scholarly journals Meckel Diverticulum Causing Intestinal Volvulus

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Liviu Musteata ◽  
Raouf Fayisall Geraldo ◽  
Hugues Ndasu Matendo ◽  
Aurélie Reitz ◽  
Valériu Krasovski ◽  
...  
Keyword(s):  
Small Intestine ◽  
Abdominal Surgery ◽  
Bowel Obstruction ◽  
Segmental Resection ◽  
Meckel Diverticulum ◽  
Intestinal Volvulus ◽  
Appropriate Care ◽  
History Of

Intestinal volvulus is rare and responsible for upper bowel obstruction. They occur more frequently in a patient with abdominal surgery history. We report a case of small intestine volvulus on Meckel diverticulum, which occurred in a 21-year-old patient, with no history of laparotomy. The diagnosis confirmation was intraoperative, and the management consisted in a segmental resection of the small intestine with immediate anastomosis. The postoperative follow-up was good. This case underlines the scarcity and the severity of this presentation which therefore requires appropriate care in order to improve the prognosis.

META-ANALYSIS ON ETIOPATHOGENESIS OF SMALL BOWEL OBSTRUCTION IN THE DEPARTMENT OF GEN. SURGERY P.M.C.H. & K.M.C.H., BIHAR

2021 ◽  
pp. 1-3
Author(s):  
Abhishek Chaudhary ◽  
Kanchan Sone Lal Baitha ◽  
Yasir Tajdar
Keyword(s):  
Small Intestine ◽  
Small Bowel ◽  
Abdominal Surgery ◽  
Intestinal Obstruction ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Meta Analysis ◽  
Ileocaecal Valve ◽  
Time Period ◽  
Ligament Of Treitz

Background:The small intestine is the longest and convoluted portion in the digestive tract. It starts from pylorus and ends at ileocaecal valve. The small bowel consists of three parts measuring about 5 to 6 meters. The rst 25cm is the duodenum. Out of the rest part of small gut, jejunum th th. constitute the proximal 2/5 and ileum distal 3/5 The jejunum and ileum extend from the peritoneal fold that supports the duodeno-jejunal junction (Ligament of Treitz) down to ileocaecal valve. Material and Methods:All the patients admitted to PMCH, Patna and KMC, Katihar as intestinal obstruction was included for the study. The time period of study was from October 2014 to November 2016 in PMCH and December 2016 to January 2019 in KMC, Katihar. Out of all Intestinal obstruction 59 cases only of adult small gut obstruction were recorded for comparison and conclusive study.Conclusion: Small bowel obstruction remains a frequently encountered problem in abdominal surgery. Although modern day surgical management continues to focus appropriately on avoiding delayed operation, whatever surgery is indicated, not every patient is always best served by immediate operation

Small Bowel Obstruction by Wireless Enteroscopic Capsule and Unrecognized Intestinal Stricture

2006 ◽  
Vol 72 (12) ◽  
pp. 1216-1217
Author(s):  
Hadi Najafian ◽  
Camille Eyvazzadeh
Keyword(s):  
Small Bowel ◽  
Physical Examination ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Unusual Case ◽  
Bowel Resection ◽  
Anastomotic Stricture ◽  
History Of ◽  
Resection And Anastomosis

The wireless enteroscopy capsule (WEC) was approved for noninvasive visualization of small bowel. We report an unusual case of a previously healthy man with history of bowel resection and anastomosis who developed small bowel obstruction after ingestion of a WCE. At operation, an anastomotic stricture site was noted and the WEC was proximal to this stricture, causing obstruction. This case emphasizes the importance of a good history and physical examination, as well as vigilant follow-up and retrieval of WEC.

Successful Surgical Management of Encapsulating Peritoneal Sclerosis

2005 ◽  
Vol 25 (4_suppl) ◽  
pp. 39-47 ◽  
Author(s):  
Hideki Kawanishi ◽  
Hiroshi Watanabe ◽  
Misaki Moriishi ◽  
Shinichiro Tsuchiya
Keyword(s):  
Small Intestine ◽  
Bowel Obstruction ◽  
Operating Time ◽  
Chronic Glomerulonephritis ◽  
Complete Relief ◽  
Bacterial Peritonitis ◽  
Initial Surgery ◽  
Therapeutic Guidelines

♦ Background Encapsulating peritoneal sclerosis (EPS) is a serious complication of long-term peritoneal dialysis (PD). The mortality rate for EPS has been high, primarily because of complications related to bowel obstruction. Also, therapeutic guidelines for EPS have not yet been established. In our hospital, favorable postoperative results were obtained in 50 patients whose EPS was treated surgically. ♦ Patients All patients had chronic glomerulonephritis as the underlying kidney disease. All had undergone PD for between 29 months and 220 months (average: 113.9 months). During the course of PD, 3 patients developed EPS and were subsequently transferred to hemodialysis (HD). The other 47 patients (94.0%) developed EPS after discontinuation of PD. The reasons for transfer to HD were inadequate ultrafiltration (26 patients), bacterial peritonitis (16 patients), hypoalbuminemia (2 patients), renal transplantation (3 patients), and occurrence of EPS (3 patients). ♦ Intervention At laparotomy, a definitive diagnosis of EPS was established in all patients by the presence of clumped intestine cocooned with a dense sclerotic membrane. In all cases, the small intestine was completely released by ablation of the capsules, resulting in resolution of the bowel obstruction symptoms. In 5 patients, the large intestine was ablated solely at the region of the sigmoid colon. The operating time varied from 3 hours to 18 hours (average: 6.9 hours). Oral food intake was initiated 5 – 60 days (average: 10.2 days) after surgery. ♦ Results Perforation of the small intestine was detected postoperatively in 2 patients, who died 26 days and 37 days after surgery. The remaining 48 patients were followed for between 9 months and 107 months (average: 34.6 months). During follow-up, 6 – 12 months after the initial surgery, 4 patients experienced a recurrence of bowel obstruction symptoms that required a second laparotomy with enterolysis. Excluding the 2 patients with fatal outcomes, 46 patients (96%) experienced complete relief from bowel obstruction symptoms. The remaining 2 patients continued to experience mild, sub-acute bowel obstruction symptoms that could be successfully controlled solely by diet. ♦ Conclusions Surgical treatment of 50 patients with EPS produced successful outcomes in all but 2 patients (96% success). Encapsulating peritoneal sclerosis should be actively treated by surgeons who genuinely understand this pathologic condition.

scholarly journals Use of methylene blue in the prevention of recurrent intra-abdominal postoperative adhesions

2017 ◽  
Vol 46 (1) ◽  
pp. 504-510 ◽  
Author(s):  
Octavian C. Neagoe ◽  
Mihaela Ionica ◽  
Octavian Mazilu
Keyword(s):  
Methylene Blue ◽  
Abdominal Pain ◽  
Abdominal Surgery ◽  
Beneficial Effect ◽  
Adhesion Formation ◽  
Chronic Abdominal Pain ◽  
Postoperative Adhesions ◽  
Similar Time ◽  
History Of

Objective To evaluate the efficacy of methylene blue in preventing recurrent symptomatic postoperative adhesions. Methods Patients with a history of >2 surgeries for intra-abdominal adhesion-related complications were selected for this study. Adhesiolysis surgery was subsequently performed using administration of 1% methylene blue. The follow-up period was 28.5 ± 11.1 months. Results Data were available from 20 patients (seven men and 13 women) whose mean ± SD age was 51.2 ± 11.4 years. Adhesions took longer to become symptomatic after the first abdominal surgery when the initial pathology was malignant compared with benign. However, the recurrence of adhesions after a previous adhesiolysis surgery had a similar time onset regardless of the initial disease. Following adhesiolysis surgery with methylene blue, the majority of patients did not present with symptoms associated with adhesion complications (i.e., chronic abdominal pain, bowel obstruction) for the length of the follow-up period. Conclusions The use of methylene blue during adhesiolysis surgery appears to reduce the recurrence of adhesion-related symptoms, suggesting a beneficial effect in the prevention of adhesion formation.

scholarly journals Intestinal intussusception and occlusion caused by small bowel polyps in the Peutz-Jeghers syndrome. Management by combined intraoperative enteroscopy and resection through minimal enterostomy: case report

2000 ◽  
Vol 55 (6) ◽  
pp. 219-224 ◽  
Author(s):  
Joaquim J. Gama-Rodrigues ◽  
José Hyppolito da Silva ◽  
Adilson A. Aisaka ◽  
Ricardo Jureidini ◽  
Renato Falci Júnior ◽  
...  
Keyword(s):  
Small Intestine ◽  
Case Report ◽  
Surgical Intervention ◽  
Intestinal Resection ◽  
Hereditary Disease ◽  
Secondary Complications ◽  
Surgical Interventions ◽  
History Of ◽  
Peutz Jeghers Syndrome

The Peutz-Jeghers syndrome is a hereditary disease that requires frequent endoscopic and surgical intervention, leading to secondary complications such as short bowel syndrome. CASE REPORT: This paper reports on a 15-year-old male patient with a family history of the disease, who underwent surgery for treatment of an intestinal occlusion due to a small intestine intussusception. DISCUSSION: An intra-operative fiberscopic procedure was included for the detection and treatment of numerous polyps distributed along the small intestine. Enterotomy was performed to treat only the larger polyps, therefore limiting the intestinal resection to smaller segments. The postoperative follow-up was uneventful. CONCLUSION: We point out the importance of conservative treatment for patients with this syndrome, especially those who will undergo repeated surgical interventions because of clinical manifestation while they are still young.

scholarly journals Rapidly Growing Desmoid-Type Fibromatosis of the Mesentery of the Small Intestine after Distal Gastrectomy for Gastric Cancer

2020 ◽  
Vol 14 (1) ◽  
pp. 197-205
Author(s):  
Ryota Koyama ◽  
Yoshiaki Maeda ◽  
Nozomi Minagawa ◽  
Toshiki Shinohara
Keyword(s):  
Gastric Cancer ◽  
Small Intestine ◽  
Lymph Node ◽  
Distal Gastrectomy ◽  
Anastomotic Site ◽  
En Bloc ◽  
Surgical History ◽  
History Of ◽  
Feeding Vessels

We report the case of a 55-year-old man with a surgical history of distal gastrectomy with Roux-en-Y reconstruction performed 3 years prior to the present episode. During the follow-up, a newly developed, rapidly growing intraabdominal mass was detected in the mesentery of the small intestine. Although the patient had been asymptomatic, surgical resection was planned with the suspicion of malignancy, especially lymph node recurrence of the gastric cancer, owing to its rapid growth. Laparotomy showed that the tumor was located in the mesentery of the small intestine near the Roux-en-Y limb, and due to the involvement of the feeding vessels to the Roux-en-Y limb, the anastomotic site was resected en bloc with the tumor, and the whole Roux-en-Y limb was reconstructed. The histopathological finding was compatible with desmoid-type fibromatosis of the mesentery of the small intestine. Here we report our case and discuss the previously reported literature, especially related to gastric cancer.

scholarly journals Abnormal Orientation of the Superior Mesenteric Vessels Detected in Asymptomatic Infants: What Is Its Destiny?

2021 ◽  
Vol 9 ◽  
Author(s):  
Joonhyuk Son ◽  
Sanghoon Lee ◽  
Wontae Kim ◽  
Soo-Min Jung ◽  
Tae Yeon Jeon ◽  
...  
Keyword(s):  
Abdominal Surgery ◽  
Heart Surgery ◽  
Cardiac Complications ◽  
Gastrointestinal Series ◽  
Abdominal Symptoms ◽  
History Of ◽  
Mesenteric Vessels ◽  
Surgical Conditions ◽  
Upper Gastrointestinal

Background: Ultrasonography (USG) has been described as an alternative diagnostic tool for malrotation that evaluates the orientation of the superior mesenteric vessels. However, literature concerning the management of patients who do not have abdominal symptoms is limited. We aimed to review the clinical course of infants showing abnormal orientation of the superior mesenteric vessels on USG who were asymptomatic at the time of diagnosis.Methods: Seventy asymptomatic infants with abnormal orientation of the superior mesenteric vessels in a single center between 2014 and 2018 were retrospectively analyzed.Results: The 70 patients, 21 underwent upper gastrointestinal series (UGIS) and 11 underwent abdominal surgery for other surgical conditions. Among the 32 (45.7%) patients who underwent UGIS or abdominal surgery, 11 were proven to have malrotation. Of the 38 (54.3%) patients who did not undergo UGIS or abdominal surgery, six patients were too unstable to undergo UGIS, five died due to cardiac complications, and the remaining patient developed midgut volvulus and died 3 days after emergency surgery. The remaining 32 patients who did not undergo UGIS or abdominal surgery were discharged without additional tests, and all were asymptomatic until their last follow-up. In the multivariate analysis, history of heart surgery and the presence of more than three anomalies were significantly associated with malrotation.Conclusion: A significant number of malrotation were diagnosed in asymptomatic infants with abnormal orientation of the superior mesenteric vessels on USG. Infants with major cardiac or multiple anomalies need special attention and should undergo UGIS in a promptly manner to confirm malrotation.

scholarly journals Small Bowel Obstruction Secondary to an Internal Hernia after a Robotic Sacrocolpopexy with Mesh

2020 ◽  
Vol 3 (2) ◽  
pp. 1-3
Author(s):  
James Chambers ◽  
Keyword(s):  
Robotic Surgery ◽  
Small Bowel ◽  
Abdominal Surgery ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Internal Hernia ◽  
Robotic Sacrocolpopexy ◽  
History Of

Small bowel obstruction has been noted to occur in anywhere from 1-10% of patients with a history of abdominal surgery, and in 4.7% of patients after robotic surgery, all of these studies have focused mainly on adhesions being the source of obstruction

scholarly journals CLINICAL CHARACTERISTICS OF SMALL BOWEL OBSTRUCTION WITHOUT A HISTORY OF ABDOMINAL SURGERY

2006 ◽  
Vol 67 (4) ◽  
pp. 741-745 ◽  
Author(s):  
Nobuyasu TAKAHASHI ◽  
Toshio SHIMAYAMA ◽  
Kikuo KAWANO ◽  
Masahide HIYOSHI ◽  
Motoaki NAGANO ◽  
...  
Keyword(s):  
Small Bowel ◽  
Abdominal Surgery ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Clinical Characteristics ◽  
History Of

scholarly journals ABDOME AGUDO OBSTRUTIVO POR DIVERTÍCULO DE MECKEL EM ADULTO

2018 ◽  
Vol 5 (4) ◽  
pp. 44-46
Author(s):  
Stéphanie Gonçalves Oliveira ◽  
Bárbara Chaves Lopes Machado ◽  
Pedro Manuel Gonzalez Cuella Cuellar ◽  
Fellipe Camargo Ferreira Dias ◽  
Virgílio Ribeiro Guedes
Keyword(s):  
Congenital Anomaly ◽  
Differential Diagnosis ◽  
Small Intestine ◽  
Intestinal Obstruction ◽  
Diverticular Disease ◽  
Acute Abdomen ◽  
Bowel Obstruction ◽  
Rare Case ◽  
Late Complications ◽  
Meckel Diverticulum

O Divertículo de Meckel é a anomalia congênita mais encontrada no intestino delgado. A alteração é causada pela obliteração incompleta do ducto onfalomesentérico. Geralmente a doença diverticular é assintomática e a probabilidade de manifestar sintomas, como obstrução intestinal, diminui com a idade.  Embora à maioria permaneça em silêncio, é importante sempre considerar o divertículo de Meckel como um diagnóstico diferencial em todos os pacientes que apresentem abdome agudo para evitar morbidade e mortalidade associada a complicações tardias.   Palavras-chave: divertículo de Meckel; obstrução intestinal; abdome agudo obstrutivo. ABSTRACT The Meckel Diverticulum is the most common congenital anomaly found in the small intestine. The change is caused by incomplete obliteration of the omphalomesenteric duct. Diverticular disease is usually asymptomatic and the likelihood of manifesting symptoms, such as bowel obstruction, decreases with age. Although most remain silent, it is important to always consider Meckel's diverticulum as a differential diagnosis in all patients with acute abdomen to avoid morbidity and mortality associated with late complications. The following report is about a rare case of obstructive acute abdome in adult patients caused by the presence of a meckel diverticulo. Keywords: meckel diverticulum; intestinal obstruction; obstructive acute abdomen.

Sign in / Sign up

Export Citation Format

Share Document