| Autor: |
Gert-Jan Lauret, Misha D. P. Luyer, Joep A.W. Teijink, Loes Mandigers |
| Rok vydání: |
2013 |
| Předmět: |
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| Zdroj: |
International Journal of Surgery Case Reports. 4(9):798-800 |
| ISSN: |
2210-2612 |
| DOI: |
10.1016/j.ijscr.2013.06.005 |
| Popis: |
INTRODUCTIONUsually patients are admitted to hospital with a single diagnosis, but if complaints persist it is important to consider a synchronous secondary diagnosis.PRESENTATION OF CASEA 74-year-old woman presented with severe abdominal and back pain. On physical examination, a tender abdominal aortic aneurysm (AAA) was noted. Following endovascular treatment of the AAA, pain in the right lower abdomen persisted. Review of the pre-EVAR CT images revealed a foreign body in the terminal ileum, which was surgically removed.DISCUSSIONPatients with foreign-body-related intestinal pain present with complaints of abdominal pain at initial presentation. The accompanied back pain and abdominal tenderness of the abdominal aorta in our case could indicate another diagnosis.CONCLUSIONPersisting complaints post-intervention should not only arouse suspicion of an intervention-related complication, but also of a synchronous second diagnosis. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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