When diet doesn´t cut it
A 70-year-old male patient presented to the emergency department with a 4-day history of abdominal pain, vomiting, constipation and nausea. Similar episodes in the past year resolved after dietary modifications.
a publication of the Swiss College of Surgeons
Images in Surgery
Upper endoscopy with unusual consequences
A 76-year-old patient presented in septic shock with diffuse abdominal pain two days after upper endoscopy. Fluid resuscitation and broad-spectrum antibiotics were administered. Initial diagnostics revealed an enlarged stomach wall. After further detoriation and development of an abdominal compartment syndrome a partial gastrectomy and open-abdomen treatment was performed.
A vaginal prolapse – not necessarily a gynecological problem
An 89-year-old-woman with a history of hysterectomy presented to the emergency department with a sudden onset of pelvic pressure and vaginal prolapse.
Whom to believe: discrepancy between image and clinical finding
A 52-year-old man presented to the emergency department with acute abdominal pain and bloody tinged output through the stoma.
If it doesn’t work, change the plan, not the goal
A 78-year-old male patient presented to the emergency department with absent bowel movements for 4 days and increasing abdominal pain and cramps.
Aortic Puzzles: A Patient’s Journey
An 83-year-old patient presented at our emergency department with a 24-hour history of dizziness, balance impairment, chills, high fever of 39°C, as well as mild discomfort in both the left and right upper abdominal quadrants.
