Atrial Fibrillation Presenting with Acute Abdomen in an Elderly Patient - A Case Report

Raja, Kolluru Karthik; Gaidhane, Shilpa; Sonawane, Sharad; Khatib, Mahalaqua Nazli; Gupte, Yash

doi:10.14260/jemds/2020/661

Cited by 3 publications

(4 citation statements)

References 8 publications

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“…A thorough history of the patient's symptoms, particularly fecal incontinence vs constipation/obstructed defecation symptoms and stool consistency, should be taken at the time of diagnosis because their presence will help guide the choice of a suitable surgical technique. (17)(18)(19)(20)(21) Prolapse can be treated surgically, which also enhances gastrointestinal function. The most popular surgical treatments for rectal prolapse at the moment include rectopexy with sigmoid resection and conventional transabdominal rectopexy.…”

Section: Discussionmentioning

confidence: 99%

“…The most popular surgical treatments for rectal prolapse at the moment include rectopexy with sigmoid resection and conventional transabdominal rectopexy. (20) Michalopoulos, A., Papadopoulos, V.N., Panidis, S., et al reported transabdominal rectopexy procedures to have success rates of up to 65% for continence and higher than 90% for prolapse correction. ( 21)…”

Section: Discussionmentioning

confidence: 99%

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Case Report on Rectal Procidentia with Constipation in Young Adult

2022

pnr

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Background: Rectal prolapse (RP) is a perineal disorder that affects a tiny number of young men. It is possible to define a full protrusion or intussusception of the rectum through the anus. Rectal prolapse is a chronic illness that worsens over time. It shows some symptoms including Constipation that appears and disappears, there has been a bulk protrusion during defecation for the past ten years, Tenderness in the rectum, as well as blood or mucus oozing. Patient presentation: We are presenting a 21-year-old young adult male who visited the surgical outpatient unit with the primary symptoms of difficulty passing stool and a lump protruding from his feces, a reddish mass that comes out of the anus. He observed the protrusion of mass ten years ago but at that time it was small then over time it gradually increased to its current size of 7x7 cm and it is visible outside. He had constipation and was straining during defecation. The patient has undergone laparoscopic rectopexy. He was treated with analgesics and antibiotics. After treatment, the patient's condition improves. Symptoms such as fecal incontinence and constipation are relieved after surgery. Conclusion: Rectal prolapse, also known as procidentia, is the extrusion of the rectum past the anus. At the age extremes, it frequently happens. Treatment strategies in patients with concurrent rectal prolapse require an interdisciplinary surgical approach, surgical therapy is intended to restore physiology by treating the prolapse and improving continence and constipation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Case Report on Rectal Procidentia with Constipation in Young Adult

2022

pnr

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“…Thus comparing our study with other studies we would like to study various clinical presentations of acute abdomen,causes, evaluate the accuracy of imaging studies and to study the effectiveness of conservative management all of which in turn would lead to early and better management of acute abdomen [11][12][13]. Studies on acute abdomen and abdominal pain were reported [14][15][16]…”

Section: Discussionmentioning

confidence: 99%

A Prospective Study on Clinico-Radiological Correlation and Conservative Management of Non-Traumatic Acute Abdomen at a Tertiary Care Centre

Mahawar

Chandak

Yeola

2021

JPRI

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Background: Acute abdomen is a condition in which the patient complains of a sudden or gradual attack of abdominal pain over a duration of several hours and presents with a set of symptoms which indicatea life threateningillness that needs an urgent or quick diagnosis for early treatment. Delay in diagnosis will worsen the condition of the patient and can even have a fatal outcome. It is crucial to recognize situations where laparotomy can be avoided in order to bring down morbidity and financial costs. Hence this study is being conducted to evaluate various clinical presentations, accuracy of clinical diagnosis, causes, better imaging studies and effectiveness of conservative management of non-traumatic acute abdomen. Objectives: To study various clinical presentation of non-traumatic acute abdomen. To study the accuracy of clinical diagnosis of non-traumatic acute abdomen To study different causes of acute abdomen. Compare different imaging studies in cases of acute abdomen and to evaluate their accuracy in diagnosing the condition. To study the effectiveness of conservative management (OchsnerScherren regimen) in cases of acute abdomen. Methods: The study will be doneat Dept. of General Surgery, J.N.M.C and AVBRH, Wardha. The duration of the study will be 2 years from September 2020 to August 2022. In this study, 80-100 Patients of acute abdomen attending the routine OPD and Emergency room at AVBR Hospital will be studied. Thorough clinical examination will be done and Patients with Abdominal pain will be categorized according to inclusion and exclusion criteria. Clinical findings with Radiological findings will be correlated and the sensitivity of imaging studies in diagnosing acute abdomen will be evaluated. The outcome of conservative management of non-traumatic acute abdomen will be observed. Results: We expectto study various clinical presentations of acute abdomen, causes, evaluate the accuracy of imaging studies and to study the effectiveness of conservative management all of which in turn would lead to early and better management of acute abdomen. Conclusion: Better understanding about presentation, causes, the accuracy of radiological studies and effectiveness of conservative management would help in identification of cases in which laparotomy can be avoided to prevent unnecessary surgery with its associated morbidity and financial burden.

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“…As a result, this does not fix the underlying issue of Botulinum toxin injection recurrence. Gonyautoxin, on the other hand, may help heal fissures in ways that have yet to be found [16][17][18][19][20][21][22].…”

Section: Gonyautoxin Injectionmentioning

confidence: 99%

Review of Medical and Surgical Management of Chronic Anal Fissure

Madankar

Ali

2021

JPRI

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To determine which treatment modality has the best outcome for chronic anal fissures in terms of pain relief, fissure healing, and recurrence. The main symptoms are pain while the passage of stools is acute in primary fissures but often persists in case of longstanding fissures causing significant discomfort to the patient. The management of anal fissure has progressed immensely in the last decade due to a better understanding of its pathophysiology. The main aim of the treatment is to reduce the spasm of the internal anal sphincter, thereby reducing the anal canal pressure. The Conservative approach consists of topical nitrates, calcium channel blockers, and calcium channel blockers. It is often preferred over surgical alternatives as it is not invasive. Surgeries for chronic anal fissures include anal dilatation, posterior mid-line sphincterotomy, lateral internal sphincterotomy, fistulectomy, sphincterolysis, and advancement flap repair. This narrative review article aims to review all the existing and newer complex modalities available for the management of chronic anal fissures. Currently the initial management of fissures is pharmacological therapy with topical nitroglycerin or diltiazem or botulinum toxin A injection. The following line of treatment is surgical, which is lateral internal sphincterotomy. Non-surgical therapy often proves ineffective in providing relief and healing, frequently culminating in the recurrence of fissures. On the other hand, surgical therapy has postoperative drawbacks like intestinal incontinence, commonly gas, loose stool or rarely hard stool. There is inadequate data on the latest treatment modalities like fistulotomy, sphincterolysis, flap procedures, etc. They may be considered only when conventional therapy fails to provide relief.

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Atrial Fibrillation Presenting with Acute Abdomen in an Elderly Patient - A Case Report

Cited by 3 publications

References 8 publications

Case Report on Rectal Procidentia with Constipation in Young Adult

Case Report on Rectal Procidentia with Constipation in Young Adult

A Prospective Study on Clinico-Radiological Correlation and Conservative Management of Non-Traumatic Acute Abdomen at a Tertiary Care Centre

Review of Medical and Surgical Management of Chronic Anal Fissure

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