A N OTHERWISE HEALTHY 37-YEAR-OLD woman was initially seen in the emergency department complaining of lower abdominal pain, nausea, and vomiting of 3 days’ duration. She described previous episodes of right upper quadrant abdominal pain. On physical examination, she was febrile and tachycardic with lower abdominal tenderness, and her rectal examination results were Hemoccult negative. The labor...

www.aafp.org/afp AMERICAN FAMILY PHYSICIAN 2321 els, visceral pain usually is dull, poorly localized, and felt in the midline. Pain from foregut structures (e.g., lower esophagus, stomach) generally is felt in the epigastrium. Midgut structures (e.g., small intestine) cause periumbilical pain, and hindgut structures (e.g., large intestine) cause lower abdominal pain. Parietal pain arises from n...

background selection of anesthetic approach for lower extremity operations is often a controversial issue for anesthesiologists. objectives the aim of this study was to compare the incidence and severity of back pain between general and spinal anesthesia, and to find effective factors in developing postoperative back pain. patients and methods in a randomized clinical trail, 148 patients with e...

BACKGROUND Abdominal pregnancy is a rare condition that may lead to severe complications. CASE REPORT The authors report the case of a 17-week intact abdominal pregnancy diagnosed in the course of an investigation of lower abdominal pain. Ultrasonography and MR examination revealed an intact abdominal pregnancy. Subsequent angiography was performed to occlude the supportive artery of the preg...

conclusions we conclude that volume of residual pneumoperitoneum is a contributing factor in the etiology of postoperative pain after laparoscopic cholecystectomy. results at the end of the study, 17 patients (30.9%) had no residual pneumoperitoneum after 24 hours; which 23 (41.81%) had mild residual pneumoperitoneum, eight (14.54%) had moderate pneumoperitoneum and seven (12.72%) had severe pn...

BACKGROUND AND OBJECTIVES The purpose of the present study was to evaluate the results of diagnostic laparoscopy in children with chronic recurrent abdominal pain. PATIENTS AND METHODS Thirteen children with chronic recurrent abdominal pain were subjected to diagnostic laparoscopy. Ages varied from 10 to 17 years. There were six males and seven females. Abdominal pain was present from 3 weeks...

background the benefits of laparoscopy over laparotomy include lower blood loss, decreased length of hospital stay, and decreased postoperative pain. it is unknown, however, whether patients with previous surgeries are good candidates for laparoscopic surgery. objectives to determine whether the location and type (laparoscopic surgery vs. laparotomy) of previous abdominal surgery is associated ...

conclusions it is important to keep in mind that even peritoneal involvement may be seen despite intact hepatic cysts. careful excision of these cysts is the treatment of choice. case presentation a 40-year-old man was referred to the emergency department with dull and intermittent periumbilical pain in the left and right lower quadrant regions accompanied by moderate tenderness and rebound wit...