scholarly journals Delayed Diagnosis of a Pyloric Web Causing Gastric Outlet Obstruction in a 13-Month-Old Girl

2021 ◽  
Vol 09 (01) ◽  
pp. e20-e22
Author(s):  
Mohammed Elifranji ◽  
Jisha Sankar ◽  
Israa Abdelrasool ◽  
Guy Brisseau
Keyword(s):  
Physical Examination ◽  
Intestinal Obstruction ◽  
Gastric Outlet Obstruction ◽  
Delayed Diagnosis ◽  
Outlet Obstruction ◽  
Upper Endoscopy ◽  
Definite Diagnosis ◽  
Patient History ◽  
X Ray

AbstractPyloric web is a rare cause of gastric outlet obstruction. Classical pyloric web can be diagnosed by obtaining a patient history, physical examination, and plain abdominal X-ray, whereas a perforated web leads to incomplete intestinal obstruction. Delayed diagnosis is rare, and the definite diagnosis is made by upper endoscopy. In this report, we report a case of a girl in whom a pyloric web was diagnosed at the age of 13 months.

scholarly journals Gastric Outlet Obstruction Due to Cholecysto-Gastric Fistula: Bouveret’s Syndrome

2020 ◽  
Keyword(s):  
Gastric Outlet Obstruction ◽  
Epigastric Pain ◽  
Outlet Obstruction ◽  
Diagnostic Value ◽  
Gastric Fistula ◽  
Bouveret’S Syndrome ◽  
X Ray ◽  
Gastrointestinal Obstruction ◽  
Biliary Enteric Fistula ◽  
Bouveret's Syndrome

Bouveret’s syndrome is defined as gastrointestinal obstruction due to an impacted gallstone secondary to biliary-enteric fistula. This is often observed with nonspecific symptoms such as epigastric pain, nausea, and vomiting. The diagnosis is made by visualization of pneumobilia, gastric outlet obstruction and ectopic gallstone. In this report, we discussed an elderly patient who was admitted to the emergency department with abdominal pain and vomiting without any signs of bowel obstruction in plain x-ray and ultrasound imaging. We aimed to remind the importance of clinical suspicion and the diagnostic value of computed abdominal tomography for emergency physicians.

scholarly journals LAPORAN KASUS : PENANGANAN OBSTRUKSI USUS PADA ANJING DI BALI VETERINARY CLINIC

2021 ◽  
Vol 9 (1) ◽  
pp. 50-61
Author(s):  
Putri F. Ludji Pau ◽  
Yohanes T. R. M. R. Simarmata ◽  
Ni Made Restiati
Keyword(s):  
Physical Examination ◽  
Intestinal Obstruction ◽  
Veterinary Clinic ◽  
Surgical Incision ◽  
Local Breed ◽  
X Ray ◽  
Dog Food ◽  
Post Surgery ◽  
Antiseptic Treatment ◽  
Desire To Eat

A local breed dog was brought to the veterinary clinic with signs of vomiting and decreased appetite. Physical examination revealed a pale mucosa of the eye and nose, 2 seconds of CRT, abdomen distention and stiffness. A haematology examination indicated WBC drop into 4.9, lymphocyte into 5.4, MCV to into 55.42 and Plate Distribusi Wide 8.1. The X-ray test showed the presence of an unknown mass around the intestine. Therefore, the dog was then diagnosed with intestinal obstruction.  A laparotomy exploration with an enterotomy technique was performed to treat the condition. The surgery procedure found a mass of stone-like faeces that also consist of a mix of grass. The stone-like faeces were then removed from the intestine. Post-surgery monitoring was performed routinely and the dog received Cefotaxime Sodium (Claforan®) 22 mg/kg, Odansentron HCl (Zofran®) 0.2 mg/kg, Sucralfate (Carafate®) 0.8 gram, Lactulose (Cephulac®) 25 mL,  Dexamethasone (Dexasone®) 1 mg/kg,  Diphenhydramine HCl (Benadryl®) 3mg/kg, along with antiseptic treatment for the surgical incision.  3 days after the operation the dog began to show signs of recovery where the dog appeared to start moving and showed the desire to eat food. This condition can be prevented by not giving the dog food that bones. Lastly, the dog should be only released in a safe and knowledgeable environment.

scholarly journals Duplication Cyst in the Third Part of the Duodenum Presenting with Gastric Outlet Obstruction and Severe Weight Loss

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Osama Shaheen ◽  
Samer Sara ◽  
Mhd Firas Safadi ◽  
Bayan Alsaid
Keyword(s):  
Weight Loss ◽  
Gastric Outlet Obstruction ◽  
Outlet Obstruction ◽  
Duplication Cyst ◽  
Upper Endoscopy ◽  
Developmental Abnormality ◽  
The Third ◽  
Duodenal Duplication ◽  
Adjacent Structures ◽  
Infancy And Childhood

Duodenal duplication is a rare developmental abnormality which is usually diagnosed in infancy and childhood, but less frequently in adulthood. We report a case of a 16-year-old female with a duplication cyst in the third part of the duodenum. The patient presented with symptoms of gastric outlet obstruction, including severe anorexia and weight loss. The diagnosis was made preoperatively by CT scan and upper endoscopy. The cyst was successfully treated by marsupialization on the duodenum using a GIA stapler. Duodenal duplication presents with a wide variety of symptoms. Although illusive, many cases can be properly diagnosed preoperatively by using the appropriate imaging modalities. Treatment choices are tailored according to the size and location of the cyst, in addition to its relation to adjacent structures. The outcomes are favorable in the majority of patients.

scholarly journals Delayed Diagnosis of Gastric Outlet Obstruction from Bouveret Syndrome in a Young Woman

2015 ◽  
Vol 16 (1) ◽  
pp. 151-153 ◽  
Author(s):  
Zachary Smith ◽  
Jodie Totten ◽  
Adrienne Hughes ◽  
Jared Strote
Keyword(s):  
Young Woman ◽  
Gastric Outlet Obstruction ◽  
Delayed Diagnosis ◽  
Outlet Obstruction ◽  
Bouveret Syndrome

scholarly journals Trichobezoars as a cause of intestinal obstruction in a young female

2019 ◽  
Vol 7 (5) ◽  
pp. 1957
Author(s):  
Shireesha U. Chodankar ◽  
Shantata J. Kudchadkar ◽  
Dilip Amonkar
Keyword(s):  
Intestinal Obstruction ◽  
Children And Adolescents ◽  
Gastric Outlet Obstruction ◽  
Outlet Obstruction ◽  
Young Female ◽  
Gastrointestinal System ◽  
Young Females ◽  
Image Modality

A bezoar is a mass found trapped in the gastrointestinal system, though it can occur in other locations. There are various types of bezoars including food boluses, lactobezoar, pharmacobezoar, phytobezoar, diospyrobezoar and trichobezoar. They are common in children and adolescents, and 90% of the patients are women. Complications may manifest as gastric outlet obstruction or bleeding and intestinal obstruction. CT is the preferred image modality for the evaluation of suspected trichobezoars in order to characterize the size, location, presence and level of obstruction and complications such as ischemia or perforation. Here authors present a case to stress the importance of considering trichobezoars as one of the causes for intestinal obstruction in young females. 

scholarly journals ROLE OF USG IN PATIENTS WITH ACUTE ABDOMEN

2021 ◽  
Vol 5 (11) ◽  
Author(s):  
Raghav Kumar ◽  
Saroj Kumari
Keyword(s):  
Differential Diagnosis ◽  
Intestinal Obstruction ◽  
Acute Abdomen ◽  
Definite Diagnosis ◽  
X Ray ◽  
Keywords Ultrasound ◽  
Medical College ◽  
Prompt Treatment ◽  
Perforation Peritonitis

Background: The main goal of imaging in acute abdomen is to narrow down the differential diagnosis and for prompt treatment. Material and methods: This study was done on patient presented with acute abdomen in Department of Radiodiagnosis, SMS Medical College & Associate Group of Hospitals, Jaipur. Scout X-ray done in 100 patients. Scout X –Ray film gives lots of information and very helpful in diagnosing perforation and intestinal obstruction. Results: USG was able to diagnose 94% cases of perforation peritonitis. intes­tinal obstruction was diagnosed only in 73.17% of cases with USG. Conclusion: This study shows that simple X-Ray plays an important role in definite diagnosis of acute abdomen as compare to USG. Keywords: Ultrasound, X- Ray, Acute Abdomen

scholarly journals Malignant gastric outlet obstruction: a clinicopathological study in S. C. B. medical college hospital of Odisha, India

2017 ◽  
Vol 4 (11) ◽  
pp. 3652
Author(s):  
Srikanta Panda ◽  
S. S. Behera ◽  
Anshuman Sarangi
Keyword(s):  
Gastric Outlet Obstruction ◽  
Early Stage ◽  
Barium Meal ◽  
Treatment Protocol ◽  
Outlet Obstruction ◽  
Disease Process ◽  
Histopathological Study ◽  
Gastrojejunal Anastomosis ◽  
College Hospital ◽  
X Ray

Background: Gastric outlet obstruction is the clinical and pathophysiological consequence of any disease process that produces a mechanical impediment to gastric emptying. The causes of gastric outlet obstruction can be broadly classified as benign (non-cancerous) or malignant (cancerous). Unless treated in its early stage the prognosis of this disease is very poor. Present study includes details of clinical and pathological aspects of the disease, the treatment protocol and outcomes in the causes of malignant gastric outlet obstruction.Methods: A total number of forty diagnosed case of gastric outlet obstruction due to carcinoma stomach were included in this study who were admitted to the surgical wards. The diagnosis of the disease was established by subjecting them to the physical examination and special diagnostic modalities like, upper GI endoscopy and endoscopic biopsy, USG abdomen, barium meal x ray of the stomach, FNAC, histopathological study of operated specimens.Results: USG examination showed 32 cases out of 40 suggestive of growth in stomach. Barium meal X ray showed 15 patients reported persistent filling defect. Occult blood was 87 % positive. FNAC results showed 91% having epigastric clump and 9 % Virchow node. At laparotomy 75% growth was polyploidal, 20%extravacative and 5% of lienitis plastica.10 cases of early gastric carcinoma were subjected to curative resections. Patients who presented multiple metastasis were subjected to gastrojejunal anastomosis. 12 clinicopathological and surgical factors were considered for analysis.Conclusions: Clinicopathological and surgical factors have definite bearing in prognosticating (predicting) the outcome of surgery in carcinoma of stomach.

scholarly journals Antral mucosal diaphragm as a misdiagnosed cause of gastric outlet obstruction: case report and review of the literature

2015 ◽  
Vol 94 (1) ◽  
pp. 15
Author(s):  
Marcela Del Carlo Bernardi ◽  
Ernesto Sasaki Imakuma ◽  
Anna Carolina Bastista Dantas ◽  
Alyne Korukian Freiberg ◽  
Fabio Pinatel Lopasso ◽  
...  
Keyword(s):  
Peptic Ulcer ◽  
Case Report ◽  
Pyloric Stenosis ◽  
Gastric Outlet Obstruction ◽  
Outlet Obstruction ◽  
Illustrative Case ◽  
X Ray ◽  
Ulcer Surgery ◽  
Antral Web ◽  
Upper Gastrointestinal

The antral web is a thin septum with an aperture varying from 2 to 30 mm usually discovered in middle or late life because of associated gastric outlet obstruction or peptic ulcer. It is commonly mistaken for a pyloric obstruction. Since surgical excision of the antral diaphragm can cure patient’s symptoms, a correct diagnosis is important for not delaying treatment. However, the diagnosis is difficult even after adequate investigation with barium upper gastrointestinal x-ray series or endoscopy.  Therefore, the present study seek to notify this pathology as a possible cause of gastric outlet obstruction providing an illustrative case report and review the pertinent literature. Case Report: A 56 years old man presented complaint of pyrosis, epigastric fullness after eating and loss of weight for over three years. His past clinical history revealed a perforated peptic ulcer surgery three years ago.  Investigation was initially performed with barium upper gastrointestinal x-ray  which suggested pyloric stenosis secondary to the previous surgery. Gastric endoscopy  identified a mucous tunnel formation with a 10 mm diameter aperture in the pre-pyloric region. The patient was also submitted to a computerized tomography (CT) of the abdomen and pelvis for surgical planning for correction of pyloric stenosis and demonstrated an apparently thickening of the gastric wall and reduction of the diameter of the antropyloric region. The patient was then submitted to lapartomy with  resection of the antral web. After 6 months, the patient is asymptomatic.

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