Posts Tagged ‘abdominal pain’

Abdominal Pain and Aortic Aneurysms

Posted by • December 13th, 2012

In the latest Case Record of the Massachusetts General Hospital, a 60-year-old man with abdominal pain had abdominal and thoracic aortic aneurysms suggestive of mycotic aneurysms. The abdominal aneurysm was resected. Cultures were negative; fever persisted. Six weeks later, chest pain developed and the thoracic aneurysm had enlarged. Osler first used the term “mycotic aneurysm” in… Read More…

Severe Abdominal Pain during Labor

Posted by • November 7th, 2012

In the latest Case Record of the Massachusetts General Hospital, a 27-year-old woman was admitted to a hospital in Ethiopia because of severe abdominal pain during labor, with cessation of contractions. She had been in labor at home, pushing for 24 hours. On arrival at the hospital 3 hours later, she was in shock. A… Read More…

Irritable Bowel Syndrome

Posted by • October 26th, 2012

Various peripheral mechanisms have been implicated in the pathogenesis of irritable bowel syndrome, including intraluminal intestinal irritants, alteration in the bowel microbiome, enteroendocrine-cell products, and susceptibility to inflammation. Recent evidence is summarized in the latest review in our Mechanisms of Diseases series. IBS affects 10 to 20% of the population. Specific peripheral mechanisms result in symptoms… Read More…

A 15-Year-Old Boy with Abdominal Pain

Posted by • August 17th, 2012

In the latest Case Record of the Massachusetts General Hospital, a 15-year-old boy had intermittent abdominal pain and diarrhea for 8 months. The abdomen was mildly tender. There was iron deficiency and occult blood in the stool. A diagnostic test was performed. In an older child presenting with abdominal pain and an abdominal CT scan showing… Read More…

Abdominal Pain and Weight Loss

Posted by • July 27th, 2012

In this week’s Case Record of the Massachusetts General Hospital, a 59-year-old man was admitted to the hospital because of 9 months of abdominal pain, vomiting, and weight loss. He was born in a Caribbean country and had been treated for intestinal strongyloidiasis years earlier. A diagnosis of celiac disease had recently been made. S. stercoralis… Read More…

Ingestion of an Unknown Substance

Posted by • July 20th, 2012

In the latest Case Record of the Massachusetts General Hospital, a 34-year-old man was seen in the emergency department because of abdominal pain and vomiting after his wife had given him a powder to cause him to stop drinking alcohol. The substance was identified, diagnostic tests were performed, and management decisions were made. Patients with exposures… Read More…