c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

The Acute Abdomen: 22

A D V E R T I S E M E N T

   
 

Gynecologic pathology may manifest as an acute abdomen. Pelvic inflammatory disease, usually from gonococcus or Chlamydia, may cause lower abdominal pain and toxicity. Ruptured tubo-ovarian abscess can cause diffuse peritonitis. Follicular cysts can cause mittleschmerz, and rupture can cause hemoperitoneum and peritoneal irritation (see massive hemorrhage from an ovarian cyst.) Ectopic pregnancy can cause lower abdominal pain, and rupture can cause life-threatening hemoperitoneum.     

Notes:

Link to this frame from your Personal Thumbnails page? Yes No


 

The Acute Abdomen: 23

A D V E R T I S E M E N T

   
 

Adnexal structures may torse, particularly if there is ovarian enlargement from cystic or solid neoplasms (see ovarian mucinous cystadenoma.) Tubo-ovarian torsion is an acute surgical emergency. Often the veins beyond the point of torsion are engorged with clot. Such a torsion should not be untwisted before the pedicle is clamped because of the risk of pulmonary embolus.      

Notes:

Link to this frame from your Personal Thumbnails page? Yes No


 

The Acute Abdomen: 24

A D V E R T I S E M E N T

   
 

Trauma can cause abdominal emergencies in a variety of ways. Blunt trauma can rupture solid organs like liver, spleen (see grade II splenic injury: non-operativegrade III splenic trauma: non-operative and splenectomy for grade IV injury) and pancreas. It can also rupture loops of bowel and major vessels. Penetrating trauma causes damage proportional to the energy imparted. Stab wounds (see stab wounds) cause lacerating injuries and penetration of hollow viscera. Gunshot wounds, particularly high-velocity, cause cavitation and secondary trauma in addition to the penetrating effects.    

Notes:

Link to this frame from your Personal Thumbnails page? Yes No

 

Click the "Update" button to save your Notes and Personal Thumbnails.

 

Thumbnails

This page was last modified on 4/28/2006.