scholarly journals Case Report: Pediatric pharmacobezoar with subacute intestinal obstruction

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 1037
Author(s):  
Mahnaz Hakeem ◽  
Heeramani Lohana ◽  
Sarwat Urooj ◽  
Sheraz Ahmed
Keyword(s):  
Case Report ◽  
Intestinal Obstruction ◽  
Abdominal Distension ◽  
Acute Intestinal Obstruction ◽  
Rare Entity ◽  
Persistent Vomiting ◽  
Delay In Diagnosis ◽  
History Of ◽  
Subacute Intestinal Obstruction ◽  
High Index Of Suspicion

Bezoars are an undigested mass causing an intraluminal obstruction in children.  Pharmacobezoars are formed from medicines or their vehicle, considered as a less frequent type observed in children. Our objective is to report a relatively rare entity as a potential cause of intestinal obstruction in children.  Here we report a case of 13-year-old girl with a history of herbal medicine intake who presented with persistent vomiting and abdominal distension. She was diagnosed with acute intestinal obstruction and managed conservatively without any complications. The patient became stable within two days so was discharged home. We found that ineffective history could lead to a delay in diagnosis and management. Clinicians should have a high index of suspicion for pica and psychiatric disorders, especially in adolescent children.

scholarly journals Gall stone ileus in the absence of gall bladder: a case report

2019 ◽  
Vol 6 (5) ◽  
pp. 1803 ◽  
Author(s):  
Meenu Beniwal ◽  
Vikram Singh ◽  
Poonam . ◽  
Paritev Singh
Keyword(s):  
Case Report ◽  
Gall Bladder ◽  
Intestinal Obstruction ◽  
Gall Stone ◽  
Young Female ◽  
Acute Intestinal Obstruction ◽  
Ileocaecal Junction ◽  
High Index Of Suspicion ◽  
Gall Stone Ileus ◽  
Satisfactory Recovery

Post cholecystectomy gall stone ileus is very rare with only few cases reported in the literature. This condition poses diagnostic challenges both because of its rarity and since the gall bladder had been removed previously. A high index of suspicion is needed for the diagnosis. Here, we report the case of a young female presented to the emergency room with acute intestinal obstruction. Patient underwent cholecystectomy followed by LSCS 20 yrs back. Patient was managed with explorative laparotomy which revealed an adherent, fibrosed and narrow segment of ileum containing a small impacted gall stone 120 cm from ileocaecal junction. Following the Resection anastomosis the patient made a satisfactory recovery and was discharged without any complication and is doing well.

scholarly journals Acute Intestinal Obstruction: A Rare Aetiology

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Shamita Chatterjee ◽  
Souvik Chatterjee ◽  
Sanjeev Kumar ◽  
Shahana Gupta
Keyword(s):  
Small Intestine ◽  
Intestinal Obstruction ◽  
Acute Intestinal Obstruction ◽  
Paraduodenal Hernia ◽  
Rare Clinical Entity ◽  
Rare Entity ◽  
Internal Herniation ◽  
Diagnostic Challenge ◽  
High Index Of Suspicion ◽  
Bowel Strangulation

Internal herniation of small intestine is a very rare entity, and it poses a real diagnostic challenge clinically. Recurrent entrapment of the bowel may lead to partial to complete intestinal obstruction and eventually strangulation of the small bowel. Of this rare clinical entity, left paraduodenal hernia is more common. High index of suspicion with prompt management may prevent bowel strangulation and gangrene. We present a case of acute intestinal obstruction due to left paraduodenal hernia with malrotation of midgut in a 55-year-old male patient.

scholarly journals Bowel obstruction due to the tightening of a loose bowel adhesion with uterus enlargement during pregnancy

2020 ◽  
Vol 5 (2) ◽  
pp. 109-112
Author(s):  
Ghazi Laamiri ◽  
◽  
Montassar Ghalleb ◽  
Nouha Ben Ammar ◽  
Slim Zribi ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Intestinal Obstruction ◽  
Bowel Obstruction ◽  
Acute Intestinal Obstruction ◽  
Fetal Mortality ◽  
Past Medical History ◽  
Etiological Diagnosis ◽  
Postoperative Course ◽  
History Of

Introduction. Acute intestinal obstruction during pregnancy is a rare digestive surgical emergency. Generally, it is associated with significant maternal and fetal mortality. The diagnosis is difficult, often delaying the therapeutic management. It is reported an exceptional association of acute intestinal obstruction due to a band adhesion that is put into tension as the uterus enlarges. Case Report. A 35 years old Caucasian pregnant woman with a past medical history of appendectomy was examined and found with abdominal pain, severe vomiting, and bowel obstruction. The patient underwent surgery. Per operatively, the obstruction was caused by an adhesion put into tension by the enlargement of the uterus. The postoperative course was uneventful and the patient was discharged on day 2. Conclusions. The etiological diagnosis of acute intestinal obstruction during pregnancy is difficult. Surgery is the cornerstone of the treatment and the management varies depending on the intraoperative findings and the condition of the patient.

scholarly journals Rare case of midgut volvulus with malrotation in an elderly patient

2019 ◽  
Vol 7 (1) ◽  
pp. 303
Author(s):  
Mezhuneituo Raleng ◽  
Anant Prakash Pore ◽  
Vickey Katheria ◽  
Worshim Khamrang ◽  
R. S. Wungramthing
Keyword(s):  
Elderly Patient ◽  
Intestinal Obstruction ◽  
Conservative Management ◽  
Rare Case ◽  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Midgut Volvulus ◽  
History Of ◽  
Subacute Intestinal Obstruction

A 70 year old male who was under treatment for lymphoma, presented with a 2 day old history of not passing stool, flatus, associated with vomiting and abdominal distension. Patient was diagnosed as subacute intestinal obstruction and put on conservative management. However since his condition worsen exploratory laparotomy was performed. On laparotomy a midgut volvulus was detected and subsequently de-rotation of small gut was done. Through this paper we would like to stress out the difficulties in diagnosis and the challenges that we faced. 

scholarly journals Not Everything Is Cordless Today—Case Report of Acute Intestinal Obstruction in a Neonate Due to Cord Clamping

2022 ◽  
Vol 9 ◽  
Author(s):  
Daniel Keese ◽  
Anne-Kathrin Schwalbach ◽  
Andrea Schmedding ◽  
Udo Rolle
Keyword(s):  
Case Report ◽  
Small Bowel ◽  
Intestinal Obstruction ◽  
Small Bowel Obstruction ◽  
Umbilical Cord ◽  
Abdominal Distension ◽  
Intestinal Content ◽  
Acute Intestinal Obstruction ◽  
Ileal Perforation ◽  
Cord Clamping

We report a case of a 2-day-old neonate with bilious vomiting and abdominal distension. A small bowel obstruction with ileal perforation due to a misplaced clamping of the umbilical cord was apparent before laparotomy. This complication was a sequala after clamping the cord too close to the abdominal wall in a case where there was a hernia into the cord with intestinal content. A herniation of abdominal contents due to an omphalocele minor or a hernia must be taken into consideration during the inspection of the umbilical cord before clamping.

CASE REPORT: RARE FORM OF HIRSCHPRUNG’S DISEASE

2020 ◽  
Vol 30 (5) ◽  
pp. 82-84
Author(s):  
Ilja Skalskis
Keyword(s):  
Down Syndrome ◽  
Case Report ◽  
Clinical Symptoms ◽  
Hirschsprung Disease ◽  
Distal Colon ◽  
Total Colonic Aganglionosis ◽  
Sphincter Function ◽  
Anal Sphincter Function ◽  
History Of ◽  
High Index Of Suspicion

Hirschsprung disease (HD) is a developmental disorder characterized by the absence of ganglia in the distal colon, resulting in a functional obstruction. Incidence of total colonic aganglionosis (TCA) is 1 in 500 000 and it accounts for 5-10% of all cases of HD. HD should be suspected in patients with typical clinical symptoms and a high index of suspicion is appropriate for infants with a predisposing condition such as Down Syndrome (DS), or for those with a family history of HD. The treatment of choice for HD is surgical, such as Swenson, Soave, and Duhamel procedures. The goals are to resect the affected segment of the colon, bring the normal ganglionic bowel down close to the anus, and preserve internal anal sphincter function. We present a clinical case report of TCA in a child with Down syndrome (DS) and review of literature.

scholarly journals Strangulated internal supravesical hernia associated with left inguinal hernia: A very rare case report of acute intestinal obstruction

2021 ◽  
pp. 102393
Author(s):  
El yamine othmane ◽  
Fatimazahra Bensardi ◽  
Abdessamad majd ◽  
El Bakouri Abdelilah ◽  
Bouali Mounir ◽  
...  
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Intestinal Obstruction ◽  
Rare Case ◽  
Acute Intestinal Obstruction ◽  
Rare Case Report

scholarly journals Strangulated internal hernia through the lesser omentum with intestinal necrosis: a case report

2002 ◽  
Vol 120 (3) ◽  
pp. 84-86 ◽  
Author(s):  
Gustavo Gibin Duarte ◽  
Belchor Fontes ◽  
Renato Sérgio Poggetti ◽  
Marcos Roberto Loreto ◽  
Paulo Motta ◽  
...  
Keyword(s):  
Case Report ◽  
Intestinal Obstruction ◽  
Internal Hernia ◽  
Clinical Manifestations ◽  
Acute Intestinal Obstruction ◽  
Main Task ◽  
Intestinal Necrosis ◽  
Lesser Omentum ◽  
Lesser Sac ◽  
Internal Hernias

CONTEXT: Internal hernias account for only 0.2 to 0.9% of the cases of intestinal obstruction. They do not have specific clinical manifestations, and are usually diagnosed during laparotomy for acute intestinal obstruction. Internal hernias through the lesser omentum are extremely rare. CASE REPORT: We report here the case of a 36-year-old patient who underwent exploratory laparotomy for acute intestinal obstruction. An internal hernia through the lesser omentum was found, with a strangulated ileal segment passing through the perforation into an abscess within the lesser sac. The surgical procedures included ileal resection, primary anastomosis, abscess removal, and placement of a drain in the lesser sac. The patient was reoperated 6 days later for abdominal sepsis; a lesser sac abscess was removed and the abdominal incision was left open. The patient stayed in the Intensive Care Unit for 15 days, and eventually left the hospital on the 28th post-admission day, with complete recovery thereafter. CONCLUSION: The early diagnosis of acute intestinal obstruction and immediate indication for laparotomy is the main task of the surgeon when faced with a case of acute abdomen with a hypothesis of internal hernia, so as to minimize severe postoperative complications, as illustrated by the present case.

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