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Related Concept Videos

Abdominal Regions and Quadrants01:19

Abdominal Regions and Quadrants

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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.
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Assessment of the Abdomen I: Inspection and Auscultation01:25

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Introduction
The abdominal examination is a cornerstone of clinical medicine, serving as a critical tool in diagnosing various gastrointestinal (GI) diseases. It involves a systematic approach that includes inspection and auscultation, each with distinct yet complementary roles in assessing the abdomen. This article will delve into these two primary methods healthcare professionals use to examine the abdomen.
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The abdominal wall encircles the abdominal cavity, providing flexible protection and shielding the internal organs from harm. It is bordered at the top by the xiphoid process and costal margins, at the back by the vertebral column, and at the bottom by the pelvic bones and inguinal ligament. The abdominal wall is divided into two regions — the anterolateral and posterior regions.
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Percussion is a fundamental technique used to assess the liver, spleen, and abdominal organs by tapping the abdomen and interpreting the resulting sounds. This method helps identify fluid, distention, and masses through variations in sound, such as the high-pitched tympany of air-filled areas and the dullness of solid masses. Understanding how to percuss these organs provides valuable information for healthcare professionals in diagnosing conditions early.
Percussion
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Gallbladder01:17

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The gallbladder is a small, pear-shaped organ that plays a crucial role in our digestive system. Measuring about 10 cm in length, it is comparable in size to a kiwi fruit and is located in a hollow area on the lower surface of the liver. The gallbladder's primary function is to store and concentrate bile, a fluid produced by the liver that aids in digestion.
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Measuring Hypopharyngeal Gland Acinus Size in Honey Bee Apis mellifera Workers
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A "beehive" in the abdomen.

Federico Coccolini1, Fausto Catena1, Roberto Manfredi1

  • 1General and Emergency Surgery Department, Ospedali Riuniti, Largo Barozzi 1, 24128 Bergamo, Italy.

The Indian Journal of Surgery
|January 16, 2014
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Summary
This summary is machine-generated.

A giant fecaloma caused intestinal obstruction in a young woman. This case highlights that fecal impaction is frequently misdiagnosed, emphasizing the need for careful evaluation to prevent unnecessary surgery.

Keywords:
FecalomaIntestinal occlusionTreatment

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Area of Science:

  • Gastroenterology
  • Colorectal Surgery

Background:

  • Fecal impaction, a common condition, can lead to severe complications like intestinal obstruction.
  • Misdiagnosis of fecal impaction is prevalent, particularly in patients unable to provide a clear history.

Purpose of the Study:

  • To report a case of intestinal occlusion caused by a giant fecaloma in a young adult.
  • To underscore the diagnostic challenges and clinical implications of fecal impaction.

Main Methods:

  • Case report of a 22-year-old female patient.
  • Clinical presentation, diagnostic workup, and management of a large fecaloma leading to intestinal obstruction.

Main Results:

  • A giant fecaloma was identified as the cause of intestinal occlusion.
  • The patient's presentation was complicated by the difficulty in obtaining a reliable patient history.

Conclusions:

  • Giant fecalomas can cause significant gastrointestinal emergencies.
  • Thorough clinical assessment is crucial to accurately diagnose fecal impaction and avoid inappropriate surgical interventions.