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Frail patient with abdominal pain.

Elia F, Pagnozzi F, Busolli P, Aprà F - West J Emerg Med (2010)

Bottom Line: Volvulus is a frequent condition in patients presenting in the emergency department (ED) with abdominal pain.While cecal volvulus occurs more often in young patients, sigmoid volvulus is more common in elderly patients.

View Article: PubMed Central - PubMed

Affiliation: High Dependency Unit, San Giovanni Bosco Hospital, Torino, Italy.

ABSTRACT
Volvulus is a frequent condition in patients presenting in the emergency department (ED) with abdominal pain. While cecal volvulus occurs more often in young patients, sigmoid volvulus is more common in elderly patients.

No MeSH data available.


Related in: MedlinePlus

Anteroposterior scout film of computed tomography abdomen
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Related In: Results  -  Collection

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f2-wjem11_4p400: Anteroposterior scout film of computed tomography abdomen

Mentions: A 76-year-old man presented with abdominal pain and constipation. A previous ischemic stroke and subsequent neurological complications had left him bedridden for six years. Surgical history included tracheotomy and gastrostomy tube. On admission he was normotensive and afebrile but mildly tachycardic. Abdominal examination revealed severe distension and tenderness in the left lower quadrant with localized peritonitis. Laboratory tests yielded leukocytosis. Abdominal radiographs and computed tomography (CT) revealed a markedly dilated sigmoid colon in the presence of distal volvulus. (Figures 1 and 2) With clinical and laboratory signs suggestive of gangrene, the patient underwent open laparotomy. Sigmoid volvulus with necrotic bowel was detected; reduction of the volvulus and sigmoid resection was performed. No surgical complication occurred, but he ultimately succumbed to pulmonary complications.


Frail patient with abdominal pain.

Elia F, Pagnozzi F, Busolli P, Aprà F - West J Emerg Med (2010)

Anteroposterior scout film of computed tomography abdomen
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC2967700&req=5

f2-wjem11_4p400: Anteroposterior scout film of computed tomography abdomen
Mentions: A 76-year-old man presented with abdominal pain and constipation. A previous ischemic stroke and subsequent neurological complications had left him bedridden for six years. Surgical history included tracheotomy and gastrostomy tube. On admission he was normotensive and afebrile but mildly tachycardic. Abdominal examination revealed severe distension and tenderness in the left lower quadrant with localized peritonitis. Laboratory tests yielded leukocytosis. Abdominal radiographs and computed tomography (CT) revealed a markedly dilated sigmoid colon in the presence of distal volvulus. (Figures 1 and 2) With clinical and laboratory signs suggestive of gangrene, the patient underwent open laparotomy. Sigmoid volvulus with necrotic bowel was detected; reduction of the volvulus and sigmoid resection was performed. No surgical complication occurred, but he ultimately succumbed to pulmonary complications.

Bottom Line: Volvulus is a frequent condition in patients presenting in the emergency department (ED) with abdominal pain.While cecal volvulus occurs more often in young patients, sigmoid volvulus is more common in elderly patients.

View Article: PubMed Central - PubMed

Affiliation: High Dependency Unit, San Giovanni Bosco Hospital, Torino, Italy.

ABSTRACT
Volvulus is a frequent condition in patients presenting in the emergency department (ED) with abdominal pain. While cecal volvulus occurs more often in young patients, sigmoid volvulus is more common in elderly patients.

No MeSH data available.


Related in: MedlinePlus