scholarly journals Intestinal intussusception and progressive anemia due to pyogenic granuloma of the ileum: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Kodai Nagakari ◽  
Akikazu Yago ◽  
Yu Ohkura ◽  
Daisuke Tomita ◽  
Shusuke Haruta ◽  
...  

Abstract Background Pyogenic granuloma is a benign vascular tumor, usually occurring on the skin or in the oral cavity. Small intestinal pyogenic granuloma is extremely rare, but intestinal intussusception due to the tumor is even rarer. Only 3 cases have been reported in the English literature at this writing. Case presentation An 86-year-old woman presented with abdominal pain and vomiting. Laboratory data discovered anemia. Contrast-enhanced computed tomography revealed small bowel obstruction due to intestinal intussusception. After decompression by long tube for 1 week, the obstruction did not improve and the anemia got worse. Therefore, laparoscopic assisted small bowel resection was performed as a diagnostic therapy. Pathology confirmed the diagnosis of pyogenic granuloma. The postoperative course was uneventful and the patient was discharged 10 days after surgery. Conclusions We experienced a case of intestinal intussusception and progressive anemia due to pyogenic granuloma of the ileum. Although the condition is extremely rare, surgeons must take into consideration the tumor in similar cases, and complete surgical resection is required.

2015 ◽  
Vol 100 (5) ◽  
pp. 878-881 ◽  
Author(s):  
Cheng-Hung Lee ◽  
Wen-Yao Yin ◽  
Jian-Han Chen

Gallstone ileus is an uncommon complication of cholelithiasis. Most patients affected by gallstone ileus are elderly and have multiple comorbidities. Symptoms are vague and insidious, which may delay the correct diagnosis for days. Here we are reporting an uncommon complication of gallstone ileus. We report on a 70-year-old man with small bowel obstruction at the jejunum due to an impacted stone, which led to necrosis and perforation of the proximal bowel wall. Laparoscope-assisted small bowel resection with enterolithotomy was used to successfully treat the patient's perforation and obstruction. His recovery was uneventful. Gallstone ileus commonly presents with bowel obstruction, but intestinal perforation occurs very rarely. A laparoscopic approach can provide both diagnostic and therapeutic roles in management.


Author(s):  
Takashi Okimoto ◽  
Kenji Nakamura ◽  
Nobutaka Matayoshi ◽  
Mitsuhiro Nakamoto ◽  
Iori Nagamatsu ◽  
...  

2005 ◽  
Vol 15 (4) ◽  
pp. 396-399 ◽  
Author(s):  
Konstantinos Konstantinidis ◽  
George E. Theodoropoulos ◽  
George Spanomihos ◽  
George Sambalis ◽  
Michael Vorias ◽  
...  

1998 ◽  
Vol 12 (7) ◽  
pp. 995-996 ◽  
Author(s):  
K. Y. Y. Kok ◽  
V. V. Mathew ◽  
S. K. S. Yapp

2019 ◽  
Vol 9 (3) ◽  
pp. 354-359
Author(s):  
Shariful Islam*,Otis Payne, Vinoo Bheem,Patrick Harnarayan, Dilip Dan

Introduction: Diagnostic laparoscopy is now frequently used for small bowel obstructionwith a varying degree of success. However, emergency laparoscopic resection ofgangrenous small bowel has not yet been reported in the English literature. We reportthe world first case of successful laparoscopic assisted resection of gangrenous smallbowel in a 64 year old female with an excellent postoperative outcome.Presentation of Case: A 64 years old woman with a virgin abdomen presentedwith a clinical and radiological features of small bowel obstruction. The patient washemodynamically stable with mild central abdominal distension and tenderness butthere was no guarding or rebound tenderness. On diagnostic laparoscopy a loop ofgangrenous small bowel was noted secondary to an adhesion band. The patient had asuccessful laparoscopic assisted resection and extra-corporal anastomosis of the smallbowel with an excellent postoperative outcome.Discussion: Diagnostic laparoscopy plays a vital role for the diagnosis and treatmentof selected cases of small bowel obstruction in a virgin abdomen. However, appropriatepatient selection as well as the availability of a skilled laparoscopic surgeon is offparamount importance for a successful outcome. Contrast enhanced CT scan is alsoa useful tool for appropriate patient selection. The morbidity of laparotomy can oftenbe avoided in presence of a skilled laparoscopic surgeon.Conclusion: Laparoscopic approach can be attempted in selected patients with firstepisode of SBO and/or anticipated single band obstruction. Similarly, gangrenoussmall bowel can be resected laparoscopically in highly selected patients in the presenceof an experienced laparoscopic surgeon.


1960 ◽  
Vol 38 (4) ◽  
pp. 605-615 ◽  
Author(s):  
M.H. Kalser ◽  
J.L.A. Roth ◽  
H. Tumen ◽  
T.A. Johnson

Sign in / Sign up

Export Citation Format

Share Document