scholarly journals Small bowel obstruction with multiple perforations post chestnut ingestion

2019 ◽  
Vol 12 (2) ◽  
pp. bcr-2018-227999 ◽  
Author(s):  
Raevin K Ravindra ◽  
Atandrila Das ◽  
Grace L Chew ◽  
Eric Daniel
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Transition Point ◽  
Proximal Jejunum ◽  
Previous Surgery ◽  
Close Inspection ◽  
Abdominal Ct ◽  
Abdominal Ct Scan ◽  
Entire Gastrointestinal Tract

Phytobezoars are a rare cause of small bowel obstruction (SBO), which consists of vegetable matter such as seeds, skins, fibres of fruit and vegetables that have solidified. We present the case of a 61-year-old man with no previous surgery who presented with central abdominal pain, nausea and vomiting. An abdominal CT scan demonstrated SBO with a transition point in the left anterior abdomen. He proceeded to a laparoscopy, which revealed multiple perforations throughout the small bowel, from the proximal jejunum to the terminal ileum. Laparotomy was performed, and undigested chestnuts were milked out through the largest perforation and the perforations were oversewn. While obstruction due to phytobezoars is rare, this case demonstrates the importance of considering small bowel trauma and perforation due to phytobezoars and highlights the need for close inspection of the entire gastrointestinal tract for complications in the setting of phytobezoar-related bowel obstruction.

Selective Laparoscopic Management of Adhesive Small Bowel Obstruction Using CT Guidance

2009 ◽  
Vol 75 (3) ◽  
pp. 227-231 ◽  
Author(s):  
In Kyu Lee ◽  
Do Hyoung Kim ◽  
D. Lee Gorden ◽  
Yoon Suk Lee ◽  
Seung Eun Jung ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Medical Center ◽  
Preoperative Imaging ◽  
Adhesive Small Bowel Obstruction ◽  
Abdominal Ct ◽  
Laparoscopic Adhesiolysis ◽  
Adhesive Band

Small bowel obstruction after intra-abdominal surgery is a common cause of morbidity necessitating reoperation. The aim of this study was to determine the feasibility of and indications for laparoscopic surgery for acute adhesive small bowel obstruction (AASBO). We conducted a retrospective review of all patients with AASBO who underwent laparoscopic adhesiolysis at a major university medical center. Laparoscopic treatment was performed successfully in 16 patients, and conventional treatment was performed in 13 patients. The rate of conversion from laparoscopic to open was 16.7 per cent. In 15 of 16 total patients who underwent laparoscopic surgery, laparoscopic bandlysis was performed and one patient underwent laparoscopic adhesiolysis. Laparoscopic surgery was performed successfully in nine who had a single adhesive band demonstrated on an abdominal CT, and conventional surgery was performed in all 10 patients without a single adhesive band identified radiographically. Abdominal CT scans facilitate the selection of operative approach for AASBO based on preoperative identification of the obstruction site. Laparoscopic adhesiolysis is a safe and effective treatment modality for patients with AASBO with a single band or single transition zone identified by preoperative imaging.

scholarly journals Case Report: Endoscopic Removal of an Eroded Gastric Band Causing Small Bowel Obstruction upon Migration into the Proximal Jejunum

2020 ◽  
Vol 30 (12) ◽  
pp. 5153-5156
Author(s):  
Amir Sleiman ◽  
Anne Sophie Studer ◽  
Pierre Y. Garneau ◽  
Ronald Denis ◽  
Mark Magdy ◽  
...  
Keyword(s):  
Case Report ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Gastric Band ◽  
Proximal Jejunum ◽  
Endoscopic Removal

Small volume hyperosmolar abdominal CT in acute small bowel obstruction

2000 ◽  
Vol 7 (2) ◽  
pp. 93-97
Author(s):  
T. Y. Wu ◽  
S. H. Siddiqi ◽  
M. J. Shortsleeve ◽  
F. F. Bartlett
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Small Volume ◽  
Abdominal Ct ◽  
Acute Small Bowel Obstruction

Comparative Validation of Abdominal CT Models that Predict Need for Surgery in Adhesion-Related Small-Bowel Obstruction

2016 ◽  
Vol 41 (4) ◽  
pp. 940-947 ◽  
Author(s):  
Phillip F. Yang ◽  
Dean P. Rabinowitz ◽  
Shing W. Wong ◽  
Maroof A. Khan ◽  
Robert C. Gandy
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Abdominal Ct ◽  
Comparative Validation

scholarly journals Gallstone Ileus Decades after Cholecystectomy and Pylorus-Preserving Whipples

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Miho Mugino ◽  
Takako Eva Yabe ◽  
Bruce Ashford
Keyword(s):  
Computed Tomography ◽  
Small Bowel ◽  
Literature Review ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Transition Point ◽  
Gallstone Ileus ◽  
Whipple Procedure ◽  
Stone Analysis ◽  
Intraluminal Mass

We report a case of small bowel obstruction due to gallstone ileus found in a patient with previous pancreaticoduodenectomy (Whipple procedure). Investigation by computed tomography of the abdomen showed a transition point in the midjejunum due to a radioopaque intraluminal mass. Following resuscitation, the patient underwent laparotomy to remove the offending mass from the midjejunum. Subsequent stone analysis confirmed a cholesterol-rich gallstone. This is thus the first description of gallstone ileus following Whipple procedure. The rarity of this presentation and a literature review is presented.

scholarly journals Predictor of early post-operative small bowel obstruction in patients undergoing emergency laparotomy and the role of computed tomography in detecting need for re-laparotomy

2018 ◽  
Vol 5 (10) ◽  
pp. 3321
Author(s):  
Sunil Kumar Singh ◽  
Arun Singh ◽  
Rajnikant Kumar
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Operative Procedure ◽  
Wound Dehiscence ◽  
Emergency Laparotomy ◽  
Previous Surgery ◽  
Cross Sectional ◽  
History Of

Background: Early Post-Operative Small Bowel Obstruction (EP-SBO) is common complication following laparotomy. Pathophysiology of early post-operative small bowel obstruction is poorly understood.Methods: This cross-sectional observational study was conducted over a period of 18 month on 180 patients who underwent emergency abdominal laparotomy.Results: EP-SBO developed in 35.55% patients. History of previous surgery, location of disease, degree of peritonitis, operative procedure, wound dehiscence was found to be significantly related with occurrence of EP-SBO.Conclusions: EP-SBO is more likely to develop if patient had history of previous surgery, peritonitis, some operative procedure, ostomy, wound dehiscence. We should have a preventive attitude towards any risk factor at any stage- Before, During and After surgery and CECT-Abdomen is a helpful tool in establishing need of re-laparotomy.

scholarly journals Diagnostic Accuracy of Ultrasound in the Diagnosis of Small Bowel Obstruction

Diagnostics ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. 88 ◽  
Author(s):  
Stefania Tamburrini ◽  
Marina Lugarà ◽  
Francesco Iaselli ◽  
Pietro Paolo Saturnino ◽  
Carlo Liguori ◽  
...  
Keyword(s):  
Small Bowel ◽  
Diagnostic Accuracy ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Abdominal Ct ◽  
Intestinal Decompression ◽  
Abnormal Peristalsis ◽  
Us Findings ◽  
Accuracy Rates

Introduction: Small bowel obstruction (SBO) is a common presentation to the Emergency Department (ED). This study aimed to analyze the accuracy of ultrasound (US) in diagnosing and staging SBO. Objectives: The main object of this study was to analyze the accuracy of ultrasound in diagnosing and staging SBO compared to CT. Methods: Retrospectively, stable patients with an ultrasonographic diagnosis of SBO who underwent abdominal CT immediately after US and before receiving naso-intestinal decompression, were included. US criteria for the diagnosis of SBO were related to morphological and functional findings. US diagnosis of obstruction was made if fluid-filled dilated small bowel loops were detected, peristalsis was abnormal and parietal abnormalities were present. Morphologic and functional sonographic findings were assigned to three categories: simple SBO, compensated SBO and decompensated SBO. US findings were compared with the results of CT examinations: Morphologic CT findings (divided into loop, vascular, mesenteric and peritoneal signs) allowed the classification of SBO in simple, decompensated and complicated. Results: US diagnostic accuracy rates in relation to CT results were calculated: ultrasound compared to CT imaging, had a sensitivity of 92.31% (95% CI, 74.87% to 99.05%) and a specificity of 94.12% (95% CI, 71.31% to 99.85%) in the diagnosis of SBO. Conclusions: This study, similarly to the existing literature, suggests that ultrasound is highly accurate in the diagnosis of SBO, and that the most valuable sonographic signs are the presence of dilated bowel loops ad abnormal peristalsis.

scholarly journals Closed loop small bowel obstruction due to paracaecal internal herniation: a lesson in rarity

2018 ◽  
Vol 11 (1) ◽  
pp. e227461 ◽  
Author(s):  
Richard Menezes ◽  
Ranjeet Kamble ◽  
Anagha Joshi ◽  
Kalpesh Chaudhari
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Closed Loop ◽  
Iliac Fossa ◽  
Tertiary Hospital ◽  
Postoperative Recovery ◽  
Abdominal Ct ◽  
Distended Bowel ◽  
The Right

A 40-year-old man presented to the emergency department of our tertiary hospital with acute abdominal pain since 1 day, which responded to conservative measures initially. On further investigation and abdominal CT, he was diagnosed with closed loop small bowel obstruction with an encapsulated lesion with small bowel loops within, in the right iliac fossa, which was initially missed. On exploration, the patient had a sac in the right iliac fossa (paracaecal incarcerated internal hernia) with distended bowel loops within, the sac was excised after reduction of the contents. Postoperative recovery was uneventful.

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