Elderly Woman With Abdominal Pain and Melena

Elderly Woman with Abdominal Pain: Bedside Ultrasound Diagnosis of Diverticulitis

A 72-year-old otherwise healthy female presented to the emergency department with two weeks of worsening abdominal pain. She was afebrile with normal vital signs. Her physical examination was notable for moderate abdominal tenderness without rebound to the left and suprapubic regions of the abdomen. Laboratory studies were remarkable for a white blood cell count of 13,000/mm3. A focused bedside...

Abdominal pain and vomiting in an elderly diabetic woman

Gall stone ileus is a mechanical bowel obstruction caused by passage of gall stones from the biliary system through a biliaryenteric fistula with impaction within lumen of the bowel. It is an uncommon complication of biliary stone disease, accounting for only 2% of all cases of intestinal obstruction. Gall stone ileus is, however, more common in the elderly and accounts for approximately 25% of...

Abdominal pain and vomiting in an elderly diabetic woman.

A 82 year old white woman was admitted with a history of heartburn nausea and vomiting of three days’ duration. She also complained of pain in her lower abdomen. She was being treated for type 2 diabetes mellitus, hypertension, and atrial fibrillation. Her medication consisted of metformin, tolbutamide, digoxin, aspirin, and bendrofluazide. She had previously had an ultrasound scan of her abdom...

Ileal Duplication Cyst Causing Recurrent Abdominal Pain and Melena

Alimentary tract duplications are rare congenital anomalies. The presentation depends on their anatomical location, size and other characteristics. The most common variety is small bowel cystic duplication. We report a case of an eight years old girl who presented with recurrent abdominal pain and melena. Radioisotope technetium scan showed increased uptake of tracer in right lower abdomen and ...

A woman with severe abdominal pain.