vena cava, with an adjacent 22 mm lymph node. Histological analysis revealed that it was a seminoma...
June 14, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29901573/acute-scoliosis-as-an-unusual-presentation-of-pneumonia-a-case-report
#13
Rajan Atwal, Charles Stewart
We describe the unique case of a child with pneumonia presenting with acute scoliosis and abdominal pain, without any typical features of the disease.A 10-year-old girl presented to the emergency department on 3 consecutive days with right-sided abdominal pain. There were no associated features, in particular, no fevers or respiratory symptoms. On the first 2 presentations, observation,examination, and blood test findings were unremarkable. Chest x-ray and abdominal ultrasound were also normal. On the third presentation a marked scoliosis was noted and abdominal examination revealed right-sided tenderness with rebound...
June 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29901457/cystic-intestinal-pneumatosis-of-the-small-gut-etiopathogenesis-and-review-of-literature
#14
Luca Napolitano, Mathew Waku, Gustavo Maggi, Franco Ciarelli
Cystic intestinal pneumatosis (CIP) is the presence of gas bubbles inside the wall of the intestine. In literature it has been reported to be associated with a variety of clinical conditions such as: superior mesenteric ischemia, intestinal perforation, bowel necrosis, infections which can cause mucosal alterations and therefore increasing its permeability, necrotizing enterocolitis in babies, trauma, intestinal obstruction, autoimmune and pulmonary pathologies. Its presence is usually documented by radiological techniques such as abdominal X-ray, CT scan and endoscopy and are usually characterized by the typical pattern of gas bubbles in the wall of the intestine...
March 19, 2018: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/29889260/pulmonary-infarction-right-upper-quadrant-pain-as-a-presenting-symptom-with-review-of-typical-computed-tomography-imaging-features
#15
Steven T Fosmire, Guy N Gibson, John C Copeland, Marcus S Maydew, Christian Eggers
The purpose of this case presentation is to discuss right upper quadrant pain as an atypical presenting symptom in pulmonary infarction and review the typical computed tomography (CT) imaging features of pulmonary infarction to improve diagnostic accuracy. Pulmonary infarction results from occlusion of distal arterial vasculature within the lung parenchyma leading to ischemia, hemorrhage, and ultimately necrosis. Patients with lung infarction typically present with pleuritic chest pain and may have associated signs or symptoms of pulmonary thromboembolism or deep vein thrombosis...
June 8, 2018: Military Medicine
https://www.readbyqxmd.com/read/29886891/-gastric-perforation-in-a-two-year-old-girl
#16
Vinni Faber Rasmussen, Iben Møller Jønsson, Henriette Lassen Schaumburg
Gastric perforation is a life-threatening condition and is rarely seen in children. In this case report a two-year-old girl with a two-day history of fever and severe abdominal pain was evaluated in an emergency department. When she was four months old, she had surgery for malrotation. On examination the abdomen was distended, and her condition deteriorated rapidly with signs of shock. A computerised axial tomography scan revealed pneumoperitoneum, and intraoperative findings proved gastric perforation. Surgery was successful...
June 11, 2018: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/29885913/small-intestinal-metastases-from-esophageal-carcinoma-presenting-as-a-perforation-a-case-report-and-review-of-the-literature
#17
Ryohei Ono, Hidemitsu Ogino, Jun Kawachi, Rai Shimoyama, Hiroyuki Kashiwagi, Naoko Isogai, Katsunori Miyake, Ryuta Fukai, Takaaki Murata, Yuto Igarashi, Nobuaki Shinozaki
INTRODUCTION: Small intestinal metastasis from oesophageal carcinoma is rare. We report a case of small intestinal metastases from oesophageal carcinoma presenting as a perforation and discuss the aetiology with other cases of small intestinal metastasis from oesophageal carcinoma reported in previous literature. PRESENTATION: An 86-year-old man presented with fever and coughing. He had choked while eating and had history of weight loss. He was diagnosed with aspiration pneumonia...
June 5, 2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29885038/recurrent-hepatic-mesenchymal-hamartoma-with-osseous-metaplasia
#18
Nur Rahadiani, Marini Stephanie, Juan Putra
A seven-year-old Asian male presented with abdominal pain and enlarging abdomen status-post partial hepatectomy for mesenchymal hamartoma (MH) two years ago. The lesion was present at the resection margin during the initial procedure. Current imaging studies revealed a 4 cm hepatic lesion in segment 5 and 8, suggestive of recurrent MH. This article is protected by copyright. All rights reserved.
June 9, 2018: Liver International: Official Journal of the International Association for the Study of the Liver
https://www.readbyqxmd.com/read/29884971/boerhaave-syndrome-due-to-hypopharyngeal-stenosis-associated-with-chemoradiotherapy-for-hypopharyngeal-cancer-a-case-report
#19
Hideharu Tanaka, Norihisa Uemura, Daisuke Nishikawa, Keisuke Oguri, Tetsuya Abe, Eiji Higaki, Takahiro Hosoi, Byonggu An, Yasuhisa Hasegawa, Yasuhiro Shimizu
BACKGROUND: Spontaneous esophageal rupture, also known as Boerhaave syndrome, is a very serious life-threatening benign disease of the gastrointestinal tract. It is typically caused by vomiting after heavy eating and drinking. However, in our patient, because of a combination of hypopharyngeal cancer with stenosis and chemoradiotherapy (CRT), which caused chemotherapy-induced vomiting, radiotherapy-induced edema, relaxation failure, and delayed reflexes; resistance to the release of increased pressure due to vomiting was exacerbated, thus leading to Boerhaave syndrome...
June 8, 2018: Surgical Case Reports
https://www.readbyqxmd.com/read/29881313/perforated-tuberculous-appendicitis-a-rare-case-report
#20
Alemayehu Gonie, Kebebe Bekele
Background: Gastrointestinal tuberculosis (TB) accounts for 3% of extrapulmonary TB. Tuberculous appendicitis is a rare type of abdominal TB and is seen in only 0.1%-0.3% of cases. Diagnosis is usually made after histopathologic examination of the appendectomy specimen. In Ethiopia, there had been no previous report of perforated appendicular TB, and to our knowledge, this is the first case report of a patient with perforated tuberculous appendicitis to be presented. Case report: A 22-year-old male patient presented with complaints of severe abdominal cramp, periumbilical pain, nausea, 2 episodes of nonbilious vomiting, as well as high-grade fever...
2018: International Medical Case Reports Journal
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