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
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Une énigme en images et sa résolution : nous posons une question tirée du quotidien chirurgical et y répondons.
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 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.
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.
A 52-year-old man presented to the emergency department with acute abdominal pain and bloody tinged output through the stoma.
A 78-year-old male patient presented to the emergency department with absent bowel movements for 4 days and increasing abdominal pain and cramps.
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.
A 71 year old female patient presented to the Emergency Department with diffuse abdominal pain in the right hemiabdomen with increasing intensity over the course of a few days, and a history of digestive issues.
An 11-month-old girl is presented at the emergency department 3 hours after ingesting a button shaped battery, without any symptoms.
A 76-year-old patient with cerebral palsy who has experienced sporadic intermittent painless scleral and cutaneous jaundice is referred to surgery consultation for evaluation of cholecystectomy for cholecystolithiasis.
A 80 year old with a past medical history notable for liver cirrhosis Child B due to hepatitis C complicated by a hepatocellular carcinoma and ischemic cardiomyopathy presented to the emergency department with progressive lower abdominal pain for 3-4 days.
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