The Digestive System
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Umbilical Hernia with Cholelithiasis and Hiatal Hernia
View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Springer - Publisher Connector Yamanaka et al. Surgical Case Reports (2015) 1:65 DOI 10.1186/s40792-015-0067-8 CASE REPORT Open Access Umbilical hernia with cholelithiasis and hiatal hernia: a clinical entity similar to Saint’striad Takahiro Yamanaka*, Tatsuya Miyazaki, Yuji Kumakura, Hiroaki Honjo, Keigo Hara, Takehiko Yokobori, Makoto Sakai, Makoto Sohda and Hiroyuki Kuwano Abstract We experienced two cases involving the simultaneous presence of cholelithiasis, hiatal hernia, and umbilical hernia. Both patients were female and overweight (body mass index of 25.0–29.9 kg/m2) and had a history of pregnancy and surgical treatment of cholelithiasis. Additionally, both patients had two of the three conditions of Saint’s triad. Based on analysis of the pathogenesis of these two cases, we consider that these four diseases (Saint’s triad and umbilical hernia) are associated with one another. Obesity is a common risk factor for both umbilical hernia and Saint’s triad. Female sex, older age, and a history of pregnancy are common risk factors for umbilical hernia and two of the three conditions of Saint’s triad. Thus, umbilical hernia may readily develop with Saint’s triad. Knowledge of this coincidence is important in the clinical setting. The concomitant occurrence of Saint’s triad and umbilical hernia may be another clinical “tetralogy.” Keywords: Saint’s triad; Cholelithiasis; Hiatal hernia; Umbilical hernia Background of our knowledge, no previous reports have described the Saint’s triad is characterized by the concomitant occur- coexistence of umbilical hernia with any of the three con- rence of cholelithiasis, hiatal hernia, and colonic diverticu- ditions of Saint’s triad. -
Abdominal Pain - Gastroesophageal Reflux Disease
ACS/ASE Medical Student Core Curriculum Abdominal Pain - Gastroesophageal Reflux Disease ABDOMINAL PAIN - GASTROESOPHAGEAL REFLUX DISEASE Epidemiology and Pathophysiology Gastroesophageal reflux disease (GERD) is one of the most commonly encountered benign foregut disorders. Approximately 20-40% of adults in the United States experience chronic GERD symptoms, and these rates are rising rapidly. GERD is the most common gastrointestinal-related disorder that is managed in outpatient primary care clinics. GERD is defined as a condition which develops when stomach contents reflux into the esophagus causing bothersome symptoms and/or complications. Mechanical failure of the antireflux mechanism is considered the cause of GERD. Mechanical failure can be secondary to functional defects of the lower esophageal sphincter or anatomic defects that result from a hiatal or paraesophageal hernia. These defects can include widening of the diaphragmatic hiatus, disturbance of the angle of His, loss of the gastroesophageal flap valve, displacement of lower esophageal sphincter into the chest, and/or failure of the phrenoesophageal membrane. Symptoms, however, can be accentuated by a variety of factors including dietary habits, eating behaviors, obesity, pregnancy, medications, delayed gastric emptying, altered esophageal mucosal resistance, and/or impaired esophageal clearance. Signs and Symptoms Typical GERD symptoms include heartburn, regurgitation, dysphagia, excessive eructation, and epigastric pain. Patients can also present with extra-esophageal symptoms including cough, hoarse voice, sore throat, and/or globus. GERD can present with a wide spectrum of disease severity ranging from mild, intermittent symptoms to severe, daily symptoms with associated esophageal and/or airway damage. For example, severe GERD can contribute to shortness of breath, worsening asthma, and/or recurrent aspiration pneumonia. -
Science-5-Nov-16-20 Circulatory-System.Pdf
Grade 5 Science Week of November 16 – November 20 Circulatory System Most of the cells inside of your body do not move. If a cell is hungry or needs to get rid of waste, it can’t simply move itself to the part of your body where it needs to go. Instead, your body must bring the food to your cells and take the waste away from them. By using billions of tiny tubes the circulatory system transports substances around our bodies. It delivers essential nutrients to every cell, and it transports waste products to waste-disposal sites—the lungs, the skin, and the kidneys. The circulatory system is an organ system that includes the heart, the blood vessels, and the blood itself. It has three functions: 1. to transport materials (i.e., nutrients and oxygen) and cells from one place to another 2. to defend the body against invasion by harmful organisms by taking white blood cells to an area of injury or infection 3. to maintain a constant body temperature Introduction Your body has a network of blood vessels—hollow tubes—that move blood and nutrients. A pumping organ—the heart—pushes blood through this network of vessels. Watch this video to start looking at this incredible system: https://youtu.be/tF9-jLZNM10 Complete the following. 1) Fill in the blanks: 1. Most of the cells inside of your body ________________ . If a cell is _____________ or needs to get rid of ______________, it can’t simply move itself to the part of your body where it needs to go. -
SAS Journal of Surgery Rare Complication of a Hernia in The
SAS Journal of Surgery Abbreviated Key Title: SAS J Surg ISSN 2454-5104 Journal homepage: https://www.saspublishers.com/sasjs/ Rare Complication of a Hernia in the Linea Alba: Generalized Peritonitis Due to Perforation by a Chicken Bone Incarcerated in the Hernia Anas Belhaj*, Mohamed Fdil, Mourad Badri, Mohammed Lazrek, Younes Hamdouni Ahmed, Zerhouni, Tarik Souiki, Imane Toughraï, Karim Ibn Majdoub Hassani, Khalid Mazaz Visceral and Endocrinological Surgery Service II, Chu Hassan II, Fes, Morocco DOI: 10.36347/sasjs.2020.v06i03.016 | Received: 05.03.2020 | Accepted: 13.03.2020 | Published: 23.03.2020 *Corresponding author: Anas Belhaj Abstract Case Report Small intestine perforation by a foreign body is a rare cause of secondary peritonitis. We report the case of peritonitis due to an exceptional mechanism; a small perforation by incarceration of a bony flap in the small bowel due to the existence of a hernia of the white line. Keywords: Peritonitis, white line hernia, fragment of bone, incarceration. Copyright @ 2020: This is an open-access article distributed under the terms of the Creative Commons Attribution license which permits unrestricted use, distribution, and reproduction in any medium for non-commercial use (NonCommercial, or CC-BY-NC) provided the original author and source are credited. NTRODUCTION I Patient was conscious, with a temperature at Acute peritonitis is the acute inflammation of 38.8 ° C, a pulse at 120 bpm, accelerated breathing rate the peritoneal serosa. It can either be generalized to the at 22 cycles / min, and coldness of the extremities. The large peritoneal cavity, or localized, following a abdominal examination found a slight distension with bacterial or chemical peritoneal attack. -
A Rare Case of Pancreatitis from Pancreatic Herniation
Case Report J Med Cases. 2018;9(5):154-156 A Rare Case of Pancreatitis From Pancreatic Herniation David Doa, c, Steven Mudrocha, Patrick Chena, Rajan Prakashb, Padmini Krishnamurthyb Abstract nia sac, resulting in mediastinal abscess which was drained sur- gically. He had a prolonged post-operative recovery following Acute pancreatitis is a commonly encountered condition, and proper the surgery. In addition, he had a remote history of exploratory workup requires evaluation for underlying causes such as gallstones, laparotomy for a retroperitoneal bleed. He did not have history alcohol, hypertriglyceridemia, trauma, and medications. We present a of alcohol abuse. His past medical history was significant for case of pancreatitis due to a rare etiology: pancreatic herniation in the hypertension and osteoarthritis. context of a type IV hiatal hernia which involves displacement of the On examination, his vitals showed a heart rate of 106 stomach with other abdominal organs into the thoracic cavity. beats/min, blood pressure of 137/85 mm Hg, temperature of 37.2 °C, and respiratory rate of 20/min. Physical exam dem- Keywords: Pancreatitis; Herniation; Hiatal hernia onstrated left-upper quadrant tenderness without guarding or rebound tenderness, with normoactive bowel sounds. Lipase was elevated at 2,687 U/L (reference range: 73 - 383 U/L). His lipase with the first episode of abdominal pain had been 1,051 U/L. Hematocrit was 41.2% (reference range: 42-52%), Introduction white cell count was 7.1 t/mm (reference range 4.8 - 10.8 t/ mm) and creatinine was 1.0 mg/dL (references range: 0.5 - 1.4 Acute pancreatitis is a commonly encountered condition with mg/dL). -
What Is a Paraesophageal Hernia?
JAMA PATIENT PAGE What Is a Paraesophageal Hernia? A paraesophageal hernia occurs when the lower part of the esophagus, the stomach, or other organs move up into the chest. The hiatus is an opening in the diaphragm (a muscle separating the chest from the abdomen) through which organs pass from the Paraesophageal or hiatal hernia The junction between the esophagus and the stomach (the gastroesophageal chest into the abdomen. The lower part of the esophagus and or GE junction) or other organs move from the abdomen into the chest. the stomach normally reside in the abdomen, just under the dia- phragm. The gastroesophageal (GE) junction is the area where Normal location of the esophagus, Type I hiatal hernia (sliding hernia) with the GE junction and stomach The GE junction slides through the the esophagus connects with the stomach and is usually located in the abdominal cavity diaphragmatic hiatus to an abnormal 1to2inchesbelowthediaphragm.Ahiatalorparaesophagealhernia position in the chest. occurs when the GE junction, the stomach, or other abdominal or- Esophagus gans such as the small intestine, colon, or spleen move up into the GE junction chest where they do not belong. There are several types of para- Hiatus esophagealhernias.TypeIisahiatalherniaorslidinghernia,inwhich the GE junction moves above the diaphragm, leaving the stomach in D I A P H R A the abdomen; this represents 95% of all paraesophageal hernias. G M Types II, III, and IV occur when part or all of the stomach and some- S T O M A C H times other organs move up into the chest. Common Symptoms of Paraesophageal Hernia More than half of the population has a hiatal or paraesophageal Less common types of paraesophageal hernias are classified based on the extent hernia. -
Human Anatomy and Physiology
LECTURE NOTES For Nursing Students Human Anatomy and Physiology Nega Assefa Alemaya University Yosief Tsige Jimma University In collaboration with the Ethiopia Public Health Training Initiative, The Carter Center, the Ethiopia Ministry of Health, and the Ethiopia Ministry of Education 2003 Funded under USAID Cooperative Agreement No. 663-A-00-00-0358-00. Produced in collaboration with the Ethiopia Public Health Training Initiative, The Carter Center, the Ethiopia Ministry of Health, and the Ethiopia Ministry of Education. Important Guidelines for Printing and Photocopying Limited permission is granted free of charge to print or photocopy all pages of this publication for educational, not-for-profit use by health care workers, students or faculty. All copies must retain all author credits and copyright notices included in the original document. Under no circumstances is it permissible to sell or distribute on a commercial basis, or to claim authorship of, copies of material reproduced from this publication. ©2003 by Nega Assefa and Yosief Tsige All rights reserved. Except as expressly provided above, no part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without written permission of the author or authors. This material is intended for educational use only by practicing health care workers or students and faculty in a health care field. Human Anatomy and Physiology Preface There is a shortage in Ethiopia of teaching / learning material in the area of anatomy and physicalogy for nurses. The Carter Center EPHTI appreciating the problem and promoted the development of this lecture note that could help both the teachers and students. -
Amyand's Hernia with Appendicitis Masquerading As Fournier's
Rajaguru and Tan Ee Lee Journal of Medical Case Reports (2016) 10:263 DOI 10.1186/s13256-016-1046-9 CASE REPORT Open Access Amyand’s hernia with appendicitis masquerading as Fournier’s gangrene: a case report and review of the literature Kishore Rajaguru* and Daniel Tan Ee Lee Abstract Background: The incarceration of an appendix within an inguinal hernia sac is known as Amyand’s hernia. Appendicitis in Amyand’s hernia accounts for 0.1 % of the cases. An aggressive necrotizing infection of the genitalia and perineum, called Fournier’s gangrene, can rapidly progress to sepsis and death. We describe a rare case of Fournier’s gangrene complicating Amyand’s inguinal hernia which has rarely been reported in the literature. Case presentation: This case report describes the presentation and management of a 47-year-old Chinese man who presented with pus discharge from his right inguinoscrotal region and lower abdominal pain with clinical signs of Fournier’s gangrene. On surgical exploration, a complicated Amyand’s hernia (Losanoff and Basson classification type 4) was found to be the cause of his Fournier’s gangrene. Conclusions: A perforated appendix within an inguinal hernia causing Fournier’s gangrene is rarely seen in clinical practice. The diagnosis of this condition is almost always made intraoperatively. Early recognition and awareness of perforated appendicitis within an inguinal hernia sac as one of the causes of Fournier’s gangrene and good surgical technique in such cases are the keys to success when dealing with this surgical issue. In complicated presentations of Amyand’s hernia, an appendicectomy with anatomical repair is the best treatment. -
Case Report Hiatus Hernia: a Rare Cause of Acute Pancreatitis
Hindawi Publishing Corporation Case Reports in Medicine Volume 2016, Article ID 2531925, 4 pages http://dx.doi.org/10.1155/2016/2531925 Case Report Hiatus Hernia: A Rare Cause of Acute Pancreatitis Shruti Patel,1 Ghulamullah Shahzad,2 Mahreema Jawairia,2 Krishnaiyer Subramani,2 Prakash Viswanathan,2 and Paul Mustacchia2 1 Department of Internal Medicine, Nassau University Medical Center, East Meadow, NY 11554, USA 2Department of Internal Medicine, Division of Gastroenterology and Hepatology, Nassau University Medical Center, East Meadow, NY 11554, USA Correspondence should be addressed to Shruti Patel; [email protected] Received 23 December 2015; Accepted 7 February 2016 Academic Editor: Tobias Keck Copyright © 2016 Shruti Patel et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Hiatal hernia (HH) is the herniation of elements of the abdominal cavity through the esophageal hiatus of the diaphragm. A giant HH with pancreatic prolapse is very rare and its causing pancreatitis is an even more extraordinary condition. We describe a case of a 65-year-old man diagnosed with acute pancreatitis secondary to pancreatic herniation. In these cases, acute pancreatitis may be caused by the diaphragmatic crura impinging upon the pancreas and leading to repetitive trauma as it crosses the hernia; intermittent folding of the main pancreatic duct; ischemia associated with stretching at its vascular pedicle; or total pancreatic incarceration. Asymptomatic hernia may not require any treatment, while multiple studies have supported the recommendation of early elective repair as a safer route in symptomatic patients. -
Management of Incidental Amyand Hernia with a Case Report
CASE REPORT East J Med 24(4): 551-553, 2019 DOI: 10.5505/ejm.2019.82787 Management of Incidental Amyand Hernia With A Case Report Tolga Kalayci*, Ümit Haluk Iliklerden Department of General Surgery,Yuzuncu Yil University Faculty of Medicine,Van,Turkey ABSTRACT The presence of appendix vermiformis in inguinal hernia is known as Amyand hernia. Amyand hernia is a rare condition estimated to account for approximately 1% of all inguinal hernias. In our case we want to show our approach to incidental Amyand hernia. An 80-year-old male patient was received at urology service at Van Yuzuncu Yil University Department of Medicine because of prostatic symptoms. There were comorbid factors like hypertension,chronic obstructive lung disease and geriatric age. On surgery with spinal anesthesia, surgeons invited us to evaluate his left inguinal hernia. We evaluated hernia and saw distal ileal segments, proximal right colonic segments and inflamme appendix at hernia defect. Because of appendix inflammation we performed appendectomy. Hernia was repaired with mesh. We put a drain at surgery area. At postoperative first day, the patient discharged with drain. The fifth day of post-surgery, the drain was pulled out. At the time of 1st and 3rd month check of the patient, there was no problem about surgery. Amyand hernia is one of the rare conditions encountered by the surgeon during hernia surgery. The surgeon must know the Rosanoff and Bassoon Classification of Amyand Hernia to successfully manage Amyand hernia surgery. The surgeon also must know the situation in which case an appendectomy should be performed and in which case the mesh should be used. -
Bodies and Systems
Bodies and Systems What is your body made of? You might say cells. Another student might say tissues or organs. Perhaps some would say organ systems. All would be correct, because cells, tissues, organs, and organ systems make up the different levels of organization of the human body. Multicellular organisms such as yourself, other animals, and plants have various levels of organization within them. The levels of organization create a hierarchy from simple to complex: cells → tissues → organs → organ systems → organisms How are those different levels related to one another? What specific functions do they perform? How do they interact? Level 1: Cells In all living things, the cell is the smallest unit of life. Some organisms are unicellular; they are made of a single cell functioning on its own. Bacteria and yeasts are two types of single-celled organisms. Most animals are multicellular, meaning they are composed of more than one cell. In fact, the human body is made up of about 100 trillion cells! Cells have a variety of shapes and structures, because each kind of cell has a different function. For example, the shape of muscle cells tends to be long to allow for contraction, and nerve cells tend to have many branches to help carry signals. One function of red blood cells is to transport oxygen from the lungs to other cells throughout the body. Red blood cells have a flexible shape to squeeze through narrow blood vessels. White blood cells fight off infection, whereas platelets, another specialized blood cell, help the blood form a clot. -
Introductory Guide Meddra Version 21.0
Introductory Guide MedDRA Version 21.0 March 2018 000148 Notice to Reader Notice to Reader This Introductory Guide is written in English and is intended only for use with the English version of MedDRA. Additional Introductory Guides have been developed to support languages other than English and are included with their specific translation copies. The Introductory Guide is intended for use in conjunction with the MedDRA Browsers, available with each MedDRA subscription. Changes which are version specific or changes in documentation may be found in the What’s New document. This document is included with the MedDRA release and is also posted on the MSSO Web site under Support Documentation. The MedDRA terminology is maintained under an ISO 9001:2008 registered quality management system. Changes of note in the MedDRA Introductory Guide Version 21.0 include: • Section 4.8 BODY SITE CONSIDERATIONS Additional explanation is provided to support that in general, the abdominal wall is classified in MedDRA as a gastrointestinal structure. • Appendix B: MedDRA CONCEPT DESCRIPTIONS: New Concept Description Product storage has been added Existing Concept Description Medication error has been updated MedDRA Introductory Guide Version 21.0 ii March 2018 000148 Acknowledgements Acknowledgements MedDRA® trademark is registered by IFPMA on behalf of ICH. The following sources of information are also acknowledged: Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) Copyright 2013 American Psychiatric Association. ICD-9-CM, International Classification of Diseases, Ninth Revision, Clinical Modification, Copyright 1998 Medicode, Inc. COSTART Thesaurus Fifth Edition, Copyright 1995 US Food and Drug Administration (FDA). Hoechst Adverse Reaction Terminology System (HARTS), Copyright 1992 Aventis Pharma.