Acquired Jejunoileal Diverticulosis and Its Complications: A Review of the Literature

2008 ◽  
Vol 74 (9) ◽  
pp. 849-854 ◽  
Author(s):  
Kevin Woods ◽  
Eric Williams ◽  
Willie Melvin ◽  
Kenneth Sharp
Keyword(s):  
Abdominal Pain ◽  
Primary Anastomosis ◽  
Bacterial Overgrowth ◽  
Unknown Origin ◽  
Review Of The Literature ◽  
Clinical Scenarios ◽  
Wide Range ◽  
Abdominal Radiographs ◽  
History Of ◽  
Patients Experience

Jejunoileal diverticulosis is a rare entity. Jejunoileal diverticulosis is not a disease that surgeons see often in clinical practice; however, it should remain on the differential diagnosis for any patient with an acute abdomen or gastrointestinal bleeding of unknown origin. It can present with a wide range of clinical scenarios and when patients experience chronic symptoms such as bloating, abdominal pain, nausea, bacterial overgrowth, or malabsorption, medical therapy is successful in most patients. However, when patients present with acute symptoms of bleeding, inflammation, perforation, or obstruction, surgical resection and primary anastomosis is often the treatment of choice. If patients are asymptomatic, they are better left alone, even when discovered incidentally in the operating room. In closing, the possibility of a patient having jejunal diverticular disease should be suspected whenever the symptoms of obscure abdominal pain, anemia, dilated jejunal loops on abdominal radiographs, a history of colonic diverticuli, and a history of acute appendicitis.

Sigmoid Volvulus in 16-year-old Boy with an Associated Anomalous Congenital Band

2013 ◽  
Vol 79 (11) ◽  
pp. 1140-1141 ◽  
Author(s):  
Ann A. Albert ◽  
Tracy L. Nolan ◽  
Bryan C. Weidner
Keyword(s):  
Abdominal Pain ◽  
African American Male ◽  
Pediatric Patients ◽  
Primary Anastomosis ◽  
Exploratory Laparotomy ◽  
Sigmoid Volvulus ◽  
Sudden Onset ◽  
Contrast Enema ◽  
Pediatric Age Group ◽  
History Of

Sigmoid volvulus, a condition generally seen in debilitated elderly patients, is extremely rare in the pediatric age group. Frequent predisposing conditions that accompany pediatric sigmoid volvulus include intestinal malrotation, omphalomesenteric abnormalities, Hirschsprung's disease, imperforate anus and chronic constipation. A 16-year-old previously healthy African American male presented with a 12 hour history of sudden onset abdominal pain and intractable vomiting. CTwas consistent with sigmoid volvulus. A contrast enema did not reduce the volvulus, but it was colonoscopically reduced. Patient condition initially improved after colonoscopy, but he again became distended with abdominal pain, so he was taken to the operating room. On exploratory laparotomy, a band was discovered where the mesenteries of the sigmoid and small bowel adhered and created a narrow fixation point around which the sigmoid twisted. A sigmoidectomy with primary anastomosis was performed. The diagnosis of sigmoid volvulus may be more difficult in children, with barium enema being the most consistently helpful. Seventy percent of cases do not involve an associated congenital problem, suggesting that some pediatric patients may have congenital redundancy of the sigmoid colon and elongation of its mesentery. The congenital band found in our patient was another potential anatomic factor that led to sigmoid volvulus. Pediatric surgeons, accustomed to unusual problems in children, may thus encounter a condition generally found in the debilitated elderly patient.

Spontaneous bilateral internal jugular vein thrombosis: a sign of metastasis

2004 ◽  
Vol 118 (7) ◽  
pp. 570-572 ◽  
Author(s):  
P.P. Cheang ◽  
J. Fryer ◽  
O. Ayoub ◽  
V. Singh
Keyword(s):  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Unknown Origin ◽  
Short History ◽  
Jugular Vein Thrombosis ◽  
Neck Stiffness ◽  
Vein Thrombosis ◽  
Wide Range ◽  
Internal Jugular Vein Thrombosis ◽  
History Of

Head and neck swellings are common referrals to the otolaryngology department, with a wide range of aetiologies. Internal jugular vein thrombosis presenting as swelling in the neck is a rare occurrence. The authors report a case of bilateral internal jugular vein thrombosis secondary to malignant lymphadenopathy of unknown origin. The patient presented with a short history of a diffuse swelling in the neck with neck stiffness. Examination revealed palpable cervical and axillary lymphadenopathy. Causes of spontaneous internal jugular vein thrombosis were discussed.

An Intramedullary Ependymal Cyst in a 71-Year-Old Woman

Neurosurgery ◽  
1983 ◽  
Vol 13 (1) ◽  
pp. 52-54 ◽  
Author(s):  
Marc Rousseau ◽  
Francis Lesoin ◽  
Guy Combelles ◽  
Yvan Krivosic ◽  
Pierre Warot
Keyword(s):  
Spinal Cord ◽  
Abdominal Pain ◽  
Spinal Trauma ◽  
Review Of The Literature ◽  
Ependymal Cyst ◽  
History Of ◽  
Late Discovery ◽  
Slow Evolution

Abstract An intraspinal ependymal cyst of the thoracolumbar spinal cord was found in a 71-year-old woman with a history of right side abdominal pain since the age of 18. The late discovery of the cyst is related to the extremely slow evolution of this type of cyst in the absence of spinal trauma. Etiopathogenic problems are discussed after a review of the literature.

Comparing Physical and Cyber-Enhanced Dissection: An Analysis From Multiple Perspectives

2010 ◽  
Author(s):  
Katie Grantham ◽  
Deborah Moore-Russo ◽  
Kemper Lewis
Keyword(s):  
Student Perceptions ◽  
Engineering Students ◽  
Unknown Origin ◽  
Professional Preparation ◽  
Multiple Perspectives ◽  
Instructional Tools ◽  
Wide Range ◽  
History Of ◽  
The Difference ◽  
The Impact

Product dissection has evolved into a versatile pedagogical platform useful across the engineering curriculum. With the advent of digital, cyber, haptic, virtual, and immersive technologies, the opportunities to implement product dissection as an instructional tool increase dramatically. However, the effectiveness of cyber-enhanced dissection must be studied and the advantages and limitations of each type of platform must be understood in the context of achieving educational outcomes. In this paper, we first outline the history of dissection and carefully delineate the difference between physical, virtual, and cyber-enhanced dissection. We then study the impact of variations of cyber-enhanced (a blend of physical and virtual) dissection across two populations of sophomore engineering students at two universities using a number of exercises and data collection methods. We report on student perceptions regarding the affordances and disadvantages of physical vs. cyber-enhanced dissection. Students perceived the cyber-enhanced dissection exercises to be relevant to the students’ own professional preparation, to facilitate easier dissemination, to better align with emerging industrial practices, and to provide unique experiences not available in other courses the students had taken. Some potential drawbacks of cyber-enhanced dissection were also reported by students, including technology distracting them from the core educational objectives and overreliance on historical data of unknown origin. Although there are important tradeoffs between physical and cyber-enhanced dissection that need to be considered, using a blend of physical and virtual instructional tools may provide an effective platform to teach a wide range of engineering concepts across a curriculum.

scholarly journals Photosensitive Self-Induced Seizures Since Childhood

2019 ◽  
Vol 33 (13) ◽  
Author(s):  
Eduardo Palha-Fernandes ◽  
Ariana Teles ◽  
Amélia Mendes
Keyword(s):  
Multidisciplinary Approach ◽  
Clonic Seizure ◽  
Hand Movements ◽  
Unknown Etiology ◽  
Review Of The Literature ◽  
The Family ◽  
History Of ◽  
Photosensitive Epilepsy ◽  
Patients Experience ◽  
Type Of Behavior

A 15-year-old girl was admitted to the emergency room because of a bilateral tonic-clonic seizure. The family reported that the episode began with rapid hand movements in front of the patient’s eyes while staring at the sun. The patient has a history of multiple admissions in the emergency department due to similar events since the age of eight. Most occurrences were associated with episodes of frustration. The review of the literature has shown that this type of phenomenon, designated in some studies by sunflower syndrome, may be overlooked in patients with photosensitive epilepsy. Despite the unknown etiology, there are several reasons why patients experience this type of behavior, and thus a multidisciplinary approach is needed.

Rare aetiology of abdominal pain: contained abscess secondary to perforated jejunal diverticulitis

2020 ◽  
Vol 13 (9) ◽  
pp. e235974
Author(s):  
Enoch Yeung ◽  
Vishal Kumar ◽  
Zachary Dewar ◽  
Robert Behm
Keyword(s):  
Abdominal Pain ◽  
Ct Scan ◽  
Primary Anastomosis ◽  
Exploratory Laparotomy ◽  
Jejunal Diverticulosis ◽  
History Of ◽  
Fluid Levels ◽  
Jejunal Diverticulitis

A patient with a history of multiple jejunal diverticulosis (JD) presented with a non-peritonitic abdominal pain and leucocytosis. CT scan showed a thick-walled interloop collection within the left mid-abdomen with dilated bowels and mild diffuse air-fluid levels. Exploratory laparotomy revealed multiple diverticular outpouchings in the mid-jejunum, one of which was perforated, contained within the mesentery. Resection of the contained abscess and primary anastomosis were performed subsequently.

scholarly journals Pneumatosis coli in a dog – a serial radiographic study: a case report

2016 ◽  
Vol 61 (No. 7) ◽  
pp. 404-408 ◽  
Author(s):  
TS Hwang ◽  
YM Yoon ◽  
SA Noh ◽  
DI Jung ◽  
SC Yeon ◽  
...  
Keyword(s):  
Clinical Signs ◽  
Bacterial Overgrowth ◽  
Pneumatosis Coli ◽  
Colon Wall ◽  
Computed Tomographic ◽  
Faecal Culture ◽  
Abdominal Radiographs ◽  
History Of ◽  
Colon And Rectum ◽  
Intramural Gas

A 12-year-old intact female poodle was presented with a history of an acute episode of tenesmus and passage of ribbon-shaped stools. Anaemia, leucocytosis, hypoalbuminaemia, hyperglycaemia, and elevated ALP were found. Faecal floatation and wet mount preparation were negative for parasites. Anaerobic faecal culture resulted in a heavy growth of Clostridium. Survey abdominal radiographs revealed extensive intramural emphysema of colon and rectum. Ultrasonography of the abdomen revealed bright echoes within the layers of the colon wall, confirming the accumulation of intramural gas. Abdominal computed tomography revealed extraluminal gas tracking along the colon and the rectum. Based on the radiographic, ultrasonographic, and computed tomographic findings, the present case was diagnosed as pneumatosis coli with an underlying cause of bacterial overgrowth. The patient was treated with antibiotics for seventeen days. Clinical signs were resolved after three days of treatment. Decreased intramural gas accumulation was evident during radiography of the abdomen performed at fourteen days after the initial evaluation. Therefore, pneumatosis coli should be considered when a dog is presented with clinical signs of colitis.

scholarly journals Biofilm-sealed perforation of the gastric body: a rare sequela of gastric band erosion

2019 ◽  
Vol 2019 (9) ◽  
Author(s):  
Ciaran M Hurley ◽  
Daniel Hechtl ◽  
Kin Cheung Ng ◽  
Jack McHugh ◽  
Rishabh Sehgal ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Small Bowel ◽  
Gastric Banding ◽  
Gastric Band ◽  
Primary Anastomosis ◽  
Exploratory Laparotomy ◽  
Gastric Body ◽  
Gastric Erosion ◽  
Band Erosion ◽  
History Of

Abstract Laparoscopic Adjustable Gastric Banding is one of the cardinal bariatric interventions and due to its early safety profile, became the mainstay. Major long-term complications of gastric banding include pouch-herniation-dilation and gastric erosion. A 59-year-old female presented to the emergency department with a 2-week history of progressive central abdominal pain and distention on a background history of a laparoscopic adjustable band insertion 11 years previously. Subsequent computed tomography demonstrated an intragastric band erosion. An exploratory laparotomy demonstrated a gastric band eroded through the stomach sealed by a biofilm. Secondary findings included small bowel ischemia and portal vein thrombosis. The gastric band was extracted, and the stomach was repaired. The ischemic small bowel was resected with primary anastomosis. The patient recovered uneventfully. Gastric band erosion should be considered in all patients presenting with abdominal pain and previous weight loss surgery. Prompt recognition may avoid fatal consequences.

Case 1.21

2014 ◽  
pp. 41-42
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Abdominal Pain ◽  
Signal Intensity ◽  
Fever Of Unknown Origin ◽  
Unknown Origin ◽  
New Right ◽  
History Of ◽  
The Right

14-year-old boy with a 1-year history of episodic fever of unknown origin; he presents with new right-sided abdominal pain Coronal SSFSE (Figure 1.21.1) and axial fat-suppressed FSE T2-weighted (Figure 1.21.2) images demonstrate a lobulated heterogeneous mass involving both the right and left hepatic lobes with regions of mildly increased signal intensity relative to adjacent liver. The mass is hypointense on axial IP and OP T1-weighted 2D SPGR images (...

Sign in / Sign up

Export Citation Format

Share Document