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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...
496
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...
135
Acute Pancreatitis II: Clinical Manifestations and Management01:30

Acute Pancreatitis II: Clinical Manifestations and Management

168
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...
168
Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

534
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
534
Acute Pancreatitis I: Introduction01:27

Acute Pancreatitis I: Introduction

468
Pancreatitis is inflammation of the pancreas, an organ located behind the stomach. It can be either acute or chronic.
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
468
Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

34
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
34

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Hepatic Abscess Following Acute Appendicitis.

Tavish E Ward1, Rohan K Mangal2, Thor S Stead3

  • 1Biology, Trinity Preparatory School, Winter Park, USA.

Cureus
|August 18, 2022
PubMed
Summary

Acute appendicitis can lead to liver abscesses through bloodstream spread. This case highlights a rare complication of appendectomy, emphasizing the need for vigilance in diagnosing post-operative infections.

Keywords:
abdominal pain in femalesappendicitishepatic abscessliver abscess drainagepyogenic hepatic abscess

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Area of Science:

  • Gastroenterology
  • Infectious Diseases
  • Surgical Complications

Background:

  • Acute appendicitis is a common surgical emergency.
  • Laparoscopic appendectomy is a standard treatment.
  • Post-operative complications, though rare, require thorough investigation.

Observation:

  • A 29-year-old female presented with fever, abdominal pain, and nausea three weeks after an uneventful laparoscopic appendectomy for acute appendicitis.
  • Elevated liver enzymes and leukocytosis were noted.
  • Abdominal CT scan revealed a liver abscess.

Findings:

  • A liver abscess was successfully drained by interventional radiology.
  • Cultures identified Streptococcus constellatus, Bacteroides fragilis, and Bacteroides ovatus.
  • The proposed mechanism involves hematogenous spread of enteric organisms via the portal vein.

Implications:

  • This case suggests appendicitis as a potential source for liver abscess formation.
  • Highlights the importance of considering intra-abdominal infections post-appendectomy.
  • Suggests portal venous seeding as a pathway for hepatic infection from appendicitis.