AI Article Synopsis
- A caeco-peritoneal band (CPB) was found in patients experiencing chronic right iliac fossa (RIF) pain during diagnostic laparoscopy, described as a veil-like structure linked to the caecum and abdomen.
- A study analyzed data from 31 patients aged 11-16 over a decade, identifying CPB in five patients who had inconclusive preoperative tests and previous surgeries.
- Surgical division of the CPB led to symptom relief in all cases, with no recurrence of pain reported during an average follow-up of 575 days, indicating that CPB could be an overlooked cause of chronic RIF pain.
Article Abstract
Background: A caeco-peritoneal band (CPB) has been observed during diagnostic laparoscopy for chronic right iliac fossa (RIF) pain. This has a veil-like configuration and arises along a broad base from the caecum and ascending colon and attaches to the anterior abdominal wall.
Methods: Retrospective analysis of a prospectively collected database of 31 patients, aged 11-16, who underwent diagnostic laparoscopy for ongoing RIF pain over a 10-year period was analysed for intra-operative presence of the CPB. The patients' symptoms, past medical history, diagnostic workup, surgical findings and outcome were evaluated.
Results: CPB was identified in five patients. All presented with chronic RIF pain and had inconclusive preoperative investigations. Two patients underwent previous surgery. In all cases, the CPB was the sole abnormal finding on diagnostic laparoscopy. Symptoms resolved following division of the CPB with no recurrence of pain at a mean follow-up of 575 days.
Conclusions: CPB is a potential cause of chronic RIF pain in patients with unremarkable examination findings and negative serological and radiological investigations. Laparoscopic identification and division of the CPB has produced symptom resolution in this cohort of patients.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1007/s00383-014-3603-x | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
A Lumbar Drug-Resistant Tuberculosis: A Case Report and Review of Literature.
Infect Drug Resist
December 2024
Department of Spine Surgery and Orthopaedics, Xiangya Hospital, Central South University, Changsha, 410008, People's Republic of China.
Introduction: Tuberculosis is prevalent in high-burden countries. However, spinal multi-drug resistant tuberculosis (MDR-TB) in patients with normal immune function is a disease that is prone to misdiagnosis and even delayed diagnosis. Recently, we successfully treated one such patient.
View Article and Find Full Text PDFAppendiceal diverticulitis: A rare case report highlighting diagnostic challenges and complication risks.
Int J Surg Case Rep
November 2024
General Surgery Department, Mahmoud El Matri Hospital, V59M+628, Ariana, Tunisia; Faculty of Medicine of Tunis, University of Tunis El Manar, R534+F9H, Rue de la Faculté de Médecine, Tunis, Tunisia.
Introduction And Importance: Diverticular disease of the appendix is a rare condition often mistaken for acute appendicitis, with most cases diagnosed incidentally during histopathology, underscoring the importance of comprehensive pathological evaluation for accurate diagnosis.
Case Presentation: A 34-year-old male presented with one day of periumbilical pain migrating to the right iliac fossa, without vomiting or bowel changes. Clinical examination revealed tenderness in the RIF.
REVISITING ALVARADO SCORE FOR NEGATIVE APPENDICECTOMY RATE AT AYUB TEACHING HOSPITAL ABBOTTABAD.
J Ayub Med Coll Abbottabad
December 2024
Department of Surgery.
Background: Surgeons specifically junior ones in our setup of third world country face the issue of diagnosing Acute Appendicitis (AA) as presentation usually is not typical. Cases presenting at odd hours may put residents & house officers in trouble, when sophisticated investigations are either un-available or expansive. Need for a structured diagnostic criterion is thus always there.
View Article and Find Full Text PDFThe effect of retrieval-induced forgetting for pain-related memories on child pain-related outcomes: A randomized experimental study.
Eur J Pain
November 2024
Department of Experimental-Clinical and Health Psychology, Ghent University, Ghent, Belgium.
Background: Children's inability to forget the negative aspects of a painful event is associated with more anticipatory anxiety at an upcoming pain task and lower pain thresholds; however, the impact of forgetting on children's pain outcomes has not been examined. Retrieval-Induced Forgetting (RIF) was experimentally induced to investigate whether children would (1) forget more negative details of a previous painful autobiographic event and; (2) report better pain-related outcomes for an unrelated pain task (i.e.
View Article and Find Full Text PDFTuberculous Spondylitis and Paravertebral Abscess Formation Following Vertebroplasty: A Case Report and Review of the Literature.
Infect Drug Resist
November 2024
Department of Spine Surgery of Yichang Central People's Hospital, First Clinical Medical College of China Three Gorges University, Yichang, Hubei, 443000, People's Republic of China.
Tuberculous spondylitis following percutaneous vertebroplasty or kyphoplasty is rare. In this, we report a rare case of tuberculous spondylitis diagnosed after percutaneous vertebroplasty (PVP). A 69-year-old female sought came to our department with a history of chest and back pain from the last two months accompanied by weakness in both lower limbs.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!