scholarly journals Diagnosis and Treatment of Small Bowel Strangulation Due To Congenital Band: Three Cases of Congenital Band in Adults Lacking a History of Trauma or Surgery

2016 ◽  
Vol 17 ◽  
pp. 712-719 ◽  
Author(s):  
Gregory Nicolas ◽  
Tony Kfoury ◽  
Rasha Shimlati ◽  
Elliott Koury ◽  
Maroon Tohme ◽  
...  
Keyword(s):  
Small Bowel ◽  
Diagnosis And Treatment ◽  
History Of ◽  
Small Bowel Strangulation ◽  
Bowel Strangulation

Death caused by appendicular knotting and small-bowel strangulation in a child: A case report and review

2018 ◽  
Vol 58 (2) ◽  
pp. 115-118 ◽  
Author(s):  
Andres Rodriguez Zorro ◽  
Jairo Hernando Vivas Diaz
Keyword(s):  
Small Bowel ◽  
Acute Appendicitis ◽  
Manner Of Death ◽  
Abdominal Symptoms ◽  
First Case ◽  
Surgical Emergencies ◽  
History Of ◽  
Small Bowel Strangulation ◽  
Uncommon Condition ◽  
Bowel Strangulation

Acute appendicitis is one of the most common surgical emergencies in paediatrics. However, acute appendicitis in early infancy is an uncommon condition. Furthermore, strangulation of the small intestine through appendicular knotting is described as very unusual in the literature and is generally not well-diagnosed in the clinical context. This article reports the case of a 23-month-old girl who entered the emergency department with a three-day history of abdominal symptoms and who died in less than 24 hours without receiving surgical intervention. The case turned judicial at the request of the parents who claimed lack of clarity in the diagnosis. A medico-legal autopsy was ordered to clarify the cause and manner of death. The autopsy documented herniation, strangulation and torsion of a 70 cm segment of the jejunum/ileum through an appendicular knot caused by the attachment of the distal end of the inflamed appendage to the ileum. The case is relevant because it is the first case of death by appendicular knot and strangulation of small bowel in an infant reported in the literature. The importance of autopsy to clarify the clinical diagnosis is noted.

scholarly journals Right Paraduodenal Hernia: A Rare Cause of Small Bowel Strangulation

Cureus ◽  
2020 ◽  
Author(s):  
Aishwarya Reddy Bollampally ◽  
Baskaran Dhanapal ◽  
Faiz Hussain Mohammed
Keyword(s):  
Small Bowel ◽  
Paraduodenal Hernia ◽  
Small Bowel Strangulation ◽  
Right Paraduodenal Hernia ◽  
Bowel Strangulation

scholarly journals Detecting Small Bowel Strangulation using Circulating Cell-Free DNA with Machine Learning

2017 ◽  
Vol 7 (3) ◽  
pp. 35-39
Author(s):  
Kazutaka Nishiwaki ◽  
◽  
Takeshi Yamada ◽  
Takuma Iwai ◽  
Goro Takahashi ◽  
...  
Keyword(s):  
Machine Learning ◽  
Small Bowel ◽  
Cell Free Dna ◽  
Free Dna ◽  
Small Bowel Strangulation ◽  
Bowel Strangulation ◽  
Circulating Cell Free Dna

scholarly journals Congenital Transmesenteric Hernia—Importance of a Timely Intervention

2020 ◽  
Vol 06 (02) ◽  
pp. e98-e100
Author(s):  
Mandar Sharadchandra Koranne ◽  
Amay Banker
Keyword(s):  
Small Bowel ◽  
Exploratory Laparotomy ◽  
Small Bowel Resection ◽  
Unknown Etiology ◽  
Transmesenteric Hernia ◽  
Complete Reversal ◽  
Surgical History ◽  
Small Bowel Strangulation ◽  
High Index Of Suspicion ◽  
Bowel Strangulation

AbstractTransmesenteric hernia is a rare cause of small bowel strangulation in adults. Our patient was a 61-year-old previously healthy male, who presented with vomiting and abdominal pain with no surgical history and no trauma in the past. Computed tomography with contrast enhancement was suggestive of superior mesenteric vein (SMV) compression without any obvious cause. The emergency exploratory laparotomy revealed venous congestion of small bowel caused by a transmesenteric hernia with the herniated loop compressing the SMV. On reducing the hernia, complete reversal of the bowel congestion was noted and small bowel resection was averted. A high index of suspicion for a transmesenteric hernia in small bowel obstruction of unknown etiology and a timely surgical intervention are must for a good clinical outcome.

Laparoscopic treatment of small bowel strangulation caused by an intramesosigmoid hernia and review of literature

2020 ◽  
Vol 13 (4) ◽  
pp. e233627
Author(s):  
Anna Junttila ◽  
Juha Virtanen ◽  
Johanna Mrena ◽  
Anne K Mattila
Keyword(s):  
Small Bowel ◽  
Bowel Resection ◽  
Acute Obstruction ◽  
Review Of Literature ◽  
Laparoscopic Treatment ◽  
Internal Hernias ◽  
Surgical History ◽  
Small Bowel Strangulation ◽  
Bowel Strangulation ◽  
Intramesosigmoid Hernia

An internal hernia is defined as a protrusion of an abdominal viscera through the defects of the gastrointestinal mesentery or peritoneum-lined fossa. Sigmoid mesocolic hernias are an uncommon type of internal hernias, accounting for only 6% of all internal hernias. Furthermore, intramesosigmoid hernia is one of the three subtypes of the sigmoid mesocolic hernias. Internal hernias are potentially fatal conditions with diagnostic challenges. Patients presenting with acute obstruction, no surgical history and no external hernia should receive an urgent CT scan to facilitate early surgery and to minimise the risk of strangulation and bowel resection. Here, we report a case of strangulated small bowel obstruction secondary to an intramesosigmoid hernia with a successful laparoscopic repair. We also present a literature review of all reported cases so far and give an up-to-date perspective on intramesosigmoid hernia.

scholarly journals Fructose and/or Sorbitol Intolerance in a Subgroup of Lactose Intolerant Patients

1994 ◽  
Vol 8 (6) ◽  
pp. 389-393 ◽  
Author(s):  
SR Mishkin ◽  
L Sablauskas ◽  
S Mishkin
Keyword(s):  
Crohn’S Disease ◽  
Small Bowel ◽  
Crohn's Disease ◽  
Clinical Characteristics ◽  
Lactose Intolerance ◽  
Diagnosis And Treatment ◽  
Enzyme Replacement ◽  
Foreign Travel ◽  
History Of

The diagnosis and treatment of lactose intolerance often does not resolve all the symptoms of postcibal bloating and flatulence. Included in this study were 104 lactose intolerant patients (71 female, 33 male) who complained of residual postcibal discomfort in spite of adherence to and benefit from appropriate measures for their documented lactose intolerance (at least 20 ppm H2after 25 g lactose as well as appropriate symptomatic discomfort). Clinical characteristics common to this group included: symptomatic diarrhea (12.5%), history of foreign travel (5.8%), endoscopic and pathological evidence of gastritis and helicobacter infection (19.2 and 8.7%, respectively), nonspecific abnormalities of small bowel follow-through (15.4%), Crohn’s disease (8.7%) and colonic cliverticulosis (14.4%). Intolerance co fructose (at least 10 ppm H2after 25 g fructose plus appropriate symptoms) or sorbitol (at least 10 ppm H2after 5 g sorbitol plus appropriate symptoms) was documented in 17.3 and 18.3%, respectively. Intolerance to both fructose and sorbicol (administered as separate challenges), more than twice as common as intolerance to either one alone, occurred in 41.4% and was independent of sex. In conclusion, additional carbohydrate intolerances contribute to postcibal discomfort in more than 75% of lactose intolerant patients who remain symptomatic in spite of adherence to appropriate measures for this condition. While 62% of all patients had benefited significantly (greater than 50%) from appropriate dietary measures and enzyme replacement for lactose intolerance, only 40% of those who were also fructose intolerant and 47% who were sorbitol intolerant benefited (greater than 50%) from appropriate dietary measures (no enzyme replacement yet available) for intolerance to these sugars.

Sign in / Sign up

Export Citation Format

Share Document