Endometrioma of the Ileocecal Valve Causing Intestinal Obstruction with Evidence of Locoregional Lymphatic Involvement

2015 ◽  
Vol 31 (2) ◽  
pp. 115-118
Author(s):  
Carlos Garcia-Vasquez ◽  
Sonia Rivas Fidalgo ◽  
Peter Vorwald ◽  
Félix Manzarbeitia Arambarri
Keyword(s):  
Intestinal Obstruction ◽  
Ileocecal Valve ◽  
Lymphatic Involvement

scholarly journals Gallstone ileus resulting in strong intestinal obstruction

1995 ◽  
Vol 113 (1) ◽  
pp. 721-725
Author(s):  
Israel Szajnbok ◽  
Fernando Lorenzi ◽  
Aldo Junqueira Rodrigues Jr. ◽  
Luis Fernando Correa Zantut ◽  
Renato Sérgio Poggetti ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Gallstone Ileus ◽  
Ileocecal Valve ◽  
Mortality Rates ◽  
Degenerative Diseases ◽  
Two Phase ◽  
Therapy Decision ◽  
Biliary Calculus ◽  
The One ◽  
Elder People

Mechanic intestinal obstruction, caused by the passage of biliary calculus from vesicle to intestine, through fistulization, although not frequent, deserve study due to the morbi-mortality rates. Incidence in elder people explains the association with chronic degenerative diseases, increasing complexity in terms of therapy decision. Literature discusses the need and opportunity for the one or two-phase surgical attack of the cholecystenteric fistule, in front of the resolution on the obstructive urgency and makes reference to Gallstone Ileus as an exception for strong intestinal obstruction. The more frequent intestinal obstruction observed is when it occurs a Gallstone Ileus impacting in terms of ileocecal valve. The authors submit a Gallstone Ileus manifestation as causing strong intestinal obstruction, discussing aspects regarding diagnostic and treatment.

scholarly journals Gallstone ileus as a cause of upper intestinal obstruction

1996 ◽  
Vol 114 (4) ◽  
pp. 1239-1243 ◽  
Author(s):  
Israel Szajnbock ◽  
Fernando Lorenzi ◽  
Aldo Junqueira Rodrigues Jr. ◽  
Luis Fernando Correa Zantut ◽  
Renato Sérgio Poggetti ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Surgical Approach ◽  
Gallstone Ileus ◽  
Age Groups ◽  
Ileocecal Valve ◽  
Older Age ◽  
Intestinal Lumen ◽  
Degenerative Diseases ◽  
Two Stage ◽  
Mechanical Intestinal Obstruction

Gallstone ileus, a mechanical intestinal obstruction caused by the passage of a gallstone into the intestinal lumen through a fistula, although not common, deserves to more carefully studied due to its morbidity and mortality. Its incidence among older-age groups explains its association with chronic and degenerative diseases, which increase the complexity of the treatment choice.The need and appropriateness of a surgical approach to a cholecystenteric fistula to solve the obstructive emergency, in a one or two stage procedure, has been discussed in the literature. It has also been reported that gallstone ileus is an uncommon cause of upper intestinal obstruction. Intestinal obstruction is seen more frequently after a gallstone impacts at the ileocecal valve. The authors report a case of gallstone ileus as a cause of upper intestinal obstruction and discuss its diagnosis and treatment.

scholarly journals Gossypiboma Causing Mechanical Intestinal Obstruction: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Akin Aydogan ◽  
Seckin Akkucuk ◽  
Ibrahim Yetim ◽  
Orhan Veli Ozkan ◽  
Murat Karcioglu
Keyword(s):  
Intestinal Obstruction ◽  
Open Cholecystectomy ◽  
Ileocecal Valve ◽  
The Body ◽  
Endoscopic Removal ◽  
Mechanical Intestinal Obstruction ◽  
Transmural Migration ◽  
History Of ◽  
One Year ◽  
Rare Situation

Introduction. Gossypiboma (GP) is a term used to express the mass resulting from forgotten cotton sponge in operations. Rarely, a transmural migration may occur into the gastrointestinal lumen without creating any defect by GP. Laparotomy or endoscopic removal may be required, by the way it can be taken out of the body itself by intestinal ways. In this study, we reported a case of mechanical intestinal obstruction causing GP.Case. The fifty-one-year-old female patient admitted to the emergency department with the complaints of mechanical intestinal obstruction and had a history of open cholecystectomy 20 years ago. There were the findings of intestinal obstruction in abdominal plain radiography and computerized tomography. The sponge that obstructed the lumen completely 40 cm proximal to the ileocecal valve was identified in the laparotomy with the diagnosis of brid ileus. The small intestine was closed over double-fold after removal of sponge. Transmural migration of abdominal-remained sponge was thought to be occurred without creating a defect after cholecystectomy. Postoperatively, the patient was discharged without having any problems at 4th day of hospitalization.Conclusion. Although it is a rare situation in routine clinical practice, GP should be considered as a differential diagnosis in the patients who had a diagnosis of mechanical intestinal obstruction, and laparotomy was applied before. As GP may lead to situations which cause mortality, all precautions should be taken to prevent it.

scholarly journals CHEMICAL CHANGES IN THE BLOOD OF THE DOG AFTER INTESTINAL OBSTRUCTION

1923 ◽  
Vol 37 (3) ◽  
pp. 365-375 ◽  
Author(s):  
Russell L. Haden ◽  
Thomas G. Orr
Keyword(s):  
Uric Acid ◽  
Amino Acid ◽  
Intestinal Obstruction ◽  
Ileocecal Valve ◽  
The Body ◽  
Protective Measure ◽  
Protein Nitrogen ◽  
Urea Nitrogen ◽  
Amino Acid Nitrogen ◽  
Chlorine Ion

A study of the non-protein nitrogen, urea nitrogen, uric acid, creatinine, amino-acid nitrogen, sugar, and chlorides of the blood and the CO2-combining power of the plasma in normal dogs, and in dogs after different types of intestinal obstruction, is reported. Following ligation of the duodenum, ligation of the duodenum with gastroenterostomy, and ligation of the upper half of the ileum, a fall in chlorides and a rise in the non-protein nitrogen and urea nitrogen of the blood and in the CO2-combining power of the plasma occur. The uric acid, creatinine, amino-acid nitrogen, and sugar show no significant changes. The fundamental change is a fall in chlorides followed by an alkalosis. The degree of alkalosis depends upon the rate of formation of carbonate, rate of excretion by the kidneys, and extent of neutralization of the carbonate by acid bodies formed during the intoxication. The fall in chlorides is probably due to a utilization of the chlorine ion in the course of the intoxication. It is suggested that this use of chlorine is a protective measure on the part of the body. There are indications that high intestinal obstruction should not be treated by the administration of alkalies. The urea nitrogen is a good index of the protein destruction. Ligation of the ileum at the ileocecal valve is followed by little increase in nitrogen and no change in the chlorides or CO2-combining power of the plasma. The close similarity of the blood findings in intestinal obstruction, acute lobar pneumonia, and serum disease suggests that these widely different conditions may have a common chemical basis.

scholarly journals Intussusception in Adult due to Lipomatous Polyp - An Uncommon Case Report

2021 ◽  
Vol 20 (1) ◽  
pp. 204-207
Author(s):  
Md Omar Faruk ◽  
Md Jahangir Hossain Bhuiyan ◽  
Maksuda Parvin ◽  
Md Abdul Jalil ◽  
Md Emdadul Hasan ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Medical Science ◽  
Ileocecal Valve ◽  
Acute Intestinal Obstruction ◽  
Moderate Intensity ◽  
Benign Tumors ◽  
Lead Point ◽  
Lower Quadrant ◽  
Abdominal Colic ◽  
The Right

Intussusception, invagination of a segment of the gut into an adjacent one, is a relatively common cause of the intestinal obstruction in children but a very rare and uncommon clinical entity in the adults accounting to 1% and near about 65% of these are caused by malignant lead point. The Lipomatous polyp accounts for 4% of all benign tumors of the gut. In most of the cases, these are seen particularly in large intestine, usually sub mucosal and around ileocecal valve. These are mostly and very often asymptomatic. Mrs. Rahima Begum aged 65 years, previously was a healthy Bangladeshi housewife, with the history of recurrent abdominal colic of moderate intensity for the last 6 months, associated with the appearance of mass in the right lower quadrant with features of sub-acute intestinal obstruction got admitted into the Ibn Sina Medical College Hospital, Kallyanpur, Dhaka, Bangladesh. The required and most relevant investigations revealed the Ileocolic intussusception and underwent the right hemicolectomy. Postoperative recovery of the patient was uneventful excepting the hypertension only. Histopathology investigations revealed lipomatous polyp arising from the Ileocecal junction. This study reports intussuception in the adult due to lipomatous polyp, a very rare case presenting with sub acute intestinal obstruction. Bangladesh Journal of Medical Science Vol.20(1) 2021 p.204-207

scholarly journals Acute small bowel obstruction due to ileal endometriosis: A case report and review of the most recent literature

2012 ◽  
Vol 69 (11) ◽  
pp. 1013-1016 ◽  
Author(s):  
Recai Unalp ◽  
Taner Akguner ◽  
Ali Yavuzcan ◽  
Nese Ekıncı
Keyword(s):  
Case Report ◽  
Small Bowel ◽  
Intestinal Obstruction ◽  
Ileocecal Valve ◽  
Anatomical Location ◽  
Intestinal Endometriosis ◽  
Bowel Involvement ◽  
Acute Small Bowel Obstruction ◽  
Segmental Lesion ◽  
Unusual Case Report

Introduction. Endometriosis is defined as the presence of benign endometrial glands and stroma outside the normal anatomical location. Endometriosis of the small bowel, especially symptomatic small bowel involvement, is very unusual. Case report. We presented a 45-year-old woman with acute intestinal obstruction due to ileal endometriosis The patient complained of severe abdominal pain, nausea and vomitting. Immediate laparotomy was carried out. Above the ileocecal valve there was an ulcerated, edematous and fragile segmental lesion that caused intestinal obstruction. Histology of this ileal segment revealed endometriosis and an annular stricture that again showed foci of endometriosis. Conclusion. In reproductiveage women with the symptoms of intestinal obstruction, intestinal endometriosis should be kept in mind.

scholarly journals Small-Bowel Obstruction Secondary to Ileal Trichobezoar in a Patient with Rapunzel Syndrome

2018 ◽  
Vol 12 (3) ◽  
pp. 559-565 ◽  
Author(s):  
Bertha E. García-Ramírez ◽  
Carlos M. Nuño-Guzmán ◽  
Ricardo E. Zaragoza-Carrillo ◽  
Hugo Salado-Rentería ◽  
Audrey Gómez-Abarca ◽  
...  
Keyword(s):  
Small Bowel ◽  
Intestinal Obstruction ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Outlet Obstruction ◽  
Ileocecal Valve ◽  
Clinical Findings ◽  
Rapunzel Syndrome ◽  
Gastric Trichobezoar ◽  
Image Modality

Bezoars are conglomerations of undigested foreign material retained in the gastrointestinal tract. Trichobezoar is a compact conglomeration of swallowed hair and constitutes less than 6% of all bezoars. Their most frequent location is in the stomach but they may extend through the pylorus into the small bowel. This condition is known as Rapunzel syndrome. Many patients may remain asymptomatic or present a mild form of the disease characterized by abdominal pain, early satiety, nausea, and vomiting. Complications may manifest as gastric outlet obstruction or bleeding, and intestinal obstruction. A 15-year-old female patient presented with clinical findings of intestinal obstruction. The patient suffered from depressive and anxiety disorders and trichotillomania, although trichophagy could not be assured. Alopecia circumscripta and irregular hair length on the scalp were identified. A computed tomography (CT) scan showed two images highly suggestive of trichobezoars, one in the stomach and the second one causing obstruction at the ileocecal valve. At laparotomy, both a mobile gastric trichobezoar with a tail extending to the duodenum and a trichobezoar causing obstruction at the ileocecal valve were removed. The postoperative course was uneventful. The passage of a detached trichobezoar fragment in a patient with Rapunzel syndrome may cause intestinal obstruction. CT is the preferred image modality for the evaluation of suspected trichobezoars in order to characterize their size and locations, the presence and level of obstruction, and complications such as ischemia or perforation. A case of small-bowel obstruction secondary to ileal trichobezoar in a patient with Rapunzel syndrome is herein reported.

scholarly journals COLON ATRESIA IN COMBINATION WITH HIRSCHSPRUNG’S DISEASE: A RARE CLINICAL CASE

2019 ◽  
Vol 25 (4) ◽  
pp. 75-80
Author(s):  
S. A. Karavaeva ◽  
A. V. Kagan ◽  
A. N. Kotin ◽  
T. V. Kesaeva
Keyword(s):  
Intestinal Obstruction ◽  
Hirschsprung's Disease ◽  
Hirschsprung’S Disease ◽  
Chromosomal Abnormalities ◽  
Ganglion Cells ◽  
Histological Study ◽  
Ileocecal Valve ◽  
Contrast Enema ◽  
Surgical Department ◽  
Colonic Atresia

Introduction. Hirschsprung’s disease is a congenital anomaly characterized by the absence of ganglion cells in submucosal and intramuscular layers of intestinal wall that leads to the intestinal obstruction. 70–80 % of cases are isolated malformation but it can be combined with chromosomal abnormalities and other malformations. Coexistence of Hirschsprung’s disease with intestinal atresia is extremely rare. It can cause significant difficulties in diagnostics and treatment.Material and methods.Patient A, a boy, was transferred to the surgical department at the age of two days with a history of intestinal obstruction. He had abdominal X-ray studies: intestinal obstruction. The contrast enema showed microcolon that was coiled in the pelvis. Patient was prepared to the surgical treatment. Intraoperatively colonic atresia was identified at 10 sm from the ileocecal valve. A double colostomy was performed to the child and biopsy on the level of mucous fistula was taken. Histological study showed the aganglionosis of the distal colon. At the age of 4 months, the patient underwent Soave-Swenson endorectal pullthrough procedure with intraoperative extended express-biopsy that confirmed the absence of ganglion cells in whole distal bowel. The aganglionic part was resected, the ileocecal valve with the part of the colon of 10 cm long was mobilized and the endorectal bringing the colon down to the perineum was performed by Soave – Swenson. Postoperative recovery was uneventful.Results.A high index of suspicion is required to promptly diagnose Hirschsprung’s disease in a child with colonic atresia despite the rare combination of these two anomalies. In this case the histological study allowed to recognize association of colonic atresia with Hirschsprung’s disease and helped to avoid complications after further surgery.Conclusions. Early detection of coexisting of these two anomalies helps to prevent the development of serious postoperative complications. 

scholarly journals Phytobezoar Within Meckel’s Diverticulum Presenting With Partial Intestinal Obstruction

2020 ◽  
Author(s):  
Reza Mosaddegh ◽  
Mohammad Hossein Ghafouri ◽  
Mahdi Rezai ◽  
Mohammad Reza Maghsoudi ◽  
Farzaneh Beigmohammadi
Keyword(s):  
Gastrointestinal Tract ◽  
Intestinal Obstruction ◽  
Case Reports ◽  
Meckel’S Diverticulum ◽  
Ileocecal Valve ◽  
Meckel's Diverticulum ◽  
Midline Laparotomy ◽  
Ectopic Tissue ◽  
History Of ◽  
Partial Intestinal Obstruction

Introduction: Meckel’s Diverticulum (MD) affects approximately 2% of the population. Phytobezoar is defined as a vegetable and fiber-based ball in the gastrointestinal tract. We report a rare case of phytobezoar within MD presenting with partial intestinal obstruction. Case Reports: We hereby present a 20-year-old man who referred to the Emergency Department of a hospital with a two-day history of nausea, vomiting, abdominal pain, and constipation. He underwent a midline laparotomy with surgical exploration, which revealed an MD 60 cm proximal to ileocecal valve containing phytobezoar. Histopathology reported the extracted specimen as an MD without ectopic tissue. Conclusion: Meckel’s diverticulum can be affected by bezoars as well as other parts of the gastrointestinal tract. We recommend that phytobezoar within MD be considered among differential diagnosis of bowel obstruction.

scholarly journals Subacute intestinal obstruction by a giant ileal lipoma treated by endoscopic removal

2015 ◽  
Vol 06 (02) ◽  
pp. 070-072
Author(s):  
Sonavane Amey ◽  
Rathi Pravin
Keyword(s):  
Intestinal Obstruction ◽  
Ileocecal Valve ◽  
Endoscopic Removal ◽  
Review Of Literature ◽  
Colonoscopic Polypectomy ◽  
First Case ◽  
Successful Removal ◽  
Subacute Intestinal Obstruction ◽  
Ileal Lipoma ◽  
Snare Polypectomy

AbstractWith the advancement in endoscopic procedures, lipomas of the terminal ileum can be treated with techniques such as snare polypectomy, endoscopic unroofing, and endoscopic submucosal dissection. A case of successful removal of an ileal lipoma causing repetitive ileocolic intussusceptions through the ileocecal valve using endoscopic snare polypectomy by cap-assisted colonoscopy was recently reported. We report a case of successful colonoscopic polypectomy of a giant (3.0 cm × 3.0 cm × 1.0 cm) ileal lipoma causing recurrent subacute intestinal obstruction. After careful review of literature, this was the first case where polypectomy of a lipoma of this size was successfully attempted.

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