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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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Appendicitis-II: Diagnostic Studies and Management01:29

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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
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Assessment of the Rectum and Anus01:25

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Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
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Acute Pancreatitis II: Clinical Manifestations and Management01:30

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Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
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Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

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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...
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Related Experiment Video

Updated: Sep 6, 2025

Multimodality Diagnosis of Mesenteric Ischemia
05:07

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Published on: July 21, 2023

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Twisted Mesenteric Leiomyoma Mimicking Acute Appendicitis.

Mohammad Izwan Mohd Isa1, Andee Dzulkarnaen Zakaria1,2, Wan Zainira Wan Zain1,2

  • 1Department of Surgery, Universiti Sains Malaysia, School of Medical Sciences, Kota Bharu, MYS.

Cureus
|June 27, 2022
PubMed
Summary

A rare mesenteric leiomyoma mimicked acute appendicitis in a young woman. Surgical resection confirmed the diagnosis, highlighting the need for thorough small bowel examination during laparoscopy.

Keywords:
acute appendicitisinfarcted mesenteric tumourlaparoscopyleiomyomasegmental resection and anastomosis

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Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Leiomyomas are benign smooth muscle tumors, rarely found in the gastrointestinal tract.
  • They can present with varied symptoms, including acute abdominal pain mimicking appendicitis.

Observation:

  • A young woman presented with symptoms typical of acute appendicitis.
  • Intraoperative findings revealed a twisted mesenteric tumor, 70 cm from the duodenojejunal flexure.

Findings:

  • The tumor was histopathologically confirmed as an infarcted mesenteric leiomyoma.
  • The patient recovered well after segmental resection and anastomosis.

Implications:

  • This case underscores the importance of considering rare diagnoses, such as mesenteric leiomyoma, in the differential diagnosis of acute appendicitis.
  • Laparoscopic examination should include a comprehensive evaluation of the entire small bowel to detect such pathologies.