scholarly journals Postvaginal Delivery Caecal Volvulus and Perforation

2012 ◽  
Vol 2012 ◽  
pp. 1-2
Author(s):  
M. M. Abdullah Agha
Keyword(s):  
Intestinal Obstruction ◽  
Vaginal Delivery ◽  
Adverse Outcomes ◽  
High Index ◽  
Initial Presentation ◽  
Common Causes ◽  
The Common ◽  
High Index Of Suspicion ◽  
Caecal Perforation ◽  
Uncommon Complication

Intestinal obstruction is an uncommon complication of pregnancy and pueperium. It has different etiologies and voluvlus is one of the common causes. High index of suspicion is needed to diagnose it as initial presentation is nonspecific and that is critical to avoid adverse outcomes. We presented here one of these cases that followed vaginal delivery and ended with caecal perforation and hemicolectomy.

Hemophilic pseudotumor of the spinal canal

1988 ◽  
Vol 69 (4) ◽  
pp. 624-627 ◽  
Author(s):  
Shih Sing Liu ◽  
William L. White ◽  
Peter C. Johnson ◽  
Charles Gauntt
Keyword(s):  
Computerized Tomography ◽  
Spinal Canal ◽  
High Index ◽  
Long Bones ◽  
Content Type ◽  
High Index Of Suspicion ◽  
Fine Print ◽  
Reactive Fibrosis ◽  
Uncommon Complication

✓ Hemophilic pseudotumor is an uncommon complication among hemophiliacs. Most of these lesions are located in the long bones and the pelvis. The authors describe a case of hemophilic pseudotumor in a patient who presented with symptoms of L-5 radiculopathy and evidence of a destructive lesion on computerized tomography scans. Histologically, the lesion consisted of an organizing hematoma with reactive fibrosis. The diagnosis requires a high index of suspicion. Surgery is recommended for symptomatic patients.

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 Medium- and Large-Vessel Vasculitis

Circulation ◽  
2021 ◽  
Vol 143 (3) ◽  
pp. 267-282
Author(s):  
David Saadoun ◽  
Mathieu Vautier ◽  
Patrice Cacoub
Keyword(s):  
Adverse Outcomes ◽  
Large Vessel Vasculitis ◽  
Large Vessel ◽  
Diagnostic Strategies ◽  
Risk Of Mortality ◽  
Increased Risk ◽  
Common Causes ◽  
Visceral Arteries ◽  
High Index Of Suspicion ◽  
Arteries And Veins

Systemic vasculitides are multisystem blood vessel disorders, which are defined by the size of the vessel predominantly affected, namely small, medium, or large vessels. The term “large vessel” relates to the aorta and its major branches; “medium vessel” refers to the main visceral arteries and veins and their initial branches. The most common causes of large-vessel vasculitis are giant cell arteritis and Takayasu arteritis, and those of medium-vessel arteritis are polyarteritis nodosa and Kawasaki disease. However, there is some overlap, and arteries of any size can potentially be involved in any of the 3 main categories of dominant vessel involvement. In addition to multisystem vasculitides, other forms of vasculitis have been defined, including single-organ vasculitis (eg, isolated aortitis). Prompt identification of vasculitides is important because they are associated with an increased risk of mortality. Left undiagnosed or mismanaged, these conditions may result in serious adverse outcomes that might otherwise have been avoided or minimized. The ethnic and regional differences in the incidence, prevalence, and clinical characteristics of patients with vasculitis should be recognized. Because the clinical presentation of vasculitis is highly variable, the cardiovascular clinician must have a high index of suspicion to establish a reliable and prompt diagnosis. This article reviews the pathophysiology, epidemiology, diagnostic strategies, and management of vasculitis.

scholarly journals Haemoptysis in a toddler: An uncommon presentation of unusual foreign body ingestion

2020 ◽  
pp. 102490792094405
Author(s):  
Sadesvaran Muniandy ◽  
Mohd Faiz Mohd Shukri ◽  
Nur Izzah Ghazali ◽  
Mohd Saiful Adli Ishak ◽  
Irfan Mohamad ◽  
...  
Keyword(s):  
Foreign Body ◽  
Foreign Body Ingestion ◽  
Case Presentation ◽  
Unusual Foreign Body ◽  
Uncommon Presentation ◽  
Common Causes ◽  
History Of ◽  
The Common ◽  
Tract Infections ◽  
High Index Of Suspicion

Introduction: Haemoptysis is uncommon in toddler. Lower respiratory tract infections and foreign body are among the common causes. Case Presentation: We are reporting a case of a child presented to emergency department with complaint of mild haemoptysis, whom was later found to have a piece of broken satay skewer at the tonsillar region. The foreign body was removed during the procedure without any complication. Discussion: Foreign body ingestion, particularly a piece of broken satay skewer, is difficult to suspect without a proper history and eyewitness. Therefore, parent’s supervision is important. Emergency residents should have a high index of suspicion of foreign body ingestion in a child with vague symptoms. Conclusion: Foreign body is among the commonest cause of haemoptysis in an afebrile toddler. Acute haemoptysis in otherwise healthy toddler should alert the emergency residents about foreign body ingestion. History of food intake should be more thorough even if trivial.

scholarly journals A clinical study on the surgical management of intestinal obstruction

2019 ◽  
Vol 7 (1) ◽  
pp. 150
Author(s):  
Jyotsna Choudary Gogineni ◽  
Trupti Tonape ◽  
V. S. Athavale ◽  
Sree Kumar ◽  
Shweta Achuthan Kutty ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Surgical Management ◽  
Signs And Symptoms ◽  
Abdominal Distension ◽  
Abdominal Adhesions ◽  
Medical College ◽  
Common Causes ◽  
General Surgeons ◽  
The Common ◽  
A Prospective Study

Background: Intestinal obstruction remains one of the common emergencies encountered by general surgeons all over the world. Acute intestinal obstruction occurs when there is a disruption in the frontward flow of intestinal contents.Methods: This study is a prospective study conducted in Dr. D Y Patil Medical College and Hospital, Pimpri, Pune. Patients coming to the hospital with signs and symptoms suggestive of intestinal obstruction and willing for surgical management in our hospital were included after taking written and informed consent.Results: In our study, pain abdomen and abdominal distension was the most common presenting complaints in 90% and 92% of the patients respectively. On palpation, 96% of the patients had abdominal tenderness, 72% of the patients had guarding and 12% of the patients had rigidity. On auscultation, all patients had some abnormality with regard to bowel sounds. It has been noted that intestinal strictures and abdominal adhesions were amongst the most common causes of intestinal obstruction in our study.Conclusions: Prompt clinical assessment aided by radiological imaging is of crucial importance in reaching the diagnosis of intestinal obstruction. Decision regarding surgical intervention is taken based on the initial presentation of the patient, and his/her response to first line conservative management and fluid resuscitation

scholarly journals Intussusception Presenting as Rectal Prolapse

2021 ◽  
Vol 11 (03) ◽  
pp. 136-137
Author(s):  
Asrar Ahmad ◽  
Irum Saleem ◽  
Mahwish Mahboob Bhutta ◽  
Mehwish Mooghal ◽  
Nisar Ahmad
Keyword(s):  
Rectal Prolapse ◽  
Intestinal Obstruction ◽  
Anal Canal ◽  
General Anaesthesia ◽  
Common Type ◽  
High Index ◽  
Proximal Segment ◽  
Surgical Reduction ◽  
High Index Of Suspicion

Intussusception is the invagination of a segment of the intestine into the lumen of the distal or proximal segment. It is one of the commonest causes of intestinal obstruction in the toddlers. Ileo-colic intussusception is the most common type. At times the inussusceptum may protrude through the anal canal and mimic a rectal prolapse. The diagnosis may be delayed in such cases leading to increase morbidity as well as mortality. Therefore, a high index of suspicion is required in such cases. In this case where a colo-colic intussusception presented like rectal prolapse. Emergency surgical reduction was carried out under general anaesthesia and the baby had a smooth recovery.

scholarly journals INTESTINAL MALROTATION - A COMMON YET DEADLY CAUSE OF NEONATAL SMALL BOWEL OBSTRUCTION

2021 ◽  
Vol 9 (03) ◽  
pp. 472-475
Author(s):  
Saurav Sultania ◽  
◽  
Arvind Kumar Shukla ◽  
Pramila Sharma ◽  
Dinesh Kumar Barolia ◽  
...  
Keyword(s):  
Small Bowel ◽  
Intestinal Obstruction ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
High Index ◽  
Diagnostic Tools ◽  
Paediatric Surgery ◽  
Medical College ◽  
Bilious Vomiting ◽  
High Index Of Suspicion

Background: This study was done at SMS Medical College, Jaipur with an aim of emphasizing the need of having a high index of suspicion in newborn presenting with bilious vomiting for the diagnosis of malrotation. Methods: Cases of neonatal small intestinal obstruction due to malrotation presenting to the Department of Paediatric Surgery, SMS Medical College, Jaipur over a period of two years were evaluated. Results: A total of 48 newborns presented to our department with intestinal obstruction due to malrotation. Majority (82%) of the patients presented in the 2nd and 3rd week of life. 6 out of 48 patients presented with extensive gangrene of midgut. 9/48 patients died during the course of treatment and during follow-up. Conclusion: Malrotation is a relatively common cause of neonatal small bowel obstruction. A high index of suspicion is required in neonates presenting with bilious vomiting. Prompt diagnostic tools and early laparotomy prevents fatal complication of extensive midgut gangrene due to volvulus.

scholarly journals Endogenous Fusarium Endophthalmitis in Diabetes Mellitus

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
S. Balamurugan ◽  
Ashish Khodifad
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factor ◽  
Endogenous Endophthalmitis ◽  
Uncontrolled Diabetes ◽  
Common Causes ◽  
Masquerade Syndrome ◽  
The Common ◽  
Immunocompromised State ◽  
Poor Outcomes ◽  
High Index Of Suspicion

Endogenous endophthalmitis accounts for 2% to 8% of cases of endophthalmitis. Immunocompromised state and intravenous drug use are the 2 most common causes of endogenous endophthalmitis due to molds fungi. Aspergillus, Fusarium, and Scedosporium are the common organisms in mold endophthalmitis. We report a case of Fusarium endophthalmitis in a patient with uncontrolled diabetes. While diabetes mellitus is a well-known risk factor for endogenous endophthalmitis, we did not find any reported case of Fusarium endophthalmitis in a case of diabetes mellitus. The patient presented with granulomatous uveitis masquerading as noninfectious uveitis with a very good response to steroids. The characteristic clinical features were established late in the clinical course associated with poor outcome. This case highlights the significance of uncontrolled diabetes as a risk factor for Fusarium endophthalmitis and also the presentation of endophthalmitis as a masquerade syndrome. The clinician should have high index of suspicion as these cases have poor outcomes.

Management of Small Intestinal Volvulus in a District Hospital

1995 ◽  
Vol 25 (1_suppl) ◽  
pp. 54-57
Author(s):  
Ayalaw Tegegne
Keyword(s):  
Intestinal Obstruction ◽  
Developing World ◽  
District Hospital ◽  
Early Operation ◽  
Intestinal Volvulus ◽  
Common Causes ◽  
The Common ◽  
Small Intestinal

Primary small intestinal volvulus is one of the common causes of intestinal obstruction in various localities of the developing world. Although the general principles of management of intestinal obstruction apply to it, its diagnosis is dependent on a clinical exclusion of other causes of intestinal obstruction with overt features, and awareness of patterns of obstruction in a given locality. Moreover, in nearly all the cases early operation is recommended for a confirmation of the diagnosis and relief of the obstruction. However, lacking the necessary precautions on operation, sometimes a relief of the obstruction without a diagnostic confirmation may be the result.

scholarly journals INTESTINAL OBSTRUCTION

2007 ◽  
Vol 14 (02) ◽  
pp. 355-359
Author(s):  
KHALID MAHMOOD ◽  
SHAHBAZ AHMED ◽  
SAJID HAMEED ◽  
Liaquat Ali
Keyword(s):  
Intestinal Obstruction ◽  
Average Duration ◽  
Early Recognition ◽  
Wound Dehiscence ◽  
Paediatric Surgery ◽  
Significant Morbidity ◽  
Duration Of Symptoms ◽  
Incarcerated Inguinal Hernia ◽  
Common Causes ◽  
The Common

Objective: To identify the various causes of intestinal obstruction ininfants. Design: Retrospective study. Period: July 1995 to March 2007. Setting: Department of Paediatric Surgery,Allied Hospital, Faisalabad. Patients and Methods: The record of all infants who presented with intestinal obstructionduring the study period was reviewed. Results: Two hundred infants presented with intestinal obstruction. It was thecommonest cause for admission (57%) from the emergency department and constituted 8.2% of the infants operatedin the unit. They were predominantly males. Average duration of symptoms was 3 days. Common causes wereintussusception (46.5%), adhesions (16%), bands (13.5%) and incarcerated inguinal hernia (8%). Wound infection(12%) and wound dehiscence (6%) were the common complications. Mortality rate was 5%. Conclusion: Intestinalobstruction is seen frequently in infants and is associated with significant morbidity. Early recognition and prompttreatment are needed.

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