Early Small Bowel Obstruction Post Transmesenteric Percutaneous Endoscopic Gastrostomy: A Rare Complication

2016 ◽  
Vol 111 ◽  
pp. S1124
Author(s):  
Aakash Aggarwal ◽  
Deepak Vadehra ◽  
Maheep Sangha ◽  
Noubar Kevorkian
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Rare Complication ◽  
Endoscopic Gastrostomy

scholarly journals A case of small-bowel obstruction after insertion of a percutaneous endoscopic gastrostomy tube due to mesenteric penetration

2015 ◽  
Vol 97 (5) ◽  
pp. e79-e80 ◽  
Author(s):  
J Roos
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Gastrostomy Tube ◽  
Percutaneous Endoscopic Gastrostomy Tube ◽  
Endoscopic Gastrostomy ◽  
Direct Injury ◽  
Peg Tube

A case of small-bowel obstruction after insertion of a percutaneous endoscopic gastrostomy (PEG) tube is described. At laparotomy, the PEG tube was found to have penetrated the jejunal mesentery at two points, thereby acting as a focus for a volvulus. Direct injury and obstruction to the small bowel have been described but volvulus due to mesenteric penetration has not.

scholarly journals Sclerosing Mesenteritis: A Rare Cause of Small Bowel Obstruction

2016 ◽  
Vol 10 (1) ◽  
pp. 67-71 ◽  
Author(s):  
Glenn Harvin ◽  
Adam Graham
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Bowel Resection ◽  
Rare Complication ◽  
Small Bowel Resection ◽  
Sclerosing Mesenteritis ◽  
Exact Etiology ◽  
Resected Tissue ◽  
Uncommon Condition

Sclerosing mesenteritis falls within a spectrum of primary idiopathic inflammatory and fibrotic processes that affect the mesentery. The exact etiology has not been determined, although the following associations have been noted: abdominal surgery, trauma, autoimmunity, paraneoplastic syndrome, ischemia and infection. Progression of sclerosing mesentritis can lead to bowel obstruction, a rare complication of this uncommon condition. We report a case of a 66-year-old female with abdominal pain who was noted to have a small bowel obstruction requiring laparotomy and a partial small bowel resection. The pathology of the resected tissue was consistent with sclerosing mesenteritis, a rare cause of a small bowel obstruction. Sclerosing mesenteritis has variable rates of progression, and there is no consensus regarding the optimal treatment. Physicians should consider sclerosing mesenteritis in the differential diagnosis of a small bowel obstruction.

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