Relationships between sites of abdominal pain and the organs involved: a prospective observational study

Yamashita, Shun; Tago, Masaki; Katsuki, Naoko E; Nishi, Tomoyo M.; Yamashita, Shizuya

doi:10.1136/bmjopen-2019-034446

Cited by 6 publications

(7 citation statements)

References 18 publications

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“…Although adrenal diseases such as adrenal crisis and adrenal infarction can cause acute abdomen manifesting as acute back, chest, and upper abdominal pain, 4,8,10,11 such cases are rare in actual clinical practice. Previous studies regarding abdominal pain showed several cases of adrenal disease 7,12,13 . Furthermore, in the present case, AML caused adrenal infarction, which led to adrenal insufficiency.…”

Section: Discussionsupporting

confidence: 57%

Acute abdominal pain due to atypical bilateral adrenal infarction in acute myeloid leukemia with alterations related to myelodysplasia: A case report

Hirata,

Tago,

Yamashita

et al. 2023

Clinical Case Reports

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Key Clinical MessageAcute myeloid leukemia (AML) can cause acute abdomen following adrenal insufficiency or adrenal infarction. Therefore, when diffusely enlarged adrenal glands and adrenal insufficiency of unknown cause are seen in a patient presenting with acute abdomen, adrenal infarction due to AML, or other hematologic diseases should be ruled out.AbstractA 49‐year‐old man developed acute abdominal pain following adrenal insufficiency and was diagnosed with acute myeloid leukemia (AML) with myelodysplasia‐related changes. Because AML can cause acute abdominal pain due to adrenal infarction following adrenal insufficiency, a patient with these conditions should be ruled out adrenal infarction due to AML or other hematologic diseases.

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Section: Discussionsupporting

confidence: 57%

Acute abdominal pain due to atypical bilateral adrenal infarction in acute myeloid leukemia with alterations related to myelodysplasia: A case report

Hirata,

Tago,

Yamashita

et al. 2023

Clinical Case Reports

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“…Abdominal pain is a common complaint in the ED. 12.6% of adult patients in the general medical department of a university hospital experienced abdominal pain [1]. Epigastric pain is one of the common types of abdominal pain and accounts for 16.5% of abdominal pain [1].…”

Section: Discussionmentioning

confidence: 99%

“…12.6% of adult patients in the general medical department of a university hospital experienced abdominal pain [1]. Epigastric pain is one of the common types of abdominal pain and accounts for 16.5% of abdominal pain [1]. Therefore, clinicians in the ED need to be skilled in the diagnosis of the causes of epigastric pain.…”

Section: Discussionmentioning

confidence: 99%

“…Abdominal pain is a chief complaint that clinicians frequently encounter in the emergency department (ED). Epigastric pain is common type of abdominal pain, accounting for 16.5% of all abdominal pain [1]. In patients with epigastric pain, clinicians should consider esophageal, gastrointestinal, hepatobiliary, and cardiovascular diseases [2].…”

Section: Introductionmentioning

confidence: 99%

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Acute Esophageal Necrosis as an Unusual Cause of Epigastric Pain in the Emergency Department

et al. 2022

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Epigastric pain is a common complaint in the emergency department (ED). Clinicians require skills to differentiate the epigastric pain in the ED. Here, we report a case of acute esophageal necrosis (AEN) as a cause of epigastric pain in the ED. An 83-year-old woman with diabetes mellitus visited the ED because of worsening subacute epigastric pain, nausea, and anorexia. The patient’s vital signs and general condition did not seem serious at first in the ED. Esophagogastroduodenoscopy revealed circumferential inflammation and necrosis of the esophageal mucosa. The patient was diagnosed with AEN and admitted. The patient’s condition suddenly worsened on the sixth day. <i>Citrobacter koseri</i> was detected in blood culture, and although the patient was treated with antibiotics, she died on the twelfth day. In our case, epigastric pain, a common complaint in the ED in elderly women, was caused by AEN, an uncommon disease. The patient was seemingly stable at first but rapidly developed sepsis and died. In this case, we identified two important clinical issues: (1) AEN is an uncommon cause of epigastric pain in the ED, but it is worth considering. (2) Once AEN is diagnosed, the clinician should engage in further investigations such as esophageal and blood culture tests and close follow-up of the clinical course, even if patients’ condition does not appear to be serious.

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“…26,27 In general medicine, there has been much research on diagnosis, patient background, and the characteristics of various symptoms including fever of unknown origin, disturbance of consciousness, and abdominal pain. 26,[28][29][30] Generalists are also often consulted on diagnoses within their hospitals, and therefore symptomatology is likely to be a main topic in this specialty. 31…”

Section: Symptomatologymentioning

confidence: 99%

Future Research in General Medicine Has Diverse Topics and is Highly Promising: Opinions Based on a Questionnaire Survey

Tago¹,

Hirata²,

Watari³

et al. 2022

IJGM

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In Japan, general medicine is still relatively new as a specialty, having been established in 2018 as the 19th primary specialty. The relevant research field has therefore not been fully established yet, and the detailed research areas in this field have not been identified. We conducted a descriptive questionnaire-based web survey of members of the Japanese Society of Hospital General Medicine. Respondents were asked to highlight their research topics from the following categories: diagnostic excellence, design (problem-solving and thinking methodology), symptomatology, physical examination, clinical epidemiology, home and community medicine, general medicine education, organizational management, hospital administration, and “none of the above (add description of your work if desired)”. The respondents could choose multiple topics. There were 276 respondents (14% response rate), of whom 240 (86.9%) were male, 103 (37.3%) worked at universities, and 232 (84.1%) had previous research experience. Diagnostic excellence was the most common research topic category among generalists (n=87, 21.3%), followed by clinical epidemiology (n=83, 20.3%), symptomatology (n=41, 10.0%), home and community medicine (n=39, 9.6%), and general medicine education (n=36, 8.8%). Seventy-eight respondents (19.1%) chose “none of the above (add description of your work if desired)”. The main research topics were in areas fundamental to diagnostic excellence, ie, diagnostics, diagnostic error, clinical epidemiology, and symptomatology. Home and community medicine and general medicine education were also included as research topics because of their diverse roles. The research interests of generalists are therefore diverse, and new areas and frameworks are likely to be created in the future.

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Relationships between sites of abdominal pain and the organs involved: a prospective observational study

Cited by 6 publications

References 18 publications

Acute abdominal pain due to atypical bilateral adrenal infarction in acute myeloid leukemia with alterations related to myelodysplasia: A case report

Acute abdominal pain due to atypical bilateral adrenal infarction in acute myeloid leukemia with alterations related to myelodysplasia: A case report

Acute Esophageal Necrosis as an Unusual Cause of Epigastric Pain in the Emergency Department

Future Research in General Medicine Has Diverse Topics and is Highly Promising: Opinions Based on a Questionnaire Survey

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