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Related Concept Videos

Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

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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...
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Appendicitis01:19

Appendicitis

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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...
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Abdominal Regions and Quadrants01:19

Abdominal Regions and Quadrants

17.3K
To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
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Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

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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...
936
Cholecystitis01:20

Cholecystitis

29
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...
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Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies01:28

Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies

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Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
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Related Experiment Video

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Author Spotlight: Advancing Hepatobiliary and Pancreatic Tumor Treatment with Minimally Invasive Surgical Techniques
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Acute appendicitis presenting as unusual left upper quadrant pain.

Tsung-Ju Chuang1, Chun-Wen Chen2, Hsin-Yuan Lin3

  • 1Department of Internal Medicine, Armed Forces Taichung General Hospital, Taichung, Taiwan.

Iranian Journal of Radiology : a Quarterly Journal Published by the Iranian Radiological Society
|December 19, 2013
PubMed
Summary

Acute appendicitis, typically causing right lower quadrant pain, can present atypically in the left upper quadrant due to congenital intestinal malrotation. Computed tomography (CT) aids in diagnosing this rare presentation and guiding treatment.

Keywords:
Abdomen, AcuteAbdominal PainAppendicitisIntestinal Malrotation, Familial

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Area of Science:

  • Gastroenterology
  • Surgical Pathology
  • Diagnostic Imaging

Background:

  • Appendicitis is a frequent surgical emergency, usually presenting with right lower quadrant abdominal pain.
  • Congenital intestinal malrotation is a rare condition that can alter the typical presentation of abdominal pathologies.
  • Left upper quadrant (LUQ) pain is an uncommon symptom for appendicitis.

Observation:

  • A patient presented with persistent LUQ abdominal pain, a symptom not typically associated with appendicitis.
  • Diagnostic evaluation revealed congenital intestinal malrotation complicated by acute appendicitis.
  • Computed tomography (CT) was instrumental in identifying the anatomical abnormality and the inflamed appendix.

Findings:

  • Congenital intestinal malrotation can lead to atypical presentations of acute appendicitis, including LUQ pain.
  • Accurate preoperative diagnosis is crucial for effective surgical planning and patient management.
  • CT imaging offers significant value in diagnosing complex abdominal conditions with unusual symptoms.

Implications:

  • Clinicians should consider acute appendicitis in the differential diagnosis for LUQ abdominal pain, especially in the presence of suspected congenital anomalies.
  • Advanced imaging like CT is essential for identifying rare anatomical variations that influence disease presentation.
  • This case highlights the importance of a comprehensive diagnostic approach to abdominal pain to ensure timely and appropriate surgical intervention.