SMJ articles in the category "abdominal pain"

Original Article

CME Article: Alpha-Gal Allergy as a Cause of Intestinal Symptoms in a Gastroenterology Community Practice

Objectives: Immunoglobulin E (IgE) to galactose-α-1,3-galactose (alpha-gal) is a recently appreciated cause of allergic reactions to mammalian meat and dairy. In eastern North America Lone Star tick bites are the dominant mode of sensitization. Classically the alpha-gal syndrome manifests with urticaria, gastrointestinal symptoms, and/or anaphylaxis, but increasingly there are reports…

Posted in: abdominal pain 9 gastrointestinal 5

Original Article

Cholecystectomy for Biliary Dyskinesia in Gastroparesis: Mimic or Misfortune?

Objectives: Biliary dyskinesia and gastroparesis are associated with upper abdominal discomfort and dyspeptic symptoms in the absence of structural abnormalities. We hypothesized that the similarity in symptoms would trigger testing and surgical treatment for biliary abnormalities in a significant number of patients, with refractory symptoms ultimately demonstrating impairment of gastric…

Posted in: abdominal pain 9 cholecystectomy 4 cholecystitis 6 cholelithiasis 5 Diabetes 23 dyspepsia 3

Original Article

National Survey of Physicians' Perception of the Cause, Complications, and Management of Gastroparesis

Objectives: Manifestations of gastroparesis are heterogeneous and clinical complications are poorly defined. Misconceptions of gastroparesis may be common. The objective was to determine physicians’ perception of gastroparesis and identify areas that need further research and education. Methods: A physician survey was prospectively developed and tested. The survey included questions on…

Posted in: abdominal pain 9 gastroparesis 4 national survey 3

Original Article

Preferable Colonic Investigations for Isolated Abdominal Pain

Objectives: Isolated abdominal pain is seen as a poor indication for colonic investigations. The yield of serious pathology detected by optical colonoscopy (OC) has differed greatly in published series. This study aims to establish the yield of colonic investigations for isolated abdominal pain. Methods: A retrospective analysis of the endoscopy…

Posted in: abdominal pain 9 colonoscopy 24 yield 2

Case Report

Splenic Laceration Following Routine Colonoscopy

Colonoscopy is a routine procedure done tens of thousands of times per year for screening purposes. The vast majority of these procedures are uneventful. There are, however, complications that can arise from this procedure, including hollow viscus perforation and hemorrhage. We present a case in which a lesser known complication…

Posted in: abdominal pain 9 colonoscopy 24 complication 8 spleen 2

Case Report

An Uncommon Cause of Abdominal Pain in an Adolescent

Imperforate hymen is a rare congenital anomaly which emergency physicians often forget to include in the differential diagnosis of lower abdominal pain in a pubescent girl. These patients often remain asymptomatic until puberty and present in early adolescence with cyclic abdominal pain. This case report reviews the presentation and treatment…

Posted in: abdominal pain 9

Original Article

Characteristics of Patients Who Present to the Emergency Department with Molar Pregnancy

Objective: The purpose of this study was to determine presenting signs/symptoms and risk factors in emergency department (ED) patients ultimately diagnosed with molar pregnancy. Methods: A retrospective review of ED medical records using a standardized abstraction sheet was conducted over a 10-year period (1995–2005) from three EDs. Results: Records were…

Posted in: abdominal pain 9 pregnancy 48

Original Article

Association of Clinical and Laboratory Variables With Ultrasound Findings in Right Upper Quadrant Abdominal Pain

Background: The purpose of this study was to determine how laboratory values and physical examination findings correlate with ultrasound findings in the setting of right upper quadrant pain. Methods: Patients undergoing emergent ultrasound for the evaluation of biliary disease between November 1999 and April 2000 were included. Physical examination findings,…

Posted in: abdominal pain 9 cholecystitis 6 cholelithiasis 5 ultrasound 13

Case Report

Mesenteric Venous Thrombosis in a Patient with Pancreatitis and Protein C Deficiency

Mesenteric vein thrombosis is an uncommon manifestation of hypercoagulable states. A case is reported of superior mesenteric vein (SMV) thrombosis in a patient with pancreatitis and protein C deficiency. A discussion of SMV thrombosis identification, management, and outcomes is included. The patient presented with a significant history of alcohol abuse…

Posted in: abdominal pain 9 pancreatitis 16
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