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Valentino's syndrome is pain presenting in the right lower quadrant of the abdomen caused by a duodenal ulcer with perforation through the retroperitoneum. [1]It is named after Rudolph Valentino, an Italian actor, who presented with right lower quadrant pain in New York, which turned out to be a perforated peptic ulcer.
The standard treatment for acute appendicitis involves the surgical removal of the inflamed appendix. [ 6 ] [ 12 ] This procedure can be performed either through an open incision in the abdomen ( laparotomy ) or using minimally invasive techniques with small incisions and cameras ( laparoscopy ).
Common causes of an acute abdomen include a gastrointestinal perforation, peptic ulcer disease, mesenteric ischemia, acute cholecystitis, appendicitis, diverticulitis, pancreatitis, and an abdominal hemorrhage. However, this is a non-exhaustative list and other less common causes may also lead to an acute abdomen. [2]
There are several tests you can try at home to see if you may have appendicitis, such as the knee test and the hamburger sign. However, these maneuvers on their own aren’t enough to diagnose ...
Pylephlebitis is an uncommon thrombophlebitis of the portal vein or any of its branches (i.e. a portal vein thrombosis) that is caused by infection.It is usually a complication of intra-abdominal sepsis, most often following diverticulitis, perforated appendicitis, or peritonitis.
Harry Hancock performed the first abdominal surgery for appendicitis in 1848, but he did not remove the appendix. [26] In 1889 in New York City, Charles McBurney described the presentation and pathogenesis of appendicitis accurately and developed the teaching that an early appendectomy was the best treatment to avoid perforation and peritonitis.
Diagnosis is generally based on examination, blood tests, and medical imaging. [6] Treatment often includes antibiotics, intravenous fluids, pain medication, and surgery. [3] [4] Other measures may include a nasogastric tube or blood transfusion. [4] Without treatment death may occur within a few days. [4]
The AIR score was developed to overcome some of the drawbacks of the Alvarado score, another diagnostic scoring system for identifying appendicitis. [2] The AIR score is one of the two scores (the other being the Adult Appendicitis Score , AAS) recommended by the 2020 World Society of Emergency Surgery clinical practice guidelines for the ...