Fracaso multiorgánico secundario a síndrome compartimental intraabdominal debido a hematoma de la vaina de los rectos

Pérez, Manel Cremades; Garcés, Bertha Maggi; Arméstar, Fernándo

doi:10.1016/j.medin.2012.09.004

Cited by 1 publication

(1 citation statement)

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“…These include thoracic disease (myocardial infarction, pneumonia); infections (streptococcal pharyngitis, mononucleosis); systemic illness (diabetic ketoacidosis, porphyria, vasculitides, sickle cell crisis); toxins and abdominal wall pathology (hematoma, neuropathic, muscle spasm) [1]. While abdominal wall etiologies are often a diagnosis of exclusion, certain pathology including rectus sheath hematomas can require emergency intervention [2,3]. Similarly, intercostal neuralgia or neuropathies have been shown to cause acute and chronic abdominal pain.…”

Section: Introductionmentioning

confidence: 99%

Intercostal Neuritis Masquerading as Acute Appendicitis: A Case Report

Lindquist

Gharahbaghian²

2014

Emergency Medicine

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Abdominal pain is a common complaint among Emergency Department (ED) patients and accounts for approximately 10% of all visits. While some presentations are classic, making diagnosis and treatment expeditious, other presentations require time-intensive work-ups that yield no etiology in nearly 25%. The Emergency Physician (EP) is tasked to maintain a broad differential while ruling out surgical conditions such as acute appendicitis. Within this differential is abdominal wall pathology. We present a case of a 28 year-old female who presented with right lower quadrant pain, was diagnosed with intercostal neuritis and discharged with a non-steroidal anti-inflammatory drug (NSAID) and appendicitis precautions. Ultimately, timely diagnosis of these less emergent pathologies can improve patient satisfaction, prevent unnecessary tests and provide targeted treatment modalities.

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Section: Introductionmentioning

confidence: 99%