# Abdominal Pain — GCMD Library living collection

Everything in the library about abdominal pain — built automatically from dossiers that name it.

Updated: n/a · 4 episodes · 61 cited statements

## Episodes
### Diagnosis & Workup
- [Is It Endometriosis?](https://library.globalcastmd.com/watch/is-it-endometriosis-1431) — video · 4:58 · [machine version](https://library.globalcastmd.com/watch/is-it-endometriosis-1431.md)

### Case-Based Learning
- [Colonic Perforation-Complication of Percutaneous Drainage of Appendiceal...](https://library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435) — video · 3:57 · [machine version](https://library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435.md)
- [Tricks - Colonic Perforation, Complication Of Percutaneous Drainage Of...](https://library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649) — video · 4:06 · [machine version](https://library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649.md)
- [Laparoscopic Excision of an Abdominal Lymphatic Malformation](https://library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247) — video · 4:56 · [machine version](https://library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247.md)

## Chapters
- [0:00](https://library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=0) Case presentation: appendiceal abscess with catheter complication (Ep 1)
- [2:14](https://library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=134) Faculty discussion: drainage indications and complication management (Ep 1)
- [0:00](https://library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=0) Case presentation: appendiceal abscess with catheter complication (Ep 2)
- [2:18](https://library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=138) Faculty discussion of drainage approach and complication management (Ep 2)
- [0:01](https://library.globalcastmd.com/watch/is-it-endometriosis-1431?t=1) Introduction: Endometriosis in Adolescents and Diagnostic Delay (Ep 3)
- [1:30](https://library.globalcastmd.com/watch/is-it-endometriosis-1431?t=90) Systematic Laparoscopic Evaluation: Anterior Structures and Upper Abdomen (Ep 3)
- [3:00](https://library.globalcastmd.com/watch/is-it-endometriosis-1431?t=180) Evaluation of Pelvic Structures and Posterior Compartment (Ep 3)
- [4:20](https://library.globalcastmd.com/watch/is-it-endometriosis-1431?t=260) Clinical Tips and Systematic Approach (Ep 3)
- [0:06](https://library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=6) Introduction and Clinical Presentation (Ep 4)
- [1:00](https://library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=60) Initial Laparoscopic Exploration and Diagnostic Revision (Ep 4)
- [2:30](https://library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=150) Identification of Gastric Origin and Dissection (Ep 4)
- [4:00](https://library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=240) Excision Completion and Outcome (Ep 4)

## Statements
Every statement is attributed, typed, and timestamped; the link is the citation.
- "The patient was an 8-year-old girl with 10 days of abdominal pain treated with antibiotics and analgesics without clear diagnosis" (clinical) [Ep 1 · 0:00](https://library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=0)
- "CT showed a large collection at right iliac fossa" (clinical) [Ep 1 · 0:30](https://library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=30)
- "Percutaneous drainage was performed by interventional radiology with catheter placement" (clinical) [Ep 1 · 0:50](https://library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=50)
- "The patient exhibited bleeding through the catheter the next day" (clinical) [Ep 1 · 1:05](https://library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=65)
- "Follow-up CT and abdominal X-ray with contrast through the catheter revealed the catheter was in the cecum" (clinical) [Ep 1 · 1:15](https://library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=75)
- "The catheter was removed and the patient was managed with active observation and antibiotic treatment for 10 days" (clinical) [Ep 1 · 1:35](https://library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=95)
- "Ultrasound one week later showed the abscess had resolved" (clinical) [Ep 1 · 1:50](https://library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=110)
- "At 8 weeks follow-up, the patient was well and ultrasound was normal" (clinical) [Ep 1 · 1:58](https://library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=118)
- "Interval appendectomy was not performed because the patient did not have appendicitis" (clinical) [Ep 1 · 2:05](https://library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=125)
- "A GlobalCast audience poll showed almost 60% would perform percutaneous drainage for a well-formed abscess" (host_summary) [Ep 1 · 2:14](https://library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=134)
- "Faculty consensus was that the majority would place a percutaneous drain in this patient with a well-formed abscess" (host_summary) [Ep 1 · 2:55](https://library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=175)
- "Small bowel injuries from percutaneous drains have been observed" (host_summary) [Ep 1 · 3:30](https://library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=210)
- "Colonic injury from percutaneous drain may not be recognized because there is no obstructive pattern" (host_summary) [Ep 1 · 3:40](https://library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=220)
- "When catheter perforation into bowel is recognized, backing the catheter out works fine" (host_summary) [Ep 1 · 3:50](https://library.globalcastmd.com/watch/colonic-perforation-complication-of-percutaneous-drainage-of-appendiceal-435?t=230)
- "The patient was an 8-year-old girl with 10 days of abdominal pain treated with antibiotics and analgesics without clear diagnosis" — Figueroa (clinical) [Ep 2 · 0:00](https://library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=0)
- "On arrival to emergency room, the patient had an abdominal mass and CT showed a large collection at right iliac fossa" — Figueroa (clinical) [Ep 2 · 0:30](https://library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=30)
- "Percutaneous drainage was performed by interventional radiology with catheter placement" — Figueroa (clinical) [Ep 2 · 0:50](https://library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=50)
- "The next day after drainage, the patient exhibited bleeding through the catheter" — Figueroa (clinical) [Ep 2 · 1:00](https://library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=60)
- "Follow-up CT and abdominal X-ray with contrast through the catheter revealed the catheter was positioned in the cecum" — Figueroa (clinical) [Ep 2 · 1:10](https://library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=70)
- "After catheter removal, the team continued active observation and antibiotic treatment for 10 days" — Figueroa (clinical) [Ep 2 · 1:25](https://library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=85)
- "One week later, ultrasound showed the abscess had resolved" — Figueroa (clinical) [Ep 2 · 1:40](https://library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=100)
- "At 8 weeks follow-up, the patient was well and ultrasound was normal" — Figueroa (clinical) [Ep 2 · 1:48](https://library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=108)
- "Because the patient did not have appendicitis, interval appendectomy was not considered" — Figueroa (clinical) [Ep 2 · 1:58](https://library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=118)
- "A GlobalCast audience poll from a few months prior showed almost 60% would perform percutaneous drainage for a well-formed abscess instead of operating" (host_summary) [Ep 2 · 2:18](https://library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=138)
- "The majority of faculty present would have placed a percutaneous drain in this patient with a well-formed abscess" (host_summary) [Ep 2 · 2:55](https://library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=175)
- "Small bowel injuries from percutaneous drains have been observed by faculty" (host_summary) [Ep 2 · 3:30](https://library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=210)
- "Colonic injury from percutaneous drain may not be recognized because there is no obstructive pattern" (clinical) [Ep 2 · 3:40](https://library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=220)
- "When a drain is found to be in the colon, backing the catheter out is an acceptable management approach" (host_summary) [Ep 2 · 3:52](https://library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=232)
- "Faculty typically just remove the catheter when it is found to be in the colon" (host_summary) [Ep 2 · 4:00](https://library.globalcastmd.com/watch/tricks-colonic-perforation-complication-of-percutaneous-drainage-of-649?t=240)
- "Endometriosis is a common cause of abdominal pain in young adults." (clinical) [Ep 3 · 0:01](https://library.globalcastmd.com/watch/is-it-endometriosis-1431?t=1)
- "The overall incidence of endometriosis in adolescent females appears to be low based on diagnosis by pediatric surgeons." (epidemiological) [Ep 3 · 0:20](https://library.globalcastmd.com/watch/is-it-endometriosis-1431?t=20)
- "Pediatric surgeons are often the surgical gynecologists for many patients and frequently perform diagnostic laparoscopies for abdominal pain." (clinical) [Ep 3 · 0:40](https://library.globalcastmd.com/watch/is-it-endometriosis-1431?t=40)
- "Young patients who present to gynecology with chronic abdominal pain often saw 3 physicians prior to laparoscopy for confirmation of endometriosis, leading to a 23 month delay in treatment." (epidemiological) [Ep 3 · 1:00](https://library.globalcastmd.com/watch/is-it-endometriosis-1431?t=60)
- "In adolescence, endometriosis is more likely to appear as red and clear lesions." (clinical) [Ep 3 · 1:30](https://library.globalcastmd.com/watch/is-it-endometriosis-1431?t=90)
- "Evaluation should begin in the anterior cul-de-sac, the area above the bladder and anterior to the uterus." (guideline) [Ep 3 · 1:45](https://library.globalcastmd.com/watch/is-it-endometriosis-1431?t=105)
- "Red lesions with adhesions, dark lesions, red lesions, and white lesions along the bladder flap can be seen in the anterior cul-de-sac." (clinical) [Ep 3 · 2:00](https://library.globalcastmd.com/watch/is-it-endometriosis-1431?t=120)
- "Bilateral round ligaments should be evaluated as they insert into the inguinal canal." (guideline) [Ep 3 · 2:20](https://library.globalcastmd.com/watch/is-it-endometriosis-1431?t=140)
- "The appendix should be examined for endometriotic lesions, which may appear as multiple red lesions or a single red lesion at the tip." (clinical) [Ep 3 · 2:30](https://library.globalcastmd.com/watch/is-it-endometriosis-1431?t=150)
- "The bowel should be run with particular attention to the cecum and sigmoid colon, as they are often involved." (guideline) [Ep 3 · 2:55](https://library.globalcastmd.com/watch/is-it-endometriosis-1431?t=175)
- "The upper abdomen and diaphragm should be evaluated, including visualization of the liver, gallbladder, and stomach." (guideline) [Ep 3 · 3:10](https://library.globalcastmd.com/watch/is-it-endometriosis-1431?t=190)
- "Multiple white and dark lesions can be seen along the right hemi diaphragm in diaphragmatic endometriosis." (clinical) [Ep 3 · 3:30](https://library.globalcastmd.com/watch/is-it-endometriosis-1431?t=210)
- "Diaphragmatic endometriosis can become quite extensive with miliary distribution of lesions." (clinical) [Ep 3 · 3:45](https://library.globalcastmd.com/watch/is-it-endometriosis-1431?t=225)
- "The presacral space should be examined, looking from the aortic bifurcation cranially, the sacral promontory caudally, and common iliac vessels bilaterally." (guideline) [Ep 3 · 4:10](https://library.globalcastmd.com/watch/is-it-endometriosis-1431?t=250)
- "With lateral retraction of the ovary, multiple dark lesions can be demonstrated, with care taken to examine all surfaces of the ovary." (clinical) [Ep 3 · 4:30](https://library.globalcastmd.com/watch/is-it-endometriosis-1431?t=270)
- "Gentle manipulation of the fallopian tube may show dark lesions in the ampullary portion that can appear to partially obstruct indigo carmine dye extravasation." (clinical) [Ep 3 · 4:50](https://library.globalcastmd.com/watch/is-it-endometriosis-1431?t=290)
- "The pelvic side wall should be examined with gentle medial retraction of the ovary to visualize lesions over the ureter." (guideline) [Ep 3 · 5:15](https://library.globalcastmd.com/watch/is-it-endometriosis-1431?t=315)
- "White, red and clear lesions can be seen along the pelvic wall." (clinical) [Ep 3 · 5:30](https://library.globalcastmd.com/watch/is-it-endometriosis-1431?t=330)
- "Medial rotation of the rectosigmoid allows for evaluation of the right paracolic gutter." (guideline) [Ep 3 · 5:45](https://library.globalcastmd.com/watch/is-it-endometriosis-1431?t=345)
- "The posterior cul-de-sac may show a miliary pattern of fibrosis or isolated red and white lesions along the rectum." (clinical) [Ep 3 · 6:00](https://library.globalcastmd.com/watch/is-it-endometriosis-1431?t=360)
- "Peritoneal defects should be evaluated as they may hide endometriotic lesions." (guideline) [Ep 3 · 6:20](https://library.globalcastmd.com/watch/is-it-endometriosis-1431?t=380)
- "Hemosiderin deposits can look similar to red lesions, but wash away with suction and irrigation." (clinical) [Ep 3 · 4:58](https://library.globalcastmd.com/watch/is-it-endometriosis-1431?t=298)
- "To evaluate depth of lesions, vaginal exam, rectal exam, and sigmoidoscopy are key adjuncts." (guideline) [Ep 3 · 4:58](https://library.globalcastmd.com/watch/is-it-endometriosis-1431?t=298)
- "Consideration of endometriosis should be included in all laparoscopies for abdominal pain in the adolescent female." (guideline) [Ep 3 · 4:58](https://library.globalcastmd.com/watch/is-it-endometriosis-1431?t=298)
- "Evaluation should be routine and systematic." (guideline) [Ep 3 · 4:58](https://library.globalcastmd.com/watch/is-it-endometriosis-1431?t=298)
- "Abdominal lymphatic malformations can be discovered incidentally or become acutely symptomatic due to torsion, hemorrhage, rupture, or sudden enlargement." (host_summary) [Ep 4 · 0:06](https://library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=6)
- "The lymphatic malformation arose from the mesentery of the gastric lesser curvature." (clinical) [Ep 4 · 0:30](https://library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=30)
- "Initial ultrasound and CT scan demonstrated a large cystic mass thought to be of adnexal origin extending into the upper abdomen." (clinical) [Ep 4 · 0:50](https://library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=50)
- "Initial laparoscopic exploration supported the presumptive diagnosis of a cystic mass arising from the pelvis." (clinical) [Ep 4 · 1:10](https://library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=70)
- "Further manipulation demonstrated non-pelvic origin with normal adnexa." (clinical) [Ep 4 · 1:25](https://library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=85)
- "The mass was connected by a torsed pedicle traveling over the transverse colon through the greater omentum." (clinical) [Ep 4 · 1:35](https://library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=95)
- "An omental origin was initially suspected but further dissection demonstrated the omentum to be simply adherent to the torsed pedicle and not the source of it." (clinical) [Ep 4 · 1:50](https://library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=110)
- "The mass was discovered to be connected to another large cyst attached to the gastric wall, extending posterior to the stomach into the lesser sac." (clinical) [Ep 4 · 2:30](https://library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=150)
- "A ligature device was used to separate the mass from the gastric wall and gastric mesentery." (clinical) [Ep 4 · 2:55](https://library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=175)
- "Following excision, the greater curvature was completely intact and uninvolved." (clinical) [Ep 4 · 3:15](https://library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=195)
- "The mass arose from the lesser curvature mesentery and occupied the lesser sac." (clinical) [Ep 4 · 3:30](https://library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=210)
- "The stomach was tested for leak after installation of dilute methylene blue through the nasogastric tube, and none was identified." (clinical) [Ep 4 · 3:50](https://library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=230)
- "The mass was easily removed through the 10 millimeter umbilical port." (clinical) [Ep 4 · 4:05](https://library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=245)
- "The patient was started on oral intake a few hours after the operation and discharged the following day." (clinical) [Ep 4 · 4:15](https://library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=255)
- "All symptoms resolved postoperatively." (clinical) [Ep 4 · 4:25](https://library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=265)
- "A screening ultrasound one year after excision showed no recurrence." (clinical) [Ep 4 · 4:30](https://library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=270)
- "Lymphatic malformation was diagnosed grossly and histologically." (clinical) [Ep 4 · 4:38](https://library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=278)
- "Had this lesion been approached by a Pfannenstiel incision, a correct diagnosis and excision would not have been possible without a second laparotomy incision." (opinion) [Ep 4 · 4:45](https://library.globalcastmd.com/watch/laparoscopic-excision-of-an-abdominal-lymphatic-malformation-2247?t=285)

## Changelog
- Sep 16: 4 items added automatically

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