Intestinal obstruction in older children in Komfo Anokye Teaching Hospital

2015 ◽  
Vol 11 (1) ◽  
pp. 7-12
Author(s):  
Adam Gyedu ◽  
Abiboye Yifieyeh ◽  
Boateng Nimako ◽  
Michael Amoah ◽  
Francis A. Abantanga
Keyword(s):  
Intestinal Obstruction ◽  
Teaching Hospital ◽  
Older Children

scholarly journals Abdominal TB, iliostomy is a safer option

2016 ◽  
Vol 11 (4) ◽  
Author(s):  
Amna Moin ◽  
Sikandar Hayat Gondal
Keyword(s):  
Abdominal Pain ◽  
Intestinal Obstruction ◽  
Prospective Study ◽  
Teaching Hospital ◽  
Surgical Emergency ◽  
A Prospective Study

A prospective study of 50(100%) cases, 34(68%) males and 16(32%) females is presented. All were having abdominal TB and were presented in surgical emergency of a teaching hospital. Age ranging from 21 to 65 years. With mean of 34.5 years. 17(34%) known cases of TB and 33(66%) were histological proved. In 45(90%) abdominal pain was the symptoms and 5(10%) presented with pain RIF. In 40(80%) iliocecal regions was involved. In 30 cases (60%) intestinal obstruction and in 14(28%) perforation was seen. In 35(70%) patients iliostomy was performed that were revered three month later without any mortality. It is concluded that iliostomy in the management of abdominal TB is safer option.

Guidelines for the management of HIV/AIDS in infants and older children in Lagos University Teaching Hospital

2005 ◽  
Vol 13 (1) ◽  
Author(s):  
AO Grange ◽  
EO Iroha ◽  
AO Akinsulie ◽  
EO Temiye ◽  
VC Ezeaka ◽  
...  
Keyword(s):  
Teaching Hospital ◽  
University Teaching ◽  
Older Children ◽  
Hiv Aids

scholarly journals SMALL BOWEL DIVERTICULAR DISEASE;

2013 ◽  
Vol 20 (05) ◽  
pp. 776-782
Author(s):  
ANSAR LATIF ◽  
ANILA ANSAR ◽  
MUHAMMAD QASIM BUTT
Keyword(s):  
Abdominal Pain ◽  
Small Bowel ◽  
Intestinal Obstruction ◽  
Teaching Hospital ◽  
Abdominal Mass ◽  
Exploratory Laparotomy ◽  
Study Patient ◽  
Military Hospital ◽  
Study Results ◽  
Bleeding Per Rectum

Objectives: 1). To see the prevalence of small bowel diverticulosis in patients presenting with acute abdomen. 2). To knowpresentation and complications of diverticulosis in teaching hospital in Sialkot region of Pakistan. Introduction: Small bowel diverticulardisease may be complicated by small bowel obstruction. Multiple diverticulosis represents an uncommon pathology of the small bowel.Related complications such as diverticulitis, perforation, bleeding or intestinal obstruction, and acute pancreatitis appear in 10-30% ofthe patients, increasing the morbidity and mortality rates. This pathology which is uncommon is much higher in our study in patientsundergoing exploratory laparotomy in district level hospitals in Sialkot region of Pakistan. Study Design: Prospective and observational.Setting and duration: Combined Military Hospital, Sialkot (June 2005 to August 2010). Islam teaching hospital, Sialkot (September 2010to September 2012). Methods: 260 consecutive patients undergoing exploratory laparotomy for obstruction, peritonitis, pain and massabdomen were included in the study. Patient with established cause of obstruction were excluded. The data including demographicinformation, presentation, operative findings, complications and follow up were entered in structured proforma. Patients with less thanthree months of followup were also excluded from study. Results: Small bowel diverticuli were encountered in 24 (9%) out of 260 patientsincluding; 8 (3%) Meckel's, 9 (3.5%) jejunal, 3 (1.2%) duodenal and 4 (1.5%) Ileal diverticuli. These patients with diverticuli presented asintestinal obstruction, peritonitis, mass abdomen, vague abdominal pain and one patient with fresh bleeding per rectum. The indicationsof surgery were peritonitis 6 (25%), intestinal obstruction 13 (54.2%), abdominal mass 3(12.5%), nonspecific abdominal pain 1 (4.2%)and fresh bleeding per rectum of obscure origin 1 (4.2%). Complications encountered as Intestinal obstruction due to adhesion formationin 8; obstruction due to congenital bands attached to diverticuli in 3; diverticular perforation in 2; peritonitis due to diverticulitis in2,bleeding from arteriovenous malformation within the jejuna diverticuli in 1 and mass formation due to volvulus in 1. Three duodenaldiverticuli and 4 jejunal diverticuli were found as silent pathologies synchronous with other active pathologies.

scholarly journals Appendicular bilharzioma: An unusual cause of acute intestinal obstruction in childhood (a case report at Charles de Gaulle Paediatric Teaching Hospital of Ouagadougou)

2016 ◽  
Vol 13 (4) ◽  
pp. 206
Author(s):  
Albert Wandaogo ◽  
Isso Ouédraogo ◽  
ToussaintWendlamita Tapsoba ◽  
Emile Bandré ◽  
FrancisSomkieta Ouédraogo ◽  
...  
Keyword(s):  
Case Report ◽  
Intestinal Obstruction ◽  
Teaching Hospital ◽  
Acute Intestinal Obstruction ◽  
Charles De Gaulle ◽  
De Gaulle

DIAGNOSIS AND TREATMENT OF INGUINAL HERNIA

PEDIATRICS ◽  
1964 ◽  
Vol 34 (3) ◽  
pp. 412-414
Author(s):  
Orvar Swenson
Keyword(s):  
Inguinal Hernia ◽  
Surgical Treatment ◽  
Intestinal Obstruction ◽  
Internal Ring ◽  
Older Children ◽  
Incarcerated Hernia ◽  
Hernial Sac ◽  
The Past ◽  
Groin Hernias ◽  
Surgical Condition

INGUINAL HERNIA has always been of concern to the pediatrician as the commonest surgical condition to confront him in practice and one always carrying the hazards of incarceration. It has been estimated that a problem associated with inguinal hernia will arise at sometime or other in 20 out of every 1,000 of the population. In the more precise studies done in England, the Newcastle statistics indicate that about 10 out of every 1,000 children up to the age of 12 years have an inguinal hernia. It is my impression that this lesion is more hazardous to life than is appendicitis, for during the past 10 years I have seen two deaths in infants with incarcerated hernia and intestinal obstruction but observed no deaths from appendicitis. The diagnosis of inguinal hernia presents few difficulties. Usually, the mother notes in the infant a swelling, characteristically intermittent, in the groin or the scrotum. In older children a swelling present at the end of the day but obscure in the morning constitutes prime evidence for a hernia; swelling which disappears on pressure or when the patient is recumbent is pathognomonic. Examination for such a swelling should be performed each time the pediatrician examines a child. Although a hernia may not be apparent, if by rolling the cord structures over the pubic spine the examiner finds a thickened cord, this, in addition to a reliable history, is sufficient to establish the diagnosis and to warrant embarking on surgical treatment of the lesion. The vast majority of groin hernias are indirect inguinal hernias, in which the hernial sac traverses the internal ring, with the deep epigastric vessels lying inferior and medial to the sac.

Pattern of Mechanical Intestinal Obstruction in Al-Yarmouk Teaching Hospital

2020 ◽  
Vol 11 (2) ◽  
pp. 2358
Author(s):  
Ammar Fouad Abdulrazaq ◽  
Mohammad Faraj Dawod Al. Jafary ◽  
Hanan Hazim Mohammed Noori
Keyword(s):  
Intestinal Obstruction ◽  
Teaching Hospital ◽  
Mechanical Intestinal Obstruction

scholarly journals Intestinal stomas: A clinical study in a Teaching Hospital, our experience

2020 ◽  
Vol 9 (1) ◽  
pp. 37-42
Author(s):  
Om Bahadur Karki
Keyword(s):  
Intestinal Obstruction ◽  
Wound Infection ◽  
Teaching Hospital ◽  
Loop Ileostomy ◽  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional ◽  
Local Skin ◽  
Stoma Formation ◽  
Enteric Perforation

Background: An intestinal stoma is an opening of the intestine on anterior abdominal wall made with an intention of either decompression of an obstructed colon or diversion of stool. Intestinal stomas may be temporary or permanent, depending on their role.   Objectives: The objective of this study was to determine the common indications and types of intestinal stomas, and outcomes of patients operated at Manipal Teaching Hospital, Pokhara, Nepal. Methodology:  A retrospective cross-sectional study was conducted in 105 patients of intestinal stomas from February 2017 to March   2020 in a teaching hospital after approval from institutional review committee. Data were derived from medical records of patients and operation logbooks with the consecutive sampling method. Data were analyzed with the help of the Statistical Package for Social Sciences (SPSS) version20 and p value < 0.05 was considered significant.  Results: Total of 105 patients with intestinal stomas was included for the study of which 82.9% (n=63) were emergency operations and 17.1% (n=13) were elective. There were 46 (43.80%) cases of ileostomy, 9(8.5%) jejunostomy and 50(47.6%) colostomy patients. Major indications of stoma formation were trauma 33.3% (n=35) and intestinal obstruction 22.8% (n=24). Complications were observed in 39 (37.14%) of the patients, with wound infection 11.8% (n=9) and peristomal dermatitis 11.8% (n=9) for ostomates being the commonest. Higher complications were seen with ileostomy as compared to colostomy (p=0.02) and loop ileostomy still higher than end ileostomy (p=0.00).  Conclusion: Common indications for intestinal stomas were abdominal trauma, enteric perforation, intestinal obstruction and colorectal carcinoma. Main complications included local skin problems, wound infection and retraction.

scholarly journals Intestinal obstruction caused by Meckel’s diverticulum in children

2021 ◽  
pp. 72-76
Author(s):  
I.V. Ksonz ◽  
◽  
Ie.M. Grytsenko ◽  
M.I. Grystenko ◽  
O.V. Ovchar ◽  
...  
Keyword(s):  
Small Intestine ◽  
Intestinal Obstruction ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Older Children ◽  
Results Of Treatment ◽  
Abdominal Organs ◽  
One Step ◽  
Small Intestinal ◽  
Partial Intestinal Obstruction

Meckel’s diverticulum is the most common variant of anomalies of incomplete obliteration of the yolk duct. Among the various malformations of the digestive tract, which can cause intestinal obstruction, Meckel’s diverticulum ranks first and is 1.7%. Purpose – to generalize the results of treatment of children with intestinal obstruction caused by Meckel’s diverticulum. Materials and methods. The experience of treating 183 children with Meckel’s diverticulum and related pathology is summarized. The main complications of Meckel’s diverticulum were intestinal obstruction, bleeding from a peptic ulcer, diverticulitis. In 100 children, the diverticulum was asymptomatic and was an accidental finding during surgery on the abdominal organs for other pathologies. Results. Intestinal obstruction caused by Meckel’s diverticulum accounted for 20.8% of all cases and 45.7% of all diverticulum-related complications. Strangulative intestinal obstruction was diagnosed in 18 patients: in 16 Meckel’s diverticulum caused internal compression, in 1 – torsion of the loops of the small intestine around the fixed diverticulum, in 1 – nodulation. In 5 observations, Meckel’s diverticulum caused the phenomenon of partial intestinal obstruction. Intussusception was detected in 15 children (small intestinal in 6 cases and ileocecal in 9). Clinical cases demonstrating the difficulties in diagnosing intesti nal intussusception caused by Meckel’s diverticulum in older children and small bowel entrapment in the mesodiverticular ligament are presented. A method of subserous diverticulectomy and one-step decompression of the small intestine was proposed. Conclusions. Meckel’s diverticulum should be considered as a probable cause of acute intestinal obstruction in children older than 2 years and who have not previously undergone surgery on the abdominal organs. In the surgical treatment of pathology caused by Meckel’s diverticulum, it is possible to use one-time decompression of the small intestine by diverticulotomy and subserous removal of the diverticulum. The research was carried out in accordance with the principles of the Helsinki declaration. The informed consent of the patient was obtained for conducting the studies. No conflict of interest was declared by the authors. Key words: Meckel’s diverticulum, intestinal obstruction, children.

Sign in / Sign up

Export Citation Format

Share Document