scholarly journals Lipoma of the Small Intestine: A Cause for Intussusception in Adults

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Ketan Vagholkar ◽  
Rahulkumar Chavan ◽  
Abhishek Mahadik ◽  
Inder Maurya
Keyword(s):  
Small Intestine ◽  
Intestinal Obstruction ◽  
Preoperative Diagnosis ◽  
Surgical Intervention ◽  
Small Intestinal ◽  
Underlying Pathology ◽  
Early Surgical Intervention

Intussusception as a cause of intestinal obstruction in adults is rare. There is invariably an underlying pathology which leads to intussusception in adults. A case of intussusception in an adult due to a small intestinal lipoma is presented in view of this association. Ultrasound and CECT may help in a preoperative diagnosis. However early surgical intervention is the mainstay of treatment in order to confirm the diagnosis of the underlying pathology, thereby avoiding misdiagnosis of an underlying cancer.

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 MORPHOLOGICAL CHANGES OF THE SMALL INTESTINE IN ACUTE STRANGULATIVE INTESTINAL OBSTRUCTION IN THE STAGE OF DECOMPOSITION IN CHILDREN

2018 ◽  
Vol 8 (3) ◽  
pp. 28-33 ◽  
Author(s):  
A. E. Solovev ◽  
I. V. Vasin ◽  
O. А. Kul’chitskij
Keyword(s):  
Small Intestine ◽  
Intestinal Obstruction ◽  
Morphological Changes ◽  
Intestinal Resection ◽  
Intestinal Wall ◽  
Intestinal Necrosis ◽  
Morphological Studies ◽  
Intestinal Strangulation ◽  
Small Intestinal ◽  
Adhesive Obstruction

Purpose. The purpose was to determine the depth and prevalence of pathomorphological changes in the small intestine of children at the distance from the visible border of necrosis with decompensated acute strangulated intestinal obstruction (ASIO) to determine the minimum possible length of intestinal resection.Material and methods. Morphological studies of a resected fragment of the small intestine were performed in 24 children aged 3 days to 18 years who had undergone a surgery for ASIO with intestinal necrosis. Strangulated adhesive obstruction was found in 17 children, five children had congenital intestine torsion and two children faced small intestinal strangulation in the congenital mesenteric defect. The postsurgical material was studied morphologically using histological stains with the distance of 3 cm between the section.Results. The depth, prevalence of the morphological changes in the small intestinal wall, intensity and length of morphological changes in children with decompensated ASIO were determined.Conclusion. A differentiated approach to the selection of resection scope in the proximal and distal directions from the visible border of ASIO-related necrosis is necessary. The distances are twice shorter in children as compared to adults. Refusal from extensive resections will enable to reduce the rate of short bowel syndrome in children.

Eosinophilic Gastroenteritis Presenting as Acute Intestinal Obstruction

1983 ◽  
Vol 28 (2) ◽  
pp. 183-184 ◽  
Author(s):  
R. J. C. Steele ◽  
R. G. Wright ◽  
H. M. Gilmore
Keyword(s):  
Small Intestine ◽  
Abdominal Pain ◽  
Intestinal Obstruction ◽  
Large Intestine ◽  
Eosinophilic Gastroenteritis ◽  
Acute Intestinal Obstruction ◽  
Clinical Feature ◽  
Distal Small Intestine ◽  
Uncommon Condition ◽  
Small Intestinal

Eosinophilic gastroenteritis is an uncommon condition which usually affects the antrum of the stomach and may occasionally involve the small or large intestine (1). The main clinical feature is usually that of chronic colicky abdominal pain. We report a case presenting as acute small intestinal obstruction due to isolated involvement of the distal small intestine.

scholarly journals The Challenge of Enterocutaneous Fistulae

2015 ◽  
Vol 20 (3) ◽  
pp. 123-128
Author(s):  
Berro A. ◽  
Savin Silvia ◽  
Costea D. ◽  
Tomita Maria ◽  
Nichifor Ana Maria ◽  
...  
Keyword(s):  
Small Intestine ◽  
Surgical Treatment ◽  
Nutritional Support ◽  
Surgical Intervention ◽  
Intestinal Fistula ◽  
Male Patients ◽  
The Mean ◽  
Small Intestinal ◽  
And Control ◽  
Stoma Care

Abstract During a period of three years (01.01.2009-31.12.2011), 17 cases of enterocutaneous fistulas arising from the small intestine were managed. The majority of the fistulas (76%) resulted from surgical complications. There were 6 females and 11 male patients. The mean age of the patients was 40 years. For 9 out of 17 patients (52%) the fistulae arose from the proximal small gut (duodenum and jejunum) and in the remaining 48%, from the ileum. Octreotide was used for 11/17 patients (64%). Enteral nutrition was used for 9/17 patients (52%), while re-feed from the proximal gut fistulae was used in 4/9 patients (44%) in order to maintain the nutrition of the above mentioned subjects. Only one fistula (6%) closed spontaneously. There were 2 deaths (12%) in this study. For 14 out of 17 patients (82%) the surgical intervention at some stage was required for successful closure of intestinal fistula. Aggressive surgical treatment with judicious use of octreotide, nutritional support, stoma care and control of sepsis significantly improves the outcome of small intestinal fistulae.

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.

scholarly journals Left Paraduodenal Hernia: A Rare Complication following Laparoscopic Appendectomy

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Mathew A. Kozman ◽  
Oliver M. Fisher
Keyword(s):  
Small Intestine ◽  
Intestinal Obstruction ◽  
Laparoscopic Appendectomy ◽  
Rare Complication ◽  
Significant Risk ◽  
Common Type ◽  
Paraduodenal Hernia ◽  
Trendelenburg Position ◽  
Internal Hernias ◽  
Small Intestinal

Paraduodenal hernias are rare congenital internal hernias accounting for <2% of intestinal obstruction. Left paraduodenal hernias (LPDHs) into the fossa of Landzert are the more common type and result from abnormal rotation of the midgut and failure of peritoneal fusion. Sequelae of these hernias usually occur spontaneously in the 4th or 5th decade of life and are more common in males and have a significant risk of incarceration and subsequent strangulation. We describe a case of a 15-year-old female who develops a LPDH following laparoscopic appendectomy, resulting in jejunal incarceration and subsequent small intestinal obstruction. The patient discussed is from an atypical demographic, being young and female. In addition, the precipitating event prompting incarceration of the hernia appears to be the application of pneumoperitoneum, placement in the Trendelenburg position, and manipulation of small intestine for the purpose of facilitating laparoscopic appendectomy. To our knowledge, this is the first reported case of LPDH exacerbated by laparoscopic procedure.

scholarly journals Abdominal Cocoon: An Unusual Cause of Intestinal Obstruction

2017 ◽  
Vol 5 (1) ◽  
pp. 49-52
Author(s):  
Tapesh Kumar Paul ◽  
Russel Ahmed Khan Lodi ◽  
Shayda Ali ◽  
Mohammad Arman Zahed Basunia ◽  
Hasan Md Abdur Rouf
Keyword(s):  
Small Intestine ◽  
Intestinal Obstruction ◽  
Rare Condition ◽  
Complete Recovery ◽  
Clinical Suspicion ◽  
Unknown Etiology ◽  
Imaging Findings ◽  
Abdominal Cocoon ◽  
Small Intestinal ◽  
Encapsulating Peritonitis

Abdominal cocoon, the idiopathic form of sclerosing encapsulating peritonitis, is a rare condition of unknown etiology that results in an intestinal obstruction due to total or partial encapsulation of the small bowel by a fibrocollagenous membrane. The early clinical features are nonspecific, are often not recognized and it is difficult to make a definite pre-operative diagnosis. Clinical suspicion may be generated by the recurrent episodes of small intestinal obstruction combined with relevant imaging findings and lack of other plausible etiologies. Surgery is important in the management of this disease. Careful dissection and excision of the thick sac with the release of the small intestine leads to complete recovery in the vast majority of cases. Here a case of abdominal cocoon in a 45 years old male is presented due to its rarity and difficulty in preoperative diagnosis.Delta Med Col J. Jan 2017 5(1): 49-52

scholarly journals Cecal Volvulus: A Rare Cause of Intestinal Obstruction

2020 ◽  
Vol 14 (1) ◽  
pp. 206-211
Author(s):  
Carolina Solis Rojas ◽  
Ramon Vidrio Duarte ◽  
Diego Martín García Vivanco ◽  
Eduardo E. Montalvo-Javé
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Intestinal Obstruction ◽  
Critical Review ◽  
Surgical Intervention ◽  
Right Hemicolectomy ◽  
Cecal Volvulus ◽  
Review Of The Literature ◽  
Appropriate Treatment ◽  
Early Surgical Intervention

Cecal volvulus is a rare cause of intestinal obstruction, with multifactorial etiologies. This is a case report describing a 52-year-old female with a cecal volvulus diagnosis made during the laparotomy procedure, which was treated with a right hemicolectomy with a side-to-side ileotransverse anastomosis. The aim of this report is to emphasize the importance of a diagnosis and appropriate treatment in this rare pathology in abdominal procedures. In this particular case, the patient benefited from an early surgical intervention without further complications, as well as an adequate postoperative evolution; it is important to acknowledge and consider this pathology during differential diagnosis, and not delay the treatment in patients with cecal volvulus. A critical review of the literature is included and discussed.

scholarly journals Ileal Trichobezoar Causing Small Intestinal Obstruction: A Rare Variant

Med Phoenix ◽  
2020 ◽  
Vol 5 (1) ◽  
pp. 82-85
Author(s):  
Binod Kumar Rai ◽  
MD Shahid Alam ◽  
Elina Dangol ◽  
Rishi Karki ◽  
K N Singh
Keyword(s):  
Small Intestine ◽  
Intestinal Obstruction ◽  
Fruits And Vegetables ◽  
Exploratory Laparotomy ◽  
Rare Entity ◽  
Foreign Material ◽  
X Ray ◽  
History Of ◽  
Small Intestinal ◽  
Psychiatric Problems

Bezoars are conglomerate mass of ingested foreign material commonly found in stomach and small intestine in patients with psychiatric problems. On the basis of composition bezoars are classified into many variants. Trichobezoar and phytobezoar are most common composed of hair and fibers of fruits and vegetables, respectively. Bezoar itself is a rare entity and the bezoar solely present in small intestine causing intestinal obstruction is rarer, so we present a case report of 7 years old girl presented in our emergency with the feature of intestinal obstruction. Diagnosis was made on the basis of clinical examination, x-ray finding and history of trichophagia. On exploratory laparotomy the cause of obstruction was found to be ileal trichobezoar.

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