Ultrasound-guided intervention for chronic abdominal wall pain; Overlooked but curative approach

Abstract

One of the most common causes of chronic abdominal pain is ‘Chronic Abdominal Wall Pain, “CAWP”, which frequently goes undiagnosed. CAWP accounts for 10-30% of patients in surgical, gynecological, and gastrointestinal clinics who have a primary complaint of persistent abdominal pain. CAWP, on the other hand, may be treated quickly and efficiently using a neuro intervention approach. This study provides a real-world example of a 40-year-old man who has CAWP in the right bottom quadrant. Endoscopic, imaging and biochemical results were all normal. With a positive Carnett’s sign and probable CAWP, she was given an ultrasound-guided injection of 2 percent lidocaine in the suspected nerve entrapment location, with no recurrence discomfort. Significant CAWP management include reassurance, activity moderation, physical therapy, and pain control. Local anesthetic and steroid injection can be used for both diagnostic and curative purposes. There is an evident lack of knowledge regarding the diagnosis and treatment of AWPs among physicians. However, a sensitive and straightforward finding (Carnett’s Sign) in the physical examination can help quickly diagnose AWPs which in turn, in many cases, can be treated effectively.

Comparison the Diagnostic Value of Doppler Ultrasonography to Biopsy, in Evaluation of Post-transplant Complications and Kidney Function

“…Parenchymal diseases can be classified into immunological, infectious, and drug-induced, which in many cases cause delayed onset of transplant function, prolonged hospital stay, and overall shortening of transplant life [9,10]. Currently, the main role of ultrasound is to rule out other causes of transplant failure, and these parenchymal disorders are usually differentiated after taking biopsy specimens and histological assessments [11,12]. Due to the invasiveness of the biopsy process, its complications, and costs, having quickly and patient survival rates increasing, radiologists need to know the anatomical and functional complications in a transplanted kidney [18].…”