conclusions the addition of ketamine to intravenous fentanyl plus acetaminophen pca had not extra effects in relieving post abdominal surgery pain. results there were no significant demographic differences between two groups. pain scores (at rest, while moving and coughing) during the first 48 hours were not significantly different between two groups (p values = 0.361, 0.367 and 0.204, respecti...

a 52-year-old woman presented with a history of diabetes mellitus under medical treatment and a surgical history of a cesarean section 20 years ago. the patient was referred to our emergency department because of a 2-week hypermenorrhea and unspecific abdominal pain without nausea and vomiting, fever, or other symptoms. she did not complain of weight loss.

Background. Pulmonary embolism is a common and potentially lethal condition. Most patients who die from massive pulmonary embolism do so within the first few hours of the event. The clinical manifestations of pulmonary embolism are nonspecific, which makes the diagnosis difficult. Case Report. We present a case of massive pulmonary embolism presenting as an acute surgical abdomen that underwent...

A cow is presented to you for colic. At the rectal examination, you palpate tension bands. It’s midnight, the cow is nervous and she wants to lie down constantly. She is 7 month old pregnant. What do you do? Treat her with laxative, a subQ calcium and ketoprofen? Or you open her up on the right side standing to find that she has a volvulus and the bowel are falling out of the abdomen while she ...

Introduction: Abdominal radiography is an important method for acute abdomen cases and it is usually used to determine surgical approaches. This study was performed to determine the effect of abdominal radiography in the surgical approach among patients with acute abdomen attending the emergency ward of Rasool-Akram Hospital. Methods: In this comparative cross-sectional study, 147 consecutive ...

Acute surgical abdomen is a diagnostic and therapeutic emergency, manifested by generalized contracture of the abdominal muscles following peritoneal irritation. In majority cases, acute peritonitis most common etiology requiring urgent intervention. Nevertheless, some medical pathologies, notably adrenal deficiency inflammatory colitis, can mimic this situation, leading to an aberrant Through ...

Background: Omentum necrosis is a rare cause of acute abdomen. Its main etiologies are torsion on its axis, hypercoagulability, and intra-abdominal infections. clinical diagnosis difficult since symptoms resemble other abdominal pathologies, so diagnostic confirmation when the pain present in right abdomen, which occurs most frequently, usually intraoperative Surgical treatment more effective t...