Bedside ultrasound used for the rapid diagnosis and treatment of a patient with a small bowel obstruction in the emergency department

2021 ◽  
Vol 25 ◽  
pp. 101125
Author(s):  
William Daly ◽  
Mollie Powell ◽  
Diana Mora Montero
2019 ◽  
Vol 26 (8) ◽  
pp. 921-930 ◽  
Author(s):  
Brent A. Becker ◽  
Shadi Lahham ◽  
Mark A. Gonzales ◽  
Jason T. Nomura ◽  
Michelle K. Bui ◽  
...  

2019 ◽  
Vol 12 (7) ◽  
pp. e230496 ◽  
Author(s):  
Joseph Do Woong Choi ◽  
Michael Yunaev

A 29-year-old, otherwise well, nulligravid woman presented to the emergency department with 1-day history of generalised abdominal pain and vomiting. She had similar symptoms 6 months prior following recent menstruations, which resolved conservatively. She had no prior history of abdominal surgery or endometriosis. CT scan demonstrated distal small bowel obstruction. A congenital band adhesion was suspected, and she underwent prompt surgical intervention. During laparoscopy, a thickened appendix was adhered to a segment of distal ileum. There was blood in the pelvis. Laparoscopic adhesiolysis and appendicectomy were performed. Histopathology demonstrated multiple foci of endometriosis of the appendix with endometrial glands surrounded by endometrial stroma. Oestrogen receptor and CD10 immunostains highlighted the endometriotic foci. The patient made a good recovery and was referred to a gynaecologist for further management.


2020 ◽  
Vol 38 (11) ◽  
pp. 2356-2360
Author(s):  
Hamid Shokoohi ◽  
Keith S. Boniface ◽  
Michael A. Loesche ◽  
Nicole M. Duggan ◽  
Jordan B. King

2021 ◽  
pp. 49-50
Author(s):  
Anand Deoraj ◽  
Nadeem Ahmad ◽  
Neel Ketu ◽  
Prem Prakash

Background: Small bowel obstruction is one of the leading causes of admission in emergency department worldwide. The aim of this study is to evaluate different surgical techniques and their outcomes in the management of small bowel obstruction. Subjects and Methods: A retrospective study of 95 patients >14 years of age suffering from small bowel obstruction admitted in the department of general surgery in Indira Gandhi Institute of Medical Sciences was done. The study period was April 2016 to March 2018. Results: Various surgical techniques were employed among which adhesiolysis (34.7%) was the commonest operation done followed by resection anastomosis (23.15%) and ileostomy creation (15.7%). The commonest fatal post-operative complication observed was pulmonary complications (9.47%) with an overall mortality rate of 10.5%. Conclusion: Early diagnosis and timely intervention is the cornerstone in the surgical management of small bowel obstruction. Any delay may increase morbidity and adverse outcome.


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