Omental infarction (OI) is a rare cause of acute abdominal pain occurring in 0.1% of children, which is typically diagnosed during surgery for suspected appendicitis. We present the case of a 7-year-old Pakistani girl. She presented with acute, severe, progressive, right-sided abdominal pain, which was present for 12 hours before presentation. No constitutional symptoms such as fever, anorexia,...

One of the most common complaints in the pediatric emergency department is acute abdominal pain and 15% of school aged children are brought to a physician with a chief complaint of abdominal pain [1]. Appendicitis is a common, serious pediatric abdominal emergency and is diagnosed in 7% of children during their lifetime [2,3]. In the past, recommendations were to suspend analgesia in children s...

Trichobezoars are an uncommon cause of acute abdominal pain. We present a case of a 12-year-old girl with a history of a trichobezoar who presented to the emergency department with acute abdominal pain. Abdominal sonography was performed which suggested portal venous gas and showed complex peritoneal fluid. Subsequent computed tomography demonstrated both gastric and small bowel bezoars, with a...

We report a case of abdominal pain with rigidity, mimicking an acute abdomen, caused by metoclopramide, a common anti-emetic drug. Extrapyramidal symptoms are commonly reported side-effects of this medication. They generally include involuntary movements of limbs, torticollis, oculogyric crisis, rhythmic protrusion of tongue, trismus, or dystonic reactions resembling tetanus, etc. Abdominal rig...

When discussing which laboratory tests or imaging to order in the setting of acute abdominal pain, it is practical to organize information by disease process (eg, acute appendicitis, cholecystitis). Because studies on the accuracy of diagnostic tests are of necessity related to the presence or absence of specific diagnoses, and because clinicians frequently look to tests to help them rule in or...

A total of360 Iranian combatants who were exposed to mustard gas by the Iraqi forces in the war fronts were studied. Acute effects and gastrointestinal (GI) complications of sulfur mustard (S M) intoxication were studied separately in Iranian combatants admitted to Imam Reza Hospital from January 1984, to May 198X, In order to record the clinical and paraclinical findings, a special examina...

Torsion of an accessory spleen is recognized as a rare cause of acute abdominal pain in childhood. A case is reported which, however, is unusual in that it occurred in a patient of 75, who had had no previous symptoms which might have suggested the presence of an accessory spleen.

This paper reports a controlled prospective unselected real-time comparison of human and computer-aided diagnosis in a series of 304 patients suffering from abdominal pain of acute onset.The computing system's overall diagnostic accuracy (91.8%) was significantly higher than that of the most senior member of the clinical team to see each case (79.6%). It is suggested as a result of these studie...

Background. The aims were to evaluate the importance of the formal competence of the emergency department physician, the patient's time of arrival at the emergency department, and the use of a structured schedule for investigation of patients with acute abdominal pain. Methods. Patients attending the Mora Hospital with acute abdominal pain from 1997 to 2000 were registered prospectively accordi...

We present a 65 year old female patient presented with acute onset of severe left sided abdominal pain associated tender intra-abdominal lump over the flank. An ultrasonography revealed an ectopic spleen in flank and CE-CT scan abdomen confirmed wandering torsion vascular pedicle at hilum. She underwent splenectomy. Wandering is uncommon clinical entity. Review literature was made on different ...