scholarly journals Acute Intestinal Obstruction: A Rare Aetiology

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Shamita Chatterjee ◽  
Souvik Chatterjee ◽  
Sanjeev Kumar ◽  
Shahana Gupta
Keyword(s):  
Small Intestine ◽  
Intestinal Obstruction ◽  
Acute Intestinal Obstruction ◽  
Paraduodenal Hernia ◽  
Rare Clinical Entity ◽  
Rare Entity ◽  
Internal Herniation ◽  
Diagnostic Challenge ◽  
High Index Of Suspicion ◽  
Bowel Strangulation

Internal herniation of small intestine is a very rare entity, and it poses a real diagnostic challenge clinically. Recurrent entrapment of the bowel may lead to partial to complete intestinal obstruction and eventually strangulation of the small bowel. Of this rare clinical entity, left paraduodenal hernia is more common. High index of suspicion with prompt management may prevent bowel strangulation and gangrene. We present a case of acute intestinal obstruction due to left paraduodenal hernia with malrotation of midgut in a 55-year-old male patient.

scholarly journals A Rare Case of Intestinal Obstruction from Internal Hernia through a Foramen Formed by Appendices Epiploicae – A Case Report and Review of Literature

2020 ◽  
Vol 8 (C) ◽  
pp. 4-6
Author(s):  
Thomas Olagboyega Olajide ◽  
Olanrewaju Balogun
Keyword(s):  
Small Intestine ◽  
Intestinal Obstruction ◽  
Rare Case ◽  
Surgical Intervention ◽  
Internal Herniation ◽  
Review Of Literature ◽  
Improve Outcome ◽  
Internal Hernias ◽  
Appendices Epiploicae ◽  
High Index Of Suspicion

BACKGROUND: Internal hernias are uncommon causes of acute abdomen and intestinal obstruction. Internal herniation due to appendices epiploicae is very rare with only six cases reported in the literature.CASE REPORT: We, herein, present the report of a 64-year-old female who presented with features of intestinal obstruction due to internal herniation of a loop of small intestine through an orifice formed by the fusion of two appendices epiploicae. The band was divided into release the entrapped loop of bowel.CONCLUSION: A high index of suspicion with prompt surgical intervention will improve outcome.

scholarly journals Case Report: Pediatric pharmacobezoar with subacute intestinal obstruction

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 1037
Author(s):  
Mahnaz Hakeem ◽  
Heeramani Lohana ◽  
Sarwat Urooj ◽  
Sheraz Ahmed
Keyword(s):  
Case Report ◽  
Intestinal Obstruction ◽  
Abdominal Distension ◽  
Acute Intestinal Obstruction ◽  
Rare Entity ◽  
Persistent Vomiting ◽  
Delay In Diagnosis ◽  
History Of ◽  
Subacute Intestinal Obstruction ◽  
High Index Of Suspicion

Bezoars are an undigested mass causing an intraluminal obstruction in children.  Pharmacobezoars are formed from medicines or their vehicle, considered as a less frequent type observed in children. Our objective is to report a relatively rare entity as a potential cause of intestinal obstruction in children.  Here we report a case of 13-year-old girl with a history of herbal medicine intake who presented with persistent vomiting and abdominal distension. She was diagnosed with acute intestinal obstruction and managed conservatively without any complications. The patient became stable within two days so was discharged home. We found that ineffective history could lead to a delay in diagnosis and management. Clinicians should have a high index of suspicion for pica and psychiatric disorders, especially in adolescent children.

scholarly journals Clinical features of paraduodenal hernia

2017 ◽  
Vol 27 (2) ◽  
pp. 139-142
Author(s):  
Yu Jun Wong ◽  
Narayan Lath ◽  
Alvin Kim Hock Eng ◽  
Vikneswaran Navasivayam
Keyword(s):  
Intestinal Obstruction ◽  
Surgical Repair ◽  
Recurrent Abdominal Pain ◽  
Acute Intestinal Obstruction ◽  
Paraduodenal Hernia ◽  
Radiological Imaging ◽  
Presenting Symptoms ◽  
Hospital Database ◽  
High Index Of Suspicion

Paraduodenal hernia (PDH), though uncommon, is a surgical emergency associated with high risk of strangulation and incarceration. Diagnosis of PDH remains challenging due to its non-specific presentation. We report the presentation and management of PDH in our hospital. All PDHs diagnosed from 2003 to 2014 were identified from a hospital database. Diagnosis of PDH was based on either radiological imaging or intraoperative surgical findings. Eight PDHs were identified during the study period. Median age was 48.5 (24–63) years and five occurred in females. All were left-sided PDHs. Six patients experienced recurrent symptoms prior to presentation. The commonest presenting symptoms were recurrent abdominal pain (four patients) and intestinal obstruction (four patients). Five patients were treated conservatively either because they had no obstructive symptoms or they declined surgery. All of them remained well up to a median of 27 (16–45) months’ follow-up. In contrast, three patients with obstructive symptoms underwent surgical repair (laparotomy, hernia repair and adhesiolysis). One patient had sub-acute intestinal obstruction after surgical repair and required re-exploratory surgery. All three PDH patients with obstructive symptoms remained well on follow-up (median 61 (range: 27–114) months) after surgery. In conclusion, PDH is an uncommon cause of intestinal obstruction. A high index of suspicion is required to diagnose PDH.

CHANGES IN SMALL INTESTINE MICROFLORA IN PATIENTS WITH ACUTE INTESTINAL OBSTRUCTION

2020 ◽  
pp. 16-18
Author(s):  
V. M. Lykhman ◽  
O. M. Shevchenko ◽  
Ye. O. Bilodid ◽  
Igor Vladimirovich Volchenko ◽  
I. A. Kulyk ◽  
...  
Keyword(s):  
Small Intestine ◽  
Gastrointestinal Tract ◽  
Species Composition ◽  
Intestinal Obstruction ◽  
Bacterial Flora ◽  
Anaerobic Bacteria ◽  
Acute Intestinal Obstruction ◽  
Gram Positive ◽  
Mechanical Intestinal Obstruction ◽  
Facultative Anaerobic Bacteria

Among urgent surgical diseases of abdominal cavity, an acute intestinal obstruction is the most difficult to be diagnosed and treated. Leading factor, determining the development of pathophysiological processes is considered to be the progressive manifestations of enteric insufficiency syndrome, resulting in intestinal barrier impairment, negative changes in ecology of intestinal flora, increased endotoxins. To identify the small intestine microflora in acute intestinal obstruction and determine the role of dysbiotic disorders in clinical manifestations of main pathological process, a study was conducted in 60 patients with mechanical intestinal obstruction. The small intestine has a relatively rare microflora, consisting mainly of gram−positive facultative aerobic microorganisms, streptococci, lactobacilli. The distal ileum in nearly 30−55 % of healthy people contains scanty microflora, and yet the flora of this area differs from the microbial population of the higher gastrointestinal tract due to higher concentration of gram−negative bacteria. Optional−anaerobic coliform bacilli, anaerobic bifidobacteria and fusobacteria, bacteroids, the number of which starts exceeding the one of gram−positive species, are presented in significant quantities. Distal to the ileocecal valve there are significant changes in the microflora quantitative and species composition. Obligatory anaerobic bacteria become the predominant part of microflora, exceeding the number of aerobic and facultative anaerobic bacteria. The bacterial flora in different parts of gastrointestinal tract has its own specifics and is quite constant, as a result of the interaction of many factors, regulating the bacterial population in small intestine. The most important among them are: acidity of gastric juice, normal peristaltic activity of the intestine, bacterial interactions and immune mechanisms. Disorders of the intestine motor and evacuation function with its obstruction lead to slow passage of the chyme and contamination of the upper gastrointestinal tract with new types of microbes. There is a syndrome of small intestine excessive colonization, which means an increased concentration of bacterial populations in it, similar in species composition to the colon microflora. Pathological intra−intestinal contents become a source of endogenous infection and re−infection of the patient, leads to internal digestive disorders, which is manifested by syndrome of malabsorption of proteins, carbohydrates and vitamins. Key words: acute intestinal obstruction, small intestinal microflora, conditionally pathogenic microorganisms, intestinal biocenosis.

scholarly journals INTESTINAL INVAGINATION OF ADULT

2018 ◽  
Vol 5 (3) ◽  
pp. 117-120
Author(s):  
B. Abdullajonov ◽  
F. Nishanov ◽  
B. Madvaliyev ◽  
A. Nuriddinov ◽  
A. Rustamjonov ◽  
...  
Keyword(s):  
Small Intestine ◽  
Intestinal Obstruction ◽  
Key Words ◽  
Emergency Surgery ◽  
Research Work ◽  
Acute Intestinal Obstruction ◽  
Acute Peritonitis ◽  
Intestinal Invagination

INTESTINAL INVAGINATION OF ADULTSAbdullajonov B., Nishanov F., Madvaliyev B.,Nuriddinov А., Rustamjonov A., Mishenina K. Authors presents analyze with literature for questions about spread, etiology, pathogenesis, main clinic and treats intestinal invagination of adults – less forms of acute intestinal obstruction. Given research work of patient with intestinal invagination. Key words: intestinal obstruction, invagination of small intestine, acute peritonitis, emergency surgery. РезюмеІНВАГІНАЦІЯ КИШКІВНИКА У ДОРОСЛИХАбдуллажанов Б., Нішанов Ф., Мадавлієв Б.,Нуріддін А., Рустамжонов А., Мішеніна К.Авторами представлені аналіз літератури з питань поширення, етіології, патогенезу, особливостей клініки та лікування інвагінації кишківника у дорослих - рідкісної форми гострої кишкової непрохідності.Наведено аналіз історії хвороби хворого наінвагінацію тонкого кишківника.Ключові слова: кишкової непрохідності, інвагінації тонкого кишківника, гострий перитоніт, екстрена хірургія. РезюмеИНВАГИНАЦИЯ КИШЕЧНИКА У ВЗРОСЛЫХАбдуллажанов Б., Нишанов Ф., Мадавлиев Б., Нуриддинов А., Рустамжонов А., Мишенина Е.Авторами представлены анализ литературы по вопросам распространения, этиологии, патогенеза, особенностей клиники и лечения инвагинации кишечника у взрослых - редкой формы острой кишечной непроходимости. Приведен анализ истории болезни больной с инвагинацией тонкого кишечника. Ключевые слова: кишечной непроходимости, инвагинацией тонкого кишечника, острый перитонит, экстренная хирургия. 

scholarly journals LEFT PARA-DUODENAL HERNIA

2016 ◽  
Vol 23 (02) ◽  
pp. 238-240
Author(s):  
Asrar Ahmad ◽  
Irum Saleem ◽  
Nisar Ahmed ◽  
Farrukh Ayub
Keyword(s):  
Intestinal Obstruction ◽  
Internal Hernia ◽  
High Index ◽  
Paraduodenal Hernia ◽  
Internal Hernias ◽  
High Index Of Suspicion

Internal hernia is defined as herniation of viscera through a defect in themesentery or peritoneum. Internal hernias can cause intestinal obstruction. Paraduodenalhernias though a rare cause of intestinal obstruction, are more common on the left side. Thesehernias may cause strangulation and gangrene of the intestines so a high index of suspicion isrequired for diagnosis. Treatment is always surgical. We hereby report a case of acute intestinalobstruction due to left paraduodenal hernia.

scholarly journals Gall stone ileus in the absence of gall bladder: a case report

2019 ◽  
Vol 6 (5) ◽  
pp. 1803 ◽  
Author(s):  
Meenu Beniwal ◽  
Vikram Singh ◽  
Poonam . ◽  
Paritev Singh
Keyword(s):  
Case Report ◽  
Gall Bladder ◽  
Intestinal Obstruction ◽  
Gall Stone ◽  
Young Female ◽  
Acute Intestinal Obstruction ◽  
Ileocaecal Junction ◽  
High Index Of Suspicion ◽  
Gall Stone Ileus ◽  
Satisfactory Recovery

Post cholecystectomy gall stone ileus is very rare with only few cases reported in the literature. This condition poses diagnostic challenges both because of its rarity and since the gall bladder had been removed previously. A high index of suspicion is needed for the diagnosis. Here, we report the case of a young female presented to the emergency room with acute intestinal obstruction. Patient underwent cholecystectomy followed by LSCS 20 yrs back. Patient was managed with explorative laparotomy which revealed an adherent, fibrosed and narrow segment of ileum containing a small impacted gall stone 120 cm from ileocaecal junction. Following the Resection anastomosis the patient made a satisfactory recovery and was discharged without any complication and is doing well.

scholarly journals Idiopathic retroperitoneal haematoma causing duodenal obstruction: a case report and review of literature

2020 ◽  
Vol 102 (8) ◽  
pp. e209-e212
Author(s):  
N Merali ◽  
G Singh ◽  
A Ghorpade ◽  
S Shirol ◽  
S Singh ◽  
...  
Keyword(s):  
Interventional Radiology ◽  
Duodenal Obstruction ◽  
Multidisciplinary Approach ◽  
Interesting Case ◽  
Rare Clinical Entity ◽  
Review Of Literature ◽  
Review Of The Literature ◽  
Diagnostic Challenge ◽  
Retroperitoneal Haematoma ◽  
High Index Of Suspicion

Idiopathic retroperitoneal haematoma is a rare clinical entity; resulting duodenal obstruction is even more occult. It can pose a diagnostic challenge due to variable presentations. Timely management requires a high index of suspicion and a multidisciplinary approach. Surgery is indicated in patients refractory to conservative treatment and failure of endoscopic or interventional radiology options. We report an interesting case illustrating the rarity and severity of this condition, with a review of the literature.

scholarly journals Unusual presentation of eosinophilic enteritis as multiple strictures of small intestine

2012 ◽  
Vol 2 (1) ◽  
pp. 24
Author(s):  
Sunil V. Jagtap ◽  
Dhiraj B. Nikumbh ◽  
Ashok Y. Kshirsagar ◽  
Neha Ahuja
Keyword(s):  
Small Intestine ◽  
Gastrointestinal Tract ◽  
Small Bowel ◽  
Intestinal Obstruction ◽  
Bowel Wall ◽  
Unusual Presentation ◽  
Unknown Etiology ◽  
Peripheral Eosinophilia ◽  
Variable Depth ◽  
High Index Of Suspicion

Eosinophilic enteritis is a rare disease of unknown etiology. It is characterized by eosinophilic infiltration of the bowel wall to a variable depth and symptoms associated with gastrointestinal tract depending upon the predominant layer involved. Diagnosis of eosinophilic enteritis requires a high index of suspicion and exclusion of various disorders that are associated with peripheral eosinophilia. We report a case of unusual presentation of eosinophilic enteritis clinically presenting as intestinal obstruction due to multiple strictures of the small bowel in an adult male.

Sign in / Sign up

Export Citation Format

Share Document