A 41-year-old woman with paroxysmal abdominal pain, weight loss and an epigastric bruit

Marcoccia, Antonella; Tola, Marco Di; Paris, Francesca; Donato, Giuseppe; Libanori, Valerio; Picarelli, Antonio

doi:10.1007/s11739-009-0318-4

Cited by 3 publications

(1 citation statement)

References 9 publications

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“…Acute mesenteric ischemia due to arterial occlusion (thromboembolism, volvulus, intussusception, vasculitis), severe hypotension (hypovolemia, congestive heart failure, sepsis), impaired venous drainage (thrombosis, volvulus, hernia, intussusception) or drugs (digitalis, norepinephrine, ergotamine) can be often diagnosed by altered signals on color Doppler US examination [22]. Celiac artery stenosis is another possible cause of recurrent upper abdominal pain, after other more common diagnoses have been ruled out [37].…”

Section: Mesogastriummentioning

confidence: 99%

The role of emergency ultrasound in the diagnosis of acute non-traumatic epigastric pain

et al. 2010

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The epigastrium is the site where pain coming from both abdominal and extra-abdominal organs is frequently referred. Although acute or chronic diseases of the stomach, duodenum, liver, pancreas and biliary tree are the most common causes of acute epigastric pain, several other entities, potentially more severe, should also be suspected and investigated. Clinical bedside ultrasonography (US) is actually the first-line imaging in acute epigastric pain patients presenting to the hospital Emergency Department (ED) because it is rapid, noninvasive, relatively inexpensive and focused, repeatable and reliable. Moreover, the systematic use of emergency US as a complement to routine management might save economic resources by avoiding further costs for complications and substantially reducing the time for making an accurate diagnosis. The purpose of this paper is to review the US spectrum of the most common diseases responsible for acute epigastric pain onset. We also propose a focused, well codified US protocol, that we call the "$ approach", based on our clinical experience and the current literature for acute non-traumatic epigastric pain evaluation in an emergency setting. Its systematic application by the emergency physician may reduce the wait for diagnosis and the over-usage of second-line radiological techniques, including computed tomography, as well as to increase the diagnostic accuracy with potential benefits for patient (safety), physician (efficacy) and the institution (efficiency).

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Section: Mesogastriummentioning

confidence: 99%

The role of emergency ultrasound in the diagnosis of acute non-traumatic epigastric pain

et al. 2010

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Schmerz und Epilepsie

Martin

2018

Schmerz

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Besides postictal headaches, epileptic seizures are infrequently associated with pain experiences. Nevertheless, seizure-associated pain is an important clinical symptom to recognize, diagnose and to differentiate from non-epileptic disorders. Seizure-associated pain may shed light on the anatomical and pathophysiological foundation of pain in general. According to its localization seizure-related pain is classified as unilateral somatosensory, abdominal and cephalic epileptic pain and according to its temporal relationship as ictal, peri-ictal, and interictal pain. Different aspects of pain phenomena in the context of epileptic seizures will be addressed by following these systematic classifications. In relation to seizures with unilateral somatosensory manifestation the functional anatomical context is described while differential diagnostic aspects in association with abdominal epilepsies are emphasized and terminological points as well as genetic epidemiological interrelationships between epilepsy and migraine are highlighted.

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