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Related Concept Videos

Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Appendicitis01:19

Appendicitis

Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
Cholecystitis01:20

Cholecystitis

Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...
Pericarditis II: Clinical Features and Diagnostic Tests01:19

Pericarditis II: Clinical Features and Diagnostic Tests

Pericarditis is distinguished by inflammation of the pericardium, the fibrous sac that encases the heart. It can be acute, lasting less than six weeks, or chronic, persisting for over three months. Understanding its clinical manifestations and diagnostic findings is crucial for timely and effective management.Clinical ManifestationsWhile pericarditis can be asymptomatic, it usually presents with characteristic symptoms such as:Chest Pain: The most characteristic symptom of pericarditis is chest...

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Related Experiment Videos

Acute appendicitis presenting as chest pain.

Ashok Yadavrao Kshirsagar1, Sumit Suresh Bansal, Shreyas Ramesh Somnath

  • 1Department of Surgery, Krishna Institute of Medical Sciences University, Karad 415110, Maharashtra, India.

International Journal of Surgery Case Reports
|February 3, 2012
PubMed
Summary
This summary is machine-generated.

This case study highlights a rare instance of acute appendicitis presenting as chest pain in a child with a late-presenting congenital diaphragmatic hernia (CDH). The herniated appendix caused unusual symptoms, emphasizing the varied presentations of CDH.

Related Experiment Videos

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Thoracic Surgery

Background:

  • Abdominal pain is typical for appendicitis, but chest pain presentation is exceptionally rare.
  • Herniation of the appendix into the thorax through a congenital diaphragmatic defect (CDH) causing chest pain has not been previously reported.

Purpose of the Study:

  • To report a unique case of acute appendicitis presenting as chest pain.
  • To highlight the varied clinical manifestations of late-presenting congenital diaphragmatic hernia (CDH).

Main Methods:

  • A case report of a 12-year-old male presenting with acute chest pain.
  • Diagnostic workup included ECG, echocardiogram, cardiac enzymes, chest X-ray, and gastrograffin contrast study.
  • Surgical exploration revealed an inflamed appendix herniated through the diaphragm.

Main Results:

  • Initial ECG suggested ischemic changes, but cardiac workup was normal.
  • Congenital diaphragmatic hernia was confirmed, with the appendix, cecum, and parts of the colon herniated.
  • Histological examination confirmed acute appendicitis.

Conclusions:

  • Acute appendicitis can present atypically, including chest pain, especially in cases of late-presenting CDH.
  • The type of herniated viscera significantly influences the presentation of late-presenting CDH.
  • Prompt diagnosis and surgical repair of late-presenting CDH offer a favorable prognosis.