Infective endocarditis is a microbial infection of the endocardial surface of the heart. Its symptoms and signs are varied, and include fever, heart murmur, peripheral embolism, and heart failure. The diagnosis of subacute bacterial endocarditis (SBE) is suggested by a history of an indolent process characterized by fever, fatigue, anorexia, and unexplained weight loss. These patients may have ...

INTRODUCTION A 55-year-old woman with a 3-month history of abdominal pain presented to the emergency department with chief complaints of worsening abdominal pain and per os intolerance since 3 days ago. Her medical history was noteworthy for watery diarrhea without fever, loss of appetite, weight loss, and nausea and vomiting. Examination revealed abdominal tenderness over right and left lower ...

The differential diagnosis of right lower quadrant abdominal pain includes both ureterolithiasis and acute appendicitis. Surgical treatment can be undergone without confirmatory imaging studies after a clinical diagnosis is made. For this reason, an occult, second abdominal process may be present. A 47-year-old male presented with a three-day history of acute right lower quadrant abdominal pain...

Anatomic variations of the normal position spleen in left upper quadrant is an uncommon condition called wandering or ectopic spleen. This has incidence rate <0.2% and most often diagnosed children under one year age women who are their third decade life, referred symptoms presented by patients abdominal pain, either acute intermittent, associated with a palpable mass lower abdomen. There tw...

A 64-year-old white male presented to the Emergency Department with complaints of 24 hours of right lower quadrant abdominal pain. The patient was without past medical or surgical history. Review of systems was remarkable for nausea without vomiting and absence of urinary symptoms or change in bowel habits. Physical examination was significant for a blood pressure of 136/76 mm Hg, a heart rate ...

A 28-year-old patient presented to the emergency department with acute pain in the left upper abdominal quadrant and left shoulder, and a near collapse. He had an unremarkable medical history, used no medication and had not experienced any recent trauma. During the previous two weeks he had been ill with flu-like symptoms. Physical examination showed blood pressure 120/65 mmHg, heart rate 85/mi...

Eosinophilic cholecystitis is a rare inflammatory condition encountered in surgical cholecystectomy specimens. In terms of histopathology, it is defined by transmural infiltration of eosinophils composing more than 90% of leukocytes. We here report a case of 19-year-old male admitted with thalassemia intermedia and with severe left upper quadrant pain. The patient underwent open splenectomy and...

CASEREPORT A 34 year old woman presented as a surgical emergency with left upper quadrant pain of sudden onset which had awoken her from sleep. The pain radiated to her left shoulder tip. No other symptoms were noted. There was no history of trauma nor medical history of note. Interestingly she remarked that she had had a similar, but self-limiting episode of pain some two months previously aft...