Abdominal pain – a common presentation with unusual diagnosis: a case report

Kumaran, Sriviji Senthil; Vanka, Varun; Rab, Asra; Patel, Viren

doi:10.1080/20009666.2020.1821469

Cited by 2 publications

(2 citation statements)

References 10 publications

(40 reference statements)

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“…tolerable, second stage consisted of acute obstruction with complication of perforation and in third stage patients had intolerable abdominal pain, guarding, rigidity and tympanic abdomen referred as acute abdomen and it's a surgical emergency. 10-20% of population with mobile colon syndrome presents with volvulus and appendicitis like symptoms 3 . Symptoms of mobile colon syndrome mimic other gastrointestinal disorders like IBS, malignancy, Appendicitis and volvulus.…”

Section: Discussionmentioning

confidence: 99%

“…However, sometimes it becomes symptomatic and presents with wide spectrum of symptoms called mobile colon syndrome. Clinical symptoms related to mobile colon mimic other common gastrointestinal disorders such as inflammatory bowel disease, malignancy, appendicitis and volvulus 3 . When untreated it leads to complications like intestinal obstruction, torsion and gangrenous bowel and these need immediate treatment 4 .…”

Section: Introductionmentioning

confidence: 99%

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Mobile Colon – A Developmental Anomaly of the Large Intestine

Dehiya

Sharma

Kaur

2022

IJMDS

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Introduction: Mobile Colon is a subtle developmental anomaly, which is due to the failure of the process of peritoneal zygosis. The incidence of this anomaly is estimated to be 10-15% of the population. Evidence Acquisition: During routine cadaveric dissection of the abdomen in the Department of Anatomy, collective anomalies of the caecum, ascending colon and descending colon were found. In these collective anomalies cecum, ascending and descending colon instead of normally being retroperitoneal were suspended from the posterior abdominal wall by a fold of peritoneum called the mesentery. Mobile colon is an uncommon anomaly, which is being reported here. Clinical Implications: Mobile colon is usually asymptomatic but whenever it becomes symptomatic, it leads to mobile colon syndrome. Clinical symptoms associated with mobile colon syndrome mimic other common gastrointestinal disorders such as inflammatory bowel disease, malignancy, appendicitis and volvulus. Complications of this syndrome include intestinal obstruction, torsion of the intestine and gangrenous bowel which needs immediate treatment. Conclusion: Mobile colon syndrome should be considered in the differential diagnosis of chronic abdominal pain of obscure cause. Laparoscopic colopexy and cecopexy are recommended as therapeutic and diagnostic treatments.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Mobile Colon – A Developmental Anomaly of the Large Intestine

Dehiya

Sharma

Kaur

2022

IJMDS

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Appendiceal Endometriosis: A Comprehensive Review of the Literature

et al. 2023

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Objective: the purpose of this review was to evaluate the prevalence of appendiceal endometriosis and the safety of concomitant appendectomy in women with endometriosis or pelvic pain. Materials and Methods: We searched the electronic databases Medline (PubMed), Scopus, Embase, and Web of Science (WOS). The search was not subject to any limitation in terms of time or method. The primary research question was: what is the prevalence of appendiceal endometriosis? The secondary research question was: is it safe to perform appendectomy during surgery for endometriosis? Publications that reported data about appendiceal endometriosis or appendectomy in women with endometriosis were reviewed regarding the inclusion criteria. Results: We found 1418 records. After review and screening, we included 75 studies published between 1975 and 2021. With regard to the first question of the review, we found 65 eligible studies and divided these into the following two categories: (a) endometriosis of the appendix presenting as acute appendicitis, and (b) endometriosis of the appendix as an incidental finding in gynecological surgery. Forty-four case reports described appendiceal endometriosis in women who were admitted for the treatment of pain in the right-sided lower abdomen. Endometriosis of the appendix was observed in 2.67% (range, 0.36–23%) of women who were admitted due to acute appendicitis. In addition, appendiceal endometriosis was an incidental finding during gynecological surgery in 7.23% of cases (range, 1–44.3%). With regard to the second question of the review, which was the safety of appendectomy in women with endometriosis or pelvic pain, we found 11 eligible studies. Reviewed cases had no significant intraoperative or follow-up complications during the 12 weeks. Conclusion: Based on the reviewed studies, coincidental appendectomy appears reasonably safe and was associated with no complications in the cases reviewed for the present report.

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Abdominal pain – a common presentation with unusual diagnosis: a case report

Cited by 2 publications

References 10 publications

Mobile Colon – A Developmental Anomaly of the Large Intestine

Mobile Colon – A Developmental Anomaly of the Large Intestine

Appendiceal Endometriosis: A Comprehensive Review of the Literature

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