scholarly journals Laparoscopic assisted submucosal excision of an intussuscepting colonic lipoma

2020 ◽  
Vol 2020 (8) ◽  
Author(s):  
Farshid Ejtehadi ◽  
Elsamoual Mohammed ◽  
Vardhini Vijay
Keyword(s):  
Emergency Department ◽  
Large Bowel ◽  
Large Bowel Obstruction ◽  
Young Female ◽  
Common Complication ◽  
Intermittent Abdominal Pain ◽  
History Of ◽  
Epithelial Tumours ◽  
Colonic Lipoma ◽  
Laparoscopic Assisted

Abstract Colonic lipomas are the most widespread non-epithelial tumours of the large bowel. They often present with absent, non-specific or intermittent symptoms. Intussusception is the most common complication that may occur as a result of such a lesion. We present the case of a young female patient with a history of intermittent abdominal pain associated with nausea. She presented to the emergency department with subacute large bowel obstruction. A diagnosis of colo-colic intussusception due to a large descending colonic lipoma was confirmed on CT scan. The patient underwent a laparoscopic assisted submucosal excision of the lipoma. We discuss this unique operative technique as well as preoperative investigations and histopathology findings. Although successful endoscopic excision of lipomas has been reported, segmental resection of the colon is most commonly practiced. To the best of our knowledge, this is the first report of laparoscopic assisted submucosal excision of an intussuscepting colonic lipoma.

scholarly journals EP.FRI.874 Laparoscopic Assisted Submucosal Excision of an Intussuscepted Colonic Lipoma through a Colotomy;  A New Technique

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Farshid Ejtehadi ◽  
Abraham Jesudoss ◽  
Adil Mubarak Hassan ◽  
Elsamoual Mohammed ◽  
Shanmugam Vivekanandan ◽  
...  
Keyword(s):  
Large Bowel Obstruction ◽  
Young Female ◽  
Emergency Situations ◽  
Mucosal Defect ◽  
History Of ◽  
Epithelial Tumours ◽  
Colonic Lipoma ◽  
A New Technique ◽  
Laparoscopic Assisted ◽  
Tomography Scan

Abstract Lipomas are the most common non-epithelial tumours of the colon. Nevertheless, symptomatic colonic lipomas are a rare entity in adults. Intussusception is the commonest complication of submucosal lipomas and often presents with absent, non-specific or intermittent symptoms, hence the diagnosis is challenging.  In non-emergency situations, most patients undergo computed tomography scan as well as endoscopic evaluation of the colon prior to any surgical intervention. While successful endoscopic excision of lipomas has been reported, segmental resection of the colon is most commonly practiced. To the best of our knowledge, this is the first report of laparoscopic assisted submucosal excision of an intussuscepting colonic lipoma through a colotomy. We present the case of a young female patient with few weeks history of intermittent abdominal pain associated with nausea. She had previously undergone various investigations including colonoscopy and was awaiting an elective left hemicolectomy. She presented to our Emergency department with subacute large bowel obstruction. A CT scan confirmed the diagnosis of colo-colic intussusception due to a large descending colon lipoma. The patient underwent a laparoscopic assisted procedure - following laparoscopic colonic mobilisation, submucosal excision of the large lipoma was performed through a colotomy placed through the taenia on the opposite wall. The mucosal defect and colotomy were closed following the excision. The patient recovery was uneventful and histopathology of the specimen confirmed the diagnosis.

scholarly journals A case of colonic gallstone ileus with a spontaneous evacuation

1970 ◽  
Vol 9 (1) ◽  
pp. 47-49 ◽  
Author(s):  
A Bajracharya ◽  
OP Pathania ◽  
S Adhikary ◽  
CS Agrawal
Keyword(s):  
Bowel Obstruction ◽  
Large Bowel ◽  
Gallstone Ileus ◽  
Abdominal Distension ◽  
The Elderly ◽  
Large Bowel Obstruction ◽  
High Morbidity ◽  
Diagnostic Challenge ◽  
History Of ◽  
Spontaneous Evacuation

Colonic gallstone is an uncommon entity with a high morbidity and mortality due to various reasons. It remains a diagnostic challenge because of delayed and non-specific presentations, especially in the elderly population, often with multiple co-morbidities. We present a case of colonic gallstone ileus with spontaneous evacuation in a 67 years female who had a threeday history of intermittent bouts of colicky abdominal pain, vomiting , constipation and progressive abdominal distension, features of large bowel obstruction treated non operatively for 72 hours and passage of the stone spontaneously. Keywords: gallstone ileus; large bowel obstruction; colonic gallstone DOI: 10.3126/hren.v9i1.4363Health Renaissance, 2011: Vol.9 No.1:47-49

scholarly journals A case of colonic intussusception and obstruction secondary to giant colonic lipoma

2020 ◽  
Vol 2020 (10) ◽  
Author(s):  
Yi Ying Law ◽  
Rhea Patel ◽  
Marianne Cusick ◽  
Jeffrey L Van Eps
Keyword(s):  
Bowel Obstruction ◽  
Large Bowel ◽  
Transverse Colon ◽  
Right Hemicolectomy ◽  
Large Bowel Obstruction ◽  
Soft Tissue Tumors ◽  
The Body ◽  
Common Location ◽  
Benign Soft Tissue Tumors ◽  
Colonic Lipoma

Abstract Lipomas are benign soft tissue tumors found throughout the body including the gastrointestinal (GI) tract. Colonic lipomas are typically asymptomatic, incidentally identified during endoscopy or at the time of autopsy. However, giant lipomas larger than 4 cm usually manifest symptoms such as abdominal pain, obstruction, melena or intussusception. The transverse colon is the least common location for colonic lipoma. We report on a 54-year-old man with acute large bowel obstruction secondary to a long segment colo-colonic intussusception from a giant lipoma originating in the transverse colon. The diagnosis was suggested by advanced imaging and confirmed on endoscopy. He was treated successfully by laparoscopic extended right hemicolectomy with ileocolonic anastomosis. This case highlights the complexity of presentation and surgical management of large bowel obstruction and colonic intussusception, as well as the rare entity of giant colonic lipoma.

Cardiac Tamponade - A Hypothyroidism Associated Emergency: A Report of 2 Cases

2021 ◽  
Vol 8 (2) ◽  
Author(s):  
Tripathi S ◽  
◽  
Sharma JB ◽  
Vijayvergia P ◽  
Khichar S ◽  
...  
Keyword(s):  
Emergency Department ◽  
Pericardial Effusion ◽  
Cardiac Tamponade ◽  
Young Female ◽  
Medical Emergency ◽  
Myxedema Coma ◽  
First Case ◽  
History Of ◽  
Medical Emergencies ◽  
Recurrent Pericardial Effusion

Pericardial effusion in commonly seen in-patient with hypothyroidism but effusion large enough to cause cardiac tamponade is not a common presenting feature whereas myxedema coma is a commonly defined medical emergency in-patient with hypothyroidism. We report 2 cases of hypothyroid associated medical emergencies. First case is a young female with history of recurrent pericardial effusion presenting to the emergency department with cardiac tamponade and later on diagnosed as having hypothyroidism. The second patient is a known case of hypothyroidism non-compliant to thyroid supplement and presented with lethargy, fatigue, decreased talking and breathlessness who was later diagnosed as having myxedema coma and impending cardiac tamponade. Both the patient required percutaneous pericardiocentesis and improved with medical management.

scholarly journals Chronic Constipation in the Elderly: An Unusual Presentation of Colonic Dysmotility in an Elderly Patient

2013 ◽  
Vol 2013 ◽  
pp. 1-2
Author(s):  
R. Peravali ◽  
H. Kranenburg ◽  
J. E. Martin ◽  
N. Keeling
Keyword(s):  
Elderly Patient ◽  
Case Report ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Chronic Constipation ◽  
The Elderly ◽  
Large Bowel Obstruction ◽  
History Of ◽  
Underlying Pathology ◽  
Colonic Dysmotility

Introduction. Chronic constipation is common in the elderly, and often no underlying pathology is found. Primary colonic dysmotility has been described in children but is rare in the elderly.Case report.We present an 82-year-old female with long standing constipation presenting acutely with large bowel obstruction. Laparotomy and Hartman’s procedure was performed, and a grossly distended sigmoid colon was resected. Histology revealed a primary myopathic process.Conclusion.Primary colonic myopathy should be considered in elderly patients presenting with large bowel obstruction and a long preceding history of constipation, particularly when previous endoscopic examinations were normal.

scholarly journals Bedside Point-of-Care Ultrasound of an Adult with Diffuse Intermittent Abdominal Pain

2020 ◽  
Vol 19 (1) ◽  
pp. 49-51
Author(s):  
Jamaji C Nwanaji-Enwerem ◽  
◽  
Adaira Landry ◽  
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Point Of Care ◽  
Sudden Onset ◽  
Point Of Care Ultrasound ◽  
Intermittent Abdominal Pain ◽  
Obesity Status ◽  
History Of ◽  
History Of Obesity ◽  
New Onset

A 29-year-old woman with a history of obesity status post Roux-en-Y gastric bypass greater than five years prior presented to the emergency department with four hours of sudden-onset stabbing left-sided abdominal pain associated with nausea and non-bloody emesis. She denied melaena and hematochezia, but did report two weeks of diarrhoea that was unchanged with this new onset abdominal pain.

scholarly journals A CASE OF LARGE BOWEL OBSTRUCTION CAUSED BY AN ASCENDING COLON CANCER IMPACTED WITH A COLONIC LIPOMA

2007 ◽  
Vol 68 (11) ◽  
pp. 2827-2830 ◽  
Author(s):  
Masashi FURUKAWA ◽  
Hirokuni IKEDA ◽  
Yuichiro KIKAWA ◽  
Yoshihiko NAKAMOTO ◽  
Masaaki OGATA ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Large Bowel Obstruction ◽  
Ascending Colon ◽  
Ascending Colon Cancer ◽  
Colonic Lipoma

scholarly journals Pediatric sigmoid volvulus of an extremely long sigmoid colon with hypoganglionosis: a case report

2021 ◽  
Vol 49 (7) ◽  
pp. 030006052110324
Author(s):  
Matjaž Horvat ◽  
Marko Hazabent ◽  
Marjan Sekej ◽  
Milka Kljaić Dujić
Keyword(s):  
Sigmoid Colon ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Treatment Options ◽  
Vascular Occlusion ◽  
Abdominal Distension ◽  
Large Bowel Obstruction ◽  
Sigmoid Volvulus ◽  
History Of

Sigmoid volvulus is an extremely rare cause of intestinal obstruction in pediatric patients. This condition occurs when a redundant sigmoid loop with a narrow mesenteric base of attachment to the posterior abdominal wall rotates around its mesenteric axis. This situation might result in vascular occlusion and large bowel obstruction. There are only a few predisposing factors of sigmoid volvulus, such as a long-term history of constipation or pseudo-obstruction with an excessive sigmoid colon. Underlying hypoganglionosis can also lead to large bowel obstruction. There have only been two reported cases of hypoganglionosis with sigmoid volvulus, and both were in adults. Sigmoid volvulus usually presents with abdominal pain, nausea, vomiting, constipation and abdominal distension, an absence of stool, or the presence of melenic stool in the rectum. Initial treatment options are non-surgical for stable patients, although surgical management might be necessary. If sigmoid volvulus is not recognized and resolved, it may lead to serious complications and death. Pediatric sigmoid volvulus is frequently the fulminant type, and therefore, a decision about treatment must be prompt. We present an unusual pediatric case of an extremely long sigmoid colon with hypoganglionosis, which twisted and caused obstruction. This condition was resolved with surgical resection.

scholarly journals Bowel Obstruction and Perforation as Emergency Presenting Sign of Colorectal Cancer with Peritoneal Carcinomatosis: A Case Report and Review

2020 ◽  
Vol 21 (3) ◽  
pp. 235-240
Author(s):  
Randy Adiwinata ◽  
Linda Rotty ◽  
Michael Tendean ◽  
Bradley Jimmy Waleleng ◽  
Fandy Gosal ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Peritoneal Carcinomatosis ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Bowel Perforation ◽  
Colorectal Cancer Patient ◽  
Large Bowel Obstruction ◽  
Emergency Laparotomy ◽  
History Of ◽  
Colorectal Cancer Patients

Colorectal cancer patient may present with variable clinical presentation. In few cases, colorectal cancer may present as emergency such as uncontrollable gastrointestinal bleeding, large bowel obstruction and in rarer fashion is bowel perforation. Worse prognosis is linked with emergency presenting colorectal cancer. Peritoneal carcinomatosis may occur in 10-35% of colorectal cancer patients and may develop bowel obstruction along with the primary colorectal cancer. Here, we report a-62-year-old man presented with large bowel obstruction leading to perforation without known history of colorectal cancer before. On emergency laparotomy, we found colorectal cancer and peritoneal carcinomatosis as the underlying cause. Prompt diagnosis and urgent management is warranted to improve the prognosis.

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