scholarly journals Uterine-ileal perforation post pregnancy related dilatation and curettage managed by laparoscopic small bowel resection and primary anastomosis: A case report

2020 ◽  
Vol 3 (3) ◽  
pp. 94-96
Author(s):  
Melissa Kyriakos Saad ◽  
Saleem Abdel Baki ◽  
Elias Saikaly
Keyword(s):  
Case Report ◽  
Small Bowel ◽  
Bowel Resection ◽  
Primary Anastomosis ◽  
Small Bowel Resection ◽  
Ileal Perforation ◽  
Dilatation And Curettage

scholarly journals Diagnosis and treatment of acute bowel obstruction

2013 ◽  
Vol 94 (3) ◽  
pp. 377-381
Author(s):  
A M Khadjibaev ◽  
N A Khadjimukhamedova ◽  
F A Khadjibaev
Keyword(s):  
Small Bowel ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Bowel Resection ◽  
Primary Anastomosis ◽  
Local Treatment ◽  
Small Bowel Resection ◽  
Large Bowel Obstruction ◽  
Segmental Resection ◽  
Diagnosis And Treatment

Aim. To improve treatment outcomes in patients with acute bowel obstruction. Methods. 1479 patients with bowel obstruction (75.7% - small bowel obstruction, 24.3% - large bowel obstruction) were examined. Patients were treated according to the local treatment protocol, 1003 (68%) patients underwent surgery. Results. The following procedures were performed at the stage of bowel obstruction diagnosis and treatment: conventional adhesiolysis was performed in 425 cases, laparoscopic adhesiolysis - in 425 cases, small bowel resection with further anastomosis - in 151 cases, small bowel resection with ileostomy - in 15 cases, phytobezoar fragmenting - in 56 cases, enterotomy and phytobezoar removal - in 2 cases. In patients with large bowel obstruction the following procedures were performed: large bowel segmental resection with further anastomosis - in 38 cases, large bowel segmental resection with colostomy - in 38 cases, large bowel partial resection with colostomy - in 54 cases, right hemicolectomy with primary anastomosis - in 43 cases, left hemicolectomy with primary anastomosis - in 58 cases, manual intussusception reduction - in 65 cases, side anastomosis - in 31 cases. In 69 cases of bowel obstruction primary anastomosis was performed using the metal ring frame. Conclusion. To reduce the rate of complications, the need for the surgery should be diagnosed as soon as possible, coagulopathies should be compensated, and surgery tactics should be defined, including the primary anastomosis formation.

scholarly journals Case Report: Complicated Meckel Diverticulum Spectrum in Children

2021 ◽  
Vol 8 ◽  
Author(s):  
Gunadi ◽  
Wahyu Damayanti ◽  
Robin Perdana Saputra ◽  
Ramadhita ◽  
Ibnu Sina Ibrohim ◽  
...  
Keyword(s):  
Small Bowel ◽  
Iron Deficiency ◽  
Small Bowel Obstruction ◽  
Iron Deficiency Anemia ◽  
Bowel Obstruction ◽  
Bowel Resection ◽  
Primary Anastomosis ◽  
Small Bowel Resection ◽  
Deficiency Anemia ◽  
Meckel Diverticulum

Background: Meckel diverticulum (MD) is the most common congenital anomaly of the intestines, with an incidence of 2% of the general population. It can present as various clinical features with complications and be life threatening if diagnosis is delayed and treatment late.Case Presentation: We report three pediatric cases with complicated MD: one female presented with small-bowel obstruction, one male with peritonitis, and one female with severe iron-deficiency anemia, without gross gastrointestinal bleeding nor any ectopic gastric mucosa. All patients underwent exploratory laparotomy, segmental small-bowel resection, and primary anastomosis. They successfully recovered and were uneventfully discharged on the fourth, seventh, and 10th postoperative days, respectively.Conclusions: MD can present with various complication spectrums, including small-bowel obstruction, peritonitis, and severe iron-deficiency anemia, which may cause difficulty in definitive diagnosis, particularly in children. Segmental small-bowel resection and primary anastomosis are effective surgical approaches and show good outcomes for MD patients.

scholarly journals Tulžies akmenų sukeltas mechaninis žarnų nepraeinamumas: retrospektyvioji 14 ligos atvejų analizė ir klinikinis atvejis

2012 ◽  
Vol 10 (1-2) ◽  
pp. 0-0
Author(s):  
Žygimantas Juodeikis ◽  
Juozas Stanaitis ◽  
Algimantas Stašinskas
Keyword(s):  
Case Report ◽  
Small Bowel ◽  
Bowel Resection ◽  
Single Case ◽  
Gallstone Ileus ◽  
The Elderly ◽  
Small Bowel Resection ◽  
Bouveret Syndrome ◽  
Vilnius University ◽  
E Mail

Žygimantas Juodeikis, Juozas Stanaitis, Algimantas Stašinskas 1 Vilniaus universiteto Gastroenterologijos, nefrourologijos ir chirurgijos klinika, Bendrosios chirurgijos centras, Respublikinė Vilniaus universitetinė ligoninė, Šiltnamių g. 29, LT-04130 Vilnius El. paštas: [email protected] Tikslas Pateikti mūsų gydymo patirtį ir palyginti šios patologijos gydymo rezultatus su užsienio autorių duomenimis. Ligoniai ir metodai Atlikome 14 ligonių, 1992–2011 m. sirgusių mechaniniu žarnų nepraeinamumu dėl tulžies akmenų, retrospektyviąją analizę. Rezultatai Išanalizuoti 14 ligonių duomenys. Visi ligoniai buvo vyresni nei 70 metų (nuo 71 iki 88 metų), amžiaus vidurkis 76,9 metų. Vyrų ir moterų santykis buvo atitinkamai 3:11. Visi ligoniai buvo hospitalizuoti dėl ūminio žarnų nepraeinamumo ir skubiai operuoti. Operacijos metu dažniausiai nustatyta obstrukcijos vieta buvo klubinėje žarnoje ir tuščiojoje žarnoje, rečiau – dvylikapirštėje žarnoje. Septyniems ligoniams operacijos apimtis apsiribojo enterolitotomija, trims buvo atlikta enterolitotomija ir cholecistektomija, vienam ligoniui atlikta plonosios žarnos rezekcija, dviem ligoniams pavyko konkrementą mechaniškai nustumti į storąją žarną. Vienu atveju dėl Bouveret sindromo atlikta cholecistektomija ir Finney piloroplastika. Pooperaciniu laikotarpiu du ligoniai mirė, trims pasireiškė komplikacijų. Išvados Tulžies akmenų sukeltas žarnų nepraeinamumas yra reta, dideliu mirtingumu pasižymėti patologija, dažniausiai pasitaikanti senyvo amžiaus ligoniams. Enterolitotomija yra saugesnis, mažesnį mirtingumą lemiantis gydymo metodas nei enterolitotomija su cholecistektomija. Reikšminiai žodžiai: žarnų nepraeinamumas, enterolitotomija, Bouveret sindromas. Gallstone ileus: retrospective review of 14 cases and case report Žygimantas Juodeikis, Juozas Stanaitis, Algimantas Stašinskas 1 Vilnius University, Institute of Oncology, Santariškių Str. 1, LT-08660 Vilnius, Lithuania2 Vilnius University, Faculty of Medicine, Clinic of Internal Diseases, Family Medicine and Oncology, Santariškių Str. 2, LT-08661 Vilnius, Lithuania E-mail: [email protected] Objective The objective of this study was to present the resuts of our treatment of gallstone ileus and to compare them with the results reported by other authors. Patients and methods A retrospective study with the revision of clinical stories of patients diagnosed with gallstone ileus between 1991 and 2011 was performed. Results Analysis of data on 14 patients was performed. All of the patients were older than 70 years (median, 76.9). The men-to-women ratio was 3 : 11. All patients were admitted with small bowel obstruction symtoms and operated on rapidly. The most common obstruction location was the ileum and the jejunum, and a less frequent location was the duodenum. Enterolithotomy was performed in 7 cases cholecystectomy and enterolithotomy in 3 cases. There was a single case when small bowel resection was necessary. Concrements were succesfully mechanically pushed into the colon in 2 cases. In one case, the Finney pyloroplasty and cholecystectomy were performed. Postoperatively, 2 patients died. Postoperative complications were observed in 3 cases. Conclusions Gallstone ileus is a rare and highly lethal pathology which mostly occurs in the elderly. Enterolithotomy with cholecystectomy is related to a higher mortality rate than enterolithotomy alone. Key words: gallstone ileus, enterolithotomy, Bouveret syndrome

Abdominal abscess associated with salmonellosis − case report

2020 ◽  
Vol 99 (5) ◽  
pp. 232-235
Keyword(s):  
Case Report ◽  
Small Bowel ◽  
Surgical Intervention ◽  
Bowel Resection ◽  
Small Bowel Resection ◽  
Abdominal Abscess ◽  
Surgical Disease ◽  
Salmonella Enteritis

Introduction: Although gastroenteritis is considered to be a non-surgical disease, rare complications necessitating surgical intervention may occur. Case report: We present a patient who underwent acute small bowel resection due to an abdominal abscess, which developed in association with Salmonella enteritis.

Relation of Small Bowel Resection to Nutrition in Man

1960 ◽  
Vol 38 (4) ◽  
pp. 605-615 ◽  
Author(s):  
M.H. Kalser ◽  
J.L.A. Roth ◽  
H. Tumen ◽  
T.A. Johnson
Keyword(s):  
Small Bowel ◽  
Bowel Resection ◽  
Small Bowel Resection
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