QUESTION While the diagnosis of acute appendicitis is relatively straightforward, chronic appendicitis is an entity that can be controversial and is often misdiagnosed. How and when should clinicians be investigating chronic appendicitis as a cause of chronic and recurrent abdominal pain in the pediatric population? ANSWER Chronic appendicitis is a long-standing inflammation or fibrosis of th...

When abdominal pain is chronic and unremitting, with minimal or no relationship to eating or bowel function but often a relationship to posture (i.e., lying, sitting, standing), the abdominal wall should be suspected as the source of pain. Frequently, a localized, tender trigger point can be identified, although the pain may radiate over a diffuse area of the abdomen. If tenderness is unchanged...

BACKGROUND There is little knowledge regarding the association between psychological factors and complex regional pain syndrome (CRPS) in children. Specifically, it is not known which factors precipitate CRPS and which result from the ongoing painful disease. OBJECTIVES To examine symptoms of depression and anxiety as well as the experience of stressful life events in children with CRPS compa...

Chronic atrophic gastritis is often accompanied by stomach pain, belching, abdominal distension, acid regurgitation, nausea and other symptoms, which not only reduces the quality of life patients, but also affects their health safety. Most patients are treated with conventional western medicine, such as metronidazole amoxicillin capsules, effect poor. The pathogenesis this disease mainly a mixt...

Abdominal pain constitutes 5% of the causes of emergency admissions and is an important part in the practice of emergency services in all centers. Patients may suffer from acute surgical abdomen, acute abdomen with nonsurgical diseases or acute problems of chronic diseases. Abdominal pain is sometimes associated with acute trauma. Clinical assessment is a process where diagnosis and treatment m...

linguatula serrata (l. serrata), an aberrant arthropod of the pentastomida phylum, inhabits the canine respiratory system as its final host. intermediate hosts include humans and herbivores. humans can be infected via consumption of raw or under-cooked liver or lymph nodes of sheep, goats, and cattle. a few human cases have been reported from iran. here, we have reported a case of pentastomiasi...

primary hepatic lymphoma (phl) was a rare malignancy usually presenting with abdominal pain, malaise, hepatomegaly, b-symptoms, fatigue, nausea, vomiting and jaundice. it mostly involves liver without any palpable lymphadenopathy and leukemia in peripheral blood smear. on july 22, 2014, a 64 year old man presented with abdominal pain localizing in right upper quadrant and fullness from 2 years ...

wandering spleen, defined as a spleen without its usual peritoneal attachments, is a rare entity. we report a 34-year-old woman with acute abdomen due to torsion of the long vascular pedicle of a wandering spleen, displaced in the abdominal cavity, and infarction of the spleen. wandering spleen was diagnosed by ultrasound and computed tomography (ct) scan, and was managed by splenectomy in this...

a 34-year-old hiv positive-man was admitted to the hospital due to fever and abdominal pain. constant and generalized abdominal pain started 3 months prior to admission (pta) in upper quadrants of abdomen followed by mild odynophagia, early satiety and more than 20 kg weight loss since then. intermittent fever begun 7 days pta and cough, sputum and dyspnea started since 5 days pta. his general ...

postpolypectomy bleeding and perforation are the major complications of colonoscopy. this report presents a rare case of colon obstruction immediately after colonoscopy. a 56-year-old man underwent colonoscopy because of 6 months lower abdominal pain. colonoscopy revealed diverticulosis and multiple small sessile polyps in sigmoid colon. biopsy samples were taken from the polyps and the procedu...