The acute abdomen in spinal cord injury individuals

Bar-On, Z; Ohry, A

doi:10.1038/sc.1995.148

Cited by 43 publications

(39 citation statements)

References 11 publications

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“…4 Additionally, a review of the acute abdomen in spinal cord injured individuals concluded that the most important signs were autonomic dysreflexia, referred shoulder tip pain, abdominal pain, abdominal distension, increased spasticity and abdominal pain with nausea and vomiting. 5,6 Our patient had a history of autonomic dysreflexia, although it did not seem to complicate this admission. If diagnosis had not been made, this condition would have most likely become life threatening.…”

Section: Discussionmentioning

confidence: 89%

An Occult Presentation of Appendicitis in a Patient with Tetraplegia

Zaremski

Jayawardena²,

Lew³

2010

American Journal of Physical Medicine &Amp; Rehabilitation

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A 26-yr-old man with a C4 American Spinal Injury Association impairment scale B spinal cord injury was admitted due to a left calf pressure ulcer. The patient's initial laboratory results and physical examination findings were unremarkable, except for a stage IV pressure ulcer. On day 7, the patient developed fever and leukocytosis. A complete culture workup performed did not yield abnormalities. A computed tomography scan of the abdomen and pelvis revealed retrocecal appendicitis with a retrocecal abscess containing an appendicolith. The abscess was drained percutaneously, and the patient was given a 6-wk course of intravenous antibiotics. The patient returned to the hospital 30 days later for an appendectomy. Typical signs of appendicitis can be masked in patients with a spinal cord injury. It is crucial to include appendicitis in the differential diagnosis of this population, even though the presentation is as nonspecific as fever and leukocytosis.

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Section: Discussionmentioning

confidence: 89%

An Occult Presentation of Appendicitis in a Patient with Tetraplegia

Zaremski

Jayawardena²,

Lew³

2010

American Journal of Physical Medicine &Amp; Rehabilitation

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“…[7][8][9] The most important signs in this population are autonomic dysreflexia, referred shoulder pain, abdominal pain, abdominal distention and increased spasticity. 10 Abdominal distention is a nonspecific finding that is common after SCI and abdominal pain is usually dull and poorly localized. These cases highlight the need to consider PEG tube dislodgement in tetraplegic patient who develop even subtle abdominal complaints, especially if the injury is complete.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous enterogastric tube dislodgement in tetraplegics

Hess

Foo

2009

Spinal Cord

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“…In many cases patients can localize it; the pain may be sharp or dull and referred to distant skin area of the dermatome supplying the involved viscera. 3 Symptoms of autonomic dysreflexia are useful in early recognition of abdominal visceral disease. They can be in the form of sweating, increased spasticity of the limbs, sphincter or adjacent abdominal muscle.…”

Section: Discussionmentioning

confidence: 99%

“…The lack of typical symptoms and signs of acute abdomen in a paraplegic patient makes it difficult for the clinician to make an accurate diagnosis, which may result in delayed surgery associated with a mortality rate of 10-15%. 3 We present herein the case of a spinal cord injury (SCI) patient who had a ruptured ectopic pregnancy. We describe our management to help other gynaecologist make an appropriate diagnosis and initiate early surgical treatment.…”

Section: Introductionmentioning

confidence: 99%

A case of silent rupture of an ectopic pregnancy

2008

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Study design: Case report and review of literature. Objectives: To report a case of a woman with paraplegia who had ruptured ectopic pregnancy but presented with minimal non-specific symptoms and no clinical signs. A trans-vaginal scan confirmed the diagnosis and an emergency laprotomy was performed to save the patient's life. Setting: Regional spinal injury unit in North West England. Conclusion: The diagnosis of ruptured ectopic in spinal cord injury woman can be difficult due to the lack of classical signs and symptoms. Awareness and constant vigilance is required to detect the early signs. Clinicians looking after such women should have sound knowledge of nervous system diseases and their pathophysiology. There should be a high index of suspicion when managing such cases and a prompt surgical treatment should be initiated.

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The acute abdomen in spinal cord injury individuals

Cited by 43 publications

References 11 publications

An Occult Presentation of Appendicitis in a Patient with Tetraplegia

An Occult Presentation of Appendicitis in a Patient with Tetraplegia

Percutaneous enterogastric tube dislodgement in tetraplegics

A case of silent rupture of an ectopic pregnancy

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