Tag Archives: abdominal pain
Computed tomography scan of the abdomen showing a saccular structure (as highlighted) at the confluence of the superior mesenteric vein and the splenic vein posterior to the pancreatic neck, measuring 36.5 mm × 53.7 mm × 52.1 mm. The mass enhances during the portal venous phase on contrast-enhanced computed tomography and is contiguous with the portal venous system. No compression of surrounding viscera appreciated. (A) Coronal section; (B) transverse section; (C and D) 3-dimensional reconstruction.

Massive Asymptomatic Extrahepatic Portal Vein Aneurysm

A 59-year-old woman with no prior liver disease or portal hypertension presented with an episode of right upper quadrant pain that lasted for 3 hours. The patient had a history of cholelithiasis, which was diagnosed 3 years earlier. She denied any other symptoms. Her social and family history were unremarkable. Assessment Her examination was remarkable […]

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Coronal image from contrast-enhanced computed tomography examination of the abdomen obtained in the portal venous phase demonstrates a soft tissue mass in the hepatic hilum (arrows), located superior to the duodenum and pancreatic head, resulting in obstruction and dilation of the common bile duct (arrowhead).

An Uncommon Cause of Obstructive Jaundice: An Infrequent Neoplasm

A 42-year-old man was admitted to the Johns Hopkins Hospital with right upper quadrant abdominal pain and scleral icterus of 3 weeks duration. The pain was described as aching and cramping in quality that typically occurred after meals. He had no vomiting or diarrhea but did note acholic stools and had more recently developed diffuse […]

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(Left) Lactescent (milky) plasma removed after plasmapheresis on day 1. (Right) Plasma lactescence resolved on second session of plasmapheresis on day 3.

Plasma Lactescence in Acute Pancreatitis

A 54-year-old man with history of diabetes mellitus and acute necrotizing pancreatitis was admitted with acute abdominal pain. A computed tomography scan of the abdomen revealed findings consistent with acute pancreatitis. Initial laboratory analysis was unremarkable except for HbA1c 11.1%, lipase of 2195 U/L, and amylase of 234 U/L. Interestingly, the laboratory reported that the […]

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Abdominal ultrasonography showing edema of the jejunal wall and moderate ascites, in cross-section (A) and longitudinal section (B).

An Unusual Cause of Abdominal Pain: Lupus Enteritis

Lupus enteritis is a rare manifestation of systemic lupus erythematous and is considered as a form of visceral vasculitis involving predominantly the jejunum and ileum, with subsequent submucosal edema. Clinical presentation is nonspecific, and main symptoms include focal or diffuse abdominal pain, vomiting, diarrhea, and fever. Even if there is no pathognomonic imaging feature of lupus […]

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Computed tomography scan of abdomen. A, Retroperitoneal abscess involving the iliopsoas (arrows) containing free air (arrowhead) was observed in the axial plane. B, Retroperitoneal abscess involving the iliopsoas (arrows) was observed in the sagittal plane.

Back Pain After Sudden Onset of Abdominal Pain in Crohn’s Disease Patient

In November 2014, a 33-year-old man presented to the Chiba University Hospital with a sudden onset of right lower abdominal pain spreading to the right lower back, developing 10 hours after gross bleeding. He had been receiving anti-tumor necrosis factor therapy for 10 years for mild to moderate Crohn’s disease with no fever. On examination, […]

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Difficult to Identify

Vague symptoms belied a 59-year-old woman’s dire situation. She presented with a 3-month history of abdominal pain, constipation, and anorexia, accompanied by a 40-pound (18.1 kg) weight loss. Initially she had attempted to manage her symptoms conservatively, but worsening abdominal pain, bloating, and loss of appetite prompted her to seek medical care. The patient denied […]

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