Diagnosis, treatment and prognosis of small bowel volvulus in adults: A monocentric summary of a rare small intestinal obstruction

One of the commonest causes of small intestinal obstruction in India is tuberculosis. The terminal ileum and ileocaecal junction are the most common sites of small bowel involvement, and the most common abnormality is short-segment strictures. We report a patient who presented with small intestinal obstruction due to a solitary ileal stricture, but turned out to be a rare condition that can mimic intestinal tuberculosis. A 60-years-old man, with recurrent episodes of pain abdomen for 1 year, presented to our surgical emergency with evidence of small intestinal obstruction. A CT scan revealed a short segment stricture (2.7 cm) in mid ileal loop with luminal narrowing and marked proximal dilation of proximal ileal loops with a few sub centimetric mesenteric lymph nodes. On laparotomy with a suspected diagnosis of intestinal tuberculosis, it turned to be an adenocarcinoma of the ileum- a rare condition that can mimic intestinal tuberculosis. One of the commonest causes of small intestinal obstruction in India is abdominal tuberculosis. However, all cases of small intestinal obstruction are not tuberculosis. Adenocarcinoma of ileum is a very rare entity. This case report shows that a surgeon should have a high index of suspicion in an elderly patient presenting with small intestinal obstruction, with CT demonstrating isolated short-segment small bowel thickening, as it could be a presentation of obstructing type adenocarcinoma of the small intestine.

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Causes and Management Outcome of Small Intestinal Obstruction in Nekemte Referral Hospital, Nekemte, Ethiopia, 2017

Surgery Research and Practice ◽

10.1155/2021/9927779 ◽

2021 ◽

Vol 2021 ◽

pp. 1-6

Author(s):

Tadeg Jemere ◽

Berhanu Getahun ◽

Mahlet Tesfaye ◽

Geremew Muleta ◽

Nega Yimer

Keyword(s):

Logistic Regression ◽

Regression Analysis ◽

Small Bowel ◽

Intestinal Obstruction ◽

Small Bowel Obstruction ◽

Bowel Obstruction ◽

Logistic Regression Analysis ◽

Multivariate Logistic Regression ◽

Small Intestinal Obstruction ◽

Small Intestinal

Background. Small bowel obstruction is a common and dangerous surgical emergency which is associated with high morbidity and mortality if not managed appropriately and timely. Objective. To determine the causes and management outcome of small bowel obstruction in Nekemte Referral Hospital, Nekemte, Ethiopia. Method. Institution-based retrospective cross-sectional study design was used. Three-year data (from January 1, 2014, to December 30, 2016) were collected from July 1 to August 30, 2017. Data were collected from medical records and checked for any inconsistency, coded, and entered into SPSS version 20 for analysis. Descriptive, binary, and multivariate logistic regression analyses were used. On binary logistic regression analysis, variables with p ≤ 0.25 were selected as a candidate for multivariate logistic regression analysis. The level of statistical significance was set at p ≤ 0.05 . Results. With 100% response rate, records of 211 patients with small intestinal obstruction were retrieved for analysis. One hundred thirty-seven (64.9%) were males. The commonest cause of small bowel obstruction was adhesion (35.1%). More than a quarter (26.5%) participants developed postoperative complications, and wound infection was the commonest postoperative complication (49.2%). A majority (84.8%) of patients improved and were discharged, and the rest 15.2% of patients died. Sex (AOR = 3.98, 95% CI: 1.51–10.52), duration of illness before surgical intervention (AOR = 4.4, 95% CI: 1.69–11.45), level of hematocrit (AOR = 4.25, 95% CI: 1.56–11.57), types of intestinal obstruction (AOR = 3.73, 95% CI: 1.09–12.64), and length of hospital stay (AOR = 4.69, 95% CI: 1.82–12.07) were independent predictors of the management outcome of patients with small bowl obstruction. Conclusion. Small bowel obstruction is a commonly encountered surgical emergency. Adhesion, small bowel volvulus, and intussusception were the leading causes of small bowel obstruction, respectively.

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Severe peripartum cardiomyopathy complicated by COVID‐19 infection and small intestinal obstruction

Clinical Case Reports ◽

10.1002/ccr3.4505 ◽

2021 ◽

Vol 9 (7) ◽

Author(s):

Ekhlas Abdulraheem ◽

Mazin Shaikhoun ◽

David Kung

Keyword(s):

Intestinal Obstruction ◽

Peripartum Cardiomyopathy ◽

Small Intestinal Obstruction ◽

Small Intestinal

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Ileal hypertrophy and associated true diverticulum as a cause of colic in a horse

Journal of the South African Veterinary Association ◽

10.4102/jsava.v88i0.1439 ◽

2017 ◽

Vol 88 ◽

Author(s):

Arnold T. Mahne ◽

Driene Janse van Rensburg ◽

Michael Hewetson

Keyword(s):

Intestinal Obstruction ◽

Post Mortem ◽

Small Intestinal Obstruction ◽

Post Mortem Examination ◽

Mesenteric Side ◽

Small Intestinal

A 4-year-old Thoroughbred gelding underwent an explorative celiotomy for a suspected small intestinal obstruction. During surgery, an impacted diverticulum of the ileum was suspected, necessitating a jejunocaecostomy. The owner opted for euthanasia. On post-mortem examination and histopathology, a true diverticulum on the mesenteric side of the ileum, with ileal hypertrophy, was diagnosed.

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A prune-induced small intestinal obstruction: Sonographic appearance

Journal of Clinical Ultrasound ◽

10.1002/jcu.1870230910 ◽

1995 ◽

Vol 23 (9) ◽

pp. 558-560 ◽

Cited By ~ 3

Author(s):

Man-Shan Kong ◽

Kuei-Liang Wang

Keyword(s):

Intestinal Obstruction ◽

Sonographic Appearance ◽

Small Intestinal Obstruction ◽

Small Intestinal

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A Case of Small Intestinal Obstruction Caused by a Freed Leiomyosarcoma

Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) ◽

10.3919/jjsa.76.1928 ◽

2015 ◽

Vol 76 (8) ◽

pp. 1928-1932

Author(s):

Naoki MOROHOSHI ◽

Kazuki ASANUMA ◽

Hyogo SAWAZAKI ◽

Setsuji TAKANASHI ◽

Motoya KASHIYAMA ◽

...

Keyword(s):

Intestinal Obstruction ◽

Small Intestinal Obstruction ◽

Small Intestinal

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Axially torsional Meckel's diverticulum accompanied by small bowel volvulus: a case report

Journal of International Medical Research ◽

10.1177/03000605211053554 ◽

2021 ◽

Vol 49 (10) ◽

pp. 030006052110535

Author(s):

Yang Chen ◽

Yongzhi Liu ◽

Lihui Jiang ◽

Feng Jiang ◽

Tieming Zhu

Keyword(s):

Computed Tomography ◽

Small Bowel ◽

Standard Treatment ◽

Meckel’S Diverticulum ◽

Delayed Diagnosis ◽

Intestinal Resection ◽

Meckel's Diverticulum ◽

Small Bowel Volvulus ◽

Blind Ending ◽

Small Intestinal

Small bowel volvulus secondary to Meckel’s diverticulum is rare, and a delayed diagnosis results in disastrous outcomes. Computed tomography is conducive to early differential diagnosis. In particular, a blind-ending pouch structure on CT always indicates Meckel’s diverticulum. Diverticulectomy with or without adjacent partial small intestinal resection is the standard treatment for symptomatic Meckel’s diverticulum. However, the therapy for asymptomatic Meckel’s diverticulum is controversial. Here, we report the case of a 20-year-old man who suffered intestinal obstruction secondary to small bowel volvulus caused by an axially torsional, gangrenous, and giant Meckel’s diverticulum. Diverticulectomy with partial intestinal resection was performed.

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