scholarly journals Small bowel perforation secondary to CMV-positive terminal ileitis postrenal transplant

2019 ◽  
Vol 12 (11) ◽  
pp. e231662 ◽  
Author(s):  
Kosuke Kato ◽  
Michelle Cooper
Keyword(s):  
Small Bowel ◽  
Rare Complication ◽  
Bowel Perforation ◽  
Lower Abdominal Pain ◽  
Right Hemicolectomy ◽  
Small Bowel Perforation ◽  
Cmv Infection ◽  
Terminal Ileitis ◽  
Intravenous Ganciclovir ◽  
Cmv Disease

Cytomegalovirus (CMV) infection of the gastrointestinal tract is common in immunosuppressed patients; however, small bowel perforation from tissue-invasive CMV disease after many years of immunosuppressive therapy is a rare complication requiring timely medical and surgical intervention. We report a case of a postrenal transplant patient who presented to the emergency department with severe lower abdominal pain with CT of the abdomen/pelvis revealing a small bowel perforation. He underwent an emergent laparoscopic right hemicolectomy, and his histopathology of the terminal ileum was positive for CMV disease. He was successfully treated with intravenous ganciclovir postoperatively. We discuss the pathophysiology, histopathological features and treatment of CMV infection.

scholarly journals Thrombocytosis and small bowel perforation: unusual presentation of abdominopelvic actinomycosis

2013 ◽  
Vol 7 (12) ◽  
pp. 1012-1015 ◽  
Author(s):  
Guldeniz Aksan Desteli ◽  
Turkan Gursu ◽  
Hüseyin Yüce Bircan ◽  
Ebru Kızılkılıç ◽  
Ebru Demiralay ◽  
...  
Keyword(s):  
Developing Countries ◽  
Small Bowel ◽  
Inflammatory Diseases ◽  
Bowel Perforation ◽  
Lower Abdominal Pain ◽  
Small Bowel Perforation ◽  
Ascending Infection ◽  
Pelvic Actinomycosis ◽  
Specific Symptoms

Intrauterine devices (IUD) are frequently used as a family planning procedure in developing countries because they are easy to administer and governmental policies support their use in many countries. It is recommended that IUDs be removed or replaced after 10 years, but longer use is common, especially in developing countries. In some cases, rare infections such as pelvic inflammatory diseases, pelvic tuberculosis, or abdominopelvic actinomycosis related to IUD can develop. Pelvic actinomycosis is a rare disease and is often diagnosed incidentally during surgery. In recent years, there has been an increase in actinomycotic infections mostly due to long-term usage of IUD and forgotten intravaginal pessaries. It usually develops as an ascending infection. It is usually associated with non-specific symptoms such as lower abdominal pain, menstrual disturbances, fever, and vaginal discharge. The disease is sometimes asymptomatic. The rate of accurate preoperative diagnosis for pelvic actinomycosis is less than 10%, and symptoms and imaging studies sometimes mimic pelvic malignancy. This report details a case with abdominopelvic actinomycosis associated with an IUD presenting with highly elevated thromboctye count and small bowel perforation with abscess formation.

scholarly journals Rare complication of chemotherapy in testicular cancer

2009 ◽  
Vol 17 (1-2) ◽  
pp. 25-26
Author(s):  
Abdel Goad
Keyword(s):  
Gastrointestinal Tract ◽  
Small Bowel ◽  
Unusual Case ◽  
Rare Complication ◽  
Bowel Perforation ◽  
Cell Cancer ◽  
Germ Cell Cancer ◽  
Small Bowel Perforation ◽  
Chemotherapy Treatment ◽  
Upper Gastrointestinal

Testicular neoplasms metastasizing to the retroperitoneum rarely involve the upper gastrointestinal tract. We describe an unusual case of contained small bowel perforation as a complication of chemotherapy treatment of metastatic non seminomatous germ cell cancer in a 32-year-old man.

scholarly journals A Rare Complication of Ventriculoperitoneal Shunt: Asymptomatic Small Bowel Perforation

2019 ◽  
Vol 20 (6) ◽  
pp. 571-573
Author(s):  
Ünal Bakal ◽  
Ahmet Kürşad Poyraz ◽  
Tugay Tartar ◽  
İbrahim Akdeniz ◽  
Mehmet Beşir Sürme ◽  
...  
Keyword(s):  
Small Bowel ◽  
Ventriculoperitoneal Shunt ◽  
Rare Complication ◽  
Bowel Perforation ◽  
Small Bowel Perforation

scholarly journals SMALL-BOWEL PERFORATION CAUSED BY CYTOMEGALOVIRUS (CMV) INFECTION IN A CHILD WITH HENOCH-SCHOENLEIN PURPURA (HSP)

2011 ◽  
Vol 72 (2) ◽  
pp. 379-383 ◽  
Author(s):  
Nobuhiro SUGANO ◽  
Norio YUKAWA ◽  
Yuko SHIMADA ◽  
Hisasi OSHIRO ◽  
Yasushi RINO ◽  
...  
Keyword(s):  
Small Bowel ◽  
Bowel Perforation ◽  
Small Bowel Perforation ◽  
Cmv Infection

scholarly journals Small Bowel Perforation as a Postoperative Complication from a Laminectomy

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Robert H. Krieger ◽  
Katherine M. Wojcicki ◽  
Andrew C. Berry ◽  
Warren L. Reuther ◽  
Kendrick D. McArthur
Keyword(s):  
United States ◽  
Small Bowel ◽  
Surgical Intervention ◽  
Rare Complication ◽  
Bowel Perforation ◽  
The United States ◽  
Low Back ◽  
Small Bowel Perforation ◽  
Small Bowel Injury ◽  
Chief Complaints

Chronic low back pain is one of the leading chief complaints affecting adults in the United States. As a result, this increases the percentage of patients that will eventually undergo surgical intervention to alleviate debilitating, chronic symptoms. A 37-year-old woman presented ten hours postoperatively after a lumbar laminectomy with an acute abdomen due to the extraordinarily rare complication of small bowel injury secondary to deep surgical penetration.

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