Abdominal migraine in the differential diagnosis of acute abdominal pain

Cervellin, Gianfranco; Lippi, Giuseppe

doi:10.1016/j.ajem.2014.12.066

Cited by 12 publications

(12 citation statements)

References 16 publications

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“…The adult variant of AM appears to share many symptoms with the pediatric as is evidenced in this case as well as several others reported in the literature 6‐16 . Patients with AMs typically present with onset of nausea, abdominal pain, vomiting, and photophobia.…”

Section: Discussionsupporting

confidence: 68%

“…Children with AMs usually grow out of the condition but some may grow up to experience migraine headaches and recurrent abdominal pain as adults 3 . The diagnostic criteria for AM have been established in children, 4,5 and our review of the literature shows evidence of AM being diagnosed in adults 6‐17 . Here, we present the case of a 58‐year‐old female who met the established diagnostic criteria for AM following three hospital readmissions and extensive workup to rule out other etiologies.…”

Section: Introductionmentioning

confidence: 94%

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Fifty‐eight‐year‐old female with abdominal migraine: A rare cause of episodic gastrointestinal disturbance in adults

Karmali

Hall-Wurst

2020

Clinical Case Reports

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Section: Discussionsupporting

confidence: 68%

Section: Introductionmentioning

confidence: 94%

Fifty‐eight‐year‐old female with abdominal migraine: A rare cause of episodic gastrointestinal disturbance in adults

Karmali

Hall-Wurst

2020

Clinical Case Reports

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“…The differential diagnosis of AAP in the adult population is rather broad, including appendicitis, peptic ulcer, urinary stones, inflammatory bowel disease, hepatobiliary diseases (e.g., biliary colic, cholecystitis, and pancreatitis), referred pain due to pneumonia as well as several other "mimics" of extra-abdominal origin (9)(10)(11). In young women, gynecologic disorders (e.g., ectopic pregnancy, endometriosis, and pelvic inflammatory disease) are additional conditions which should be considered in the differential diagnosis (12)(13)(14).…”

Section: Introductionmentioning

confidence: 99%

Epidemiology and outcomes of acute abdominal pain in a large urban Emergency Department: retrospective analysis of 5,340 cases

et al. 2016

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Background: Acute abdominal pain (AAP) accounts for 7-10% of all Emergency Department (ED) visits.Nevertheless, the epidemiology of AAP in the ED is scarcely known. The aim of this study was to investigate the epidemiology and the outcomes of AAP in an adult population admitted to an urban ED. Methods:We made a retrospective analysis of all records of ED visits for AAP during the year 2014. All the patients with repeated ED admissions for AAP within 5 and 30 days were scrutinized. Five thousand three hundred and forty cases of AAP were analyzed.Results: The mean age was 49 years. The most frequent causes were nonspecific abdominal pain (NSAP) (31.46%), and renal colic (31.18%). Biliary colic/cholecystitis, and diverticulitis were more prevalent in patients aged >65 years (13.17% vs. 5.95%, and 7.28% vs. 2.47%, respectively). Appendicitis (i.e., 4.54% vs. 1.47%) and renal colic (34.48% vs. 20.84%) were more frequent in patients aged <65 years. NSAP was the most common cause in both age classes. Renal colic was the most frequent cause of ED admission in men, whereas NSAP was more prevalent in women. Urinary tract infection was higher in women. Overall, 885 patients (16.57%) were hospitalized. Four hundred and eighty-five patients had repeated ED visits throughout the study period. Among these, 302 patients (6.46%) were readmitted within 30 days, whereas 187 patients (3.82%) were readmitted within 5 days. Renal colic was the first cause for ED readmission, followed by NSAP. In 13 cases readmitted to the ED within 5 days, and in 16 cases readmitted between 5-30 days the diagnosis was changed.Conclusions: Our study showed that AAP represented 5.76% of total ED visits. Two conditions (i.e., NSAP and renal colic) represented >60% of all causes. A large use of active clinical observations during ED stay (52% of our patients) lead to a negligible percentage of changing diagnosis at the second visit.

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“…The differential diagnosis of acute abdomen in the adult population is rather broad, including appendicitis, peptic ulcer, urinary stones, inflammatory bowel disease, hepatobiliary diseases (e.g., biliary colic, cholecystitis, and pancreatitis), referred pain due to pneumonia as well as several other "mimics" of extra-abdominal origin 3 . In young women, gynaecologic disorders (e.g., ectopic pregnancy, endometriosis, and pelvic inflammatory disease) are additional conditions which should be considered in the differential diagnosis 4 .…”

Section: Introductionmentioning

confidence: 99%

Clinical study, diagnostic aids and management of acute abdomen

Walia¹,

Kapur²,

Singh³

et al. 2017

Int. J. Curr. Res. Biol. Med

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Background: Evaluation of the emergency department(ED) patient with acute abdomen is sometimes difficult. Various factors can obscure the presentation, delaying or preventing the correct diagnosis, with subsequent adverse patient outcomes. Clinicians must consider multiple diagnoses, especially those life-threatening conditions that require timely intervention to limit morbidity and mortality. The term acute abdomen is constantly applied to such cases that signify the urgent need for prompt diagnosis and active treatment. Objective: This study is designed to examine the present state of diagnosis and management of acute abdomen and to develop evidence based guidelines for the diagnostic pathway and management of acute abdomen. Result: Our study showed that acute cholecystitis was the most common cause (29%) in patients presenting with acute abdomen followed by perforation peritonitis (25%). Pain and vomiting (49%) was the most common complaint followed by distension (44%). Ultrasound is the most sensitive and most commonly used diagnostic aid in acute abdomen. Majority of patients(73%) required surgical intervention. Conclusion: Abdominal pain is a common presenting complaint in the ED and clinicians must consider multiple diagnoses, especially in those cases that require immediate intervention in order to limit morbidity and mortality.

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Abdominal migraine in the differential diagnosis of acute abdominal pain

Cited by 12 publications

References 16 publications

Fifty‐eight‐year‐old female with abdominal migraine: A rare cause of episodic gastrointestinal disturbance in adults

Fifty‐eight‐year‐old female with abdominal migraine: A rare cause of episodic gastrointestinal disturbance in adults

Epidemiology and outcomes of acute abdominal pain in a large urban Emergency Department: retrospective analysis of 5,340 cases

Clinical study, diagnostic aids and management of acute abdomen

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